Quarterlytics / Financial Services / Insurance - Property & Casualty / ProAssurance Corporation

ProAssurance Corporation

pra · NYSE Financial Services
Claim this profile
Ticker pra
Exchange NYSE
Sector Financial Services
Industry Insurance - Property & Casualty
Employees 1036
← All annual reports
FY2006 Annual Report · ProAssurance Corporation
Sign in to download
Loading PDF…
ensure

“For a physician, it’s devastating to be sued, particularly 
when you know you’ve done nothing wrong. ProAssurance is 
sensitive to that. They make you feel the way you want your 
patients to feel—like you are in good hands.“

Paul Elliott, M.D.
Anesthesiologist 
Birmingham, Alabama

PROASSURANCE
2006 ANNUAL REPORT

PROASSURANCE SELECTED FINANCIAL DATA (in thousands)

2006

2005

2004

2003

2002

 $578,983 
 737,598 
 126,984 

 $572,960 
 647,950 
 80,026 

 $573,592 
 607,557 
 43,043 

 $543,323 
 535,841 
 15,345 

$461,715 
 402,101 
 (8,100)

Income Statement Highlights

Gross premiums written (4) 

Total revenues (4) 

Income (loss) from continuing  

  operations, net of tax, before cumu- 

  lative effect of accounting change

Net income (2) 

 236,425 

 113,457 

 72,811 

 38,703 

 12,207 

Balance Sheet Highlights

Total investments (4) 

Total assets, continuing operations 

Total assets 

Reserve for losses and loss  

  adjustment expenses (4) 

Long-term debt (4) 

 $3,492,098 
 $4,342,853 
 $4,342,853 
 $2,607,148 

 $2,614,319 
 $3,341,600 
 $3,909,379 
 $2,224,436 

 $2,145,609 
 $2,743,295 
 $3,239,198 
 $1,818,636 

 $1,792,323 
 $2,448,088 
 $2,879,352 
 $1,634,749 

 $1,446,342 
 $2,214,564 
 $2,586,650 
 $1,492,140 

Total liabilities, continuing operations     

 $179,177 
 $3,224,306 

 $167,240 
 $2,806,820 

 $151,480 
 $2,333,405 

 $104,789 
 $2,074,560 

 $72,500 
 $1,854,573 

book value
per share(3)

stockholders’ equity 
(in millions)

total assets 
(in millions)

34

25

21

19

17

611

546

505

1,119

765

4,343

3,909

3,239

2,879

2,587

02

03

04

05

06

02

03

04

05

06

02

03

04

05

06

(1) Includes acquired entities since date of acquisition, only. PIC Wisconsin was acquired on August 1, 2006.  NCRIC Corporation 
      was acquired on August 3, 2005.   
(2) Net income for the year ended December 31, 2002 was increased by $1.7 million ($.0.07 per basic and diluted share) due to the       
      cumulative effect of adopting SFAS 141 and SFAS 142. 
(3) Total capital per share of common stock outstanding. 
(4) Excludes Discontinued Operations. 

 
 
     
       
 
 
   
 
      
      
 
 
 
    
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
At ProAssurance, we do more than insure our customers against 

professional liability. We ensure that our customers are able 

to thrive, even in today’s complex health care environment. 

There are three simple reasons why ProAssurance has grown 

to become the fourth largest professional liability insurer in 

the medical industry. We are financially strong; we manage our 

business so that we’re able to fulfill our promises—now and in 

insure to ensure

the future. We vigorously defend our customers against claims 

without merit while seeking reasonable settlement in those 

cases where there is negligence. And finally, we see superior 

customer service as a business advantage for us and our 

customers. It’s not about how we answer the phone. It’s about 

how we help free our customers to care for their patients, instead 

of worrying about their insurance company.

A SOUND APPROACH IN A COMPLEX BUSINESS

Our approach ensures that we are able to serve both 
our customers and our shareholders effectively.

TO MY FELLOW SHAREHOLDERS

expansion and mergers & acquisitions. The challenge for us 

is to maintain our focus with a proven, successful strategy as 

these events unfold. And to be frank, the challenge for our 

shareholders is to have patience and understand that we will 

maintain an equal focus on creating stockholder value, as we 

have throughout the market cycles in our industry.

This past year provides an excellent example of our 

dedication to executing a sound fundamental strategy.

 Net Income more than doubled from 2005 to 2006. 

Even subtracting the one-time gain from the sale of 

A. Derrill Crowe, M.D.
Chairman and C.E.O.

I am convinced that most insurance 

MEEMIC Insurance, our Personal Lines business, Net  

executives are lousy students of history.

Income from Continuing Operations was up 59%.

I base this on the axiom that those 

Earnings per Fully Diluted Share were up 94%. Again, 

who forget the past are doomed to 

even subtracting the gain from the sale of MEEMIC, Earn-

repeat it. And even with the mistakes 

ings per Fully Diluted Share were up 48%.

that led to the last soft market fresh 

 Gross Premiums were up one percent in a year when 

in our collective minds, malpractice 

others in our line of business were reporting premium 

insurers seem to have already forgot-

decreases. This increase is directly attributable to our acqui-

ten many hard-learned lessons.

sitions of NCRIC and Physicians Insurance Company of 

Given the long-term view that we 

Wisconsin (PIC Wisconsin)—further validating our strategy 

at ProAssurance take of our indus-

of growth through intelligent M & A.

try, we believe this sets the stage for 

 Book Value grew 37%, aided by increases from the  

another round of opportunities in 

sale of MEEMIC, the acquisition of PIC Wisconsin, and 

the coming years, both for business 

sustained organic growth from continuing operations.

2

insure to ensure

 Our Combined Ratio improved to 94.2%, the result of 

and enhance our bottom line. However, 

years of attention to rate adequacy and stringent underwriting.

because acquisitions made simply for 

 Stockholders’ Equity topped one billion dollars during 

the sake of completing a transaction 

the year, and our market cap increased by $148 million.

have proven to be disastrous, it may be 

In all, 2006 was a gratifying year in almost every 

some time before the right candidate 

way—the lack of an increase in our share price is perhaps 

appears. It’s instructive to note that 

the only negative for stockholders. We understand that there 

we’ve passed up far more opportunities 

are short-term solutions that can apply a cosmetic fi x and 

than we’ve pursued since 2001. 

artifi cially boost the stock price, but we have learned over the 

As we see the resurrection of some 

long term that those who apply a short-term mentality to our 

disturbing business trends from less 

“long tail” line of business rarely achieve lasting success. Our 

disciplined competitors, I’m pleased 

actions will be measured, and designed to enhance both bal-

to report that our combination of 

ance sheet strength and stockholder value.

intensive customer service and unques-

Since the inception of our public company in 1991, our 

tioned balance sheet safety continues 

stockholders have enjoyed an annualized return of 18%, or 

to resonate with our insureds and our 

a total return of 1,112%. Since the creation of ProAssurance 

agents, some of whom you’ll hear from 

by the combination of Medical Assurance and Professionals 

in this report. 

Group in 2001, the returns have been equally rewarding: 

The companies that are ProAssurance 

189% total return, annualized to 21%.

today were at one time all policyholder-

The moral of the story is that our long-term stockholders 

have prospered, and our customers have enjoyed the benefi ts 

Since the inception of our public 

of being insured by one of the largest, most stable insurers in a 

company in 1991, our stockholders have 

business fraught with peril for those who try to take shortcuts.

enjoyed an annualized return of 18%, 

So we look ahead to 2007 and beyond, understanding 

or a total return of 1,112%. 

the need to deploy our capital prudently and ensure that the 

business model upon which our success has been built is 

founded and policyholder-controlled. 

refi ned and advanced.

We understand the need for a con-

As to the issue of capital, we are constantly evaluating the 

nection with our policyholders; we 

best use of our capital. Rest assured we plan to be responsible 

expanded our face-to-face outreach to 

with the capital we have generated. Our preferred use contin-

our insureds in 2006, and will do more 

ues to be intelligent growth through M & A, and our success 

in 2007.

in integrating NCRIC and initiating the integration of PIC 

Our Regional Advisory Boards and 

Wisconsin in 2006 help show how selective acquisitions can 

the Claims and Underwriting Commit-

broaden our business reach, deepen our management bench 

tees in 16 key states bring more than 

3

350 medical leaders into contact with 

to defend them against non-meritorious claims, and our 

our most senior executives throughout 

ability to settle those cases in which there is true merit.

the year. We added four states to our 

Our Risk Management programs are being refined and 

meeting schedule in 2006 and will add 

refocused as we bring new resources and vigor to our risk 

more in 2007. We expect to surpass 150 

management team. The scope of our in-person seminars is 

meetings with leadership physicians in 

expanding, and we are leveraging the power of the computer 

2007. These leaders will share our story 

and the internet to make more risk management offerings 

and philosophy with their colleagues

available in ways that are responsive to time-stressed in-

sureds. We believe our risk management efforts will result in 

...by focusing on how we deliver value 

face-to-face interactions with more than half our insureds in 

to our insureds and stockholders  

the coming year, with thousands more utilizing our electronic 

today, we are preparing ProAssurance 

risk management offerings.

to succeed in the future. 

We are updating and refining the winning strategies that 

built ProAssurance. Our experienced management team is 

and enhance the local knowledge of 

leading a dedicated and enthusiastic group of employees 

ProAssurance employees—both key 

who understand that by focusing on how we deliver value 

drivers in our overall success.

to our insureds and shareholders today, we are preparing 

Understanding each locality in which 

ProAssurance to succeed in the future. History tells us there 

we operate is among the most important  

will be opportunities, and experience tells us we will be well 

facets of our operations. Our knowledge 

prepared to take advantage of them when they occur.

of practice patterns and evolving trends 

We thank you for the confidence you show in ProAssurance 

throughout our 26-state footprint enables 

by investing with us, and we invite you to stick with us as 

us to be better underwriters. We believe 

we map plans for a successful future.

better underwriting is among the reasons 

why the number of claims has fallen for 

the second year in a row.

Local knowledge is put to its 

greatest use in our claims department. 

A. Derrill Crowe, M.D.

Though the number of claims has 

Chairman and C.E.O.

dropped in the past two years, almost 

70% of those filed continue to lack 

merit—those abandoned by plaintiffs 

or dismissed somewhere in the legal 

process. As you’ll read in this report, 

our insureds value our corporate will 

4

 
 
 
 
“I’ve been an agent for ProAssurance since the mid-1990s. The way they 
treat people inspires loyalty—and in this business that’s quite unusual. 
They work hard to make the process of insuring someone simple. They are 
professional and personal in what they do, they make my job easier.”

Connie Calbeck
Agent
Aon Risk Services of Illinois

“I’ve represented physicians in court for ProAssurance 
for many, many years. In every trial, they give me all the 
support necessary to defend my clients. Their claims 
consultants are top notch; the level of expertise within the 
company is exceptional. I know my clients appreciate all 
that ProAssurance brings to the table.”

Paul Manion
Partner
Rutledge, Manion, Rabaut, Terry & Thomas, P.C.

DEFENDING THE  
PRACTICE OF MEDICINE

Insurance is a tough business; medical malpractice insurance is particularly so.  

The nature of our business puts a premium on discipline, patience and perseverance. 

While many businesses operate in a series of sprints, we are running a marathon.  

Financial security is the only way we can fulfill our promises.

long-term value, add to our manage-

ProAssurance has grown to be the fourth largest provider in 

ment expertise and intelligently add to 

the medical malpractice industry. So what separates us from 

our footprint. 

our competition? First, we are students of our own  

history. We’ve survived the never-ending cycles inherent in 

We provide the strong defense our 

our industry through carefully controlled underwriting,  

customers demand.

assertive claims advocacy on behalf of our insureds, financial 

ProAssurance is known for its strong 

discipline and sound business combinations.

defense philosophy, willing to defend in-

Our prudent approach is designed to ensure that we have 

sureds against claims without merit while 

the financial strength to fulfill our obligations to our insureds 

reaching reasonable settlements in those 

years into the future. Too often, companies with a short-term 

cases where there is true negligence.

mentality are crippled during the tougher years. The chaos 

that follows often creates acquisition opportunities, which we 

study with great care. Being prudent, we move only when the 

conditions align in our favor, but we are constantly searching 

the competitive landscape for ways to enhance our  

Our prudent approach is designed to 

ensure that we have the financial 

strength to fulfill our obligations.

7

 
...the consistency of our service  

remains one of the defining  

characteristics of our company.

The expertise to help manage risk

To our insureds, time is a precious commodity. There is rarely 

enough of it in which to manage a practice or a business, 

much less to stay ahead of the ever-changing facets of risk 

 It’s a reputation we’ve earned in 

inherent in health care.

courtrooms across the country, and a 

That’s why service is such a critical component to our 

reputation that our insureds depend 

business. Our customers don’t define service as the way we 

on everyday. In 2006, we tried 725 

answer the phone. Instead, they turn to us because we provide 

files to a jury outcome, a commit-

sound thinking and practical ideas for discovering and  

ment to our insureds that we believe is 

managing the risks that evolve as their practice changes. 

unmatched in our industry. But with 

At ProAssurance, service is not limited to a single depart-

68% of the claims we closed last year 

ment or product—it’s a mindset that permeates our entire 

being dropped or dismissed by the 

organization. We’ve organized our business to put us closer to 

plaintiff, it’s clear that frivolous litiga-

our customers, so that we can respond more quickly and more 

tion is still a problem that requires a 

appropriately to their specific needs. Our focused local pres-

tough defense.

ence fosters long-term customer relationships, while giving us 

We hear it often, in the words of 

greater knowledge crucial to understanding the medical/legal 

our own customers—they value an  

environments in which we operate. The consistency of our 

insurer who will go to the mat for 

service remains one of the defining characteristics of  

them. ProAssurance is that company.

our company.

8

“ProAssurance, in my way of thinking, is an old friend. They’ve 
insured my practice for 12 years and we’ve experienced the good 
times and the lean years together. They listen to practitioners in 
the trenches and they never fail to treat their customers as indi-
viduals, not as accounts. It’s a difference I appreciate.”

James Brown, M.D.
OB/GYN
Martinsburg, West Virginia

“ProAssurance does three things very well. Their people help 
us avoid most claims in the first place through expert risk 
management. When claims do occur, their analysis of all 
aspects of the claim is thorough and professional. And should 
a claim go to court, their attorneys are among the best in the 
business. We’ve been very happy customers.”

    Ron Owen
    C.E.O., Southeast Medical Center
    Dothan, Alabama

At ProAssurance, our approach to the business, our willingness 

to fight for what our insureds believe in and our dedication to 

delivering on our promises helps ensure that we meet and exceed 

the expectations of our insureds and our shareholders.

  
United States
Securities and Exchange Commission 
Washington, D.C. 20549

FORM 10-K

(Mark One)

 X 

Annual  report  pursuant  to  section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934  [Fee
Required] for the fiscal year ended December 31, 2006, or 

Transition report pursuant to section 13 or 15(d) of the Securities Exchange Act of 1934 [No Fee
Required] for the transition period from ________ to _________.

Commission file number: 001-16533

ProAssurance Corporation
(Exact name of registrant as specified in its charter)

Delaware
(State of incorporation or organization)

63-1261433

(I.R.S. Employer Identification No.) 

100 Brookwood Place, Birmingham, AL
(Address of principal executive offices) 

35209
(Zip Code)

(205) 877-4400
(Registrant's Telephone Number, Including Area Code)

Securities registered pursuant to Section 12(b) of the Act: 

Common Stock, par value $0.01 per share

Title of Each Class

Name of Each Exchange On Which Registered
New York Stock Exchange

Securities registered pursuant to Section 12(g) of the Act: None. 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the
Securities Act.

Yes  X   

No 

Indicate  by  check  mark  if  the  registrant  is  not  required  to  file  reports pursuant  to  Section  13  or  Section
15(d) of the Act. Yes

No   X 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or
15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period
that the registrant was required to file such reports), and (2) has been subject to such filing requirements
for the past 90 days.  Yes   X

No

Indicate  by  check  mark  if  disclosure  of  delinquent filers  pursuant  to  Item  405 of  Regulation  S-K  is  not
contained  herein,  and will  not  be contained,  to  the  best of  registrant's  knowledge,  in  definitive  proxy  or
information statements incorporated by reference in Part III of this Form 10-K or any amendment to this 
Form 10-K. [ X ]

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-
accelerated  filer.  See  definition  of  “accelerated  filer  and  large  accelerated  filer”  in  Rule  12b-2 of  the 
Exchange Act.

Large Accelerated Filer  X    Accelerated Filer

  Non-Accelerated Filer

Indicate  by  check  mark  whether  the  registrant  is  a  shell  company  (as  defined  in  Rule  12b-2  of  the
Exchange Act.  Yes 

No   X 

The aggregate market value of voting stock held by non-affiliates of the registrant at June 30, 2006 was 
$1,503,008,007.

As of February 15, 2007, the registrant had outstanding approximately 33,281,390 shares of its common
stock.

Exhibit Index at page 114
Page 1 of 118 pages

 
 
 
 
 
 
Documents incorporated by reference in this Form 10-K

(i)

(ii)

(iii)

(iv)

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xi)

(xii)

(xiii)

(xiv)

(xv)

(xvi)

(xvii)

(xviii)

(xix)

The  definitive  proxy  statement for  the  2007  Annual  Meeting  of  the  Stockholders  of  ProAssurance
Corporation (File No. 001-16533) is incorporated by reference into Part III of this report. 

Registration Statement on Form S-4 of MAIC Holdings, Inc. (File No. 33-91508) is incorporated by
reference into Part IV of this report. 

The  MAIC  Holdings,  Inc.  Definitive  Proxy Statement  for  the  1996  Annual  Meeting  (File  No.  0-
19439) is incorporated by reference into Part IV of this report. 

The  Registration  Statement  on  Form  S-4  of  Professionals  Group,  Inc.  (File  No.  333-3138)  is
incorporated by reference into Part IV of this report. 

The  Registration  Statement on  Form  S-4 of  ProAssurance  Corporation  (File No.  333-49378) is
incorporated by reference into Part IV of this report. 

The  ProAssurance  Corporation  Quarterly Report  on  Form  10-Q  for  the  quarter ended  June  30,
2001 (Commission File No. 001-16533) is incorporated by reference into Part IV of this report.

The  ProAssurance  Corporation  Annual  Report  on  Form 10-K  for  the year  ended  December 31,
2001 (Commission File No. 001-16533) is incorporated by reference into Part IV of this report.

The Registration Statement on Form S-3 of ProAssurance Corporation (Commission File No. 333-
100526) is incorporated by reference into Part IV of this report.

The  ProAssurance  Corporation  Definitive  Proxy Statement  filed  on  April 16,  2004  (File  No.  001-
16533) is incorporated by reference into Part IV of this report. 

The ProAssurance Corporation Annual Report on form 10-K for the year ended December 31, 2004
(File No. 001-16533) is incorporated by reference into Part IV of this report. 

The  Registration  Statement  of  Form  S-4  of  ProAssurance  Corporation (File  No.  333-124156)  is
incorporated by reference in Part IV of this report. 

The ProAssurance Corporation Current Report on Form 8-K for event occurring on March 31, 2005
(File No. 001-16533) is incorporated by reference into Part IV of this report. 

The ProAssurance Corporation Current Report on Form 8-K for event occurring on May 18, 2005
(File No. 001-16533) is incorporated by reference into Part IV of this report. 

The  ProAssurance Corporation  Current Report on  Form  8-K  for  event occurring  on  November  4, 
2005 (File No. 001-16533) is incorporated by reference into Part IV of this report. 

The  Registration  Statement  of  Form  S-4  of  ProAssurance  Corporation (File  No.  333-131874)  is
incorporated by reference in Part IV of this report. 

The  ProAssurance  Corporation  Annual  Report  on  Form 10-K  for  the year  ended  December 31,
2005 is incorporated by reference in Part IV of this report. 

The ProAssurance Corporation Current Report on Form 8-K for event occurring on May 17, 2006
(File No. 001-16533) is incorporated by reference into Part IV of this report. 

The  ProAssurance Corporation  Quarterly  Report  on  Form 10-Q  for  the quarter ended September
30, 2006 (Commission File No. 001-16533) is incorporated by reference into Part IV of this report. 

The ProAssurance Corporation Current Report on Form 8-K for event occurring on September 13,
2006 (File No. 001-16533) is incorporated by reference into Part IV of this report. 

2

ITEM 1.  BUSINESS.

General / Corporate Overview

PART I 

We  are  a  holding  company  for  property  and  casualty  insurance companies  focused  on 
professional  liability  insurance. Our  executive  offices  are  located  at  100  Brookwood  Place,
Birmingham, Alabama 35209 and our telephone number is (205) 877-4400. Our stock trades on
the New York Stock Exchange under the symbol “PRA.” Our website is www.ProAssurance.com.

The Investor Home Page on our website provides many resources for investors seeking
to learn more about us. Whenever we file a document or report with the Securities and Exchange
Commission (the SEC) on its EDGAR system, we make the document available on our website
as  soon  as  reasonably  practical.  This  includes  our  annual  report  on  Form  10K,  our  quarterly
reports on Form 10Q and our current reports on Form 8K. We show details about stock trading by
corporate  insiders  by  providing  access to  SEC  Forms  3,  4  and  5  when  they  are  filed  with  the
SEC. We maintain access to these reports for at least one year after their filing. 

In addition to federal filings, on our website, we make available the financial statements
we file with state regulators, news releases that we issue, and certain investor presentations. We
believe  these  documents provide  important  additional  information  about  our  financial  condition
and operations.

The  Governance section  of  our  website provides copies  of  the  Charters  for our  Audit
Committee,  Internal  Audit  department,  Compensation  Committee  and  Nominating/Corporate
Governance Committee.  In  addition  you  will  find  our  Code  of  Ethics  and  Conduct,  Corporate
Governance  Principles, Policy  Regarding  Determination  of  Director  Independence and  Share
Ownership Guidelines  for Management  and  Directors.  We  also  provide  the  Pre-Approval  Policy
and  Procedures  for  our  Audit  Committee  and  our  Policy  Regarding  Stockholder-Nominated
Director Candidates.  Printed copies  of  these  documents may  be  obtained  from  Frank  O’Neil,
Senior  Vice  President, ProAssurance  Corporation,  either  by  mail  at  P.O.  Box  590009,
Birmingham, Alabama 35259-0009, or by telephone at (205) 877-4400 or (800) 282-6242.

Because the insurance business uses certain terms and phrases that carry special and
specific meanings, we urge you to read the Glossary included in this section prior to reading this 
report.

Caution Regarding Forward-Looking Statements

Any statements in this Form 10K that are not historical facts are specifically identified as
forward-looking statements. These statements are based upon our estimates and anticipation of 
future events and are subject to certain risks and uncertainties that could cause actual results to
vary materially from the expected results described in the forward-looking statements. Forward-
looking  statements  are  identified by  words such  as,  but  not  limited  to,  "anticipate",  "believe",
"estimate",  "expect",  "hope",  "hopeful",  "intend",  "may",  "optimistic",  "preliminary",  "project",
"should",  "will"  and  other analogous expressions. There  are  numerous  important  factors  that 
could cause our actual  results  to  differ  materially  from  those  in  the  forward-looking statements.
Thus,  sentences  and phrases  that  we  use  to  convey  our  view  of  future  events  and  trends  are
expressly  designated  as  forward-looking  statements  as  are  sections  of  this  Form 10K  that  are
identified as giving our outlook on future business.

Forward-looking  statements  relating  to  our  business  include  among  other  things:
statements  concerning  liquidity  and  capital  requirements,  return  on  equity,  financial  ratios,  net
income,  premiums,  losses  and  loss reserves, premium  rates  and  retention of current  business,
competition and market conditions, the expansion of product lines, the development or acquisition
of  business  in  new  geographical  areas,  the  availability  of  acceptable  reinsurance,  actions  by
regulators  and  rating  agencies,  court  judgment,  legislative  actions,  payment  or  performance  of 
obligations under indebtedness, payment of dividends, and other matters.

These  forward-looking  statements  are  subject  to  significant  risks,  assumptions  and
uncertainties, including, among other things, the following important factors that could affect the 
actual outcome of future events: 

3

–

–

–
–

–

–
–
–

–

–

–

–

–

–

–

general economic conditions, either nationally or in our market area, that are worse
than anticipated;
regulatory  and  legislative  actions  or  decisions  that  adversely  affect  our  business
plans or operations;
inflation and changes in the interest rate environment;
performance of  financial markets  and/or changes  in  the  securities  markets  that
adversely affect the fair value of our investments or operations;
changes  in  laws  or  government  regulations  affecting  medical  professional  liability
insurance;
changes to our ratings assigned by rating agencies;
the effects of health care changes, including managed care; 
uncertainties inherent in the estimate of loss and loss adjustment expense reserves
and reinsurance, and  changes  in  the  availability,  cost,  quality,  or  collectibility  of 
reinsurance;
bad  faith  litigation  which  may  arise  from  our  involvement  in  the  settlement  of
claims;
post-trial  motions  which may  produce  rulings  adverse  to  us and/or  appeals  we
undertake that may be unsuccessful;
significantly  increased competition  among insurance  providers  and  related pricing
weaknesses in some markets;
our  ability  to  achieve  continued growth  through  expansion  into  other states  or 
through acquisitions or business combinations;
the  expected  benefits  from  acquisitions  may  not  be  achieved  or may  be  delayed
longer  than  expected  due  to,  among  other reasons,  business  disruption,  loss of
customers  and  employees,  increased operating  costs  or  inability  to  achieve cost
savings, and assumption of greater than expected liabilities;
changes  in  accounting  policies  and  practices  that  may  be  adopted  by  our
regulatory agencies and the Financial Accounting Standards Board; and 
changes in our organization, compensation and benefit plans. 

Our results may differ materially from those we expect and discuss in any forward-looking
statements. The principal risk factors that may cause these differences are described in various
documents  we  file  with  the  Securities and  Exchange  Commission,  including  the  Registration
Statement  filed  on  February  15,  2006  and  updated on June  2,  2006,  as well  as  in  our  periodic
reports filed with the Securities and Exchange Commission, such as our current reports on Form
8-K, and our regular reports on Forms 10-Q and 10-K, particularly in "Item 1A, Risk Factors."

We caution readers not to place undue reliance on any such forward-looking statements,
which speak only  as  of  the  date  made,  and  advise  readers that  the  factors listed  above  could
affect  our  financial  performance  and could cause  actual  results  for  future  periods  to  differ
materially from any opinions or statements expressed with respect to future periods in any current
statements.  Except  as  required by  law  or  regulations,  we  do  not  undertake  and  specifically
decline  any  obligation  to  publicly  release  the  result  of  any  revisions  that  may  be  made  to  any 
forward-looking statements to reflect events or circumstances after the date of such statements or
to reflect the occurrence of anticipated or unanticipated events. 

4

GLOSSARY OF SELECTED INSURANCE AND RELATED FINANCIAL TERMS

In an effort to help our investors and other interested parties better understand our report, we are
providing a Glossary of Selected Insurance Terms. These definitions are taken from recognized
industry sources such as A. M. Best and The Insurance Information Institute. This list is intended
to be informative and explanatory, but we do not represent that it is a comprehensive glossary.

Accident year ..............................................................The  accounting  period  in  which  an  insured 

event becomes a liability of the insurer. 

Admitted company; admitted basis............................. An 

insurance  company 

licensed  and 
authorized  to  do  business  in  a  particular
state. An admitted company doing business
in a state is said to operate on “an admitted
basis” and  is  subject  to  all  state  insurance
laws  and 
its 
to 
operations. (See: Non-admitted company)

regulations  pertaining 

Adverse selection ....................................................... The  tendency  of  those  exposed  to  a  higher 
risk to  seek  more  insurance  coverage  than 
those at a lower risk. Insurers react either by
charging higher premiums or not insuring at
all,  as  in  the  case of  floods.  Adverse
selection can  be  seen  as concentrating  risk 
instead of spreading it. 

for 

Agent .......................................................................... An individual  or  firm  that  represents  an 
insurer  under  a  contractual  or  employment
the  purpose  of  selling
agreement 
insurance.  There are  two  types  of  agents:
independent agents,  who represent  one  or 
more  insurance  companies  but  are  not 
employed by those companies and are paid 
on commission,  and  exclusive  or captive
agents,  who  by  contract  are  required  to
represent  or 
insurance
company and are either salaried or work on
commission. Insurance  companies  that  use 
employee or captive agents are called direct
writers.  Agents  are compensated by  the
insurance company  whose  products  they
sell.  By  definition,  with  respect  to  a  given
insurer,  an  agent  is  not  a  broker  (See: 
Broker)

favor  only  one 

Alternative markets..................................................... Mechanisms  used  to  fund  self-insurance.
This  includes  captives,  which  are  insurers
owned  by  one  or  more  insureds  to  provide
coverage.  Risk-retention
owners  with 
groups, 
formed  by  members of similar
professions  or  businesses  to  obtain  liability 
insurance, are also a form of self-insurance.

Assets; admitted; non-admitted .................................. Property  owned, 

including 

company,

in this  case  by  an
insurance 
stocks,
bonds,  and  real  estate.  Because  insurance
accounting  is  concerned with  solvency  and 
the  ability 
insurance 
to  pay  claims, 
regulators  require a  conservative  valuation
of  assets,  prohibiting  insurance companies
from  listing  assets  on  their  balance  sheets

5

whose  values  are  uncertain,  such  as 
furniture, 
fixtures,  debit  balances,  and
accounts  receivable  that  are  more  than  90 
days  past  due  (these  are non-admitted
assets).  Admitted  assets  are  those  assets
that  can  be  easily  sold  in  the  event  of 
or  borrowed  against,  and
liquidation
receivables 
for  which  payment  can be
reasonably anticipated.

Bodily injury ................................................................ Physical  harm,  sickness,  disease  or death

resulting from any of these. 

Broker ......................................................................... An intermediary between a customer and an 
insurance company. Brokers typically search
the market for coverage appropriate to their 
clients and they usually sell commercial, not 
personal, 
are
compensated  by  the  insureds on whose
behalf  they  are working. With  respect  to  a
given insurer, a broker is not an agent. (See:
Agent)

insurance. 

Brokers 

Bulk reserves ………………………………. ................ Reserves  for  losses  that  have  occurred  but 
have  not  been 
reported  as  well  as 
anticipated  changes  to  losses  on  reported
claims.  Bulk  reserves are  the  difference 
between  (i)  the  sum  of  case  reserves  and
paid losses and (ii) an actuarially determined
estimate of the total losses necessary for the 
ultimate  settlement  of  all  reported and
incurred  but  not  reported  claims,  including
amounts 
(See:  Case
Reserves)

already 

paid. 

Capacity......................................................................For  an  individual  insurer,  the  maximum
amount of premium or risk it can underwrite
based  on 
financial  condition.  The 
adequacy  of  an  insurer’s capital  relative  to 
its exposure to loss is an important measure
of solvency.

its 

Capital......................................................................... Stockholders’  equity 

(for  publicly-traded
insurance  companies) and  policyholders’
surplus  (for  mutual  insurance  companies).
Capital adequacy is linked to the riskiness of
(See: Risk-Based
an  insurer’s  business.
Capital, Surplus, Solvency)

Case reserves …………………………….................... Reserves  for  future  losses  for  reported
claims as established by an insurer’s claims
department.

Casualty insurance ..................................................... Insurance which is primarily concerned with 
the 
third
persons (in other words, persons other than
liability
the  policyholder)  and 
imposed on the insured resulting therefrom.
(See:  Professional
insurance, 
Medical professional liability insurance)

losses caused  by injuries 

liability 

legal 

the 

to 

6

Cede, cedant; ceding company .................................. When a  party  reinsures  its  liability  with 
another, it ‘‘cedes’’ business and is referred
to as the ‘‘cedant’’ or ‘‘ceding company.’’

Claim...........................................................................Written or oral demands, as well as civil and 

administrative proceedings.

Claims-made policy; coverage ................................... A 

form  of 

insurance 

that  pays  claims 
presented  to  the  insurer during  the  term  of 
the  policy  or  within  a  specific  term  after  its 
expiration. 
insurers’ 
exposure to unknown future liabilities. Under 
a  claims-made  policy,  an  insured  event
becomes  a  liability  when  the  event  is  first
reported to the insurer.

limits  a 

liability 

It 

Combined ratio ........................................................... The  sum of the  underwriting  expense  ratio
and net loss ratio, determined in accordance
with  either  Statutory  Accounting  Principles
(SAP)  or  Generally  Accepted  Accounting
Principles (GAAP). 

Commission ................................................................ Fee  paid 

insurance
to  an  agent  or 
salesperson  as  a  percentage  of  the  policy
premium.  The  percentage  varies widely
depending on coverage, the insurer, and the 
marketing methods.

Consent to settle......................................................... Clause  provided 

in  some  professional
liability 
the 
insurer  to  receive  authority  from  an  insured
before settling a claim. 

insurance  policies 

requiring 

Damages; economic, non-economic and punitive...... Monies  awarded  to  a  plaintiff  or  claimant. 
to 
Economic
intended 
damages  are 
compensate  a  plaintiff  or  claimant 
for 
quantifiable  past  and  future  losses, such  as
lost  wages  and/or  medical costs.  Non-
those  awarded
economic  damages  are 
separately  and  apart
from  economic
damages,  that  are  intended  to  compensate
the  claimant  or  plaintiff  for  non-quantifiable
losses such as pain and suffering or loss of 
consortium.  Punitive  damages  are  non-
economic  damages  intended  to  punish  the
defendant 
outrageous
conduct.

perceived 

for 

Direct premiums written.............................................. Premiums  charged  by  an  insurer  for  the 
policies  that  it  underwrites,  excluding  any 
premiums that it receives as a reinsurer.

Direct writer(s) ............................................................ Insurance companies that sell directly to the 
public  using exclusive  agents or  their  own 
employees.

Domestic insurance company .................................... Term used by  a  state to  refer  to  any

company incorporated there.

Excess & surplus lines; surplus lines.......................... Property/casualty  insurance coverage  that 
insurers
(See:  Admitted

isn’t  generally  available 
licensed 

the  state 

from 

in 

7

flexibility 

company) and  must  be  purchased  from  a
“non-admitted  company”.  Examples  include
risks  of  an  unusual nature  that  require
terms  and
greater 
conditions  than  exist  in  standard  forms  or
where  the  highest  rates allowed by state
regulators  are  considered  inadequate  by 
admitted 
Laws  governing
surplus lines vary by state.

companies.

in  policy 

Excess coverage; excess limits……………................ An insurance  policy  that  provides  coverage 
limits  above  another  policy  with  similar 
coverage  terms,  or  above  a  self-insured
amount.

Extended reporting endorsement ............................... Also known  as  a  “tail  policy,”  or  “tail
coverage.” Provides  protection  for  future
claims  filed  after  a  claims-made  policy has
lapsed.  Typically  requires  payment of  an
additional premium, the “tail premium.” “Tail
coverage” may also be granted if the insured
becomes  disabled,  dies  or  permanently
retired from the covered occupation (i.e., the 
practice of  medicine 
liability 
policies.)

in  medical 

Facultative reinsurance .............................................. A generic 

reinsurance
term  describing 
where the reinsurer assumes all or a portion
of  a  single  risk.  Each  risk  is  separately
evaluated  and  each  contract  is  separately
negotiated by the reinsurer. 

Frequency...................................................................Number  of  times  a  loss occurs  per  unit  of
risk or exposure. One of the criteria used in 
calculating premium rates.

Front, fronting ............................................................. A procedure in which a primary insurer acts
as  the  insurer  of  record by  issuing  a policy,
but then passes all or virtually all of the risk
to a reinsurer in exchange for a commission.
Often,  the  fronting  insurer  is  licensed  to  do
business in a state or country where the risk 
is  located, but  the  reinsurer  is  not.  The 
reinsurer  in  this  scenario is  often  a  captive
or  an  independent  insurance company  that 
cannot  sell  insurance  directly  in  a  particular 
country.

Generally Accepted Accounting Principles; GAAP..... A  set  of  widely  accepted  accounting
standards,  set  primarily  by  the  Financial
Accounting  Standards  Board  (FASB),  and
used  to  standardize  financial  accounting  of 
public companies.

Gross premiums written.............................................. Total  premiums  for  direct  insurance  written 
and  assumed  reinsurance  during  a  given
period.  The  sum  of  direct  and assumed
premiums written.

8

Guaranty fund; assessment(s) ................................... The  mechanism  by  which  all  50  states,  the
District of Columbia and Puerto Rico ensure
that  solvent  insurers fund  the  payment  of 
claims  against  insurance  companies  that 
fail.  The  type  and  amount  of  claim  covered
by the fund varies from state to state. 

Incurred but not reported (IBNR) ................................ Actuarially estimated reserves for estimated
losses  that  have  been  incurred  by  insureds
and  reinsureds  but  not  yet  reported  to  the
insurer or reinsurer including unknown future
developments on losses which are known to
the 
Insurance
for 
companies  regularly  adjust  reserves 
such  losses as new  information  becomes
available.

reinsurer. 

insurer 

or 

Incurred losses ........................................................... Losses covered by the insurer within a fixed
period, whether  or  not  adjusted  or  paid
during the same period, plus changes in the
estimated value of losses from prior periods.

Insolvent; insolvency .................................................. Insurer’s inability to pay debts. Typically the 
first sign of problems is inability to pass the 
financial
tests  regulators administer  as  a
routine procedure. (See: Risk-based capital)

Investment income ..................................................... Income  generated  by  the  investment  of 
assets. 
two  sources  of 
income, underwriting (premiums less claims
and expenses) and investment income.

Insurers  have 

Liability insurance ....................................................... A  line  of casualty  insurance  for  amounts  a 
policyholder 
to  pay 
because of bodily injury or property damage
caused  to  another  person.  (See:  Bodily
insurance,  Professional
Injury,  Casualty 
insurance,  Medical  professional
liability 
liability insurance) 

legally  obligated 

is 

Limits .......................................................................... The maximum  amount  payable  under  an 

insurance policy for a covered loss.

Long-tail ...................................................................... The  long  period  of  time  between  collecting 
the  premium  for  insuring  a  risk  and  the
ultimate  payment  of  losses.  This  allows
insurance companies to invest the premiums
thus  producing  a
until  losses  are  paid,
higher 
invested  assets  and
investment  income  as  compared  to  other
lines  of  property  and casualty  business.
Medical professional liability is considered a
long  tail  line  of  insurance.  (See:  Medical
professional liability, Professional liability) 

level  of 

Loss adjustment expenses (LAE)............................... The  expenses  of  settling  claims,  including
legal and  other  fees  and  the  portion  of
general  expenses  allocated 
claim
settlement costs.

to

9

Loss costs...................................................................The portion of  an  insurance  rate  used  to 
cover claims  and  the  costs  of  adjusting
claims. 
typically
determine  their  rates  by  estimating their
future  loss costs and  adding  a  provision  for 
expenses, profit, and contingencies.

companies 

Insurance 

losses  and 
loss-
Loss ratio .................................................................... The  ratio  of  incurred 
to  net  premiums
adjustment expenses 
earned.  This 
the 
company's  underlying  profitability,  or  loss 
experience, on its total book of business.

ratio  helps  measure 

Loss reserves ............................................................. Liabilities  established  by insurers  to  reflect
the  estimated  cost  of  claims  payments  and 
the  related expenses  that  the  insurer  will
ultimately  be  required  to  pay  in  respect  of 
insurance or reinsurance it has written. They
represent a liability on the insurer’s balance
sheet.

Medical malpractice.................................................... An act or omission by a health care provider 
that  falls  below  a  recognized standard  of 
care. (See: Standard of Care)

Medical professional liability insurance ...................... Insurance for the legal liability of an insured 
(and against 
loss,  damage  or  expense
incidental to a claim of such liability) arising 
out  of  death,  injury  or disablement of  a 
person as  the  result  of  negligent  deviation
the standard of  care  or other
from 
misconduct 
professional
rendering 
service.

in 

National Association of Insurance Commissioners .... Generally  referred  to  as the  “NAIC.”  The 
organization of  insurance  regulators  from
the  50  states,  the  District of  Columbia and
the  four  U.S.  territories.  The  NAIC  provides
a  forum  for  the  development  of  uniform
policy when uniformity is appropriate.

Net loss ratio............................................................... The net loss ratio measures the ratio of net
losses  to  net  earned premiums determined
in accordance with SAP or GAAP. 

Net premium earned ................................................... The  portion of  premium  that  is  recognized
for accounting purposes as income during a 
particular  period.  Equal  to  net  premiums
written  plus  the  change  in  net unearned
premiums during the period.

Net premiums written.................................................. Gross  premiums written  for  a  given  period 
less  premiums ceded  to  reinsurers during
such period.

Non-admitted company; basis .................................... Insurers  licensed  in  some  states,  but  not 
others.  States  where  an  insurer  is  not 
licensed  call  that  insurer  “non-admitted.”
Non-admitted companies  sell  coverage that
is unavailable from licensed insurers within a 
state  and  are  generally exempt  from  most

10

state  laws  and  regulations  related  to  rates
and  coverages. Policyholders  of  such
companies generally  do  not  have  the same
degree of consumer protection and financial
recourse  as  policyholders  of  admitted
companies.  Non-admitted  companies  are 
said to operate on a “non-admitted” basis.

Nose coverage............................................................ See: Prior acts coverage.

Occurrence policy; coverage ...................................... Insurance  that  pays  claims  arising  out  of 
incidents  that  occur  during  the  policy  term,
even  if  they  are  filed  many  years  later. 
Under  an  occurrence  policy  the  insured
event  becomes a  liability  when  the  event
takes place.

Operating ratio ............................................................ The  operating  ratio  is  the  combined ratio,
income
less 
(exclusive  of  realized  gains  and  losses)  to 
net  earned  premiums, 
in
accordance with GAAP. While the combined
underwriting
ratio 
profitability,  the  operating  ratio  incorporates 
the effect of investment income.

strictly  measures 

if  determined 

investment 

ratio  of 

the 

Paid Loss Ratio........................................................... The ratio of paid losses and loss-adjustment
expenses  to  net  premiums  earned.  (See
Loss ratio)

Paid to Incurred Ratio................................................. The  ratio  of  paid  losses  to  incurred  losses,
which  is  computed  by  dividing  paid  losses
for the period by incurred losses.

Policy .......................................................................... A written contract for insurance between an 
insurance company and policyholder stating
details of coverage.

Premium ..................................................................... The  price  of  an  insurance  policy;  typically

charged annually or semiannually.

Premiums written ........................................................ The total premiums on all policies written by
an insurer during a specified period of time,
regardless  of  what  portions  have  been
earned.

Premium tax................................................................ A state  tax  on  premiums  for  policies  issued

in the state, paid by insurers.

Primary company........................................................ In  a  reinsurance  transaction,  the  insurance 

company that is reinsured.

Prior acts coverage..................................................... An  additional  coverage  for  claims-made
policies,  optionally  made  available  by  an 
insurer,  that  covers  an  insured  for  claims
that occurred, but were not reported prior to 
the inception date, or retroactive date, of the
policy. Sometimes called “Nose Coverage.”

11

Professional liability insurance ................................... Covers professionals  for  negligence  and 
errors  or  omissions  that  cause  injury  or 
(See:
economic 
insurance, 
Casualty 
Medical professional liability insurance)

loss 
insurance,  Liability 

their  clients.

to 

Property casualty insurance ....................................... Covers damage  to  or  loss of  policyholders’
property  and  legal  liability  for  damages
caused to other people or their property.

Rate ............................................................................ The  cost  of  insurance  for  a  specific  unit  of
exposure, such  as  for  one  physician.  Rates 
are  based  primarily  on  historical 
loss 
experience for  similar  risks  and may be
regulated by state insurance offices.

Rating agencies .......................................................... These  agencies  assess  insurers’  financial
strength  and  viability 
to  meet  claims
obligations.  Some  of  the  factors considered
capital
include 
liquidity,
adequacy,  operating 
investment 
reinsurance
performance,
programs, and management ability, integrity 
and experience. A high financial rating is not
the  same  as  a  high  consumer satisfaction
rating.

earnings, 
leverage, 

company 

Reinsurance................................................................Insurance bought  by  insurance  companies. 
In  a  reinsurance contract 
the  reinsurer
agrees  to  indemnify  another  insurance  or 
reinsurance  company,  the  ceding company,
against  all  or  a  portion  of  the  insurance  or 
reinsurance risks underwritten by the ceding
company  under one or  more  policies.
Reinsurers  don’t  pay  policyholder claims.
Instead,  they  reimburse  insurers  for  claims
paid.

Reinsured layer; retained layer................................... The  retained layer  is  the  cumulative  portion 
of  each  loss,  on  a  per-claim  basis, which  is
less than  an  insurer’s  reinsurance  retention
for  a  given coverage  year.  Likewise,  the 
reinsured  layer  is  the  cumulative  portion  of 
each  loss  that  exceeds  the  reinsurance
retention. (See: Reinsurance, Retention)

Reserves..................................................................... A company’s best estimate of what it will pay 
at  some  point  in  the  future,  for  claims  for 
which it is currently responsible. 

Retention .................................................................... The amount or portion of risk that an insurer
retains for its own account. Losses in excess
of  the  retention  level  up  to  the  outer  limit,  if 
any,  are  paid  by 
In 
proportional treaties, the retention may be a
percentage  of  the  original  policy’s  limit.  In
excess  of  loss  business,  the  retention  is  a 
dollar  amount  of  loss, a  loss  ratio  or  a 
percentage.

reinsurer. 

the 

12

Retroactive date.......................................................... Applicable  only  to  claims-made policies.
Claims  that  have  occurred  and  have  not 
been reported prior to this date are excluded
is 
from  coverage.  The  retroactive  date 
generally 
first 
afforded  to  an  insured by  a  company  under
a claims-made policy form, unless extended
into  the  past  by  Prior  Acts  Coverage.  (See: 
Prior Acts Coverage)

the  date  coverage  was 

Return on equity ......................................................... Net  Income  (or  if  applicable,  Income  from
the 
Continuing Operations)  divided  by 
average 
ending
beginning 
stockholders’  equity.  This  ratio  measures a
company's  overall  after-tax  profitability  from 
underwriting  and  investment  activity  and
shows  how efficiently  invested capital  is 
being used.

and 

of 

the  volume  and 
the 

Risk-Based Capital (RBC) .......................................... A  regulatory  measure  of  the  amount  of 
capital  required  for  an  insurance company,
inherent
based  upon 
the 
riskiness  of 
composition of  its  investment  portfolio  and
other financial risk factors. Higher-risk types
of insurance, liability as opposed to property
business, generally necessitate higher levels
of  capital. The NAIC’s  RBC  model  law
stipulates  four  levels  of  regulatory action
with  the  degree  of  regulatory  intervention
increasing as the level of surplus falls below 
a minimum amount as determined under the 
model
law.  (See:  National Association of
Insurance Commissioners)

insurance  sold, 

Risk management....................................................... Management  of  the  varied  risks  to  which  a
firm  or  association might  be
business 
subject.  It  includes  analyzing  all  exposures
to gauge the likelihood of loss and choosing
options  to  better  manage  or  minimize  loss.
These options typically include reducing and
eliminating  the  risk with  safety  measures,
buying insurance, and self-insurance.

Self-insurance.............................................................The  concept  of  assuming  a  financial  risk 
oneself,  instead  of  paying  an  insurance
company to take it on. Every policyholder is
a self-insurer in terms of paying a deductible
and co-payments. Larger policyholders often 
self-insure  frequent  or  predictable  losses  to
avoid insurance overhead expenses.

Severity....................................................................... The  average  claim cost, 

statistically
determined  by  dividing  dollars  of  losses  by 
the number of claims. 

13

Solvent, solvency........................................................ Insurance companies’ ability  to  pay  the 
claims  of policyholders.  Regulations 
to 
promote solvency  include  minimum capital
statutory
and 
accounting  conventions,  limits  to  insurance
company 
corporate
activities,  financial  ratio  tests,  and  financial
data disclosure.

requirements, 

investment 

surplus 

and

Standard of care ......................................................... The  standard  by  which  negligence 

is 
determined.  The  degree  of  skill  associated
with  the  activities  and  treatment  from  a
reasonable, prudent,  ordinary  practitioner
similar
acting  under
circumstances.

same

the 

or 

Statutory Accounting Principles; SAP ........................ More conservative  standards  than  under
GAAP  accounting  rules,  they  are  imposed
by  state  laws  that  emphasize  the  present
solvency  of 
insurance  companies.  SAP
helps  ensure  that  the  company  will  have
sufficient  funds  readily  available  to  meet  all 
by
anticipated 
recognizing  liabilities  earlier  or  at  a  higher
value  than  GAAP  and  assets  later  or  at  a 
lower value. For example, SAP requires that
selling  expenses  be  recorded  immediately
rather  than amortized  over  the  life  of  the
policy. (See: Generally Accepted Accounting
Principles, Admitted assets) 

obligations 

insurance 

Surplus; statutory surplus ........................................... The  excess of  assets  over  total  liabilities
(including 
that  protects
policyholders  in  case  of  unexpectedly  high
claims.  “Statutory  Surplus”  is  determined  in 
accordance  with  Statutory  Accounting
Principles.

reserves) 

loss 

Tail .............................................................................. The period of time that elapses between the 
the 

loss  event  and 

the 

occurrence  of 
payment in respect thereof.

Tail Coverage ............................................................. See: Extended Reporting Endorsement

Third-party coverage .................................................. Liability 

coverage

purchased  by 

the 
policyholder as a protection against possible
lawsuits  filed  by  a  third party.  The  insured
and  the  insurer  are  the  first  and  second
parties to the insurance contract.

Tort ............................................................................. A civil wrong which may result in damages.

Treaty reinsurance...................................................... The  reinsurance of  a  specified  type  or 
category  of  risks  defined in  a  reinsurance
agreement  (a  ‘‘treaty’’)  between  a  primary
insurer  and  a  reinsurer.  Typically,  in  treaty
reinsurance, the primary insurer or reinsured
is  obligated to  offer  and  the  reinsurer  is 
obligated to accept a specified portion of all
such  type  or  category  of  risks  originally
written by the primary insurer or reinsured.

14

Underwriting................................................................The 

applications 

insurer’s  or  reinsurer’s  process  of 
reviewing
for 
insurance coverage,  deciding  whether  to
accept all or part of the coverage requested
and determining the applicable premiums.

submitted 

Underwriting expense ratio......................................... Under  GAAP,  the  ratio  of  underwriting, 
acquisition  and  other  insurance  expenses
incurred  to  net  premiums earned  (for  SAP,
the  ratio  of  underwriting  expenses  incurred
to net premiums written.) 

Underwriting expenses ............................................... The  aggregate  of  policy  acquisition  costs,
including commissions,  and  the  portion  of
administrative,  general  and  other  expenses
attributable to underwriting operations.

Underwriting income; loss .......................................... The  insurer’s  profit  on  the  insurance sales
after  all  expenses  and  losses  have been
paid,  before  investment  income  or  income
taxes.  When  premiums  aren’t  sufficient  to 
cover claims and expenses, the result is an
“underwriting loss.” 

Underwriting profit ...................................................... The amount by which net earned premiums

exceed claims and expenses. (See: 
Underwriting Income)

Unearned premium…………………………................. The portion of  premium  that  represents  the 
consideration for the assumption of risk for a 
future  period.  Such  premium  is not  yet
earned  since  the  risk  has  not  yet  been 
assumed.  May  also  be  defined  as  the  pro-
rata  portion  of  written  premiums  that  would
be  returned to  policyholders  if  all  policies
were  terminated  by  the  insurer  on  a  given
date.

15

Business Overview

We operate  in  a  single  business segment  principally  in  the  mid-Atlantic,  Midwest  and
Southeast.  We  sell professional  liability  insurance primarily  to  physicians,  dentists,  other
healthcare  providers  and  healthcare facilities.  We  also have  a  small  book  of  legal professional
liability business in the Midwest. 

Our  top  five  states represented  60%  of  our  gross  premiums written  for  the  year  ended
December 31, 2006. The following table shows our gross premiums written in these key states for 
each of the periods indicated.

Gross Written Premiums–Years Ended December 31 
($ in thousands)

2006 

2005 

2004(2)

Ohio

Alabama

Florida

Michigan
Indiana (1)
All other states 

 $ 106,267

  102,998 

53,469 

43,757 

40,335 

18%

18%

9%

8%

7%

 $ 131,102

  111,462 

61,341 

46,741 

41,129 

23%

19%

11%

8%

7%

 $ 149,269

  111,582 

69,899 

45,578 

32,635 

  232,157 

40%

  181,185 

32%

  164,629 

26%

19%

12%

8%

6%

29%

Total

 $ 578,983

100%

 $ 572,960

100%

 $ 573,592

100%

(1) Not a top five state in 2004. 
(2) Missouri was included in the top five states in 2004 (gross premiums written of $35,217).

We  believe there  are several  areas in  which we  differentiate  ourselves  from  our
competitors. Our financial strength, commitment to a local market presence and personal service
have  allowed  us  to  establish  a  leading position  in  our  markets,  thus  enabling  us  to  effectively 
compete on a basis other than just price.

We  maintain 17  local claims  and/or  underwriting  offices  to  ensure  that  we  have  a  local
presence in the markets we serve. This emphasis on local knowledge allows us to maintain active 
relationships with our customers and be more responsive to their needs.

Using  our  local knowledge  and  our  experienced  underwriting  staff,  we  rigorously 
underwrite each application for coverage to ensure that we understand the risks we accept, and
are able to develop an adequate price for that risk. By ensuring that we charge an adequate rate,
we seek  to  maintain  the  strong  financial  position  that  allows  us  to  protect  our  customers  in  the
long-term.

We believe our local knowledge also allows us to be more effective in evaluating claims
because we have a detailed understanding of the medical and legal climates of each market. We 
also believe our insureds value our willingness and ability to defend non-meritorious claims.

Corporate Organization and History

We were incorporated in Delaware in June 2001. Our core operating subsidiaries are The
Medical Assurance Company,
Insurance
Company,  Inc.,  Physicians  Insurance  Company  of  Wisconsin,  Inc.,  and  Red Mountain Casualty
Insurance  Company,  Inc.  We  also  write  a  limited  amount  of  medical  professional  liability
insurance  through  Woodbrook Casualty  Insurance,  Inc.  (formerly  Medical  Assurance of West
Virginia, Inc.), which we consider to be a non-core operating subsidiary.

Insurance  Company,  NCRIC 

Inc.,  ProNational 

We  are  the  successor  to  twelve  insurance  organizations  and  much  of  our  growth  has
come  through  mergers and  acquisitions.  In  each,  we  retained  key  personnel,  allowing  us  to
maintain a local presence and preserve important institutional knowledge in underwriting, claims,
risk  management  and  marketing.  We  believe  that  our  ability  to  utilize  this  local  knowledge  is  a 
critical factor in the operation of our companies. Our successful integration of each organization
demonstrates our ability to grow effectively through acquisitions.

16

 
 
 
 
 
 
 
 
 
 
 
Our  predecessor  company,  Medical  Assurance,  Inc.  (Medical  Assurance)  was  founded 
by  physicians  as a  mutual  company  in  Alabama and wrote  its  first  policy  in  1977.  Medical
Assurance  demutualized and  became a  public  company  in  1991.  Medical  Assurance  expanded
through  internal  growth  and  the  acquisition  of  professional  liability  insurance  companies  with
strong regional identities in West Virginia, Indiana and Missouri, along with books of business in
Ohio and Missouri.

Professionals  Group,  which  was  combined  with  Medical  Assurance 

form 
ProAssurance, traces its roots to the Brown-McNeeley Fund, which was founded by the State of 
Michigan  in  1975  to  provide  medical professional  liability  insurance  to  physicians.  Physicians
Insurance Company of Michigan, which ultimately became ProNational, was founded in 1980 to 
assume the business of the Fund. That company also expanded through internal growth and the
acquisition of a book of business in Illinois and the acquisition of professional liability insurers in
Florida and Indiana.

to 

Recent Transactions

Effective August 1, 2006 we completed our acquisition of Physicians Insurance Company
of  Wisconsin,  Inc.  (PIC  Wisconsin)  in  an  all  stock merger.  PIC Wisconsin  is  a stock  insurance
company  that  sells professional  liability  insurance to physicians,  groups of  physicians,  dentists,
and hospitals principally in the state of Wisconsin as well as other Midwestern states. 

On  August 3,  2005  we  acquired  all  of  the  outstanding common stock  of  NCRIC
Corporation and its subsidiaries (NCRIC) in an all stock merger. NCRIC's primary business is a
single insurance company that provided medical professional liability insurance in the District of 
Columbia, Delaware, Maryland, Virginia and West Virginia. 

These  transactions strategically  expanded  our  geographic  footprint  and  are  in  keeping
with  our  desire  to  expand  our  professional  liability  operations  through selective  acquisitions.  A
more  detailed  description  of  the  merger  transactions  is  included  in  Note  2  of  the  Notes  to  the
Consolidated Financial Statements included herein.

On  January  4,  2006  we  sold  our  personal  lines  operations  (the  MEEMIC  companies),
effective January 1, 2006, for $400 million before taxes and transaction expenses. We recognized
a  gain  on  the  sale  in  the  first  quarter  of  2006  of  $109.4  million  after  consideration  of  sales 
expenses  and  estimated  taxes.  Sale  proceeds will  support  the  capital  requirements  of  our 
professional  liability  insurance  subsidiaries and  other  general  corporate  purposes. Additional
information regarding the sale of the MEEMIC companies is provided in Note 3 of the Notes to 
the Consolidated Financial Statements.

In  April  and  May  2004,  we  received  net  proceeds  of  $44.9  million  from  the  issuance  of
$46.4 million of trust preferred securities. These trust preferred securities have a 30-year maturity 
and are callable at par in December 2009. The interest rate on these securities adjusts quarterly
to the 3-month London Interbank Offered Rate (LIBOR) plus 385 basis points.

In early  July 2003  we  received  $104.6  million  from  the  issuance  of  3.9%  Convertible 
Debentures, due  June  2023,  having  a  face  value  of  $107.6  million.  We  utilized  a  substantial
portion of  the  net  proceeds  from  the  sale of the Convertible Debentures  to  repay  our then
outstanding term loan. We used the balance of the net proceeds from the sale of the Convertible
Debentures and  the  trust  preferred  securities  for  general corporate  purposes,  including
contributions  to  the  capital  of  our  insurance  subsidiaries  to  support  the  growth  in  insurance
operations.  See  Note  10 of
the  Notes to the Consolidated Financial  Statements  for  more
information regarding the Convertible Debentures and the trust preferred securities.

In the fourth quarter of 2002 ProAssurance sold 3,025,000 shares of common stock at a
price of $16.55 per share in an underwritten public offering. ProAssurance received net proceeds
from the offering in the amount of approximately $46.5 million. ProAssurance used the proceeds
from  the  offering  to  support  the  growth  of  the  professional  liability  insurance business  and  for 
general corporate purposes.

17

Products and Services

We sell professional liability insurance primarily to physicians, dentists, other healthcare
providers  and  healthcare  facilities.  We  also  have  a  small  book  of  legal professional
liability
business  in  the  Midwest.  We  generate  the  majority  of  our  premiums  from  individual  and  small 
group practices, but also insure major physician groups as well as hospitals. While most of our 
business  is  written  in  the  standard  market,  our subsidiary,  Red  Mountain Casualty  Insurance
Company,  Inc.,  offers  medical  professional  liability  insurance  on  an  excess  and  surplus  lines
basis. We also offer professional office package and workers’ compensation insurance products
in connection with our medical professional liability products. We are licensed to do business in
every state but Connecticut, Maine, New Hampshire, New York and Vermont. 

Marketing

We  utilize  both  direct  marketing  and  independent  agents  to  write  our  business.  In 
Alabama  and  the  District  of  Columbia,  we  rely  solely  on  direct  marketing,  and  in  Florida  and 
Missouri, direct marketing accounts for a majority of our business. We use independent agents to 
market  our professional
liability  insurance  products  in  other markets.  For  the  year  ended
December  31,  2006,  we estimate  that  approximately  65%  of  our  gross  premiums written were
produced  through  independent  insurance  agencies.  These  local  agencies  usually  have  one  to 
three producers who specialize in professional liability insurance and who we believe are able to 
convey the factors that differentiate our professional liability insurance product. No single agent or 
agency accounts for more than 10% of our total direct premiums written. 

Our  marketing  is  primarily  directed  to  physicians.  We  generally  do  not  target  large
physician  groups  or  facilities because of  the  difficulty  in  underwriting  the  individual risks within
those groups  and  because  their  purchasing  decision  is  more  focused on  price.  Our  marketing
emphasizes:

–

–

–

–

–

–

excellent  claims  service  and  the  other  services  and  communications we
provide to our customers,
the  sponsorship  of  risk management education  seminars as  an  accredited
provider of continuing medical education,
risk management consultation, loss prevention seminars and other educational
programs,
legislative oversight and active support of proposed legislation we believe will
have a positive effect on liability issues affecting the healthcare industry, 
the dissemination of newsletters and other printed material with information of
interest to the healthcare industry, and 
endorsements by, and attendance at meetings of medical societies and related
organizations.

We believe that a local presence in our markets enables us to effectively provide these
communications and  services,  all  of  which  have helped  us  gain  exposure  among  potential
insureds.  This  also  demonstrates our understanding  of  the  insurance  needs of  the  healthcare
industry and promote a commonality of interest among us and our insureds.

Underwriting

Our underwriting process is driven by individual risk selection rather than by the size or
other attributes of an account. Our pricing decisions are focused on achieving rate adequacy. We
assess  the  quality  and  pricing  of  the  risk, primarily  emphasizing  loss  history, practice  specialty
and  location in  making  our  underwriting  decision.  Our  underwriters work closely  with  our  local
claims  departments.  This  includes  consulting  with staff  about  claims  histories and  patterns  of 
practice in a particular locale as well as monitoring claims activity.

Our  underwriting 

legal
environments.  Through  our seven  regional  underwriting  offices  located  in Alabama,  Florida,
Indiana,  Missouri,  Michigan,  Washington,  D.C.,  and  Wisconsin,  we  have  established  a  local
presence within our targeted markets to obtain better information more quickly.

local  market  conditions and 

focuses  on knowledge  of 

18

Our underwriters work with our field marketing force to identify business that meets these
established underwriting standards  and  to  develop specific  strategies  to  write  the  desired
business.  In  performing this  assessment,  our underwriters  may  also  consult  with internal
actuaries regarding loss trends and pricing and utilize loss-rating models to assess the projected
underwriting results of certain insured risks.

Our  underwriters  are  also  assisted  by  our  local  medical  advisory  committees  that  we
have established in our key states. These committees are comprised of local physicians, dentists
and  representatives  of  hospitals  and  healthcare entities  and  help  us  maintain  close  ties  to  the
medical  communities  in  these  states,  provide  information  on  the  practice  of  medicine  in  each 
state and provide guidance on critical underwriting and claims issues. 

Claims Management

We  have  claims  offices  in  Alabama  (2),  Delaware,  Florida  (2),  Illinois,  Indiana,  Iowa,
Kentucky, Michigan, Missouri, Ohio (2), Virginia, Washington, D.C., West Virginia, and Wisconsin
so  that  we can  provide  localized  and  timely  attention  to  claims.  Our  claims department
investigates the circumstances surrounding an incident from which a covered claim arises against
an insured. As we investigate, our claims department establishes the appropriate case reserves
for each claim and monitors the level of each case reserve as circumstances require.

Upon  investigation,  and  in  consultation  with  the  insured  and  appropriate  experts,  we 
evaluate the merit of the claim and either seek reasonable good faith settlement or aggressively
defend the claim. If the claim is defended, our claims department coordinates the case, including
selecting defense attorneys who specialize in professional liability cases and obtaining medical,
legal and/or other professional experts to assist in the analysis and defense of the claim. As part
of  the  evaluation  and  preparation process  for  medical  professional  liability  claims,  we  meet 
regularly  with  medical  advisory committees  in  our  key  states  to  examine  claims,  attempt  to
identify potentially troubling practice patterns and make recommendations to our staff. 

We  aggressively  defend  claims  against  our  insureds  that  we  believe  have  no  merit  or 
those we believe cannot be settled by reasonable good faith negotiations. Many of our claims are 
litigated,  and  we  engage experienced trial  attorneys  in  each  venue  to  handle  the  litigation  in
defense of our policyholders.

We believe that our claims philosophy contributes to lower overall loss costs and results
in  greater  customer  loyalty.  The  success of  this claims  philosophy  is  based on  our  access  to 
attorneys who have significant experience in the defense of professional liability claims and who
are able to defend claims in an aggressive, cost-efficient manner.

Investments

The majority of our assets are held in the operating insurance companies. Executives in
our holding company oversee our investments to ensure that we apply a consistent management
strategy to the entire portfolio.

Our overall  investment strategy  is  to  focus  on  maximizing current  income  from  our
investment  portfolio  while  maintaining  safety,  liquidity,  duration  and  portfolio  diversification.  The
portfolio  is generally  managed  by  professional  third  party  asset managers whose  results  are
monitored and  evaluated by  management.  The  asset  managers  typically  have  the  authority  to 
make  investment  decisions,  subject  to  our  investment  policy,  within  the  asset  class  they  are 
responsible for managing. See Note 4 to our Consolidated Financial Statements for more detail
on our investments.

Rating Agencies

Our claims-paying ability and financial strength are regularly evaluated and rated by three 
major rating agencies, A. M. Best, Fitch and Standard & Poor’s. In developing their ratings, these 
agencies evaluate an insurer’s ability to meet its obligations to policyholders. While these ratings

19

may be of interest to shareholders, these are not ratings of securities nor a recommendation to
buy, hold or sell any security.

The  following  table  presents  the  ratings of  our  group and  our  core subsidiaries  as of

February 28, 2007:

Rating Agency

ProAssurance
Group

Medical
Assurance

NCRIC

PIC
Wisconsin

ProNational

Red
Mountain
Casualty

Company / Rating

A. M. Best
(www.ambest.com)

A-
(Excellent)

A-
(Excellent)

B++
(Very Good) 

A-
(Excellent)

A-
(Excellent)

A-
(Excellent)

Fitch
(www.fitchratings.com)

A-
(Strong)

Standard & Poor’s
(www.sandp.com)

A-
(Strong)

A-
(Strong)

A-
(Strong)

Not
Rated

Not
Rated

Not
Rated

Not
Rated

A-
(Strong)

A-
(Strong)

Not
Rated

Not
Rated

The rating  process  is  dynamic  and ratings  can  change.  If  you  are seeking  updated

information about our ratings, please visit the rating agency websites listed in the table. 

Competition

Competition depends on several factors including pricing, size, name recognition, service
quality, market commitment, breadth and flexibility of coverage, method of sale, financial stability
and ratings assigned by rating agencies. Many of these factors, such as market conditions and
regulatory conditions are beyond our control. However, for those factors within our control, such
as  service  quality,  market  commitment,  financial  strength  and stability,  we  believe  we  have
competitive  strengths  that make  us a  viable competitor in those states  where  we  are  currently
writing insurance.

We compete  with  many  insurance  companies  and  alternative  insurance  mechanisms
such as risk retention groups or self-insuring entities. Many of our competitors concentrate on a
single state and have an extensive knowledge of the local markets. We also compete with several
large national  insurers whose  financial  strength  and  resources may  be  greater  than  ours.  The 
following table shows the top five companies that we believe are our direct competitors, based on 
2005 Direct Written Premiums (latest NAIC data available) in our business footprint.

Competitors

Medical Protective

The Doctors Company

American Physicians Assurance Corporation

Medical Mutual Liability Insurance Society of Maryland

First Professionals Insurance Company

We believe that we have a competitive advantage in the current market due to our size,
geographic  scope  and name  recognition,  as well as our  heritage  as a  policyholder-founded
company with  a  long-term  commitment  to  the  professional  liability  insurance  industry.  We have
achieved these advantages through our balance sheet strength, claims defense expertise, strong 
ratings and ability to deliver a high level of service to our insureds and agents. We believe that 
these competitive  strengths  make us a  viable  competitor  in  the  states where  we  are currently
writing insurance.

We  are  experiencing  increasing competition  after  a  period  in  which  many  medical
professional  liability  insurers  withdrew  from  the  market  or  limited  the  scope of  their  writing.  For 
approximately  four  years,  beginning  in  1999,  medical  professional  liability  insurers  experienced
significant  losses,  which reduced  the  capital  of  some  insurers  to  a  level  that  could  not  support
current and future business. In response to these trends, many insurers remaining in the market

20

raised rates, tightened underwriting and limited the geographic market in which they were willing
to  write.  We  believe  these  events  heightened  the  sensitivity  of  our  target  market  to  financial
strength and stability.

As premiums increased, several small competitors with limited capital entered the market 
within  our  geographic  footprint.  These smaller  companies  tend  to  focus  on  limited  pools  of  risk 
and/or specific  geographic  areas.  They  generally  try  to  gain  market  share  through  lower
premiums  or  less  stringent  underwriting.  Beginning  in  the  latter  half  of  2005,  some  established
insurers  began  to  compete  with  lower  prices,  less-stringent  underwriting and  more  liberal
coverage options.

We have chosen  not  to aggressively compete  on  price and we  have  not  liberalized  our
underwriting criteria,  nor have  we  offered  more  liberal coverage  terms.  However, due  to  our
strong market position we have been able to renew the vast majority of our policies at premium
levels  we  believe  will  allow  us  to  achieve  our  return  on  equity  targets.  However,  should 
competitors become less disciplined in their pricing, or more permissive in their coverage terms, 
we would expect to lose the business of policyholders who base their buying decisions primarily
on price.

Insurance Regulatory Matters

We  are  subject  to  regulation  under the insurance  and  insurance  holding  company
statutes of various jurisdictions including the domiciliary states of our insurance subsidiaries and
other  states  in  which  our  insurance  subsidiaries  do  business.  Our  operating  insurance
subsidiaries are domiciled in Alabama, Michigan, The District of Columbia, and Wisconsin.

Insurance  companies  are  also  affected  by  a variety  of  state  and  federal  legislative  and 
regulatory measures and judicial decisions that define and qualify the risks and benefits for which
insurance  is  sought  and  provided.  These  could  include  new or  updated definitions  of  risk 
exposure and  limitations  on  business practices.  In  addition,  individual  state  insurance
departments may prevent premium rates for some classes of insureds from reflecting the level of 
risk assumed by the insurer for those classes.

There is currently limited federal regulation of the insurance business, but each state has
a  comprehensive system  for  regulating  insurers operating  in  that  state.
In  addition,  these
insurance  regulators  periodically  examine  each  insurer’s  financial condition,  adherence  to 
statutory accounting practices, and compliance with insurance department rules and regulations.

Our operating  subsidiaries  are required  to  file  detailed  annual  reports with  the state
insurance regulators  in  each  of  the  states  in  which  they  do  business.  The  laws  of  the  various 
states establish  agencies with  broad  authority  to regulate,  among other  things,  licenses  to 
transact business, premium rates for certain types of coverage, trade practices, agent licensing,
policy  forms,  underwriting  and  claims practices, reserve  adequacy,  transactions  with  affiliates,
and  insurer solvency.  Many  states  also  regulate investment  activities  on  the  basis  of  quality,
distribution  and  other  quantitative  criteria.  States have  also  enacted  legislation  regulating
insurance holding company systems, including acquisitions, the payment of dividends, the terms
of affiliate transactions, and other related matters. 

Applicable state  insurance  laws,  rather than  federal  bankruptcy  laws,  apply  to  the 

liquidation or reorganization of insurance companies.

Insurance Regulation Concerning Change or Acquisition of Control

The  insurance  regulatory  codes  in  our  operating  subsidiaries’  respective  domiciliary
states  each  contain  provisions (subject  to  certain  variations)  to  the  effect  that  the  acquisition  of 
“control”  of  a  domestic  insurer  or  of  any  person  that  directly  or  indirectly  controls  a  domestic
insurer cannot be consummated without the prior approval of the domiciliary insurance regulator.
In  general,  a  presumption  of  “control” arises  from  the  direct  or  indirect  ownership,  control or
possession with the power to vote or possession of proxies with respect to 10% (5% in Alabama)
or  more  of  the  voting  securities  of  a domestic insurer or  of  a  person that  controls  a  domestic
insurer.  A  person  seeking  to  acquire control, directly  or  indirectly,  of  a  domestic  insurance
company  or of  any  person  controlling a  domestic  insurance company  must  generally  file  an

21

application for approval of the proposed change of control with the relevant insurance regulatory
authority.

In  addition,  certain  state  insurance  laws  contain  provisions  that  require  pre-acquisition
notification  to  state  agencies  of  a  change  in control  of  a  non-domestic  insurance company
admitted in that state. While such pre-acquisition notification statutes do not authorize the state
agency  to  disapprove  the  change  of  control,  such  statutes  do  authorize  certain  remedies,
including  the  issuance of a  cease  and  desist  order  with  respect  to  the  non-domestic  admitted
insurers  doing  business  in  the  state  if  certain  conditions exist,  such as undue market
concentration.

Statutory Accounting and Reporting

Insurance companies are required  to  file  detailed  quarterly and  annual  reports  with  the
state insurance regulators in each of the states in which they do business, and their business and 
accounts are subject to examination by such regulators at any time. The financial information in
these  reports  is prepared in  accordance  with  Statutory  Accounting  Practices (SAP).  Insurance 
regulators  periodically  examine  each  insurer’s  financial  condition,  adherence  to  SAP,  and
compliance with insurance department rules and regulations.

Regulation of Dividends and Other Payments from Our Operating Subsidiaries

We are a legal entity separate and distinct from our subsidiaries. As a holding company
with no other business operations, our primary sources of cash to meet our obligations, including
principal and interest payments with respect to indebtedness, are available dividends and other
statutorily permitted payments, such as tax allocation payments from our operating subsidiaries.

Our  operating  subsidiaries  are  subject

to  various  state  statutory  and  regulatory
restrictions, applicable generally to any insurance company in its state of domicile, which limit the
amount  of  dividends  or distributions  an  insurance company  may  pay  to  its stockholders without
prior regulatory approval. Generally, dividends may be paid only out of earned surplus. In every
case, surplus subsequent to the payment of any dividends must be reasonable in relation to an
insurance company’s outstanding liabilities and must be adequate to meet its financial needs.

State insurance holding company acts generally require domestic insurers to obtain prior 
approval  of  extraordinary dividends. Under  the insurance  holding  company  acts  governing  our
principal operating subsidiaries except NCRIC and PIC Wisconsin, a dividend is considered to be
extraordinary if the combined dividends and distributions to the parent holding company in any 12 
month period are more than the greater of either the insurer’s net income for the prior fiscal year
or 10% of its surplus at the end of the prior fiscal year.

The  regulations  governing  Washington,  D.C.  insurers,  which have  jurisdiction  over 
NCRIC, deems a dividend to be extraordinary if the combined dividends and distributions made in
any 12 month period exceeds the lesser of:

• net income less capital gains; or 
• 10% surplus at the past calendar year end.

The regulations governing Wisconsin insurers deems a dividend to be extraordinary if the

amount exceeds the lesser of: 

• 10% of a company’s capital and surplus as of December 31 of the

preceding year;

Or the greater of: 

• Statutory  net  income  for  the  preceding  calendar  year,  minus 

realized capital gains for that calendar year, or 

• The  aggregate  of  statutory  net  income  for  the  three  previous
calendar  years  minus  realized capital gains  for  those calendar
years,  minus  dividends  paid  or  credited and  distributions made
within the first two of the preceding three calendar years.

22

If insurance regulators determine that payment of a dividend or any other payments to an
affiliate  (such  as  payments  under a  tax-sharing  agreement  or  payments for  employee  or  other 
services) would, because of the financial condition of the paying insurance company or otherwise,
be  a  detriment  to  such  insurance  company’s  policyholders,  the  regulators  may  prohibit  such
payments that would otherwise be permitted without prior approval.

Risk-Based Capital 

In  order  to  enhance  the  regulation  of  insurer solvency,  the  National  Association  of 
Insurance  Commissioners  (NAIC)  specifies  risk-based  capital  (RBC)  requirements  for  property
and casualty  insurance companies.  At  December 31,  2006,  all  of  ProAssurance’s  insurance
subsidiaries exceeded the minimum level of capital. 

Investment Regulation

Our  operating  subsidiaries  are  subject  to  state  laws  and  regulations  that  require
diversification  of  investment  portfolios  and  that  limit  the  amount  of  investments  in  certain
investment categories.  Failure  to  comply  with  these  laws  and  regulations  may  cause  non-
conforming investments to be treated as non-admitted assets for purposes of measuring statutory
surplus  and,  in  some  instances,  would  require divestiture. We  believe  that  our  operating
subsidiaries are in compliance with state investment regulations.

Guaranty Funds

Admitted  insurance  companies  are required  to  be  members  of  guaranty  associations
which administer state Guaranty Funds. These associations levy assessments (up to prescribed
limits) on all member insurers in a particular state on the basis of the proportionate share of the
premiums written  by  member  insurers  in  the  covered  lines  of  business  in  that  state.  Maximum
assessments  permitted  by  law  in  any  one  year  generally  vary  between  1%  and  2%  of  annual
premiums  written  by  a  member  in  that state.  However,  in  2006  the  Florida  Office  of  Insurance
Regulation levied two separate 2% assessments on property and casualty insurers to enable the
Florida  Guaranty  Association  to  pay  claims  against  insurers  that  became  insolvent  due  to
hurricanes. The combined assessments totaled $2.3 million for us. 

Some  states permit  member  insurers  to  recover  assessments  paid  through surcharges
on policyholders or through full or partial premium tax offsets, while other states permit recovery 
of  assessments  through  the  rate  filing  process. We  have  elected  to  add  a  surcharge  to  the
premiums we will charge our Florida policyholders, in an effort to recoup the assessments in the 
Florida example cited in the previous paragraph.

Shared Markets 

State  insurance  regulations  may  force  us  to  participate  in  mandatory  property  and
casualty  shared  market  mechanisms  or  pooling arrangements  that  provide  certain insurance
coverage to individuals or other entities that are otherwise unable to purchase such coverage in
the  commercial  insurance marketplace. Our operating  subsidiaries’  participation  in  such  shared
markets or pooling mechanisms is not material to our business at this time. 

Legislative and Regulatory Changes

In  recent  years,  the  insurance  industry has  been  subject  to  increased scrutiny  by 
regulators  and  legislators.  The  NAIC  and  a  number  of  state  legislatures  have  considered  or 
adopted  legislative  proposals  that  alter  and,  in  many  cases, increase  the  authority  of  state
agencies to regulate insurance companies and insurance holding company systems.

Several of  the  states  in  which  we  operate, notably  Georgia,  Florida,  Illinois, Missouri,
Ohio, Texas, and West Virginia, have passed Tort Reform, but these laws have yet to materially
affect our business. Wisconsin’s caps on non-economic damages were ruled unconstitutional in
2005, and in 2006 the legislature enacted a new law that re-established caps on non-economic
damages at  $750,000.  Recent court  decisions in West  Virginia  have  struck  down  the Tort
Reforms enacted in 1991 and we believe there will be court challenges in the remaining states in 

23

the coming years. Historically many of these laws have been invalidated in the appeals process.
Because we cannot predict with any certainty how appellate courts will rule on these laws we do 
not take them into account in our rate-making assumptions, except in Florida where such credit is 
required by law. 

Legislatures in other states in which we operate are currently considering, or being asked
to consider Tort Reform, but we cannot predict in which states those efforts will be successful. In
certain states, Tort Reform may also place limits on the ability of professional liability insurers to 
raise or maintain rates at adequate levels. We continue to monitor developments on a state-by-
state basis, and make business decisions accordingly.

There  are  also  Tort  Reform  proposals  being  considered  at  the  Federal  level.  This 
legislation has the backing of the Bush administration and passed the House of Representatives
in 2006, as in prior legislative sessions, but has never been approved in the Senate. We do not
believe there will be Federal Tort Reform in the foreseeable future. As in the states, passage of a
federal  Tort Reform  package would  likely  be  subject  to  judicial  challenge  and  we  cannot  be
certain that it would be upheld by the courts.

In  addition  there  have  been prior attempts  to  involve  the  federal government  in  the
regulation of the insurance industry at some level. While we do not have any reason to believe
this will occur in the near future, we cannot rule out that possibility.

Although  the  federal  government  does  not  regulate  the  business  of  insurance  directly, 
federal initiatives, including changes in patient protection legislation and the various health care
reforms currently under discussion may affect our business.

Employees

At  December  31,  2006,  we  had  589  employees,  none  of  whom  are represented  by  a

labor union. We consider our employee relations to be good. 

ITEM 1A. RISK FACTORS. 

There  are  a  number  of  factors,  many  beyond  our control, which  may  cause results  to 
differ significantly from our expectations. Some of these factors are described below under “Risk
Factors,” while others having to do with operational, liquidity, interest rate and other variables, are
described elsewhere in this report. Any factor described in this report could by itself, or together
with  one  or more  factors,  have  a  negative  effect  on  our  business, results of  operations  and/or
financial condition. There may be factors not described in this report that could also cause results
to differ from our expectations.

Our operating results may be affected if actual insured losses differ from our loss reserves.

Significant  periods  of  time  often  elapse  between  the  occurrence  of  an  insured  loss,  the
reporting of the loss by the insured and payment of that loss. To recognize liabilities for unpaid 
losses, we  establish  reserves  as  balance  sheet  liabilities  representing  estimates  of  amounts
needed  to  pay  reported and  unreported  losses  and  the  related  loss  adjustment  expense.  The
process of estimating loss reserves is a difficult and complex exercise involving many variables
and  subjective judgments. As  part  of  the  reserving  process, we  review  historical  data and
consider the impact of various factors such as:

–
–
–
– 
–

trends in claim frequency and severity;
changes in operations;
emerging economic and social trends;
inflation; and
changes in the regulatory and litigation environments.

This  process  assumes  that  past  experience,  adjusted  for  the  effects  of  current
developments  and  anticipated  trends,  is  an  appropriate,  but  not  necessarily  accurate,  basis  for 
predicting  future  events.  There  is  no  precise  method  for  evaluating  the  impact  of  any  specific
factor on the adequacy of reserves, and actual results are likely to differ from original estimates.

Our  loss  reserves also  may  be  affected  by  court  decisions  that  expand  liability  on  our 

24

policies after they have been issued and priced. In addition, a significant jury award, or series of
awards,  against  one  or  more  of  our  insureds  could  require  us  to  pay  large  sums  of  money  in 
excess  of  our  reserved  amounts.  Our policy  to  aggressively  litigate  claims  against  our  insureds
may increase the risk that we may be required to make such payments.

To  the  extent  loss  reserves prove  to  be inadequate  in  the  future,  we  would  need  to
increase our  loss  reserves  and  incur  a  charge  to  earnings  in  the  period  the  reserves  are
increased, which could have a material adverse impact on our financial condition and results of
operation and the price of our common stock.

If we are unable to maintain a favorable financial strength rating, it may be more difficult for us to 
write new business or renew our existing business.

Independent rating agencies assess and rate the claims-paying ability of insurers based
upon criteria established by the agencies. Periodically the rating agencies evaluate us to confirm
that we continue to meet the criteria of previously assigned ratings. The financial strength ratings
assigned by rating agencies to insurance companies represent independent opinions of financial
strength and ability to meet policyholder obligations and are not directed toward the protection of 
investors. Ratings by  rating  agencies  are  not  ratings  of  securities  or  recommendations  to  buy,
hold or sell any security. 

Our  principal  operating  subsidiaries  hold  favorable  financial  strength  ratings  with  A.M. 
Best, Standard & Poor’s, Fitch and other rating agencies. Financial strength ratings are used by 
agents and customers as an important means of assessing the financial strength and quality of 
insurers.  If  our  financial position  deteriorates, we may  not  maintain  our  favorable  financial
strength  ratings  from  the  rating  agencies.  A  downgrade  or  involuntary  withdrawal  of  any  such
rating could limit or prevent us from writing desirable business.

The  following  table  presents  the  ratings of  our  group and  our  core subsidiaries  as of

February 28, 2007:

Rating Agency

ProAssurance
Group

Medical
Assurance

NCRIC

PIC
Wisconsin

ProNational

Red
Mountain
Casualty

Company / Rating

A. M. Best
(www.ambest.com)

A-
(Excellent)

A-
(Excellent)

B++
(Very Good) 

A-
(Excellent)

A-
(Excellent)

A-
(Excellent)

Fitch
(www.fitchratings.com)

A-
(Strong)

Standard & Poor’s
(www.sandp.com)

A-
(Strong)

A-
(Strong)

A-
(Strong)

Not
Rated

Not
Rated

Not
Rated

Not
Rated

A-
(Strong)

A-
(Strong)

Not
Rated

Not
Rated

The rating  process  is  dynamic  and ratings  can  change.  If  you  are seeking  updated

information about our ratings, please visit the rating agency websites listed in the table. 

We operate in a highly competitive environment.

The  property  and  casualty  insurance business  is highly  competitive.  We  compete  with
large  national  property  and  casualty  insurance  companies,  locally-based  specialty  companies,
self-insured entities and alternative risk transfer arrangements (such as captive insurers and risk 
retention groups) whose activities are directed to limited markets. Competitors include companies
that have substantially greater financial resources than we do, as well as mutual companies and 
similar  companies  not  owned  by  shareholders whose  return  on  equity  objectives  may  be  lower
than ours. 

Competition in the property and casualty insurance business is based on many factors, 
including  premiums charged  and  other  terms  and conditions  of  coverage,  services  provided,
financial ratings assigned by independent rating agencies, claims services, reputation, perceived
financial  strength  and  the  experience of  the  insurance company  in  the  line  of  insurance  to  be

25

written. Increased competition could adversely affect our ability to attract and retain business at 
current premium levels and reduce the profits that would otherwise arise from operations.

Our revenues may fluctuate with insurance market conditions.

We  derive  a  significant  portion  of  our  insurance  premium  revenue  from  medical
malpractice risks. Between 2000 and 2004, premium rates increased significantly which improved
our operating results. Competition has increased in the medical malpractice industry since 2004,
and premiums may not remain at current levels in the next year. Should our competitors become
less disciplined in their pricing, or more permissive in their terms, we may see premiums decline.
We  could  also  lose  customers  who  base  their  purchasing  decisions  primarily  on  price  because
our  policy  is  to  charge  adequate  premiums  on  risks  that  meet  our  underwriting  standards.  We 
cannot predict whether, when or how market conditions will change, or the manner in which, or 
the extent to which any such changes may adversely impact the results of our operations.

Our investment results will fluctuate as interest rates change.

Our  investment  portfolio  is  primarily  comprised  of  interest-earning  assets.  Thus,
prevailing  economic  conditions,  particularly  changes in  market  interest rates,  may  significantly
affect  our  operating results.  Changes  in  interest rates  also  can  affect  the  value  of  our  interest-
earning assets, which are principally comprised of fixed and adjustable-rate investment securities.
Generally,  the  values  of  fixed-rate  investment securities  fluctuate  inversely  with  changes  in 
interest  rates.  Interest  rate  fluctuations  could  adversely  affect  our stockholders’ equity,  income
and/or cash flows. Our total investments at December 31, 2006 were $3.5 billion, of which $3.2
billion was invested in fixed maturities. Unrealized pre-tax net investment losses on investments
in available-for-sale fixed maturities were approximately $2.4 million at December 31, 2006. 

At December 31, 2006, we held equity investments having a fair value of $7.2 million in
an  available-for-sale  portfolio  and  held  additional  equity  securities  having  a  fair  value  of  $7.6
million in a trading portfolio. The fair value of these securities fluctuates depending upon company
specific and general market conditions.

Any decline in the fair value of available-for-sale securities that we determine to be other-
than-temporary will reduce our net income. Any changes in the fair values of trading securities,
whether gains or losses, will be included in current period net income. 

Changes in healthcare could have a material affect on our operations.

We derive substantially all of our medical professional liability insurance premiums from
physicians  and  other  individual  healthcare  providers, physician  groups  and  smaller  healthcare
facilities. Significant attention has been focused on reforming the healthcare industry at both the
federal and state levels which could result in changes to how health care providers insure their 
medical  malpractice  risks. A  broad range  of  healthcare reform  measures  has  been suggested,
and public discussion of such measures will likely continue in the future. Proposals have included,
among  others,  spending  limits,  price  controls,  limiting  increases  in  insurance  premiums  and/or
health savings  accounts,  limiting  the  liability  of  doctors  and  hospitals  for  tort  claims,  imposing
liability on institutions rather than physicians, and restructuring the healthcare insurance system.
We cannot predict which, if any, reform proposals will be adopted, when they may be adopted or 
what  impact  they  may  have  on  us.  The  adoption  of certain  of  these  proposals  could  materially
adversely affect our financial condition or results of operations.

In addition to regulatory and legislative efforts, there have been significant market driven
changes  in  the  healthcare  environment  such  as  the  emergence  of  managed  care,  declining
reimbursement levels and increasing costs. These, and other factors, have negatively affected or
threatened  to  affect  the  practices  and  economic  independence  of  our  insureds.  Medical
professionals  have  found  it  more  difficult  to  conduct  a  traditional  fee-for-service  practice  and
many have been driven to join or contractually affiliate with larger organizations.

These changes may result in the elimination of, or a significant decrease in, the role of
the physician in the medical malpractice insurance purchasing decision. They could also result in 
greater emphasis on the role of professional managers, who may seek to purchase insurance on

26

a  price  competitive  basis,  and  who  may  favor  insurance  companies  that  are  larger  and  more
highly  rated  than  we  are.  In  addition, such  change  and  consolidation  could  reduce  our  medical
malpractice premiums as groups of insurance purchasers generally retain more risk or self insure.

We  are  a  holding  company  and  are  dependent  on  dividends  and  other  payments  from  our 
operating subsidiaries, which are subject to dividend restrictions.

We are a holding company whose principal source of funds is cash dividends and other
permitted payments from operating subsidiaries. If our subsidiaries are unable to make payments
to  us,  or are  able  to  pay  only  limited  amounts,  we  may  be  unable  to  make payments  on  our 
indebtedness. The payment of dividends by these operating subsidiaries is subject to restrictions
set forth in the insurance laws and regulations of their respective states of domicile, as discussed
under Item 1, “Insurance Regulatory Matters” on page 21. 

Regulatory requirements could have a material effect on our operations.

Our  insurance  businesses  are  subject  to  extensive  regulation  by  state  insurance
authorities  in  each  state  in  which  they  operate.  Regulation  is  intended  for  the  benefit  of 
policyholders  rather  than  shareholders.  In  addition  to  the  amount  of  dividends  and other
payments  that  can  be  made  to  a  holding company  by  insurance subsidiaries,  these regulatory
authorities have broad administrative and supervisory power relating to: 

–
–
–
–
–

licensing requirements;
trade practices;
capital and surplus requirements;
investment practices; and
rates charged to insurance customers.

These  regulations  may  impede  or  impose  burdensome  conditions  on  rate  increases  or 
other actions  that  we  may  want  to  take  to  enhance our operating  results.  In  addition, we may
incur significant costs in the course of complying with regulatory requirements. Most states also
regulate  insurance  holding  companies  like  us  in  a  variety  of  matters such  as  acquisitions,
changes of control and the terms of affiliated transactions. 

Future  legislative  or  regulatory changes  may  also adversely  affect  our business

operations.

Our claims settlement practices could result in a bad faith claim against us. 

We could  be  sued  for  allegedly  acting  in  bad  faith  during  our handling  of  a claim.  The
damages in actions for bad faith may include amounts owed by the insured in excess of the policy 
limits  as well  as  consequential  and  punitive  damages.  Awards  above  policy  limits  are relatively
infrequent,  but  they  are  becoming  more  common.  Historically,  we  have  been  successful  in
resolving  actions against us  for  bad  faith  on  terms  that  have  no  material  adverse effect  on  our
financial condition and results of operations. These actions have the potential to have a material
adverse effect on our financial condition and results of operations.

The unpredictability of court decisions could have a material affect on our operations.

The  financial  position  of  our  insurance  subsidiaries  may  also be  affected by  court
decisions  that  expand  insurance  coverage  beyond the  intention  of  the  insurer  at  the  time  it 
originally  issued  an  insurance  policy.  In  addition, a  significant  jury  award,  or series  of  awards,
against one or more of our insureds could require us to pay large sums of money in excess of our 
reserve amounts.

The  passage  of  tort  reform  or  other  legislation,  and  the  subsequent  review  of  such  laws by  the
courts could have a material impact on our operations.

Tort reforms generally restrict the ability of a plaintiff to recover damages by, among other
limitations, eliminating certain claims that may be heard in a court, limiting the amount or types of 
damages, changing statutes of limitation or the period of time to make a claim, and limiting venue

27

or court selection. A number of states in which we do business have enacted, or are considering,
tort  reform  legislation.  Proposed  federal  tort  reform  legislation  has  failed  to  win  Congressional
approval to date. 

While the effects of tort reform would appear to be beneficial to our business generally,
there can be no assurance that such reforms will be effective or ultimately upheld by the courts in 
the  various states.  Further,  if  tort  reforms  are effective,  the  business of  providing professional
liability insurance may become more attractive, thereby causing an increase in competition for us. 

In  addition,  there can  be  no  assurance  that  the  benefits of  tort  reform will  not  be
accompanied  by  legislation  or  regulatory  actions that  may  be  detrimental  to  our  business.  For 
example,  various  states have  established  or  are  evaluating  their  intention  to  establish state
sponsored malpractice  insurance  for  their  resident  physicians  that  may  eliminate  targeted
physicians from the private insurance market. Furthermore, insurance regulatory authorities may
require premium  rate  limitations and  expanded  coverage requirements  as  well  as  other 
requirements  in  anticipation  of  the  expected  benefits  of  tort  reform which  may  or  may  not  be
actually realized.

Our business could be adversely affected by the loss of independent agents. 

We  depend in  part  on  the  services of  independent  agents  in  the  marketing  of  our 
insurance products.  We  face  competition  from  other  insurance  companies  for  the  services  and
allegiance  of  independent  agents.  These  agents  may  choose  to  direct  business  to  competing
insurance companies.

If market conditions cause reinsurance to be more costly or unavailable, we may be required to
bear increased risks or reduce the level of our underwriting commitments.

As part of our overall risk and capacity management strategy, we purchase reinsurance
for  significant  amounts  of  risk  underwritten  by  our  insurance company subsidiaries.  Market
conditions beyond our control determine the availability and cost of the reinsurance, which may
affect  the  level  of  our  business and  profitability.  We  may  be  unable  to  maintain  current 
reinsurance coverage  or  to  obtain  other  reinsurance  coverage  in  adequate  amounts  and  at
favorable  rates.  If  we  are  unable  to  renew  our  expiring coverage  or  to  obtain  new reinsurance
coverage, either our  net  exposure to  risk  would  increase or,  if  we  are  unwilling  to  bear  an 
increase in net risk exposures, we would have to reduce the amount of our underwritten risk.

We cannot guarantee that our reinsurers will pay in a timely fashion, if at all, and, as a result, we
could experience losses.

We  transfer some of  our  risks  to  reinsurance companies  in  exchange  for  part  of  the 
premium we receive in connection with the risk. Although reinsurance makes the reinsurer liable
to us to the extent the risk is transferred, it does not relieve us of our liability to our policyholders.
If reinsurers fail to pay us or fail to pay on a timely basis, our financial results would be adversely
affected.  At  December  31,  2006,  we  had reinsurance  recoverables  on  paid and unpaid  losses
and loss adjustment expenses of approximately $370.8 million. 

The guaranty fund assessments that we are required to pay to state guaranty associations may
increase and results of operations and financial condition could suffer as a result.

Each  state  in  which  we  operate  has  separate  insurance  guaranty  fund  laws  requiring
admitted property  and casualty  insurance  companies doing  business within  their  respective
jurisdictions to be members of their guaranty associations. These associations are organized to
pay  covered claims  (as  defined  and  limited  by  the  various  guaranty  association  statutes)  under
insurance  policies  issued  by  insolvent  insurance companies.  Most  guaranty  association  laws
enable  the  associations  to  make  assessments  against  member  insurers  to  obtain  funds  to  pay
covered claims after a member insurer becomes insolvent. These associations levy assessments
(up  to  prescribed  limits) on  all  member  insurers  in  a  particular  state  on  the  basis  of  the
proportionate share of the premiums written by member insurers in the covered lines of business
in that state. Maximum assessments permitted by law in any one year generally vary between 1% 

28

and 2% of annual premiums written by a member in that state, although one notable exception
occurred in Florida in 2006, when the state assessed all property casualty insurers a total of 4% 
of their non-property premiums to offset bankruptcies caused by hurricane claims. Some states
permit  member  insurers  to  recover assessments  paid  through surcharges  on  policyholders or
through  full  or  partial  premium  tax  offsets,  while  other  states  permit  recovery  of  assessments 
through the rate filing process.

Property and casualty guaranty fund assessments incurred by us totaled $2.6 million and
$226,000  for  2006  and  2005,  respectively.  Our  policy  is  to  accrue  the  insurance  insolvencies
when  notified  of  assessments.  We are not  able  to  reasonably  estimate  the  liabilities  of  an 
insolvent  insurer  or  develop  a  meaningful  range  of  the  insolvent  insurer’s  liabilities  because  of
inadequate financial data with respect to the estate of the insolvent company as supplied by the
guaranty funds.

Our business could be adversely affected by the loss of one or more key employees.

We are heavily dependent upon our senior management and the loss of services of our
senior executives could adversely affect our business. Our success has been, and will continue to
be, dependent on our ability to retain the services of existing key employees and to attract and 
retain  additional  qualified personnel  in the  future.  The  loss  of  the  services  of  key  employees  or
senior managers, or the inability to identify, hire and retain other highly qualified personnel in the
future, could adversely affect the quality and profitability of our business operations.

Our board  of  directors  regularly  reviews  succession  planning  relating  to our Chief
Executive Officer as  well  as  other  senior officers. Dr.  Crowe,  our  current Chairman  and Chief
Executive Officer, has indicated to the board that he has no immediate plans for retirement.

Provisions in our charter documents, Delaware law and state insurance law may impede attempts
to replace or remove management or impede a takeover, which could adversely affect the value
of our common stock. 

Our certificate  of  incorporation,  bylaws  and  Delaware  law  contain  provisions that  may
have the effect of inhibiting a non-negotiated merger or other business combination. Additionally, 
the board of directors may issue preferred stock, which could be used as an anti-takeover device,
without a further vote of our stockholders. We currently have no preferred stock outstanding, and
no  present  intention  to  issue  any shares  of  preferred  stock. However,  because  the  rights and
preferences of  any  series  of  preferred  stock  may  be  set  by  the  board  of  directors  in  its  sole
discretion, the rights and preferences of any such preferred stock may be superior to those of our
common stock and thus may adversely affect the rights of the holders of common stock. 

The voting  structure of  common  stock and other  provisions  of  our certificate  of 
incorporation are intended to encourage a person interested in acquiring us to negotiate with, and 
to obtain the approval of, the board of directors in connection with a transaction. However, certain
of  these  provisions  may  discourage  our  future  acquisition,  including  an  acquisition  in  which
stockholders might otherwise receive a premium for their shares. As a result, stockholders who
might desire to participate in such a transaction may not have the opportunity to do so. 

In addition, state insurance laws provide that no person or entity may directly or indirectly
acquire control of an insurance company unless that person or entity has received approval from
the  insurance  regulator.  An  acquisition  of  control would  be  presumed  if  any  person  or  entity 
acquires 10% (5% in Alabama) or more of our outstanding common stock, unless the applicable
insurance regulator determines otherwise.

These provisions apply even if the offer may be considered beneficial by stockholders.

If  a  change  in  management  or  a  change  of control is  delayed or  prevented,  the  market

price of our common stock could decline.

29

ITEM 1B. UNRESOLVED STAFF COMMENTS.

None.

ITEM 2.  PROPERTIES.

We own three office buildings, all of which are unencumbered. In Birmingham, Alabama
we own  a  156,000  square  foot  building  in  which  we  currently occupy  approximately  82,000
square  feet  with  the  remaining  office  space  leased  to  unaffiliated  persons  or  available  to  be 
leased.  In  Okemos,  Michigan we  own,  and  fully  occupy a  53,000  square  foot  building  and  in
Madison, Wisconsin we own and fully occupy a 38,000 square foot building.

ITEM 3.  LEGAL PROCEEDINGS. 

Our insurance subsidiaries are involved in various legal actions, a substantial number of
which arise from claims made under insurance policies. While the outcome of all legal actions is 
not  presently  determinable,  management  and  its  legal counsel  are  of  the  opinion that  these
actions will not have a material adverse effect on our financial position or results of operations.
See Note 9 to our Consolidated Financial Statements included herein.

ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS.

Not applicable.

30

 
EXECUTIVE OFFICERS OF PROASSURANCE CORPORATION 

The  executive  officers of  ProAssurance Corporation  (ProAssurance)  serve  at  the
pleasure  of  the  Board  of  Directors. We have  a  knowledgeable and experienced  management
team with established track records in building and managing successful insurance operations. In 
total, our senior management team has average experience in the insurance industry of 23 years.
Following is a brief description of each executive officer of ProAssurance, including their principal
occupation and employment during the last five years. 

A. Derrill Crowe

Victor T. Adamo

Paul R. Butrus

Dr. Crowe has  served  as  the  Chairman  of  the  Board  and  Chief
Executive Officer of ProAssurance since we began operations in
2001. Dr. Crowe  helped  found  our  predecessor  company,
Medical  Assurance  in  1976.  In  addition  to  his work  with  our
Company, Dr. Crowe practiced Urology in Birmingham, Alabama
for  more  than  30  years. He  is  active on  the  COO committee  of 
the  Physician  Insurers  Association  of  America  and  serves  that 
organization  in  a  number of other  capacities.  Dr.  Crowe was
named  Alabama  CEO  of  the  Year  by  The  Birmingham  News  in
April 2005. (Age 70) 

Mr. Adamo has been the President, a Vice-Chairman, and Chief 
Operating Officer  of  ProAssurance  since  its  inception.  Mr. 
Adamo  first  joined  the  predecessor  of  Professionals  Group
(PICOM  Insurance  Company)  in  1985  as  general counsel  and
was elected CEO in 1987. From 1975 to 1985, Mr. Adamo was
in  private  legal  practice  and  represented  the company  in
corporate  legal  matters. Mr.  Adamo  is  a  Chartered  Property
Casualty Underwriter. (Age 59)

Mr.  Butrus  has  served  as  a  Vice  Chairman  and  a  director  of
ProAssurance  since we began  operations  in  June  2001.  Mr.
Butrus  has been  Executive  Vice  President  and  a  director  of 
Medical  Assurance since  its  incorporation  in  1995.  Mr.  Butrus
has  been  employed by Medical  Assurance  Company  and  its 
subsidiaries since 1977. (Age 66)

31

Howard H. Friedman

Jeffrey P. Lisenby

James J. Morello

Frank B. O’Neil

Mr.  Friedman  is  a  Co-President  of  our  Professional  Liability
Group,  a  position  he  has  held  since  October  2005,  and  is  also
our  Chief Underwriting  Officer.  Mr.  Friedman  has served  in  a 
number  of  positions  for  ProAssurance,  most  recently  as  Chief
Financial  Officer and Corporate  Secretary.  He  was  also  the 
Senior Vice President,  Corporate  Development  of  Medical
Assurance. Mr.  Friedman  is  an  Associate  of  the  Casualty 
Actuarial Society. (Age 48) 

Mr.  Lisenby  was  appointed  as Corporate  Secretary  of
ProAssurance  effective  January  1,  2006.  Mr.  Lisenby  joined
Medical  Assurance,  the  predecessor  to  ProAssurance,  in  2001
and  has  served  as  Vice-President  and  head  of  the  corporate 
Legal Department  since  the  creation  of  ProAssurance.  Prior  to 
joining  Medical  Assurance,  he  was  in  private  practice  in 
Birmingham,  Alabama  and  served  as  a  judicial clerk  for  the 
United States District Court for the Northern District of Alabama.
Mr.  Lisenby is  a  member  of  the  Alabama  State  Bar  and  the
United  States  Supreme  Court  Bar  and  is  a  Chartered  Property
Casualty Underwriter. (Age 38)

Mr.  Morello  was  appointed  as  our  Senior  Vice  President,  Chief 
Accounting Officer and Treasurer in June 2001. Mr. Morello has
been  Senior  Vice  President  and  Treasurer 
for  Medical
Assurance since  its  formation  in  1995.  Mr.  Morello  has been
employed as  Treasurer  and  Chief  Financial  Officer  of  Medical 
Assurance Company since 1984. Mr. Morello is a certified public
accountant. (Age 58) 

Mr.  O’Neil  was  appointed  as  our Senior  Vice  President  of 
Corporate Communications and Investor Relations in September
2001.  Mr.  O’Neil  has  been  Senior  Vice  President of  Corporate 
Communications 
for  Medical  Assurance  since 1997 and
employed  by  Medical  Assurance  Company  and  its subsidiaries
since 1987. (Age 53) 

32

Edward L. Rand, Jr. 

Darryl K. Thomas

Mr. Rand was appointed Chief Financial Officer on April 1, 2005,
having joined ProAssurance  as  our  Senior  Vice  President of
Finance  in  November  2004.  Prior  to  joining  ProAssurance  Mr. 
Rand  was  the  Chief  Accounting  Officer  and  Head of  Corporate
Finance for PartnerRe Ltd. Prior to that time Mr. Rand served as 
the  Chief  Financial  Officer  of  Atlantic  American Corporation.
(Age 40)

Mr. Thomas is a Co-President of the Professional Liability Group, 
a  position he  has  held  since October  2005,  and serves  as  our
Chief Claims Officer. Prior to the formation of ProAssurance, Mr.
Thomas was  Senior  Vice  President of  Claims  for ProNational
Insurance  Company,  one  of  ProAssurance's  predecessor
companies. Prior  to  joining  ProNational  Insurance Company  in
1995,  Mr.  Thomas was  Executive  Vice  President  of  a  national
third-party  administrator  of  professional  liability  claims.  Mr.
Thomas was  also  Vice  President  and Litigation Counsel  for  the
Kentucky Hospital Association. (Age 49) 

We  have  adopted  a  code  of  ethics  that  applies  to  our  directors  and  executive  officers, 
including our principal  executive  officers,  principal  financial officer, and  principal accounting
officer. We also have share ownership guidelines in place to ensure that management maintains
a  significant  portion  of  their  personal  investments  in  the  stock of  ProAssurance.  See  Item  1  for 
information regarding the availability of the Code of Ethics and the Share ownership Guidelines.

33

PART II 

ITEM 5. MARKET  FOR  REGISTRANT’S  COMMON  EQUITY,  RELATED  STOCKHOLDER

MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES.

At February 15, 2007, ProAssurance Corporation (PRA) had 3,921 stockholders of record
and 33,281,390 shares of common stock outstanding.  ProAssurance’s common stock currently
trades on The New York Stock Exchange (NYSE) under the symbol “PRA”. 

Quarter

First

Second

Third

Fourth

2006 

2005 

  High 

  Low

  High 

Low

 $  53.08

 $  48.95

 $  41.90

 $  37.00

51.22

51.69

52.11

45.96

46.18

47.84

41.76

46.90

51.88

36.60

41.86

44.45

ProAssurance  has  not  paid  any  cash  dividends  on  its  common  stock  and  does  not

currently have a policy to pay regular dividends.

ProAssurance’s  insurance  subsidiaries  are  subject  to  restrictions  on  the  payment  of 
dividends  to  the  parent.  Information  regarding  restrictions  on the  ability  of  the  insurance
subsidiaries to pay dividends is incorporated by reference from the paragraphs under the caption
“Insurance Regulatory Matters–Regulation of Dividends and Other Payments from Our Operating
Subsidiaries” in Item 1 on page 22 of this 10-K. 

Securities Authorized for Issuance Under Equity Compensation Plans

The following table provides information regarding ProAssurance's equity compensation

plans as of December 31, 2006. 

Number of securities
to be exercised upon
exercise of outstanding
options, warrants
and rights
(a)

Weighted-average
exercise price of
outstanding options,
warrants and rights
(b)

Number of securities
remaining available for
future issuance under
equity compensation
plans (excluding
securities reflected
in column (a)
(c)

982,303 

$ 32.81

2,282,754 

–

–

– 

Plan Category

Equity compensation
plans approved
by security holders

Equity compensation
plans not approved
by security holders

34

 
 
 
 
 
 
Selected Financial Data (1)
Gross premiums written (4)
Net premiums written (4)

Premiums earned (4)
Premiums ceded (4)
Net premiums earned (4)
Net investment income (4)
Net realized investment gains (losses) (4)
Other income (4)

Total revenues (4)

Net losses and loss adjustment expenses (4)
Income (loss) from continuing operations

before cumulative effect of

  accounting change
Net income (2)
Income (loss) from continuing operations
per share before cumulative effect of 

  accounting change: (3)

Basic 
Diluted 

Net income per share: (2) (3)

Basic 
Diluted 

Weighted average number of
  shares outstanding: (3)

Basic 
Diluted 

Balance Sheet Data (as of December 31)
Total investments (4)
Total assets from continuing operations

Total assets 

Reserve for losses and loss
  adjustment expenses (4)
Long-term debt (4)
Total liabilities from continuing operations 

Total capital 

Total capital per share of common

stock outstanding

Year Ended December 31

2006

2005

2004

2003

2002

(In thousands except per share data)

  $  578,983

$  572,960 

$  573,592 

$  543,323 

$ 461,715

543,376

  521,343 

  535,028 

  497,659 

389,901

627,166

(44,099)

583,067

149,789

(1,199)

5,941

737,598

443,329

  596,557 

  555,524 

  509,260 

(53,316)

(35,627)

(49,389)

  543,241 

  519,897 

  459,871 

99,193

912

4,604

77,669

7,572

2,419

64,532

5,858

5,580

  647,950 

  607,557 

  535,841 

  438,201 

  460,437 

  439,368 

412,656

(78,460)

334,196

67,616

(6,099)

6,388

402,101

351,320

126,984

80,026

43,043

15,345

(8,100)

236,425

113,457

72,811

38,703

12,207

  $ 
  $ 

  $ 
  $ 

3.96
3.72

7.38
6.85

$
$

$
$

2.66
2.52

3.77
3.54

$
$

$
$

1.48
1.44

2.50
2.37

$
$

$
$

0.53
0.53

1.34
1.33

$
$

$
$

(0.31)
(0.31)

0.47
0.46

32,044
34,925

30,049
32,908

29,164
31,984

28,956
30,389

26,231
26,254

  $3,492,098 

  $2,614,319 

  $2,145,609 

$1,792,323

$1,446,342

  4,342,853 

  4,342,853 

2,607,148

179,177

3,224,306

1,118,547

3,341,600

3,909,379

2,224,436

167,240

2,806,820

765,046

2,743,295

3,239,198

1,818,636

151,480

2,333,405

611,019

2,448,088

2,879,352

1,634,749

104,789

2,074,560

546,305

2,214,564

2,586,650

1,492,140

72,500

1,854,573

505,194

  $ 

33.61

  $ 

24.59

  $ 

20.92

  $ 

18.77

  $ 

17.49

Common stock outstanding at end of year

33,276

31,109

29,204

29,105

28,877

(1) Includes  acquired  entities since date of  acquisition,  only.  PIC  Wisconsin  was  acquired  on August 1,  2006.    NCRIC  Corporation  was  acquired on

August 3, 2005.

(2) Net income for the year ended December 31, 2002 was increased by $1.7 million ($0.07 per basic and diluted share) due to the cumulative effect of

adopting of SFAS 141 and SFAS 142.

(3) Diluted net income per share for 2003 has been restated to reflect implementation of Emerging Issues Task Force 04-8, “The Effect of Contingently

Convertible Debt on Diluted Earnings per Share”. The restatement reduced previously reported diluted net income per share by $0.01.

(4) Excludes discontinued operations.

35

 
 
 
 
 
 
 
 
 
 
ITEM  2.  MANAGEMENT'S  DISCUSSION  AND  ANALYSIS  OF  FINANCIAL CONDITION
AND RESULTS OF OPERATIONS

The  following  discussion  should be read  in  conjunction  with  the  Consolidated  Financial
Statements  and  Notes  thereto  accompanying  this  report.  Throughout  the  discussion,  references  to
ProAssurance,  "we,"  "us"  and  "our"  refers  to  ProAssurance  Corporation  and  its  subsidiaries.  The
discussion contains  certain  forward-looking  information  that  involves  risks  and  uncertainties.  As 
discussed under  "Forward-Looking  Statements," our actual  financial condition  and  operating results
could differ significantly from these forward-looking statements.

We sold our personal lines operations effective January 1, 2006. Accordingly, our Consolidated
Financial Statements  report these  operations  (which were  formerly  reported  as  a  separate operating
segment) as  discontinued  operations  in  all  periods  presented.  Unless otherwise stated,  financial
information provided in this discussion for both current and prior periods excludes amounts attributed to 
discontinued operations.

Critical Accounting Estimates

Our  Consolidated  Financial  Statements  have  been  prepared  in  accordance with  accounting
principles  generally  accepted  in  the  United  States  of  America  (GAAP).  Preparation  of  these  financial
statements  requires  us  to  make  estimates  and  assumptions  that  affect  the  amounts  reported  in  our
Consolidated Financial  Statements  and  related footnotes.  We  evaluate these estimates  and
assumptions on  an  on-going  basis  based  on  current  and  historical  developments,  market  conditions,
industry trends and other information that we believe to be reasonable under the circumstances. There
can  be  no  assurance  that  actual  results  will  conform  to  our  estimates  and assumptions,  and  that
reported results  of  operations will  not  be  materially  affected  by  changes  in  these  estimates  and
assumptions.

Management  considers  the  following  accounting  estimates  to be critical  because  they  involve
significant judgment by management and the effect of those judgments could result in a material effect
on our financial statements.

Reserve for Losses and Loss Adjustment Expenses (reserve for losses or reserve)

The largest component of our liabilities is our reserve for losses and the largest component of 
expense for our operations is incurred losses. Net losses in any period reflect our estimate of net losses
incurred related to the premiums earned in that period as well as any changes to our estimates of the
reserve established for net losses of prior periods.

The estimation of medical professional liability losses is inherently difficult. Injuries may not be
discovered  until  years  after  an  incident,  or  a  claimant  may  delay  pursuing  the  recovery  of  damages.
Ultimate loss costs, even for similar events, vary significantly depending upon many factors, including
but  not  limited  to  the  nature  of  the  injury  and  the  personal situation  of  the  claimant  or  the  claimants’
family,  the  outcome  of  jury  trials,  the  judicial climate  where  the  insured  event  occurred,  general
economic  conditions and  the  trend of  health  care  costs. Medical  liability  claims  are  typically  resolved
over an extended period of time, often five years or more. The combination of changing conditions and
the  extended  time  required  for  claim  resolution  results  in  a  loss cost  estimation  process  that  requires
actuarial skill and the application of judgment, and such estimates require periodic revision.

In  establishing  our  reserve  for  loss  and  loss  adjustment  expenses  management  considers  a 
variety of factors including historical paid and incurred loss development trends, the effect of inflation on 
medical  care,  general  economic  trends  and  the  legal environment.  We  perform  an  in-depth  review  of 
our reserve for losses on a semi-annual basis. Additionally, we continually update and review the data
underlying the estimation of our reserve for losses and make adjustments that we believe the emerging
data indicate. Any adjustments necessary are reflected in the then-current operations.

36

 
External  actuaries  review  the  reserve  for  losses  of  each  insurance  subsidiary  at  least  semi-
annually. ProAssurance considers the views of the external actuaries as well as other factors, such as
known, anticipated or estimated changes in frequency and severity of claims, loss retention levels and
premium rates in establishing its reserves.

As  a  result  of  the  variety  of  factors  that must  be  considered by  management  there  is a
significant risk that actual incurred losses will develop differently from these estimates. In establishing
our  initial  reserves  for  a  given  accident  year  we  rely  significantly  on  the  loss  assumptions  embedded
within  our pricing.  Because  of  the  historically  volatile  nature  of  medical  liability  losses  the  initial  loss 
estimates are established at a level which is approximately 10% above the pricing assumptions. This
difference recognizes  the  volatility  of  the  medical  malpractice  loss  environment  and  the  risk  in
determining pricing  parameters.  We  can  therefore  remain  competitive  from  a  pricing  standpoint  while 
relying  on  our  capital  base  to  support  current  operations.  As  each  accident  year  matures  we  analyze
reserves  in  a  variety  of  ways.  We  use  a  variety  of  actuarial  methodologies  in  performing  these
analyses. Among the methods that we have used are:

– Paid development method
– Reported development method 
–  Bornhuetter-Ferguson method
– Average paid value method
– Average reported value method
– Backward recursive method

Generally,  methods such  as  the  Bornheutter-Ferguson  method  are  used  on  more recent
accident years where we have less data on which to base our analysis. As business seasons and we
have an increased amount of data for a given accident year we begin to give more confidence to the
development and average methods as these methods typically rely more heavily on our own historical
data.  Each  of  these  methods  treats  our  assumptions  differently,  and  thus  provides  a  different 
perspective on the particular business under review.

The various actuarial methods discussed above are applied in a consistent manner from period
to  period.  In  addition,  we  perform statistical  reviews  of  claim  data  such  as claim counts,  average
settlement costs and severity trends. 

In  performing  these  analyses  we  partition  our business  by  type,  coverage  type,  geography,
layer  of  coverage  and  accident  year.  This  procedure  is  intended  to  balance  the  use  of  the  most 
representative  data  for  each partition,  capturing  its  unique  patterns of  development  and  trends.  For 
each  partition,  the  results  of  the  various  methods,  along  with  the  supplementary statistical  data 
regarding  such  factors  as  the  current  economic  environment,  are  used  to  develop  a  point  estimate 
based upon management’s judgment and past experience. The process of selecting the point estimate
from  the  set  of  possible outcomes  produced by the  various  actuarial  methods  is  based  upon  the
judgment  of  management  and  is  not  driven  by  formulaic determination.  For  each  partition  of  our
business  we  select  a  point  estimate  with  due  regard  for  the  age,  characteristics  and  volatility  of  the
partition of the business, the volume of data available for review and past experience with respect to the
accuracy of estimates. This series of selected point estimates is then combined to produce an overall
point estimate for ultimate losses.

We have  modeled  implied  reserve  ranges  around our single point  reserve  estimates  for  our
professional  liability  business  assuming different confidence  levels.  The ranges have  been developed
by  aggregating  the  expected  volatility  of  losses  across  partitions  of  our  business  to  obtain  a 
consolidated  distribution of  potential  reserve  outcomes. The aggregation of  this  data  takes  into
consideration  the  correlation  among  our  geographic and specialty  mix  of  business.  The  result  of  the
correlation  approach  to  aggregation  is  that  the  ranges  are  narrower  than  the  sum  of  the  ranges
determined for each partition.

37

 
We  have  used  this  modeled  statistical  distribution  to  calculate  an  80%  and  60%  confidence
interval for the potential outcome of our reserve for losses. The high and low end points of the ranges
are as follows: 

Low End Point 

Carried Reserve

High End Point

80% Confidence Level 

$1.601 billion 

60% Confidence Level 

$1.752 billion 

$2.236 billion 

$2.236 billion 

$2.745 billion 

$2.483 billion 

The development of a reserve range models the uncertainty of the claim environment as well as 
the limited predictive power of past loss data. These uncertainties and limitations are not specific to us.
The ranges represent an estimate of the range of possible outcomes and should not be confused with a
range of best estimates. Given the number of factors considered it is neither practical nor meaningful to 
isolate a particular assumption or parameter of the process and calculate the impact of changing that
single  item.  Any  change  in  our  estimate  of  the  reserve  would  be  reflected  in  then-current  operations.
Due to the size of our reserve for losses, even a small percentage adjustment to these estimates could
have a material effect on our results of operations for the period in which the adjustment is made. 

Reinsurance

Our receivable from reinsurers on unpaid losses and loss adjustment expenses represents our
estimate  of  the  amount  of  our  reserve  for  losses  that  will  be  recoverable  from  our  reinsurers.  Our 
estimate is based upon our estimates of the ultimate losses that we expect to incur and the portion of
those  losses  that  we  expect  to  be  allocable  to  reinsurers  based  upon  the  terms  of  our reinsurance
agreements.  We  also  estimate premiums  ceded under reinsurance agreements  wherein  the  premium
due to the reinsurer, subject to certain maximums and minimums, is based on losses reimbursed under
the agreement. Our estimates of the amounts receivable from and payable to reinsurers are regularly
reviewed  and  updated  by  management  as  new  data  becomes available.  Given  the  uncertainty  of  the
ultimate amounts of our losses, these estimates may vary significantly from the eventual outcome. Any 
adjustments necessary  are  reflected  in  then-current operations. Due  to  the  size  of  our reinsurance
balances,  even  a  small  adjustment  to  these  estimates  could  have  a  material  effect  on  our  results  of
operations for the period in which the adjustment is made. 

We  evaluate each  of  our  ceded  reinsurance  contracts  at  its  inception  to  determine  if  there  is
sufficient risk transfer to allow the contract to be accounted for as reinsurance under current accounting
guidance. At December 31, 2006 all ceded contracts are accounted for as risk transferring contracts.

Our  assessment  of  the  collectibility  of  the  recorded amounts  receivable  from  reinsurers
considers both the payment history of the reinsurer and publicly available financial and rating agency
data. At December 31, 2006 we believe all of our recorded reinsurance receivables to be collectible.

Investments

We evaluate our available-for-sale securities on at least a quarterly basis for declines in market
value below cost for the purpose of determining whether these declines represent other than temporary 
declines. Some of the factors we consider in the evaluation of our investments are:

–
–

–

–

the extent to which the market value of the security is less than its cost basis,
the length of time for which the market value of the security has been less than
its cost basis,
the  financial condition  and  near-term  prospects  of  the  security's  issuer,  taking
industry  and
into  consideration 
geographical region, to the extent that information is publicly available, and 
our ability and intent to hold the investment for a period of time sufficient to allow
for any anticipated recovery in market value. 

the  economic  prospects  of 

issuer's 

the 

38

 
A decline in the fair value of an available-for-sale security below cost that we judge to be other
than  temporary  is  recognized  as  a  loss in  the  current  period  income  statement  and  reduces  the  cost
basis  of  the  security.  In  subsequent  periods,  we  base  any  measurement  of  gain  or  loss or  decline  in
value  upon  the  adjusted cost  basis  of  the  security. Adjustments  to  the  cost  basis  of  fixed  maturity
securities are accreted to par over the remaining life of the security.

Deferred Policy Acquisition Costs

Policy acquisition costs, primarily commissions, premium taxes and underwriting salaries, vary
directly with, and are primarily related to, the acquisition of new and renewal premiums. Such costs are
capitalized  and  charged  to  expense as  the  related  premium  revenue  is  recognized.  We  evaluate  the 
recoverability of our deferred policy acquisition costs and any amounts estimated to be unrecoverable
are charged to expense in the current period.

Goodwill

In accordance with Statement of Financial Accounting Standards No. 142 “Goodwill and Other
Intangible Assets”  we  make an  annual  assessment  as  to whether  the  value  of  our  goodwill  assets  is 
impaired. We  completed  such  assessments  in  2006,  2005  and 2004 and  concluded  that  the  value  of
our  goodwill assets related  to  continuing  operations  of  approximately  $72.2  million  was not  impaired. 
We  use  market-based  valuation  models  and  a  capital  asset  pricing  model  to  estimate  the  fair  value.
These  models  require  the  use  of  numerous assumptions regarding  market  perceptions  of  value  as
related  to  our consolidated  and reporting  unit  historical and  projected  operating results  and  those of
other  economically  similar  entities.  Changes  to these  assumptions could  significantly  lower  our
estimates of fair value and result in a determination that goodwill has suffered impairment in value. Any 
determined impairment would be reflected as an expense in the period identified.

ProAssurance Overview

We  are  an insurance holding  company  and  our operating  results  are almost  entirely derived
from  the  operations  of  our  insurance subsidiaries,  all  of  which  principally  write  medical  professional
liability insurance.

Corporate Strategy 

Our goal is to maintain our position as a leading writer of medical professional liability insurance
while maintaining  our commitment  to  disciplined underwriting and  aggressive  claims  management.
According to A.M. Best, based on 2005 data, we are the fourth largest medical liability insurance writer
in  the  nation,  and  we  believe  we  are the  largest medical  liability  writer  in  our collective  states  of
operation. We  believe  that  our  strong reputation in  our  regional  markets, combined  with  our  financial
strength, strong customer service and proven ability to manage claims, should enable us to profitably
expand  our position  in  select  states.  We  have  successfully  acquired  and  integrated  companies  and
books of business in the past and believe our financial size and strength make us an attractive acquirer.
We emphasize disciplined underwriting and do not manage our business to achieve a certain level of 
premium  growth  or  market  share.  We  apply  our  local  knowledge  to  individual  risk  selection  and
determine the appropriate price based on our assessment of the specific characteristics of each risk. In
addition  to  prudent  risk  selection, we seek  to control our  underwriting  results  through  effective  claims
management. We investigate each claim and have fostered a strong culture of aggressively defending
claims that we believe have no merit. We manage claims at the local level, tailoring claims handling to
the legal climate of each state, which we believe differentiates us from national writers.

Through  our regional  underwriting  and  claims  office  structure,  we  are  able  to  gain  a  strong
understanding of local market conditions and efficiently adapt our underwriting and claims strategies to 
regional  conditions.  Our regional  presence  also  allows  us  to  maintain  active  relationships  with  our 
customers and be more responsive to their needs. We believe these factors allow us to compete on a 
basis other than just price. We also believe that our presence in local markets allows us to monitor and
understand changes in the liability climate and thus develop better business strategies in a more timely
manner than our competitors.

39

 
We have sustained our financial stability during difficult market conditions through responsible
pricing and loss reserving practices. We are committed to maintaining prudent operating and financial
leverage and conservatively investing our assets. We recognize the importance that our customers and
producers place on the strong ratings of our principal insurance subsidiaries and we intend to manage
our business to protect our financial security.

We  measure  performance  in  a  number  of  ways,  but  particularly  focus  on  our combined ratio
and investment returns, both of which directly affect our return on equity (ROE). We target a long-term
average ROE of 12% to 14%. 

We  believe that  a  focus  on  rate  adequacy, selective  underwriting  and  effective  claims
management is required if we are to achieve our ROE targets. We closely monitor premium revenues,
losses  and  loss  adjustment  costs,  and  acquisition,  underwriting  and  insurance expenses.  Our
investment portfolio  is  managed  in  order  to  meet the  liquidity  and  capital  needs of  each insurance
company  as well as  to  maximize after-tax  investment  returns  on  a  consolidated  basis. We  engage  in
activities  that  generate  other  income; however,  such  activities,  principally  fee  generating  and  agency
services,  do not  constitute  a  significant  use  of  our  resources  or  a  significant  source  of  revenues  or
profits.

Growth Opportunities and Outlook

We expect our future growth will be supported by controlled expansion in states where we are
already writing business and into additional states within, or adjacent to, our existing business footprint.
We  also  look  to  expand  through  the  acquisition  of  other companies or  books  of  business;  however,
such expansion is opportunistic and cannot be predicted.

We have seen an increasingly competitive market during the past two years, driven by existing
medical professional liability insurers as well as new entrants. While overall we believe pricing remains
adequate, we are beginning to see more instances of price based competition and a focus on market
share rather than  underwriting  discipline.  As  a  result  of  these  market  forces,  profitable  growth  in  the 
coming year will be challenging. Nevertheless we will continue to price our products at levels that we 
believe  meet  our  return  objectives  and  we  will  continue  to  forego  business  that  does  not  meet  those 
objectives. We  achieved  average  gross  price increases  of  approximately 3%,  11%  and  19%,  on 
renewal  business  (weighted  by  premium  volume)  in  2006,  2005  and  2004,  respectively.  The  price
increases implemented over the last several years have brought our pricing to a level that we believe is
adequate to meet our return objectives. In 2007 we expect medical professional liability pricing in our
markets  to  remain  flat  or  possibly  decline.  We  expect  our  pricing  to  vary  regionally,  with  increases  in 
some states and decreases in others, but to remain relatively flat on an overall basis.

Recent Significant Events

Effective August 1, 2006 we acquired Physicians Insurance Company of Wisconsin, Inc. (PIC
Wisconsin) in an all-stock merger. The acquisition of PIC Wisconsin allowed ProAssurance to expand 
its  medical  professional  liability  business  into  the  state  of  Wisconsin  and  adjacent  states  and  into
Nevada.  On August  3,  2005  we  acquired  all  of  the outstanding common stock of NCRIC Corporation
and its subsidiaries (NCRIC) in an all-stock merger. The acquisition of NCRIC allowed ProAssurance to
expand its medical professional liability business into the District of Columbia and surrounding states.
These transactions strategically expanded our geographic footprint and are in keeping with our desire
to  expand  our  professional  liability  operations  through selective  acquisitions.  A  more  detailed
description of the merger transactions is provided in Note 2 of the Notes to the Consolidated Financial
Statements.

Effective January 1, 2006, we sold our personal lines operations (the MEEMIC companies) for
$400 million before taxes and transaction expenses and recognized a gain on the sale of $109.4 million
after  consideration  of  sales  expenses  and  estimated  taxes.  Sale  proceeds will  support  the  capital 
requirements of our professional liability insurance subsidiaries and other general corporate purposes.
Additional  information regarding  the  sale  of  the  MEEMIC  companies  is  provided  in  Note  3, 
"Discontinued Operations" of the Notes to the Consolidated Financial Statements.

40

 
During the third quarter of 2006 a jury in Tampa awarded a total of $217 million in a medical
malpractice case against insureds of ProNational Insurance Company, one of our subsidiaries. There
are many open legal issues still to be decided regarding both the merits of the case and the availability 
of  coverage to  the  defendant.  As  discussed  in  Note  9  of  the  Notes  to  the  Consolidated  Financial
Statements, we consider legal actions related to our handling of claims in establishing our reserve for
losses.

Reclassifications

Previously,  rental  income  from  real  estate holdings  and  real  estate  related  expenses  were
considered  as  components  of  net  investment  income.  Beginning  in  2006,  we  included  rental  income
from real estate holdings in other income; real estate expenses are included in underwriting, acquisition
and insurance expenses. In this report, we have reclassified rental income of $1.1 million  (both 2005
and 2004) and real estate related expenses of $2.6 million (2005) and $2.4 million (2004) to conform
prior year operating results to the 2006 presentation.  The reclassification had no effect on income from
continuing operations or net income. 

Liquidity and Capital Resources and Financial Condition

Overview

ProAssurance Corporation is a holding company and is a legal entity separate and distinct from
its subsidiaries. Because it has no other business operations, dividends from its operating subsidiaries
represent a  significant  source  of funds  for  its  obligations,  including debt service.  The  ability  of  our 
insurance subsidiaries to pay dividends is subject to limitation by state insurance regulations. See our
discussions under "Regulation of Dividends and Other Payments from Our Operating Subsidiaries" in 
Part I, and in Note 15 of our Notes to the Consolidated Financial Statements for additional information
regarding  dividend  limitations. During  the  year  ended  December  31,  2006  our  insurance  subsidiaries
paid  ordinary  cash  dividends  totaling  $32.8  million  and  extraordinary  dividends  (related  to  the  sale  of
the MEEMIC companies) totaling $168.0 million. At December 31, 2006 we held cash and investments
of  approximately  $286  million  outside of  our  insurance subsidiaries  that  is  available  for  use  without
regulatory approval.

Cash flows

The principal components of our cash flow have historically been the excess of net investment

income and premiums collected over net losses paid and operating costs, including income taxes.

Our operating  activities  provided positive  cash  flows  during  the years  ended  December 31,
2006 and 2005 of $183 million and $324 million, respectively. The variation between the two years is
principally due to the following: 

•

In 2006 operating cash flows were reduced due to our purchase, on a net
basis, of approximately $52 million of trading portfolio securities whereas, 
in  2005,  such  purchases  were  less  than  $1  million.  Under  GAAP, 
purchases and sales of trading securities are classified as operating cash
flows,  unlike  purchases  and  sales of short-term  investments  or  available-
for-sale securities which are classified as investment cash flows.

• Operating cash flows were also reduced by taxes of almost $55 million that
we paid  in  2006 related  to  the  gain  on  the  sale  of  our  personal  lines
operations. There was no similar tax payment in 2005. Proceeds from this
sale are included in investment cash flows.

•

Excluding PIC Wisconsin, which contributed positive operating cash flows
in 2006  of  approximately  $19  million,  operating cash  flows  were  reduced
due  to  a  decline  in  premium  collections  and  an  increase  in  payments  for
loss  payments  and operating  expenses.  These  decreases  in
taxes,
operating cash  flows were  partially  offset  by  growth  in  cash  flows  from
investment earnings.

41

 
Timing  delays  exist  between  the  collection  of  premiums and  the  ultimate  payment  of  losses.
Premiums are  generally  collected within  the  twelve-month  period  after  the  policy  is  written  while  our
claim payments are generally paid over a more extended period of time. A claim may be filed during the
same period in which we collect premiums; however, the claim resolution process can be lengthy and it 
may be several years before payments of defense costs or indemnity are made. 

Investments

We  manage  our  investments  to  ensure  that  we will  have  sufficient  liquidity  to  meet  our 
obligations,  taking  into  consideration  the  timing  of  cash  flows  from  our  investments  as  well  as  the 
expected  cash  flows  to  be  generated by  our  operations.  At  our  insurance subsidiaries  the  primary
outflow  of  cash  is  related  to  the  payment  of  claims and  expenses.  The  payment  of  individual  claims
cannot be predicted with certainty; therefore, we rely upon the history of paid claims in estimating the 
timing of future claims payments. To the extent that we have an unanticipated shortfall in cash we may
either  liquidate  securities  or  borrow  funds  under  previously established  borrowing arrangements.
However, given the cash flows being generated by our operations and the relatively short duration of
our investments we do not foresee any such shortfall.

We invest most of the cash generated from operations into debt and equity securities. We held
cash and cash equivalents of approximately $29.1 million at December 31, 2006 and $34.5 million at
December 31, 2005. 

We  held  investments  in  short-term  securities at December 31,  2006  of  $184.3  million  as 
compared  to  $93.1  million  at  December 31,  2005.  We  elected  to  hold  more  funds  in  short-term
securities during 2006 in order to increase our flexibility in managing our capital resources.

Available-for-sale fixed maturity securities comprised 90% of our total investments as compared
to 92% at December 31, 2005. The change in the mix of our investment portfolio is being driven by the
increase  in short-term  investments  previously  discussed.  Substantially  all  of  our  fixed  maturities  are
either United States government and agency obligations or investment grade securities as determined
by national rating agencies. Our available for sale fixed maturities have a dollar weighted average rating
of "AA" at December 31, 2006. The weighted average effective duration of our available-for-sale fixed 
maturity securities at December 31, 2006 is 3.9 years; the weighted average effective duration of our 
available-for-sale fixed maturity securities and our short-term securities combined is 3.7 years. 

Changes  in  market  interest  rate  levels  generally  affect  our  net  income  to  the  extent  that 
reinvestment  yields  are different  than the  yields on  maturing  securities. Changes  in  market  interest 
rates also affect the fair value of our fixed maturity securities. On a pre-tax basis, at December 31, 2006
our available-for-sale fixed maturity securities had net unrealized losses of approximately $2.5 million, 
with  unrealized  losses  totaling  $25.2 million  and  unrealized  gains  of  $22.7  million.  At  December  31,
2005,  on  a  pre-tax  basis, our  available-for-sale  fixed  maturity  securities had net  unrealized  losses  of 
$15.2  million  with  unrealized  losses  totaling  $30.3  million  and  unrealized  gains  totaling  $15.1  million. 
Almost  all  of  the  unrealized  loss positions  in  our  portfolio  are  interest-rate  related.  Due  to  the  short
duration of our portfolio and our strong operating cash flows, we believe we have the ability and intent 
to hold these bonds to recovery of book value or maturity and do not consider the declines in value to
be  other  than  temporary.  In  general, bond  interest  rates are  higher  at  December  31,  2006  than  at
December 31, 2005, but have fluctuated during the intervening period. The overall decrease in the net
amount  of  unrealized  losses  during  2006  as  compared  to  2005,  which  may  appear  contrary  to  the
overall change  in  bond  interest  rates,  is  due  to  the  timing  of  purchases  and  sales  in  2006.  For a
discussion  of  the  potential  effects  that  future changes  in  interest  rates  may  have  on  our  investment
portfolio see Item 7A, “Quantitative and Qualitative Disclosures about Market Risk.”

At December 31, 2006, the carrying value of our equity investments (including equities in our
available-for-sale and trading portfolios, and equity-type holdings included in other investments) totaled
$63.7 million,  representing  approximately  2%  of  our total investments,  and approximately  6%  of  our 
capital. There has been no significant change in equity holdings since December 31, 2005.

42

 
Debt

%):

Our long-term debt at December 31, 2006 is comprised of the following (in thousands, except

Rate

2006

Convertible Debentures
2034 Subordinated Debentures

3.9%, fixed
9.2%, Libor adjusted

2032 Subordinated Debentures
2034 Surplus Notes

9.4%, Libor adjusted
7.7%, fixed until May 2009 

  $  105,677
46,395

15,464
11,641
  $  179,177

*Subject to approval by the Wisconsin Commissioner of Insurance

First
Redemption Date

July 2008
  May 2009

  December 2007
  May 2009*

Our Convertible Debentures may  be converted at  the  option of holders  when  the  price of our
common stock exceeds a specified price during 20 of the last 30 days of any quarter (see Note 10 to
the  Consolidated  Financial  Statements).    Upon  conversion,  holders  will  receive  23.9037  shares  of
common  stock for each  $1,000  principal amount  of  debentures surrendered  for  conversion.  The
criterion allowing conversion was met during the quarter ended December 31, 2006 and holders may
convert  through  March  31,  2007.    To  date,  no  holders have  requested conversion.    If  converted,  we 
have the right to deliver, in lieu of common stock, cash or a combination of cash and common stock. 

A more detailed description of our debt is provided in Note 10 of the Notes to the Consolidated

Financial Statements. 

Losses

The following table, known as the Reserve Development Table, presents information over the
preceding ten years regarding the payment of our losses as well as changes to (the development of)
our  estimates  of  losses during  that  time  period.  Years prior  to  2001 relate  only  to  the reserves of
Medical Assurance. In years 2001 and thereafter the table also reflects the reserves of ProAssurance,
formed  in  2001  in  order  to  merge  Medical  Assurance  and  Professionals  Group.  NCRIC  reserves  are
included only  in  the  year 2005  and  thereafter.  PIC  Wisconsin  reserves are  included  only  in  the  year
2006. The table does not include the reserves of personal lines operations, which are reflected in our
financial statements as discontinued operations.

The  table  includes  losses on  both  a  direct  and  an  assumed basis  and  is  net  of  reinsurance
recoverables. The gross liability for losses before reinsurance, as shown on the balance sheet, and the 
reconciliation of that gross liability to amounts net of reinsurance are reflected below the table. We do
not  discount  our  reserve  for  losses  to  present  value.  Information  presented  in  the  table  is  cumulative
and, accordingly, each amount includes the effects of all changes in amounts for prior years. The table 
presents the development of our balance sheet reserve for losses; it does not present accident year or
policy year development data. Conditions and trends that have affected the development of liabilities in 
the past may not necessarily occur in the future. Accordingly, it is not appropriate to extrapolate future
redundancies or deficiencies based on this table. 

The following may be helpful in understanding the Reserve Development Table:

–

–

The  line entitled  “Reserve  for  losses,  undiscounted  and net  of  reinsurance
recoverables” reflects our reserve for losses and loss adjustment expense, less the
receivables  from  reinsurers,  each  as  showing  in  our  consolidated  financial
statements at the end of each year (the Balance Sheet Reserves).

The  section  entitled  “Cumulative  net  paid,  as  of”  reflects  the  cumulative  amounts
paid as of the end of each succeeding year with respect to the previously recorded
Balance Sheet Reserves.

–  The  section entitled “Re-estimated  net  liability  as  of”  reflects  the  re-estimated
amount  of  the  liability  previously  recorded  as  Balance  Sheet  Reserves  that
includes the cumulative amounts paid and an estimate of additional liability based

43

 
 
upon  claims  experience  as  of  the  end  of  each  succeeding  year  (the  Net  Re-
estimated Liability).  

–  The  line  entitled  "Net  cumulative  redundancy  (deficiency)"  reflects  the  difference 
between the previously recorded Balance Sheet Reserve for each applicable year 
and the Net Re-estimated Liability relating thereto as of the end of the most recent 
fiscal year. 

44 

 
6
0
0
2

5
0
0
2

4
0
0
2

3
0
0
2

2
0
0
2

1
0
0
2

0
0
0
2

9
9
9
1

8
9
9
1

7
9
9
1

6
9
9
1

t
n
e
m
p
o
l
e
v
e
D
e
v
r
e
s
e
R

f
o
s
i
s
y
l
a
n
A

)
s
d
n
a
s
u
o
h
t
n
I
(

,
1
3

r
e
b
m
e
c
e
D

5
8
3

,

6
3
2

,

2

$

3
4
7

,

6
9
8

,

1

$

1
8
9

,

4
4
5

,

1

$

8
5
4

,

8
9
2

,

1

$

1
4
9
,
8
9
0
,
1

$

4
5
3
,
9
0
0
,
1

$

7
5
4
,
3
9
4

$

9
7
2
,
6
8
4

$

1
4
7
,
0
8
4

$

2
2
1
,
4
6
4

$

0
4
0
,
0
4
4

$

8
0
6

,

2
4
2

7
1
6

,

9
9
1

0
5
0

,

4
8
3

4
1
3

,

0
0
2

6
3
0

,

8
7
3

7
6
8

,

6
2
5

8
1
3
,
4
2
2

8
7
3
,
3
9
3

4
7
7
,
8
2
5

4
2
7
,
5
3
6

3
4
7
,
5
4
2

9
2
7
,
6
3
4

7
5
5
,
3
6
5

0
7
6
,
6
5
6

1
6
6
,
6
2
7

2
9
8
,
3
4
1

5
5
8
,
1
5
2

7
5
9
,
1
2
3

0
1
8
,
7
6
3

5
3
0
,
2
0
4

5
0
0
,
2
2
4

3
4
7

,

6
9
8

,

1

,

1
5
4
0
6
8

,

1

1
8
9

,

4
4
5

,

1

0
0
0

,

2
2
5
1

,

3
7
7

,

9
7
4

,

1

8
5
4

,

8
9
2

,

1

4
4
7

,

9
8
2

,

1

0
2
9

,

2
8
2

,

1

2
0
8

,

9
5
2

,

1

1
4
9
,
8
9
0
,
1

1
9
8
,
8
9
0
,
1

2
9
2
,
9
9
0
,
1

2
9
6
,
9
0
1
,
1

9
3
5
,
8
0
1
,
1

4
5
3
,
9
0
0
,
1

4
5
3
,
6
2
0
,
1

2
8
5
,
3
2
0
,
1

1
7
5
,
2
3
0
,
1

2
3
8
,
5
3
0
,
1

3
6
0
,
5
4
0
,
1

7
5
4
,
3
9
4

5
7
2
,
7
0
5

8
9
6
,
9
2
5

5
8
0
,
7
2
5

2
8
3
,
4
3
5

5
7
8
,
6
3
5

0
2
1
,
5
3
5

2
3
8
,
3
3
1

2
7
8
,
9
3
2

3
9
9
,
3
1
3

7
7
6
,
8
5
3

0
4
0
,
7
8
3

9
7
0
,
8
0
4

2
6
3
,
7
1
4

9
7
2
,
6
8
4

9
7
7
,
3
6
4

4
3
9
,
9
6
4

6
1
4
,
8
8
4

6
6
3
,
7
8
4

9
1
7
,
5
8
4

7
8
1
,
9
8
4

0
0
2
,
0
9
4

4
6
8
,
9
8

6
1
7
,
2
9
1

3
1
9
,
7
5
2

1
3
5
,
8
0
3

6
9
7
,
1
3
3

3
2
6
,
6
4
3

8
4
1
,
7
5
3

8
7
9
,
2
6
3

1
4
7
,
0
8
4

5
9
0
,
7
2
4

8
0
3
,
8
9
3

3
3
3
,
0
0
4

8
0
0
,
4
1
4

1
8
3
,
5
1
4

0
3
1
,
2
1
4

1
0
5
,
9
0
4

8
4
1
,
2
1
4

3
8
3
,
7
6

8
5
7
,
8
2
1

9
3
1
,
4
9
1

7
9
5
,
7
2
2

5
1
0
,
2
5
2

6
5
0
,
6
6
2

2
5
0
,
6
7
2

2
4
4
,
4
8
2

5
3
9
,
5
9
2

2
2
1
,
4
6
4

4
1
8
,
6
1
4

6
9
1
,
4
6
3

0
3
5
,
3
3
3

2
0
2
,
3
2
3

8
8
8
,
0
2
3

2
3
2
,
1
2
3

9
5
9
,
1
2
3

2
2
8
,
9
1
3

1
1
9
,
0
3
3

0
9
3
,
8
4

4
6
8
,
8
9

2
9
9
,
6
3
1

2
5
3
,
3
7
1

4
7
9
,
1
9
1

3
1
0
,
4
0
2

2
8
2
,
2
1
2

9
1
9
,
8
1
2

2
2
7
,
5
2
2

9
6
0
,
6
2
2

0
4
0
,
0
4
4

3
6
3
,
3
9
3

8
5
2
,
7
4
3

5
7
6
,
4
9
2

4
1
7
,
4
6
2

5
9
1
,
9
5
2

8
9
6
,
8
4
2

7
2
9
,
0
5
2

4
8
5
,
1
5
2

7
9
3
,
0
5
2

8
5
7
,
0
5
2

l

s
e
b
a
r
e
v
o
c
e
r

e
c
n
a
r
u
s
n
e
r

i

f
o

t
e
n

d
n
a

d
e
t
n
u
o
c
s
d
n
u

i

,
s
e
s
s
o

l

r
o
f

e
v
r
e
s
e
R

:
f
o

s
a

i

,
d
a
p

t
e
n

l

e
v
i
t
a
u
m
u
C

r
e
t
a
L

s
r
a
e
Y
o
w
T

r
e
t
a
L
r
a
e
Y
e
n
O

r
e
t
a
L

s
r
a
e
Y
e
e
r
h
T

r
e
t
a
L

s
r
a
e
Y

r
u
o
F

r
e
t
a
L

s
r
a
e
Y
e
v
F

i

r
e
t
a
L

s
r
a
e
Y
x
S

i

r
e
t
a
L

s
r
a
e
Y
n
e
v
e
S

r
e
t
a
L

s
r
a
e
Y

t
h
g
E

i

r
e
t
a
L

s
r
a
e
Y
e
n
N

i

r
e
t
a
L

s
r
a
e
Y
n
e
T

:
f
o

s
a
y
t
i
l
i

b
a
L

i

t
e
N
d
e
t
a
m

i
t
s
e
-
e
R

r
e
t
a
L

s
r
a
e
Y
o
w
T

r
e
t
a
L
r
a
e
Y
e
n
O

r
a
e
Y

f
o

d
n
E

r
e
t
a
L

s
r
a
e
Y
e
e
r
h
T

r
e
t
a
L

s
r
a
e
Y

r
u
o
F

r
e
t
a
L

s
r
a
e
Y
e
v
F

i

r
e
t
a
L

s
r
a
e
Y
x
S

i

r
e
t
a
L

s
r
a
e
Y
n
e
v
e
S

r
e
t
a
L

s
r
a
e
Y

t
h
g
E

i

r
e
t
a
L

s
r
a
e
Y
e
n
N

i

r
e
t
a
L

s
r
a
e
Y
n
e
T

2
9
2

,

6
3

$

8
0
2

,

5
6

$

6
5
6

,

8
3

$

)
8
9
5
,
9
(

$

)
9
0
7
,
5
3
(

$

)
3
6
6
,
1
4
(

$

)
1
2
9
,
3
(

$

3
9
5
,
8
6

$

1
1
2
,
3
3
1

$

2
8
2
,
9
8
1

$

i

)
y
c
n
e
c
i
f
e
d
(

y
c
n
a
d
n
u
d
e
r

l

e
v
i
t
a
u
m
u
c

t
e
N

6
3
4

,

4
2
2

,

2

$

5
3
6

,

8
1
8

,

1

$

9
4
7

,

4
3
6

,

1

$

5
7
8
,
4
9
4
,
1

$

1
7
8
,
2
2
3
,
1

$

9
5
6
,
9
5
6

$

6
8
7
,
5
6
6

$

1
3
6
,
0
6
6

$

0
2
7
,
4
1
6

$

2
3
7
,
8
4
5

$

r
a
e
y

f
o

d
n
e
-

y
t
i
l
i

b
a

i
l

s
s
o
r
g

l

a
n
g
i
r

i

O

)
3
9
6

,

7
2
3
(

)
4
5
6

,

3
7
2
(

)
1
9
2

,

6
3
3
(

)
4
3
9
,
5
9
3
(

)
7
1
5
,
3
1
3
(

)
2
0
2
,
6
6
1
(

)
7
0
5
,
9
7
1
(

)
0
9
8
,
9
7
1
(

)
8
9
5
,
0
5
1
(

)
2
9
6
,
8
0
1
(

l

s
e
b
a
r
e
v
o
c
e
r

e
c
n
a
r
u
s
n
e
r

i

:
s
s
e
L

3
4
7

,

6
9
8

,

1

$

1
8
9

,

4
4
5

,

1

$

8
5
4

,

8
9
2

,

1

$

1
4
9
,
8
9
0
,
1

$

4
5
3
,
9
0
0
,
1

$

7
5
4
,
3
9
4

$

9
7
2
,
6
8
4

$

1
4
7
,
0
8
4

$

2
2
1
,
4
6
4

$

0
4
0
,
0
4
4

$

r
a
e
y

f
o

d
n
e

-

y
t
i
l
i

b
a

i
l

t
e
n

l

a
n
g
i
r

i

O

5
4

3
0
7

,

5
7
1

,

2

$

7
4
8

,

6
4
7

,

1

$

1
2
1

,

7
4
5

,

1

$

4
9
6
,
6
9
3
,
1

$

1
7
1
,
3
9
2
,
1

$

8
0
2
,
6
3
6

$

8
2
9
,
2
0
6

$

2
4
7
,
9
1
5

$

6
1
6
,
6
1
4

$

0
0
8
,
5
9
2

$

t
s
e
t
a

l

-

y
t
i
l
i

b
a

i
l

d
e
t
a
m

i
t
s
e
-
e
r

s
s
o
r
G

)
2
5
2

,

5
1
3
(

)
4
7
0

,

7
6
2
(

)
9
1
3

,

7
8
2
(

)
5
5
1
,
8
8
2
(

)
8
0
1
,
8
4
2
(

)
8
8
0
,
1
0
1
(

)
8
2
7
,
2
1
1
(

)
4
9
5
,
7
0
1
(

)
5
0
7
,
5
8
(

)
2
4
0
,
5
4
(

l

s
e
b
a
r
e
v
o
c
e
r

e
c
n
a
r
u
s
n
e
r

i

d
e
t
a
m

i
t
s
e
-
e
R

1
5
4

,

0
6
8

,

1

$

3
7
7

,

9
7
4

,

1

$

2
0
8

,

9
5
2

,

1

$

9
3
5
,
8
0
1
,
1

$

3
6
0
,
5
4
0
,
1

$

0
2
1
,
5
3
5

$

0
0
2
,
0
9
4

$

8
4
1
,
2
1
4

$

1
1
9
,
0
3
3

$

8
5
7
,
0
5
2

$

t
s
e
t
a

l

-

y
t
i
l
i

b
a

i
l

d
e
t
a
m

i
t
s
e
-
e
r

t
e
N

3
3
7

,

8
4

$

8
8
7

,

1
7

$

8
2
6

,

7
8

$

1
8
1
,
8
9

$

0
0
7
,
9
2

$

1
5
4
,
3
2

$

8
5
8
,
2
6

$

9
8
8
,
0
4
1

$

4
0
1
,
8
9
1

$

2
3
9
,
2
5
2

$

i

)
y
c
n
e
c
i
f
e
d
(

y
c
n
a
d
n
u
d
e
r

l

e
v
i
t
a
u
m
u
c

s
s
o
r
G

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In  each  year  reflected  in  the  table,  we  have  estimated  our  reserve  for  losses  utilizing  the 
actuarial methodologies discussed in critical accounting estimates. These techniques are applied to the
data in a consistent manner and the resulting projections are evaluated by management to establish the
estimate of reserve.

Factors  that have contributed  to  the  variation  in  loss  development  are  primarily  related  to  the

extended period of time required to resolve medical malpractice claims and include the following:

– Reserves  in the  earlier  years  of  the table  include prior  accident  year  amounts
dating back to  the  mid- and  late-1980's. When  these  reserves  were  originally
established,  our  estimates  were strongly  influenced  by  dramatic  increases  to 
frequency and severity trends that we, and the industry as a whole, experienced in
the mid-1980s. Some of these trends moderated, and in some cases, reversed, in
the late 1980s or early 1990s, but the extended time required for claims resolution
delayed our recognition of the improved environment

– Prior to the mid to late 1990's our business was largely based in Alabama. When
we began to expand geographically, we utilized industry based data as well as our
own data  to  support our  actuarial  projection  process.  Our  own  claims experience
proved  to be  better  than  the  projected experience,  but  again,  this  was  not known
for  some  time  after  the  reserves were  established.  Ultimately,  as  actual  results 
proved better  than  that  suggested  by  historical  trends  and  industry  claims  data,
redundancies developed and were recognized.

–

The medical professional liability legal environment deteriorated once again in the 
late  1990’s.  Beginning  in  2000,  we  recognized  adverse  trends  in  claim  severity
causing increased  estimates  of  certain loss liabilities.  As  a  result,  favorable
development of prior year reserves slowed in 2000 and reversed in 2001 and 2002.
We have addressed these trends through increased rates, stricter underwriting and 
modifications to claims handling procedures.

– During 2004, 2005 and 2006 we have recognized favorable development related to
our previously established reserves for accident years 2001 through 2004, due to 
reductions to our original estimates of claim severity.

46

 
As  compared  to  our  reserve  for  losses  at  December 31,  2005,  our  reserve  for losses,  net  of 
reinsurance recoverables,  has  increased  by  $340  million,  which  includes  the reserve  for  losses
acquired in the PIC Wisconsin transaction of $171 million. The remaining growth is attributable to the 
generally  long-tailed  nature  of  our  medical  professional  liability  lines  of  business.  Several  years  can 
pass between the initial recognition of a claim and the ultimate settlement of that claim. Activity in the
net reserve for losses during 2006, 2005 and 2004 is summarized below:

2006

Year Ended December 31
2005
In thousands

2004

Balance, beginning of year
Less receivable from reinsurers
Net balance, beginning of year

  $ 2,224,436
327,693
1,896,743

  $ 1,818,636
273,654
1,544,982

  $ 1,634,749
336,291
1,298,458

Reserves acquired from acquisitions, net of 
receivable from reinsurers of $57.2 million
in 2006 and $43.5 million in 2005

Incurred related to:

Current year
Prior years

Total incurred

Paid related to:

Current year
Prior years

Total paid

Net balance, end of year

Plus receivable from reinsurers

171,246

139,672

–

479,621
(36,292)
443,329

(32,325)
(242,608)
(274,933)

2,236,385

370,763

461,182
(22,981)
438,201

469,151
(8,714)
460,437

(26,495)
(199,617)
(226,112)

1,896,743

327,693

(13,599)
(200,314)
(213,913)

1,544,982

273,654

Balance, end of year

  $ 2,607,148

  $ 2,224,436

  $ 1,818,636

At  December  31,  2006  our  gross  reserve  for  losses  included  case  reserves  of  approximately
$1.335 billion and IBNR reserves of approximately $1.272 billion. Our consolidated reserve for losses
on a GAAP basis exceeds the combined reserves of our insurance subsidiaries on a statutory basis by 
approximately $34.9 million, which is principally due to the portion of the GAAP reserve for losses that
is reflected for statutory accounting purposes as unearned premiums. These unearned premiums are
applicable to extended reporting endorsements (“tail” coverage) issued without a premium charge upon
death, disability, or retirement of an insured.

Reinsurance

We  use  reinsurance  to  provide capacity  to  write  larger  limits of  liability,  and  to  stabilize
underwriting results in years in which higher losses occur. The purchase of reinsurance does not relieve
us  from  the  ultimate  risk on  our  policies,  but  it  does  provide reimbursement  from  the  reinsurer  for
certain losses paid by us. 

Excluding  PIC  Wisconsin,  we  generally  reinsure  professional  liability  risks  under  treaties
pursuant to which the reinsurer agrees to assume all or a portion of all risks that we insure above our
individual risk retention of $1 million per claim, up to the maximum individual limit offered (currently $16
million). Historically, per claim retention levels have varied between the first $200,000 and the first $2
million  depending  on  the  coverage  year  and  the  state  in  which business  was  written.  Currently,  PIC 
Wisconsin  risks  are  reinsured under  various  pre-acquisition  treaties pursuant  to  which  the  reinsurer
agrees to assume 10% of liability risks for limits up to $1 million ($500,000 prior to 2006) and 80% to
100%  of  limits  greater  than  $1  million,  up  to  $6  million  ($11  million  prior  to  2003).  Periodically,  we
provide  insurance  to  policyholders  above  the  maximum  limits  of  our  primary  reinsurance treaties.  In
those situations, we reinsure the excess risk above the limits of our reinsurance treaties on a facultative
basis, whereby the reinsurer agrees to insure a particular risk up to a designated limit. 

47

 
Our risk retention level is dependent upon numerous factors including our risk appetite and the
capital we  have  to  support  it,  the  price  and  availability  of  reinsurance,  volume  of  business,  level  of 
experience  and  our  analysis of  the  potential  underwriting  results  within  each  state.  Our 2006-2007
reinsurance treaties, excluding those related to PIC Wisconsin, renewed with the only notable change
being that we established a 2% to 5% retention related to risks that exceed $1,000,000.

We purchase reinsurance from a number of companies to mitigate concentrations of credit risk. 
Our  reinsurance  broker  assists  us  in  the  analysis  of  the  credit  quality  of  our  reinsurers.  We  base  our 
reinsurance buying decisions on an evaluation of the then-current financial strength, rating and stability
of  prospective  reinsurers.  However,  the  financial strength of  our  reinsurers,  and  their  corresponding
ability to pay us, may change in the future due to forces or events we cannot control or anticipate.

We have not experienced any significant difficulties in collecting amounts due from reinsurers
due to the financial condition of the reinsurer. Should future events lead us to believe that any reinsurer
is unable to meet its obligations to us, adjustments to the amounts recoverable would be reflected in the 
results of current operations.

At  December  31,  2006  our  receivable  from  reinsurers  approximated  $370.8  million.  The
following  table  identifies our reinsurers  from which  our recoverables (net  of  amounts  due  to  the
reinsurer) are $10 million or more as of December 31, 2006:

Reinsurer

Hannover Ruckversicherung AG

General Reinsurance Corp 

PMA Re 

AXA Re 

Lloyd's Syndicate 2791 

Lloyd's Syndicate 435 

Transatlantic Reins Co 

Lloyd's Syndicate 2001 

Employers Re 

A.M. Best

Net Amounts Due

Company Rating

From Reinsurer

In thousands 

A

A++

B+

A

A

A

A+

A

A+

$ 55,880

$ 44,617

$ 18,247

$ 17,801

$ 16,258

$ 11,872

$ 11,814

$ 10,885

$ 10,472

Off Balance Sheet Arrangements/Guarantees

As  discussed  in  Note  10  to  our Consolidated  Financial Statements, our  2032  and 2034
Debentures are held  by,  and  are  the  sole  assets  of,  related  business  trusts. The  NCRIC  Trust
purchased  the  2032  Debentures  and  the  PRA  Trusts purchased  the  2034  Debentures  with proceeds
from related trust preferred stock (TPS) issued and sold by each trust. The terms and maturities of the
2032 and 2034 Subordinated Debentures mirror those of the related TPS. The NCRIC and PRA Trusts
will  use  the  debenture  interest  and  principal  payments  we  pay  into  each  trust  to  meet  their  TPS
obligations.  In  accordance  with  the  guidance  given  in  Financial  Accounting  Standards  Board
Interpretation  No.  46R,  “Variable  Interest  Entities,”  (FIN  46R)  the  NCRIC  and  PRA  Trusts  are  not 
included in our consolidated financial statements because we are not the primary beneficiary of either 
trust.

NCRIC and ProAssurance have issued guarantees that amounts paid to the NCRIC and PRA
Trusts  related  to  the  2032  and  2034  Subordinated  Debentures  will  subsequently  be  remitted  to  the
holders  of  the  related  TPS.  The  amounts  guaranteed  are  not  expected  to  at  any  time  exceed  our
obligations under  the  2032  and  2034  Subordinated  Debentures,  and  we  have  not  recorded  any 
additional liability related to the guarantees.

48

 
Contractual Obligations

A schedule of our non-cancelable contractual obligations at December 31, 2006 follows:

Payments due by period 

Total

Less than 
1 year

1-3 years 
In thousands 

3-5 years 

More than 
5 years

Loss and loss adjustment expenses
Interest on long-term debt
Long-term debt obligations
Operating lease obligations 

$  2,607,148 
230,341
181,459
5,106

$ 546,450
10,927
               – 
2,173

$ 937,568
21,392
12,000
2,395

$ 619,465
20,005
               – 
538

$ 503,665
178,017
169,459
                – 

Total

  $  3,024,054

  $  559,550

  $  973,355

  $  640,008

  $  851,141

All  long-term  debt  is  assumed  to  be  settled  at  its  contractual  maturity.  Interest  on  long-term
debt is calculated using interest rates in effect at December 31, 2006 for variable rate debt. For more
information on our debt see Note 10 to our Consolidated Financial Statements. The anticipated payout
of loss and loss adjustment expenses is based upon our historical payout patterns. Both the timing and
amount of these payments may vary from the payments indicated. Our operating lease obligations are
primarily for the rental of office space, office equipment, communications lines and equipment.

Litigation

We  are  involved  in  various  legal  actions  arising  primarily  from  claims  against  us  related  to
insurance policies and claims handling, including but not limited to claims asserted by our policyholders.
Legal  actions  are  generally  divided  into  two  categories:  Legal  actions  dealing  with  claims  and  claim-
related actions which we consider in our evaluation of our reserve for losses and legal actions falling
outside of these areas which we evaluate and reserve for separately as a part of our Other Liabilities. 
The recent  verdict  (see  Recent  Significant  Events)  in  Tampa  is considered  in  our  evaluation  of  our
reserve for losses.

Claim-related  actions  are considered  as  a  part  of  our  reserving  process  under  the  guidance
provided  by  SFAS  60  Accounting  and  Reporting  by  Insurance Enterprises. We  evaluate  the  likely 
outcomes  from  these  actions giving  consideration to  appellate  issues,  coverage  issues, potential
recoveries  from  our  insurance  and reinsurance  programs,  and  settlement  discussions  as well as  our
historical claims resolution practices. This data is then given consideration in the overall evaluation of
our reserve for losses.

For non-claim-related actions we evaluate each case separately and establish what we believe
is an appropriate reserve under the guidance provided by SFAS 5 Accounting for Contingencies. As a
result  of  the acquisition  of  NCRIC,  ProAssurance  assumed  the risk of  loss  for a  judgment  entered
against  NCRIC  on  February  20,  2004  by a  District of  Columbia Superior Court  in  favor  of  Columbia
Hospital  for Women  Medical Center,  Inc.  (CHW)  in  the  amount of  $18.2 million  (the CHW  judgment).
The CHW judgment is now on appeal to the District of Columbia Court of Appeals. ProAssurance has
established a liability for this judgment of $20.8 million, which includes the estimated costs associated
with pursuing the post-trial motions or appeal of a final judgment and projected post-trial interest, $19.5
million  of  which  was  established  as  a  component  of  the  fair  value of  assets  acquired  and  liabilities 
assumed in the allocation  of the NCRIC purchase price.

There are risks, as outlined in our Risk Factors, that individual actions could be settled for more
than  our  estimates.  In  particular,  we  or  our  insureds  may  receive  adverse  verdicts,  post-trial  motions
may be denied, in whole or in part, any appeals that may be undertaken may be unsuccessful; we may
be unsuccessful in our legal efforts to limit the scope of coverage purchased by insureds; and we may
become a  party  to  bad  faith  litigation  over  the  settlement  of  a claim.  To  the extent  that  the  cost  of
resolving  these actions  exceeds our estimates,  the  legal  actions could  have  a  material  effect  on
ProAssurance's results of operations in the period in which any such action is resolved.

49

 
Acquisition

In  August  2006  we  issued  approximately  2.0  million  ProAssurance  common  shares  in  an  all-
stock merger with PIC Wisconsin. The following chart summarizes the total cost of the acquisition and 
the allocation of the purchase price:

Fair value of ProAssurance common shares issued 
Other acquisition costs

Aggregate purchase price 

Assets (liabilities) acquired, at fair value: 
Fixed maturities available for sale 
Equity securities, available for sale 

  Short-term investments
  Premiums receivable

Receivable from reinsurers on unpaid losses and

loss adjustment expenses

  Other assets

Reserve for losses and loss adjustment expenses

  Unearned premiums
  Long-term debt
  Other liabilities

Fair value of net assets acquired 

In millions

$

99.1
4.6
103.7

199.3
34.4
7.8
24.3

57.2
45.4
(228.4)
(37.6)
(11.6)
(29.8)
61.0

Excess of purchase price over fair value of net assets 

acquired, recognized as goodwill

$ 

42.7 

Actuarial reviews performed in connection with the finalization of our purchase accounting for 
PIC  Wisconsin  indicated  that  initial  estimates  of  the  acquisition  date  fair  value  of  PIC  Wisconsin's
reserve  for  losses,  reinsurance  recoverables  and ceded  premiums payable  were understated.  In
accordance with  SFAS  141,  we  adjusted  the  allocation of the  PIC  Wisconsin  purchase price  as  of 
December  31,  2006  to  reflect  the  revised  estimates  for  these  balances  and the  related  balances  of 
taxes recoverable and deferred tax assets. The above summary of assets (liabilities) acquired reflects
the  revised estimates.  The  adjustments,  in  total,  reduced  our  initial  estimates of  the  fair  value  of  net
assets acquired by $5.0 million and increased goodwill by the same amount. 

Overview of Results–Years Ended December 31, 2006 and 2005

Earnings from continuing operations for the year ended December 31, 2006 increased by 59%
to $127.0 million or $3.72 per diluted share as compared to $80.0 million or $2.52 per diluted share for
the  year  ended December  31,  2005. Our return  on equity  also  improved,  progressing  from  11.6%  for
the year ended December 31, 2005 to 13.5% for the year ended December 31, 2006. The improvement
in  profitability  was  principally  due  to  favorable net  loss  development,  improved  rate  adequacy,  and 
increased investment earnings.

Increased competition coupled with the continuation of our underwriting discipline affected our
retention rates and the amount of new business written, but increased the profitability of the business
that  was written.  Favorable  loss  development  and more adequate  rates  allowed  us  to reduce  our  net
loss ratio from 80.7% in 2005 to 76.0% in 2006. Net premiums earned increased from $543.2 million in
2005 to $583.1 million in 2006. The acquisitions of NCRIC in August 2005 and PIC Wisconsin in August
2006 largely offset premium reductions experienced by our other insurance subsidiaries.

Net  investment  income  also  rose,  increasing  by  51%  in  2006,  principally  because our
investment assets increased to $3.49 billion in 2006, due to the positive cash flows generated by our
operations, the NCRIC and PIC Wisconsin transactions, and the proceeds from the sale of our personal
lines segment.

In addition to the improved results from continued operations, we also reported a gain of $109
million  in  discontinued  operations  for  the  year  ended  December  31,  2006  related  to  the  sale  of  its 
personal lines operations.

50

 
Results of Operations – Year Ended December 31, 2006 Compared to Year Ended December 31,
2005

Selected consolidated financial data for each period is summarized in the table below.

Revenues:
  Gross premiums written

Year Ended December 31

2006

2005
$ in thousands 

Increase
(Decrease)

  $ 578,983

  $ 572,960

$ 6,023

  Net premiums written

  $ 543,376

  $ 521,343

$ 22,033

  Premiums earned
  Premiums ceded

Net premiums earned
Net investment income 
Net realized investment gains (losses) 

  Other income

Total revenues 

Expenses:

Losses and loss adjustment

expenses

  Reinsurance recoveries
Net losses and loss 

adjustment expenses

Underwriting, acquisition and 

insurance expenses

Interest expense

Total expenses
Income from continuing operations

before income taxes

Income taxes 

Income from continuing operations

Income from discontinued 
operations, net of tax 

  $ 627,166
(44,099)
583,067
149,789
(1,199)
5,941

  $ 596,557
(53,316)
543,241
99,193
912
4,604

$ 30,609
9,217
39,826
50,596
(2,111)
1,337

737,598

647,950

89,648

475,997
(32,668)

479,300
(41,099)

(3,303)
8,431

443,329

438,201

106,369
11,073

560,771

176,827

49,843

126,984

91,957
8,929

539,087

108,863

28,837

80,026

5,128

14,412
2,144

21,684

67,964

21,006

46,958

109,441

33,431

76,010

Net income 

  $ 236,425

  $ 113,457

$122,968

Continuing Operations:
Net loss ratio 
Underwriting expense ratio 
Combined ratio
Operating ratio

Return on equity

76.0%
18.2%
94.2%
68.5%

13.5%

80.7%
16.9%
97.6%
79.3%

11.6%

(4.7)
1.3
(3.4)
(10.8)

1.9

51

 
 
Effect of Acquisitions (2006–2005)

Our discussions of 2006 operating results as compared to 2005 results include tables intended
to facilitate an understanding of the effect of the PIC Wisconsin acquisition. The caption "PIC Wisconsin
Acquisition" designates  results  attributable  to  PIC  Wisconsin.  The  caption  "PRA"  designates  all  other 
operating results. 

We  acquired  PIC  Wisconsin  effective August 1,  2006  and  our results  for  the  year  ended
December 31, 2006 include PIC Wisconsin results for the five-month period subsequent to the date of
acquisition. Our operating results for 2005 do not include PIC Wisconsin results. Due to the short period
since completion of the acquisition, the effect of the PIC Wisconsin acquisition on our 2006 results can
be readily segregated.

We acquired NCRIC effective August 3, 2005 and our results for the year ended December 31,
2006  include  NCRIC  results  for  the  entire  period.  Our  results  for  the  year  ended  December 31,  2005
include NCRIC  results  only  for  the  five-month period  subsequent  to  the  date  of  acquisition.  During
2006, as a means of effectively utilizing capital, a number of policies previously written by NCRIC have
been renewed  through our  other  insurance  subsidiaries  and NCRIC's  administrative and  operating
functions have,  in  many  instances, been  combined with  those  of  our  other  insurance  operations.
Consequently, the effect of the NCRIC acquisition cannot be readily segregated in 2006.

Premiums

Gross premiums written:
  PRA 

PIC Wisconsin Acquisition

  Consolidated 

Premiums earned:
  PRA 

PIC Wisconsin Acquisition

  Consolidated 

Premiums ceded: 
  PRA 

PIC Wisconsin Acquisition

  Consolidated 

Net premiums earned:
  PRA 

PIC Wisconsin Acquisition

  Consolidated 

Year Ended December 31

2006

2005
$ in thousands 

Increase
(Decrease)

$  554,194 
24,789 
$  578,983 

$  572,960 
–
$  572,960 

$ (18,766)
24,789
6,023

$

  (3.3%)
n/a
  1.1% 

$  592,975 
34,191 
$  627,166 

$  596,557 
–
$  596,557 

$

(3,582)
34,191
$ 30,609

  (0.6%)
n/a
  5.2% 

$  (36,772)
(7,327) 
$  (44,099)

$  (53,316)
–
$  (53,316)

$ 16,544
(7,327)
9,217

$

 (31.0%)
n/a
 (17.3%)

$  556,203 
26,864 
$  583,067 

$  543,241 
–
$  543,241 

$ 12,962
26,864
$ 39,826

  2.4% 
n/a
  7.3% 

Gross Premiums Written

Gross  premiums written  increased  in  2006  due  to  the  acquisition  of  PIC Wisconsin  in  August
2006 and NCRIC  in  August  2005;  however, reductions in  premium from  a  more  competitive market
significantly mitigated overall premium growth.  These results are consistent with our strategy to grow 
through  selective  acquisitions  and  to  maintain  our  underwriting  and  pricing discipline  in  periods of
market softening.

Our most significant premium source is physician premiums, totaling $490 million in 2006 and
$483  million  in  2005,  which  comprised 85%  of  total  premiums  in  2006  and  84%  of  total  premiums  in 
2005. The overall increase in physician premiums reflects additional premiums from the PIC Wisconsin
and NCRIC acquisitions offset by a decrease in premiums written in our organic book of business. The
decline in physician premiums in our organic book of business is attributable to several factors. In 2006,
our rate  increases were  not  at  a  level  that  would  offset  the  effects  of  lost business.  Loss  costs  have
moderated somewhat and as a result, we have implemented smaller rate increases than in prior years 
and  have  held  rates  constant  or  lowered rates  in  some  markets.  Our  average  rate  increase  on

52

 
 
 
 
 
physician renewals (exclusive of PIC Wisconsin) is approximately 3% for 2006 as compared to 11% for
2005. Premiums written for physician coverages have also declined due to an increasingly competitive
landscape. In a number of our markets established providers have become more aggressive and new
providers, including off-shore providers, self-insurance and risk retention groups, have begun to pursue
business.  The  additional  competition,  which  is  frequently  focused  on  price,  has  reduced  both  our 
retention rate and the amount of new business we have chosen to write. We are focused on marketing
our policies based on our stability, strength and policyholder defense. However, we remain committed
to an adequate rate structure and will continue our policy of foregoing business that cannot be written at
our  profit  goals.  Our  overall  retention  rate  (exclusive  of  PIC  Wisconsin)  for  the  number  of  standard
physician risks that we insure is 84% for the year ended December 31, 2006 as compared to 85% for
the year ended December 31, 2005. The competitive pricing in the marketplace makes it more difficult 
for us to attract new business.

Extended reporting endorsement or "tail" policies are offered to insureds that are discontinuing
their claims-made coverage with us. The amount of tail premium written in any annual period varies, but 
represented approximately 5% of total premiums in both 2006 and 2005. As competition in the medical
professional  liability  industry  has  intensified,  it  is  common  for  insurers  to  write  prior  acts  coverage  to
new  insureds,  which  has reduced  the  amount  of  tail  premium  that  we  write.  Our  preference  is  to  sell
less rather than more of this coverage since it represents a long-term liability with increased pricing risk.
Tail  premiums,  exclusive  of  PIC  Wisconsin,  declined  by  approximately  $1.9  million  in  2006  as
compared to 2005.

Premiums  written  for  non-physician  coverages  totaled  $60.5  million  for  the  year  ended 
December 31, 2006 as compared to $60.9 million for the year ended December 31, 2005. Premiums for 
hospital  and  facility  coverages are  the  most  significant component  of  non-physician  coverages.
Excluding premiums of $4.1 million written by PIC Wisconsin, hospital and facility coverages declined 
by $7.5 million in 2006 as compared to 2005 largely due to the nonrenewal of two large policies. This
segment of business is highly price sensitive and individual policies for these coverages can carry large
amounts  of  premiums.  As  in  all  our  lines,  we  choose  not  to  compete  primarily  on  price  because  our
focus is on maintaining adequate margins on the policies we sell. Thus, premiums for these coverages
can fluctuate widely from period to period.

Premiums Earned 

Because  premiums  are  generally earned pro  rata  over  the  policy  period,  fluctuations  in
premiums earned tend to lag those of premiums written. Our policies generally carry a term of one year. 

In  the  twelve  months  that  follow  the  acquisition of an  insurance  subsidiary, our premiums
earned  include  premiums  earned  related  to  the subsidiary's  unexpired  policies  on  the  date  of
acquisition (unearned premium). Such premiums are earned over the remaining term of the associated
policy.

Premiums earned for the year ended December 31, 2006 as compared to the same period in
2005 reflects the changes in written premiums that have occurred during 2006 and 2005, on a pro rata
basis, as well as the premiums earned related to the unexpired policies acquired in the PIC Wisconsin
and  NCRIC  transactions.  Such  additional earned premium  approximated  $38.3  million  for  the  year
ended December 31, 2006 and approximated $28.4 million for the year ended December 31, 2005. 

53

 
Premiums Ceded

Premiums  ceded  represent  the  portion  of  earned  premiums  that  we  pay  to  our  reinsurers  for 
their  assumption  of  a  portion  of  our  losses.  The  amount  of  premium  that  is  due  to  our  reinsurers  is
determined,  in  part,  by  the  loss  experience  of  the  business ceded  to  them.  We  reduced  ceded
premiums by  $10.5  million  in  2006  to  reflect changes  in  our  estimates of  the  amount  of  reinsurance
premiums due for certain prior accident years, based on the provisions of the reinsurance contracts and
our estimates of the reinsured losses for those prior accident years.  We also reduced ceded premiums
in 2006 by $2.7 million related to the commutation of all of our outstanding reinsurance arrangements
with  the  Converium  group  of  companies.    After  adjustment  for  these  two  items,  and  excluding  PIC 
Wisconsin, 2006 ceded premiums are 8.4% of 2006 earned premiums as compared to approximately
8.9% in 2005. The difference is largely due to improved loss experience relative to business we ceded
to reinsurers in 2006 which resulted in a lower amount of ceded premium.

Losses and Loss Adjustment Expenses

The determination of calendar year losses involves the actuarial evaluation of incurred losses

for the current accident year and the actuarial re-evaluation of incurred losses for prior accident years. 

Accident year refers to the accounting period in which the insured event becomes a liability of 
the insurer. For occurrence policies the insured event becomes a liability when the event takes place; 
for claims-made policies the insured event generally becomes a liability when the event is first reported
to  the  insurer.  We  believe  that  measuring  losses on  an  accident  year  basis  is  the  most  indicative
measure of the underlying profitability of the premiums earned in that period since it associates policy
premiums earned with our estimate of the losses incurred related to those policy premiums. Calendar
year  results  include  the  operating  results  for  the  current  accident  year  and  any  changes  in  estimates
related to prior accident years. 

The following tables summarize net losses and net loss ratios for the years ended December
31, 2006 and 2005 by separating losses between the current accident year and all prior accident years.

Net Losses
Year Ended December 31
2005
In millions

Change

2006

Net Loss Ratios* 
Year  Ended December 31
2005

2006

Change

Current accident year: 
  PRA 

PIC Wisconsin Acquisition

  Consolidated 

 $  445.3
34.3
 $  479.6

  $  461.2
–
  $  461.2

$ (15.9)
34.3
$ 18.4

  80.1%
  127.5%
  82.3%

  84.9% 
– 
  84.9% 

Prior accident years, all PRA: 

 $  (36.3)

  $  (23.0)

$ (13.3)

(6.6%)

 (4.2%)

Calendar year:
  PRA 

PIC Wisconsin Acquisition

  Consolidated 

 $  409.0
34.3
 $  443.3

  $  438.2
–
  $  438.2

$ (29.2)
34.3
5.1

$

  73.5%
  127.5%
  76.0%

  80.7% 
– 
  80.7% 

(4.8)
n/a
(2.6)

(2.4)

(7.2)
n/a
(4.7)

*Net losses as specified divided by net premiums earned.

We  focus  on  developing  and  maintaining  adequate  rates.  Exclusive  of  PIC  Wisconsin,  as  a 
percentage of net earned premiums (the net loss ratio) current accident year net losses have declined
4.8 points during 2006. This decline in the PRA current accident year net loss ratio is attributable to the
improved  rate  adequacy  of  premiums  earned  in  2006.  The  decrease  in  the  dollar  amount  of  PRA 
current accident year net losses for 2006 principally reflects decreases in the number of insured risks in
2006 as compared to 2005.

PIC Wisconsin's current accident year net loss ratio is higher than that of our other subsidiaries
for  a  number  of  reasons. PIC  Wisconsin  losses  for prior  accident  years  developed  adversely  during
2006, in the amount of $5.8 million. Because PIC Wisconsin was acquired by PRA during 2006, these
losses  are  considered  to  be  current  year  losses  for  PRA.  As  a  result  of  this  loss  development,  PIC 
Wisconsin  incurred  additional  reinsurance  expense  under  the  retrospective  premium  provisions  of  its 
reinsurance contracts. The combination of increased net losses and reduced net premium resulted in 

54

 
 
 
 
 
an  unusually  high  loss ratio.  Rate  increases  have  been  implemented  in  an  attempt  to  bring  PIC 
Wisconsin's loss ratio to more acceptable levels. 

During calendar year 2006 we recognized favorable development of $36.3 million related to our
previously established (prior accident year) reserves, primarily to reflect reductions in our estimates of
claim severity, within our retained layer of risk, for the 2002, 2003 and 2004 accident years. Over the
past several years we have seen claims severity (i.e., the average size of a claim) increase at a rate
slower than initially expected. Given both the long tailed nature of our business and the past volatility of 
claims,  we  are  generally cautious  in  recognizing the  impact  of  the  underlying trends  that  lead  to  the
recognition of favorable development. As we conclude that sufficient data with respect to these trends
exists  to  credibly  impact  our  actuarial  analysis  we  take  appropriate  actions.  In  the  case  of  the  claims
severity trends for 2002-2004, we believe it is appropriate to recognize the favorable impact of trends
on prior period loss estimates while also remaining cautious about the past volatility of claims severity.
While we have begun to see an increase in the number of larger verdicts being rendered this has not
had a meaningful impact on the severity of claims within the first $1 million of risk.

During 2006, we have seen an increased number of verdicts in excess of the policy limits that
we offer to our insureds. As a part of our reserving process we evaluate the likely outcomes from these
verdicts  giving  consideration  to  appellate  issues, coverage  issues,  potential  recoveries from  our
insurance and  reinsurance  programs,  and  settlement  discussions  as well  as  our  historical claims
resolution practices. This information is then used in evaluating the overall adequacy of our reserve. 

In the risk layers above $1 million, generally the business for which we purchase reinsurance,
we recognized  approximately  $12.4  million  of  favorable  development of  gross  losses,  offset  by  a
corresponding decrease in the recoverable from our reinsurers. Our analysis of the long-term data does
indicate an overall improvement in the severity trends at this level, despite the increased frequency of
verdicts  in  excess  of  policy  limits,  and  we  believe  the  amount  of favorable  development  represents a
cautious recognition of this trend within the excess layers.

Assumptions  used  in  establishing  our  reserve  are regularly  reviewed and  updated  by 
management as new data becomes available. Any adjustments necessary are reflected in then current
operations. Due to the size of our reserve, even a small percentage adjustment to the assumptions can
have a material effect on our results of operations for the period in which the change is made.

Two measures often used to gauge insurance operations are the paid to incurred ratio and the
paid  loss ratio.  These  ratios  are  affected  by  changes  in  the  timing  and  volume  of  losses  paid,  which
generally relate to losses incurred in prior periods, and by changes in the level of incurred losses (paid
to incurred ratio) or the volume of premiums earned (the paid loss ratio) in the current calendar year.
Our  paid  to  incurred  loss ratios  for  the  years  ended  December 31,  2006  and  2005  are 62.0%  and 
51.6%, respectively. Our paid loss ratio for the years ended December 31, 2006 and 2005 are 47.2%
and 41.6%, respectively.

Net Investment Income and Net Realized Investment Gains (Losses)

Year Ended December 31

Increase
(Decrease)

2005
$ in thousands 

2006

Net investment income: 
  PRA 

PIC Wisconsin Acquisition

  Consolidated 

$ 143,085 
6,704
$ 149,789 

$ 99,193 
–
$ 99,193 

$ 43,892

44.2%

6,704   n/a 

$ 50,596

51.0%

Net  investment  income  is  primarily  derived  from  the  interest  income  earned  by  our  fixed
maturity securities and includes interest income from short-term, trading portfolio and cash equivalent
investments, dividend income from equity securities, earnings from other investments and increases in
the  cash  surrender  value  of  business  owned  executive  life  insurance  contracts.  Investment  fees  and
expenses are deducted from investment income. 

55

 
The increase in net investment income for the year 2006 as compared to 2005 is due to several
factors, the  most  significant being higher average  invested  funds.  The  proceeds  from  the  sale  of  the
MEEMIC  companies  received  in  early  January,  the PIC  Wisconsin  and  NCRIC  mergers,  and  positive
cash  flow generated  by  our  insurance operations significantly  increased our average  invested  funds
during 2006.

Rising  market  interest  rates  of  the  past  several  years  have  further  contributed  to  the
improvement in net investment income. We have been able to invest new and matured funds at higher
rates and this has steadily increased the average yield of our portfolio. Our average yields for the years
ended December 31, 2006 and 2005 are as follows:

Average income yield
Average tax equivalent income yield

Year Ended December 31

2006

4.5%
5.1%

2005

4.2% 
4.8% 

Net investment income by investment category is as follows:

Fixed maturities
Equities
Short-term investments 
Other invested assets 
Business owned life insurance 

Investment expenses
Net investment income 

2006

2005

In thousands 

  $ 130,386
414
15,567
5,309
2,285
153,961
(4,172)
  $ 149,789

  $  90,496
773
3,608
5,045
2,298
102,220
(3,027)
  $  99,193

PIC  Wisconsin  investment  income  is  almost  entirely  derived  from  fixed  maturities.  Other  than
the effect of PIC Wisconsin, the variations in the categories between years largely reflect growth of our
investment  portfolio  and  improved  yields  as  already  discussed. Income  from  short-term  investments
increased  during 2006  largely  because  proceeds  from the  sale  of  our  personal
lines  segment were
invested in short term investments during most of 2006 which increased average invested balances, but
also increased as a result of higher yields and additional income from PIC Wisconsin.

The components of net realized investment gains (losses) are shown in the following table.

Year Ended December 31

2006

2005

In thousands 

Net gains (losses) from sales* 
Other-than-temporary impairment losses 
Trading portfolio gains (losses) 
Net realized investment gains (losses) 

$  1,717 
(3,037) 
121 
$  (1,199) 

$  1,567 
(768)
113
 $  912

*Amounts for 2006 include PIC Wisconsin net gains (losses) of $761,000.

$2.6 million of the other-than-temporary impairment losses recognized during 2006 relate to our 
high-yield  asset  backed  bond  portfolio.  In  the  latter part  of  the  year  market  assumptions regarding
default  rates  on  asset  backed securities  increased leading  to  an  indication  of  impairment  for  these
securities.

56

 
 
 
 
 
 
 
Underwriting, Acquisition and Insurance Expenses

The  increase  in  underwriting,  acquisition  and  insurance expenses  for  2006  reflects  additional
costs related  to  the  addition  of  NCRIC  and  PIC  Wisconsin  operations,  higher  compensation  costs,
principally from the recognition of stock-based compensation costs, and an increase in guaranty fund
assessments.

The increase in the underwriting expense ratio for 2006 is attributable to higher compensation
costs referred  to  above and  additionally  the  increase  in  guaranty  fund  assessments.  The additional
NCRIC  and PIC  Wisconsin  expenses had  little  effect  on  the  expense ratio due  to  the corresponding
increase in earned premium resulting from the acquisition.

Underwriting, Acquisition
and Insurance Expenses
Year Ended December 31

2006

2005

$ in thousands 

Increase
(Decrease)

Underwriting Expense Ratio
Year Ended December 31

2006

2005

Increase
(Decrease)

PRA
PIC Wisconsin Acquisition
Consolidated

$  100,867 
5,502 
$  106,369 

$  91,957 
–
$  91,957 

$ 8,910
5,502
$ 14,412

  9.7% 
  n/a 
15.7%

    18.1%   16.9% 
  20.5%
–
  18.2%   16.9% 

1.2
n/a 
1.3

On January 1, 2006 we adopted SFAS 123R which requires share-based compensation to be
recognized  at  its  fair  value  over  the  period  in  which  employee  services  are  provided.  We  previously
valued stock option awards based on their intrinsic value which generally did not result in compensation
expense  related  to  those  awards.  Stock-based compensation expense  increased  our  expenses  by
approximately $4.7 million (0.8% of net premiums earned) in 2006. Guaranty fund assessments were
approximately  $2.6  million  (0.4%  of  net  premiums earned) for  2006  as  compared to approximately
$226,000 for 2005. In 2006 we received assessments totaling $2.3 million from the Florida Insurance
Guaranty  Association,  Inc.  related  to  catastrophic weather  events  during  the  year  2004.  We  will
endeavor to recoup this expense with a premium surcharge to our Florida insureds.

Interest Expense

Interest expense increased approximately $1.5 million during 2006 as compared to 2005 due to
debt  we  assumed  in  our  acquisitions  of  NCRIC  ($15.5  million  in  August  2005) and  PIC  Wisconsin
($11.6 million in August 2006). Interest expense also increased because our Subordinated Debentures
carry  variable  rates  based  on  LIBOR  and  the  average  LIBOR rate  increased  approximately  2
percentage points in 2006 as compared to 2005.

Taxes

Our effective tax rate for each period is significantly lower than the 35% statutory rate because
a considerable portion of our net investment income is tax-exempt. The effect of tax-exempt income on 
our effective tax rate is shown in the table below:

Year Ended December 31
  2006 

2005

Statutory rate 

Tax-exempt income

Other

Effective tax rate

35%

(8%)

1%

28%

35% 

(9%) 

– 

26% 

The  increase  in  our  2006  effective  tax  rate  is primarily  the  result  of  our  tax-exempt  income

being a smaller percentage of total income than in prior periods.

57

 
 
 
 
 
 
 
 
 
 
 
Results of Operations – Year Ended December 31, 2005 Compared to Year Ended December 31,
2004

Selected consolidated financial data for each period is summarized in the table below.

Revenues:
  Gross premiums written

  Net premiums written

  Premiums earned
  Premiums ceded

Net premiums earned
Net investment income 
Net realized investment gains (losses) 

  Other income

Total revenues 

Expenses:

Year Ended December 31

2005

2004
$ in thousands 

Increase
(Decrease)

  $  572,960

  $ 573,592

  $ 

(632)

  $  521,343

  $ 535,028

  $  (13,685)

  $  596,557
(53,316)
543,241
99,193
912
4,604

  $ 555,524
(35,627)
519,897
77,669
7,572
2,419

  $  41,033
(17,689)
23,344
21,524
(6,660)
2,185

647,950

607,557

40,393

Losses and loss adjustment expenses

  Reinsurance recoveries

Net losses and loss adjustment expenses 

  Underwriting, acquisition and insurance expenses

Interest expense

Total expenses

Income from continuing operations before income taxes

Income taxes 

Income from continuing operations
Income from discontinued operations, net of tax

479,300
(41,099)
438,201
91,957
8,929

539,087

108,863

28,837

80,026
33,431

447,521
12,916
460,437
86,784
6,515

553,736

53,821

10,778

43,043
29,768

31,779
(54,015)
(22,236)
5,173
2,414

(14,649)

55,042

18,059

36,983
3,663

Net income 

  $  113,457

  $  72,811

  $  40,646

Net loss ratio 
Underwriting expense ratio 
Combined ratio
Operating ratio

Return on equity

80.7%
16.9%
97.6%
79.3%

11.6%

88.6%
16.7%
105.3%
90.4%

7.4%

(7.9)
0.2
(7.7)
(11.1)

4.2

58

 
 
Effect of Acquisition of NCRIC (2005–2004)

Our discussions of 2005 operating results as compared to 2004 results include tables intended
to facilitate an understanding of the effect of the NCRIC acquisition.  The caption “NCRIC acquisition”
designates results attributable to NCRIC. The caption “PRA” designates all other operating results.

We acquired NCRIC effective August 3, 2005 and our results for the year ended December 31,
2005 include NCRIC results for the five-month period subsequent to the date of acquisition. Operating
results  for  2004  do  not  include NCRIC  results.  Due  to  the  short  period  since completion  of  the
acquisition, the effect of the NCRIC acquisition on our 2005 results can be readily segregated.

Premiums

Gross premiums written:
  PRA 
  NCRIC Acquisition
  Continuing operations

Premiums earned:
  PRA 
  NCRIC Acquisition
  Continuing operations

Premiums ceded: 
  PRA 
  NCRIC Acquisition
  Continuing operations

Net premiums earned:
  PRA 
  NCRIC Acquisition
  Continuing operations

Year Ended December 31

2005

2004

$ in thousands 

Increase
(Decrease)

$  548,078 
24,882 
$  572,960 

$  573,592 
–
$  573,592 

$ (25,514)
24,882
(632)

$

 (4.4%)
  n/a 
 (0.1%)

$  562,339 
34,218 
$  596,557 

$  555,524 
–
$  555,524 

$

6,815
34,218
$ 41,033

  1.2% 
  n/a 
  7.4% 

$  (47,729)
(5,587) 
$  (53,316)

$  (35,627)
–
$  (35,627)

$  (12,102)
(5,587)
$  (17,689)

 34.0% 
  n/a 
 49.7% 

$  514,610 
28,631 
$  543,241 

$  519,897 
–
$  519,897 

$

(5,287)
28,631
$ 23,344

 (1.0%)
  n/a 
  4.5% 

Gross Premiums Written 

Gross  premiums written  in  2005 reflects reductions  in  premium written  related to  our  organic
book  of  business,  which  were  largely offset  by  the additional  premiums  related  to  the  acquisition  of
NCRIC.

Approximately $16.0 million of the 2005 decrease in premiums written is due to lower physician
premiums from our organic book of business. In 2005, rates on our renewed policies (excluding NCRIC 
policies)  averaged  11%  higher  than  the  expiring premiums.  However, the beneficial  effect  of  the  rate
increases and new business was offset by the effect of policies that did not renew. In addition, some
insureds  chose to take lower limits of  coverage,  and in  some  cases  we  decided to  move  away  from
volatile  jurisdictions  where  rates  are higher  toward stable states  where  rates  may  be  lower.  Our
retention rate averaged 85% in 2005, as compared to 83% in 2004, but increased price competition in
several states reduced the volume of new business that we chose to write.

Tail  premiums  represented  approximately  5%  of  total  written  premiums  in  2005 and
approximately  6%  of  total  written  premiums  in  2004.  Tail  premiums declined by  approximately  $7.7
million in 2005 as compared to 2004.

Hospital premiums, which comprise 7% of our premiums written in 2005 and 2004, declined by 
approximately $1.9 million as compared to 2004. Such business is highly price sensitive. As in all our
lines, we choose  not  to  compete  primarily  on  price because our  focus  is on  maintaining  adequate
margins  on  the  policies  we  sell.  Thus,  our  hospital  premiums  fluctuate  based  on  competitive  forces
largely beyond our control.

59

 
 
 
 
 
Premiums Earned 

In  the  twelve  months  that  follow  the  acquisition of an  insurance  subsidiary, our premiums
earned  include  premiums  earned related  to  the  subsidiary’s  unexpired policies on  the  date  of 
acquisition (unearned premium). Such premiums are earned over the remaining term of the associated
policy.

Premiums earned for the year ended December 31, 2005 as compared to the same period in
2004 generally reflects on a pro rata basis the changes in written premiums that have occurred during
2005  and  2004.  However,  because  tail  premiums are fully  earned  in  the  period  written,  2005  earned
premiums  also  reflects  100%  of  the  2005  decline  in  tail  premiums written.  Additionally,  2005  earned
premium includes earned premiums of approximately $28 million related to unexpired policies acquired
in the NCRIC transactions.

Premiums Ceded

Premiums ceded represent the portion of earned premiums that we must ultimately pay to our 

reinsurers for their assumption of a portion of our losses.

We reduced ceded premiums by $8.9 million in 2004 to reflect changes in our estimates of the
amount  of  reinsurance  premiums  due  for  certain prior  accident  years,  based on  the  provisions of  the
reinsurance contracts and our estimates of the reinsured losses for those prior accident years. We also
reduced ceded  premiums  in  2004  by  approximately $1.6  million  due  to  the  commutation  of  certain
reinsurance contracts.  After  consideration  of  the  effect  of  these  adjustments,  there  is  little  change  in
2005 ceded premiums as compared to 2004.

Losses and Loss Adjustment Expenses

The following tables summarize net losses and net loss ratios for the years ended December
31, 2005 and 2004 by separating losses between the current accident year and all prior accident years. 

Net Losses
Year Ended December 31
2004
In millions

2005

Change

Net Loss Ratios* 
Year  Ended December 31
2004

2005

Change

Current accident year: 
  PRA 
  NCRIC Acquisition
  Continuing operations

$  431.8 
29.4 
$  461.2 

$  469.2 
–
$  469.2 

$ (37.4)
29.4
(8.0)

$

  83.9%   90.2% 
 102.8%  
  84.9%   90.2% 

– 

Prior accident years, all PRA: 

$  (23.0) 

$

(8.7)

$ (14.3)

(4.2%)

(1.6%)

Calendar year:
  PRA 
  NCRIC Acquisition
  Continuing operations

$  408.8 
29.4 
$  438.2 

$  460.4 
–
$  460.4 

$ (51.6)
29.4
$ (22.2)

  79.4%   88.6% 
 102.8%  
  80.7%   88.6% 

– 

(6.3)
n/a
(5.3)

(2.6)

(9.2)
n/a
(7.9)

*Net losses as specified divided by net premiums earned.

Current  accident  year  net loss  ratios  are  lower  in  2005  as  compared  to  2004 due  to  several
factors.  We  have  focused  for  several years  on  developing  and maintaining  adequate  rates.  As  rate
adequacy  has  improved,  loss  ratios  have  decreased.  Also,  our  expected  loss  ratios  vary  based  upon
geographic location, coverage type and coverage limits. In 2005 as compared to 2004, changes in the
mix  of  insured  risks reduced  overall  expected  loss ratios.  During  2005 we  recognized  favorable
development  of  $23.0  million  related  to  our  previously  established reserve,  primarily  to  reflect
reductions  in  our  estimates of claim  severity.  The  most  significant reduction  was  seen  in  the  2003
accident year; however, favorable development was also seen in accident years 2002 and prior.

We decreased our estimate of prior year net losses by $8.7 million in 2004, a small adjustment

(0.7%) relative to our 2003 net reserve.

60

 
 
 
 
 
 
Gross Losses and Reinsurance Recoveries

The following table reflects our losses on both a gross and a net basis.

Gross and Net Losses
Year Ended December 31

2005

2004
In millions

Increase
(Decrease)

$  448,630 
30,670 
  479,300 

$  447,521 
–
  447,521 

$

1,109
30,670
31,779

39,851 
1,248 
41,099 

(12,916)
–
(12,916)

52,767
1,248
54,015

  408,779 
29,422 
$  438,201 

  460,437 
–
$  460,437 

(51,658)
29,422
$ (22,236)

Gross Losses
  PRA 
  NCRIC Acquisition
  Consolidated 

Reinsurance Recoveries
  PRA 
  NCRIC Acquisition
  Consolidated 

Net Losses
  PRA 
  NCRIC Acquisition
  Consolidated 

When discussing losses that are reinsured and losses that are retained, it is common to refer to
“layers” of loss. The retained layer is the cumulative portion of each loss, on a per-claim basis, which is
less  than  our  reinsurance  retention  for  a  given  coverage  year. Likewise,  the  reinsured  layer  is  the 
cumulative portion of each loss that exceeds the reinsurance retention.

Our 2005 actuarial analysis of our reserve indicated that our claims severity had continued to
increase  as expected  in  our  retained  layers,  but  not  to  the  degree  anticipated  in  our  original  reserve
estimates. This was also true in our reinsured layers, but the variance between our original estimates
and the 2005 actuarial estimate was smaller. Accordingly, we reduced our estimates of prior accident
year gross losses by $24.6 million and reduced the prior accident year reinsurance recoveries by $1.6 
million, for a net adjustment to prior year losses of $23.0 million. 

Our 2004 actuarial analysis of our reserve indicated that our claims severity had continued to
increase as expected in risk retained by ProAssurance. However, in risks ceded to our reinsurers actual
loss  experience proved  to  be  lower  than we  originally  anticipated  and  for which  we  established our
reserve.  Accordingly,  we reduced  our estimates  of  prior  accident  year  gross  losses  by  approximately
$60.4  million  and  reduced  the  corresponding  reinsurance  recoveries by  $51.7  million,  for  a  net 
adjustment to prior year losses of $8.7 million.

Assumptions  used  in  establishing  our  reserve  are regularly  reviewed and  updated  by 
management  as  new  data  becomes available.  Any  adjustments  necessary are  reflected  in  current 
operations. Due to the size of our reserve, even a small percentage adjustment to the assumptions can
have a material effect on our results of operations for the period in which the change is made.

61

 
 
 
 
 
 
 
 
Net Investment Income and Net Realized Investment Gains (Losses)

Year Ended December 31

2005

2004

In thousands 

Increase
(Decrease)

Net investment income: 
  PRA 
  NCRIC Acquisition
  Continuing operations

$  95,431 
3,762 
$  99,193 

$  77,669 
–
$  77,669 

$  17,762 
3,762
$  21,524 

22.9%
n/a
27.7%

The  increase  in  net  investment  income  is  principally  due  to  higher average invested  funds
during 2005. The positive cash flow generated by our insurance operations significantly increased our
average invested funds as did the acquisition of NCRIC.

Rising  market  interest  rates  also  contributed  to  the  improvement  in  net  investment  income.
Rates began to increase in mid-2004, allowing new and maturing funds to be invested at higher rates. 
We have been able to invest new and matured funds at higher rates and this has steadily increased the 
average yield of our portfolio. Our average tax equivalent income yield on a consolidated basis for the
years ended December 31, 2005 and 2004 are as follows.

Average income yield
Average tax equivalent income yield

Year Ended December 31

2005 

4.2%
4.8%

2004 

4.0% 
4.4% 

Net investment income by investment category is as follows:

Fixed maturities
Equities
Short-term investments 
Other invested assets 
Business owned life insurance 

Investment expenses
Net investment income 

2005

2004

In thousands 

  $ 90,496
773
3,608
5,045
2,298
102,220
(3,027)
  $ 99,193

  $ 69,950
1,736
1,296
4,592
2,432
80,006
(2,337)
  $ 77,669

The components of net realized investment gains (losses) are shown in the following table. 

Year Ended December 31

2005

2004

In thousands 

Net gains (losses) from sales 
Other-than-temporary impairment losses 
Trading portfolio gains (losses) 
Net realized investment gains (losses) 

  $ 1,567
(768)
113
  $  912

  $ 5,285
(611)
2,898
  $ 7,572

62

 
 
 
 
 
 
 
 
Underwriting, Acquisition and Insurance Expenses

Our  2005  underwriting,  acquisition  and  insurance  expenses  reflect  higher  compensation and
benefit costs offset  by  a decrease  in  variable costs due  to  lower premium  volume.  The slight  upward
shift of the expense ratio as compared to 2004 is principally due to the increase in compensation costs.

Underwriting, Acquisition
and Insurance Expenses
Year Ended December 31

2005

Increase
(Decrease)

2004
$ in thousands 

Underwriting Expense Ratio
Year Ended December 31

2005

2004

Increase
(Decrease)

PRA
NCRIC Acquisition
Continuing operations

$  87,405 
4,552 
$  91,957 

$  86,784 
–
$  86,784 

$

621
4,552
$ 5,173

  0.7% 
  n/a 
  6.0% 

 17.0%
 15.9%
 16.9%

  16.7% 
– 
  16.7% 

0.3
n/a
0.2

Guaranty  fund  assessments  were  approximately  $226,000  for  the  year  ended  December  31,

2005 as compared to approximately $396,000 for the year ended December 31, 2004.

Interest Expense

Interest expense  increased  in  2005 as  compared to  2004  primarily  because  the  average
amount of  debt  outstanding  was higher  in  2005  and  because  interest  rates  increased  in  2005.  In  the
early part of 2004, our only outstanding debt was our Convertible Debentures. In April and May of 2004
we issued our 2034 Subordinated Debentures of $46.4 million; we added the 2032 Debentures of $15.5
million  in  August  2005  as  a  part  of  the  NCRIC  transaction.  Our  Convertible Debentures  have  a  fixed 
interest rate; our Subordinated Debentures have variable rates.

Taxes

Our effective tax rate for each period is significantly lower than the 35% statutory rate because
a considerable portion of our net investment income is tax-exempt. The effect of tax-exempt income on 
our effective tax rate is shown in the table below:

Statutory rate 

Tax-exempt income

Resolution of tax contingencies 

Other

Effective tax rate

Year Ended December 31

2005

35%

(9%)

– 

– 

26%

2004

35% 

(11%)

(3%)

(1%) 

20% 

63

 
 
 
 
 
 
 
 
 
 
 
 
 
Recent Accounting Pronouncements and Guidance

Effective  January 1,  2006,  we  adopted  SFAS  123  (revised  2004), Share-Based  Payment,
hereafter  referred  to  as  SFAS  123(R),  which  is  a  revision  of  SFAS  123,  Accounting  for  Stock-Based
Compensation (SFAS 123). Previously, we valued employee stock-based payments using the intrinsic
value  method  of  Accounting  Principle Board  Opinion  (APB)  No.  25,  Accounting  for  Stock  Issued  to
Employees (APB  25). Accordingly, we  did  not generally  recognize  compensation cost  related  to such
payments but  provided  pro  forma  disclosure  of  the  effect  on  net  income  and  earnings  per  share of
applying the fair value provisions of SFAS 123. 

The provisions of SFAS 123(R) require share-based payments to employees to be recognized
in  the  financial  statements  based  on  their  fair  values.  We  adopted  SFAS  123(R)  using  the  modified-
prospective-transition method permitted by the statement. Under this method compensation expense to
be  recognized  over  the  related  service  periods  includes:  (a)  compensation  cost  for  share-based
payments granted but not vested prior to adoption, based upon the grant-date fair values estimated in
accordance with  the  original  provisions  of  SFAS  123,  and  (b) compensation  cost  for  share-based
payments granted subsequent to adoption based on the grant-date fair value estimated in accordance
with the provisions of Statement 123(R). In accordance with the modified-prospective-transition method,
prior periods were not restated.

Under SFAS 123(R) we recognized approximately $4.7 million of compensation expense during
2006. See Note 12 to our Consolidated Financial Statements for additional information regarding stock-
based payments.

The  Financial  Accounting Standards  Board (FASB)  issued  SFAS  154,  Accounting  Changes
and Error Corrections, in May 2005 as a replacement of APB 20,  Accounting Changes, and SFAS 3,
Reporting  Accounting  Changes  in  Interim  Financial  Statements. SFAS  154  applies  to  voluntary
changes  in  accounting  principle  and  changes  the  requirements for  accounting  for  and  reporting  of  a
change in accounting principle and is effective for accounting changes and corrections of errors made
in fiscal years beginning after December 15, 2005. ProAssurance adopted SFAS 154 effective January
1, 2006; however, to date, the adoption has had no effect.

In  June  2006,  the  FASB  issued  Interpretation  No.  48,  Accounting  for  Uncertainty  in  Income
Taxes, an interpretation of FAS 109, Accounting for Income Taxes (FIN 48), to create a single model to 
address accounting for uncertainty in tax positions. FIN 48 clarifies the accounting for income taxes, by 
prescribing  a  minimum  recognition  threshold  that  a  tax  position  is  required  to  meet  before being
recognized in the financial statements. FIN 48 also provides guidance on derecognition, measurement,
classification, interest and penalties, accounting for interim periods, disclosure and transition. FIN 48 is
effective  for  fiscal  years  beginning after  December  15,  2006.  We  will  adopt FIN  48  as  of  January  1, 
2007, as  required.  We  estimate  that  the  cumulative effect of  adopting FIN 48  will  increase  retained
earnings and reduce our tax liability by $2.7 million. 

64

 
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We believe that we are principally exposed to three types of market risk related to our investment

operations. These risks are interest rate risk, credit risk and equity price risk.

As of December 31, 2006, the fair value of our investment in fixed maturity securities was $3.2
billion.  These  securities  are  subject  primarily  to  interest  rate  risk  and  credit  risk. To  date,  we  have  not 
entered  into  transactions  that  require  treatment  as derivatives pursuant  to  SFAS  133  "Accounting  for 
Derivative Instruments and Hedging Activities" as amended and interpreted.

Interest Rate Risk

Our fixed maturities portfolio is exposed to interest rate risk. Fluctuations in interest rates have a 
direct  impact  on  the  market  valuation of  these  securities.  As  interest rates rise,  market  values  of  fixed 
income  portfolios generally  fall  and  vice  versa.  Certain  of  the  securities  are held  in  an  unrealized  loss
position;  we  have  the  current  ability  and  intent  to  keep  such  securities  until  recovery  of  book  value  or 
maturity.

The following table summarizes estimated changes in the fair value of our available-for-sale and
trading  fixed  maturity  securities  for  specific  hypothetical  changes  in  interest  rates  as  of  December  31,
2006.

December 31, 2006

December 31, 2005

Portfolio

Change in 

Effective

Portfolio

Interest Rates 

Millions

Millions

Years

Value

Value

Duration

200 basis point rise 

100 basis point rise 

Current rate * 

 $ 2,911

 $ 3,057

 $ 3,185

100 basis point decline 

 $ 3,306

200 basis point decline 

 $ 3,422

 $  (274)

 $  (128)

 $ 

–

 $  121

 $  237

4.31

4.20

3.89

3.55

3.51

Value

Millions

 $ 2,218

 $ 2,310

 $ 2,403

 $ 2,498

 $ 2,595

Effective

Duration

Years

4.07

4.02

3.91

3.82

3.59

*Current rates are as of December 31, 2006 and 2005.

Computations of prospective effects of hypothetical interest rate changes are based on numerous
assumptions,  including  the  maintenance  of  the  existing  level  and  composition  of  fixed  income  security 
assets, and should not be relied on as indicative of future results. 

Certain shortcomings are inherent in the method of analysis presented in the computation of the
fair  value  of  fixed  rate  instruments.  Actual  values may  differ  from  those  projections presented should
market conditions vary from assumptions used in the calculation of the fair value of individual securities,
including  non-parallel shifts  in  the  term  structure  of  interest  rates  and  changing  individual  issuer credit
spreads.

ProAssurance's cash  and  short-term  investment  portfolio  at  December 31,  2006  was  on  a  cost 
basis which approximates  its  fair  value.  This  portfolio lacks significant  interest  rate  sensitivity  due  to  its 
short duration.

65

 
Credit Risk

We have exposure to credit risk primarily as a holder of fixed income securities. We control this

exposure by emphasizing investment grade credit quality in the fixed income securities we purchase.

As  of  December 31,  2006,  99.0%  of  our  fixed  income  portfolio  consisted of  securities rated
investment grade. We believe that this concentration in investment grade securities reduces our exposure
to  credit  risk  on  these  fixed  income investments to  an  acceptable  level.  However,  in  the  current 
environment even investment grade securities can rapidly deteriorate and result in significant losses.

Equity Price Risk

At  December  31,  2006  the  fair  value of  our  investment in  common  stocks  was $14.9 million.
These securities are subject to equity price risk, which is defined as the potential for loss in market value 
due  to  a  decline  in  equity  prices.  The weighted  average Beta  of  this  group  of  securities  is  0.94.  Beta 
measures  the  price sensitivity  of  an  equity  security  or  group  of  equity  securities  to  a  change  in  the
broader equity market, in this case the S&P 500 Index. If the value of the S&P 500 Index increased by
10%,  the  fair  value  of  these securities would  be  expected  to  increase  by  9.4%  to  $16.3  million. 
Conversely, a 10% decrease in the S&P 500 Index would imply a decrease of 9.4% in the fair value of
these securities to $13.5 million. The selected hypothetical changes of plus or minus 10% do not reflect
what could be considered the best or worst case scenarios and are used for illustrative purposes only. 

ITEM 8.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

The Consolidated  Financial  Statements  and Financial  Statement  Schedules  of  ProAssurance
Corporation and subsidiaries listed in Item 15(a) have been included herein beginning on page 74. The
Supplementary Financial Information required by Item 302 of Regulation S-K is included in Note 17 of the
Notes to Consolidated Financial Statements of ProAssurance and its subsidiaries.

ITEM 9. CHANGES  IN  AND  DISAGREEMENTS WITH  ACCOUNTANTS  ON  ACCOUNTING  AND

FINANCIAL DISCLOSURE.

Not Applicable.

ITEM 9A. CONTROLS AND PROCEDURES.

Disclosure Controls

Under  the  supervision  and  with  the  participation  of  management,  including  the  Chief  Executive
Officer  and Chief  Financial  Officer,  the  Company has  evaluated  the  effectiveness  of  the  design  and
operation of our disclosure controls and procedures as of the end of the fiscal year ended December 31,
2006. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded
that these controls and procedures are effective.

Disclosure controls and procedures are defined in Exchange Act Rule 13a-15(e) and include the
Company's  controls  and  other  procedures  that  are  designed  to  ensure  that  information,  required  to  be
disclosed by the Company in the reports that it files or submits under the Exchange Act, is accumulated
and communicated to management, including the Chief Executive Officer and Chief Financial Officer, as
appropriate, to allow timely decisions regarding required disclosure.

Management's Report on Internal Control over Financial Reporting

Our  management  is  responsible  for  establishing  and  maintaining  adequate  internal control  over 
financial  reporting,  as  such  term  is  defined  in  Exchange  Act  Rules  13a-15(f) and  15d-15(f).  Under  the 
supervision and with the participation of our management, including our Chief Executive Officer and Chief
Financial Officer, we  conducted  an  evaluation  of  the  effectiveness  of  our  internal  control  over  financial
reporting as of  December  31,  2006 based  on  the  framework  in  Internal  Control–Integrated  Framework
issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Based on
that evaluation, our management concluded that our internal control over financial reporting was effective 
as of  December 31,  2006  and  that  there was  no change  in  the Company's  internal  controls  during  the

66

 
fiscal  quarter  then  ended  that  has  materially  effected,  or  is  reasonably  likely  to  materially  affect,  the 
Company's internal control over financial reporting, other than as described below. 

Our  management  excluded  PIC  Wisconsin's  systems  and  processes  from  the  scope  of  our 
assessment  of  internal  control  over  financial  reporting  as  of  December  31,  2006  in  reliance  on  the 
guidance set forth in Question 3 of a "Frequently Asked Questions" interpretive release issued by the staff 
of  the  Securities  and  Exchange  Commission's  Office  of  the  Chief  Accountant  and  the  Division  of 
Corporation  Finance  in  June  2004  (and  revised  on  October  6,  2004).  We  are  excluding  PIC  Wisconsin 
from  that  scope  because  we  expect  substantially  all  of  its  significant  systems  and  processes  to  be 
converted to those ProAssurance during 2007. At December 31, 2006 PIC Wisconsin represented $392.5 
million or 9.0% of total assets from continuing operations, and $34.7 million or 4.7% of total revenues for 
the year then ended. 

Management's assessment of the effectiveness of our internal control over financial reporting as 
of  December  31,  2006  has  been  audited  by  Ernst  &  Young  LLP,  an  independent  registered  public 
accounting firm, as stated in their report which is included elsewhere herein. 

ITEM 9B. OTHER INFORMATION. 

None.

67 

 
Report of Independent Registered Public Accounting Firm 

The Board of Directors and Shareholders of ProAssurance Corporation 

We  have  audited  management’s  assessment,  included  in  the  accompanying  Management’s 
Annual  Report  on  Internal  Control  over  Financial  Reporting,  that  ProAssurance  Corporation  and 
subsidiaries maintained effective internal control over financial reporting as of December 31, 2006, based 
on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring 
Organizations  of 
the  Treadway  Commission  (the  COSO  criteria).  ProAssurance  Corporation’s 
management  is  responsible  for  maintaining  effective  internal  control  over  financial  reporting  and  for  its 
assessment of the effectiveness of internal control over financial reporting. Our responsibility is to express 
an opinion on management’s assessment and an opinion on the effectiveness of the company’s internal 
control over financial reporting based on our audit.  

We  conducted  our  audit  in  accordance  with  the  standards  of  the  Public  Company  Accounting 
Oversight  Board  (United  States).  Those  standards  require  that  we  plan  and  perform  the  audit  to  obtain 
reasonable assurance about whether effective internal control over financial reporting was maintained in 
all  material  respects.  Our  audit  included  obtaining  an  understanding  of  internal  control  over  financial 
reporting,  evaluating  management’s  assessment,  testing  and  evaluating  the  design  and  operating 
effectiveness  of  internal  control,  and  performing  such  other  procedures  as  we  considered  necessary  in 
the circumstances. We believe that our audit provides a reasonable basis for our opinion. 

A company’s internal control over financial reporting is a process designed to provide reasonable 
assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for 
external  purposes  in  accordance  with  generally  accepted  accounting  principles.  A  company’s  internal 
control over financial reporting includes those policies and procedures that (1) pertain to the maintenance 
of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the 
assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to 
permit  preparation  of  financial  statements  in  accordance  with  generally  accepted  accounting  principles, 
and  that  receipts  and  expenditures  of  the  company  are  being  made  only  in  accordance  with 
authorizations  of  management  and  directors  of  the  company;  and  (3)  provide  reasonable  assurance 
regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s 
assets that could have a material effect on the financial statements. 

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or 
detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to 
the  risk  that  controls  may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of 
compliance with the policies or procedures may deteriorate. 

As  indicated  in  the  accompanying  Management’s  Annual  Report  on  Internal  Control  over 
Financial Reporting, management’s assessment of and conclusion on the effectiveness of internal control 
over  financial  reporting  did  not  include  the  internal  controls  of  Physicians  Insurance  Company  of 
Wisconsin, Inc. and subsidiaries ("PIC Wisconsin"), which is included in the 2006 consolidated financial 
statements  of  ProAssurance  Corporation  and  subsidiaries  and  constituted  approximately  9.0%  of  total 
assets as of December 31, 2006 and approximately 4.7% of total revenues for the year then ended. Our 
audit  of  internal  control  over  financial  reporting  of  ProAssurance  Corporation  also  did  not  include  an 
evaluation of the internal control over financial reporting of PIC Wisconsin and subsidiaries. 

In  our  opinion,  management’s  assessment  that  ProAssurance  Corporation  and  subsidiaries 
maintained effective internal control over financial reporting as of December 31, 2006, is fairly stated, in 
all  material  respects,  based  on  the  COSO  criteria.  Also,  in  our  opinion,  ProAssurance  Corporation  and 
subsidiaries  maintained,  in  all  material  respects,  effective  internal  control  over  financial  reporting  as  of 
December 31, 2006, based on the COSO criteria.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting 
Oversight  Board  (United  States),  the  consolidated  balance  sheets  of  ProAssurance  Corporation  and 
subsidiaries as of December 31, 2006 and 2005, and the related consolidated statements of changes in 
capital, income and cash flow for each of the three years in the period ended December 31, 2006, and 
our report dated February 28, 2007 expressed an unqualified opinion thereon. 

Birmingham, Alabama 
February 28, 2007 

Ernst & Young LLP 

68 

 
PART III 

ITEM 10.  DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT.

The information required by this Item regarding executive officers is included in Part I of the Form
10K (Pages 31, 32 and 33) in accordance with Instruction 3 of the Instructions to Paragraph (b) of Item 
401 of Regulation S-K. 

The information required by this Item regarding directors is incorporated by reference pursuant to
General  Instruction  G  (3)  of  Form  10K  from  ProAssurance’s  definitive  proxy  statement  for  the  2007
Annual Meeting of its Stockholders to be filed with the Securities and Exchange Commission pursuant to
Regulation 14A on or before April 16, 2007.

ITEM 11.  EXECUTIVE COMPENSATION.

The information required by this Item is incorporated by reference pursuant to General Instruction
G  (3)  of  Form  10K  from ProAssurance’s definitive proxy  statement for the  2007 Annual  Meeting  of  its
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or
before April 16, 2007. 

ITEM 12. SECURITY  OWNERSHIP  OF  CERTAIN BENEFICIAL  OWNERS AND  MANAGEMENT  AND

RELATED STOCKHOLDER MATTERS.

The information required by this Item is incorporated by reference pursuant to General Instruction
G  (3)  of  Form  10K  from ProAssurance’s definitive proxy  statement for the  2007 Annual  Meeting  of  its
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or
before April 16, 2007. 

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.

The information required by this Item is incorporated by reference pursuant to General Instruction
G  (3)  of  Form  10K  from ProAssurance’s definitive proxy  statement for the  2007 Annual  Meeting  of  its
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or
before April 16, 2007. 

ITEM 14.  PRINCIPAL ACCOUNTANT FEES AND SERVICES.

The information required by this Item is incorporated by reference pursuant to General Instruction
G  (3)  of  Form  10K  from ProAssurance’s definitive proxy  statement for the  2007 Annual  Meeting  of  its
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or
before April 16, 2007. 

69

 
PART IV 

ITEM 15.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.

(a) 

Financial  Statements.    The  following  consolidated  financial  statements  of  ProAssurance 
Corporation  and  subsidiaries  are  included  herein  in  accordance  with  Item  8  of  Part  II  of  this 
report. 

Report of Independent Auditors 

Consolidated Balance Sheets – December 31, 2006 and 2005  

Consolidated  Statements  of  Changes  in  Capital  –  years  ended  December  31, 
2006, 2005 and 2004 

Consolidated  Statements  of  Income  –  years  ended  December  31,  2006,  2005 
and 2004 

Consolidated  Statements  of  Cash  Flows  –  years  ended  December  31,  2006, 
2005 and 2004 

Notes to Consolidated Financial Statements 

Financial  Statement  Schedules.    The  following  consolidated  financial  statement  schedules  of 
ProAssurance Corporation and subsidiaries are included herein in accordance with Item 14(d): 

Schedule I   –  Summary  of  Investments  –  Other  than  Investments  in  Related 
Parties 

Schedule II  –  Condensed  Financial  Information  of  ProAssurance  Corporation 
(Registrant Only) 

Schedule III – Supplementary Insurance Information 

Schedule IV – Reinsurance 

Schedule VI – Supplementary Property and Casualty Insurance Information 

All  other  schedules  to  the  consolidated  financial  statements  required  by  Article  7  of  Regulation    
S-X are not required under the related instructions or are inapplicable and therefore have been 
omitted.

(b) 

The exhibits required to be filed by Item 15(b) are listed herein in the Exhibit Index. 

70 

 
 
SIGNATURES 

Pursuant  to  the  requirements  of  Section  13  of  15(d)  of  the  Securities  Exchange  Act  of  1934,  the 
Registrant  has  duly  caused  this  report  to  be  signed  on  its  behalf  by  the  undersigned,  thereunto  duly 
authorized, on this the 28th day of February 2007. 

PROASSURANCE CORPORATION

By: /s/  A. Derrill Crowe, M.D. 
           A. Derrill Crowe, M.D. 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below 
by the following persons on behalf of the Registrant and in the capacities and on the dates indicated. 

Name

Title

Date

/s/A. Derrill Crowe, M.D. 
A. Derrill Crowe, M.D. 

/s/Edward L. Rand, Jr. 
Edward L. Rand, Jr. 

/s/James J. Morello 
James J. Morello 

/s/Victor T. Adamo, Esq. 
Victor T. Adamo, Esq. 

/s/Paul R. Butrus 
Paul R. Butrus 

/s/Lucian F. Bloodworth 
Lucian F. Bloodworth 

/s/Robert E. Flowers, M.D. 
Robert E. Flowers, M.D. 

/s/William J. Listwan, M.D. 
William J. Listwan, M.D. 

/s/John J. McMahon, Jr., Esq. 
John J. McMahon, Jr., Esq. 

/s/John P. North, Jr. 
John P. North, Jr.

/s/Ann F. Putallaz, Ph.D. 
Ann F. Putallaz, Ph.D. 

/s/William H. Woodhams, M.D. 
William H. Woodhams, M.D. 

/s/Wilfred W. Yeargan, Jr., M.D.  
Wilfred W. Yeargan, Jr., M.D.  

Chairman of the Board and 
Chief Executive Officer 
(Principal Executive Officer) 
and Director 

February 28, 2007 

Chief Financial Officer 

February 28, 2007 

Chief Accounting Officer 

February 28, 2007 

Director 

Director 

Director 

Director 

Director 

Director 

Director  

Director  

Director  

Director  

71 

February 28, 2007

February 28, 2007

February 28, 2007

February 28, 2007

February 28, 2007

February 28, 2007 

February 28, 2007 

February 28, 2007 

February 28, 2007 

February 28, 2007 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Consolidated Financial Statements
Years ended December 31, 2006, 2005 and 2004

Table of Contents

Report of Independent Registered Public Accounting Firm........................................................................ 73

Audited Consolidated Financial Statements

Consolidated Balance Sheets .....................................................................................................................74

Consolidated Statements of Changes in Capital ........................................................................................ 75

Consolidated Statements of Income ........................................................................................................... 76

Consolidated Statements of Cash Flow...................................................................................................... 77

Notes to Consolidated Financial Statements ..............................................................................................79

72

 
Report of Independent Registered Public Accounting Firm 

To the Board of Directors and Shareholders of 
ProAssurance Corporation  

We  have  audited  the  accompanying  consolidated  balance  sheets  of  ProAssurance  Corporation 
and subsidiaries as of December 31, 2006 and 2005, and the related consolidated statements of changes 
in capital, income and cash flow for each of the three years in the period ended December 31, 2006. Our 
audits  also  included  the  financial  statement  schedules  listed  in  the  Index  at  Item  15(a).  These  financial 
statements and schedules are the responsibility of the Company's management. Our responsibility is to 
express an opinion on these financial statements and schedules based on our audits. 

We  conducted  our  audits  in  accordance  with  the  standards  of  the  Public  Company  Accounting 
Oversight  Board  (United  States).  Those  standards  require  that  we  plan  and  perform  the  audit  to  obtain 
reasonable assurance about whether the financial statements are free of material misstatement. An audit 
includes  examining,  on  a  test  basis,  evidence  supporting  the  amounts  and  disclosures  in  the  financial 
statements.  An  audit  also  includes  assessing  the  accounting  principles  used  and  significant  estimates 
made by management, as well as evaluating the overall financial statement presentation. We believe that 
our audits provide a reasonable basis for our opinion. 

In our opinion, the financial statements referred to  above present fairly, in all material respects, 
the consolidated financial position of ProAssurance Corporation and subsidiaries at December 31, 2006 
and 2005, and the consolidated results of their operations and their cash flows for each of the three years 
in the period ended December 31, 2006, in conformity with U.S. generally accepted accounting principles. 
Also, in our opinion, the related financial statement schedules, when considered in relation to the basic 
financial  statements  taken  as  a  whole,  present  fairly  in  all  material  respects  the  information  set  forth 
therein.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting 
Oversight  Board  (United  States),  the  effectiveness  of  ProAssurance  Corporation’s  internal  control  over 
financial reporting as of December 31, 2006, based on criteria established in Internal Control—Integrated 
Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our 
report dated February 28, 2007 expressed an unqualified opinion thereon. 

As discussed in Note 1 to the consolidated financial statements, in 2006 the Company changed 

its method of accounting for stock compensation. 

Birmingham, Alabama 
February 28, 2007 

Ernst & Young LLP 

ProAssurance Corporation and Subsidiaries 
Consolidated Balance Sheets  
(In thousands, except share data) 

Assets 

Investments

  Fixed maturities available for sale, at fair value 

  Fixed maturities, trading, at fair value 

  Equity securities, available for sale, at fair value 

  Equity securities, trading, at fair value 

  Short-term investments 

  Business owned life insurance 

  Other 

Total investments 

Cash and cash equivalents 

Premiums receivable 

Receivable from reinsurers on unpaid losses and loss adjustment expenses 

Prepaid reinsurance premiums 

Deferred taxes 

Real estate, net 

Other assets 

Assets of discontinued operations 

Liabilities and Stockholders' Equity 
Liabilities 

Policy liabilities and accruals: 

December 31

December 31 

2006

2005

  $  3,136,222 

  $  2,403,450 

49,218 

7,220 

7,638 

184,280 

58,721 

48,799 

– 

10,018 

5,181 

93,066 

56,436 

46,168 

  3,492,098 

  2,614,319 

29,146 

113,023 

370,763 

18,954 

112,201 

23,135 

183,533 

– 

34,506 

106,549 

327,693 

20,379 

103,935 

16,623 

117,596 

567,779 

  $  4,342,853 

  $  3,909,379 

  Reserve for losses and loss adjustment expenses 

  $  2,607,148 

  $  2,224,436 

  Unearned premiums 

  Reinsurance premiums payable 

  Total policy liabilities 

Other liabilities 

Long-term debt 

Liabilities of discontinued operations 

Total liabilities 

Commitments and contingencies 

Stockholders' Equity 

  Common stock, par value $0.01 per share 

  100,000,000 shares authorized, 33,398,028 and 

  31,230,647 shares issued, respectively 

  Additional paid-in capital 

  Accumulated other comprehensive income (loss), net of deferred tax expense  

(benefit) of $62 and ($4,755), respectively 

  Retained earnings 

  Less treasury stock, at cost, 121,765 shares 

Total stockholders' equity 

See accompanying notes.

74 

253,773 

106,176 

264,258 

83,314 

  2,967,097 

  2,572,008 

78,032 

179,177 

– 

67,572 

167,240 

337,513 

  3,224,306 

  3,144,333 

– 

– 

334 

495,848 

111 

622,310 

  1,118,603 

(56) 

  1,118,547 

312 

387,739 

(8,834) 

385,885 

765,102 

(56) 

765,046 

  $  4,342,853 

  $  3,909,379 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
7
1
2

1
1
7
1

,

l

a

t

o
T

5
0
3
6
4
5

,

$

–

–

–

–

5
3
4
4
3

,

1
5
3
8
2

,

0
7
2
2

,

9
1
0

,

1
1
6

2
9
1

3
7
2
4

,

6
6
0
7
6

,

–

–

–

–

3
6
9
1
5

,

3
6
2
8
2

,

3
6
1
3

,

6
4
0

,

5
6
7

9
2
5

2
4
6

9
6
6
4

,

8
2
1
9
9

,

–

–

–

–

6
5
5
5
3
1

,

4
1
8
9
0
1

,

–

–

–

–

–

–

–

–

)
6
5
(

–

–

–

–

–

–

–

–

–

–

)
6
5
(

–

–

–

–

–

–

–

–

–

–

–

)
6
5
(

$

k
c
o
S

t

y
r
u
s
a
e
r
T

i

d
e
n
a
e
R

t

–

–

–

–

–

–

3
4
0
3
4

,

8
6
7

,

9
2

8
2
4

,

2
7
2

i

s
g
n
n
r
a
E

7
1
6
9
9
1

,

$

–

–

–

–

–

–

–

–

6
2
0
0
8

,

1
3
4

,

3
3

5
8
8

,

5
8
3

–

–

–

–

–

–

–

–

–

4
8
9
6
2
1

,

1
4
4
9
0
1

,

i

e
v
s
n
e
h
e
r
p
m
o
C

)
s
s
o
L
(
e
m
o
c
n
I

2
2
4
,
4
3

$

–

–

)
8
0
6
,
8
(

)
7
1
4
,
1
(

–

–

–

–

7
9
3
,
4
2

–

–

–

–

)
8
6
1
,
5
(

)
3
6
0
,
8
2
(

–

–

–

–

)
4
3
8
,
8
(

–

–

–

–

–

–

–

–

–

3
7
3

2
7
5
,
8

t

r
e
h
O
d
e
t
a
u
m
u
c
c
A

l

7
1
2

0
1
7
,
1

l

a
n
o
i
t
i
d
d
A

n
i
-
d
a
P

i

l

a
t
i
p
a
C

0
3
0
,
2
1
3

$

–

–

–

–

–

–

0
7
2
,
2

7
5
9
,
3
1
3

2
9
1

1
7
2
,
4

9
4
0
,
7
6

–

–

–

–

–

–

2
6
1
,
3

9
3
7
,
7
8
3

8
2
5

2
4
6

9
6
6
,
4

8
0
1
,
9
9

–

–

–

–

–

–

1

–

–

–

–

–

–

–

–

3
9
2

–

2

7
1

–

–

–

–

–

–

1

–

–

1

0
2

2
1
3

–

–

–

–

–

–

n
o
m
m
o
C

k
c
o
t
S

2
9
2

$

)
s
d
n
a
s
u
o
h
t
n
I
(

,

7
4
5
8
1
1
1

,

$

)
6
5
(

$

0
1
3
2
2
6

,

$

1
1
1

$

8
4
8
,
5
9
4

$

4
3
3

$

s
e
i
r
a
i
d
i
s
b
u
S
d
n
a
n
o
i
t
a
r
o
p
r
o
C
e
c
n
a
r
u
s
s
A
o
r
P

l
a
t
i
p
a
C
n

i
s
e
g
n
a
h
C

f
o
s
t
n
e
m
e
t
a
t
S
d
e
t
a
d

i
l

o
s
n
o
C

s
n
o
i
t

a
r
e
p
o

i

g
n
u
n

i
t

n
o
c

,

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

l

a
t
o
T

s
n
o
i
t
a
r
e
p
o

d
e
u
n

i
t

n
o
c
s
d

i

,

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

l

a
t
o
T

4
0
0
2

,

1
3

r
e
b
m
e
c
e
D

t
a
e
c
n
a
a
B

l

n
o

i
t

a
s
n
e
p
m
o
c

r
o

f

d
e
u
s
s

i

k
c
o
t
s

n
o
m
m
o
C

:

n
o

i
t
c
a
s
n
a
r
t

e
s
a
h
c
r
u
p
n

i

d
e
u
s
s

i

y
t
i
u
q
E

d
e
u
s
s

i

k
c
o
t
s

n
o
m
m
o
C

d
e
m
u
s
s
a

s
n
o

i
t

p
o

f

o

e
u
a
v

l

r
i
a
F

i

d
e
s
c
r
e
x
e

s
n
o
i
t
p
o

k
c
o
t
S

:
)
1
1
e

t

o
N
e
e
s
(

)
s
s
o
l
(

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

r
e
h
t
O

s
n
o

i
t

a
r
e
p
o

d
e
u
n
i
t
n
o
c
s
D

i

s
n
o

i
t

a
r
e
p
o
g
n
u
n
i
t
n
o
C

i

x
a

t

f

o

t

e
n

,
s
n
o

i
t

a
r
e
p
o
d
e
u
n

i
t

i

n
o
c
s
d
m
o
r
f
e
m
o
c
n
I

x
a

t

f

o

t

e
n

,
s
n
o

i
t

a
r
e
p
o

g
n
u
n

i

i
t

n
o
c
m
o
r
f
e
m
o
c
n
I

:

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
C

s
n
o
i
t

a
r
e
p
o

g
n
u
n

i

i
t

n
o
c

,

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

l

a
t
o
T

s
n
o
i
t
a
r
e
p
o

d
e
u
n

i
t

n
o
c
s
d

i

,

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

l

a
t
o
T

5
0
0
2

,

1
3

r
e
b
m
e
c
e
D

t
a
e
c
n
a
a
B

l

n
o

i
t
c
a
s
n
a
r
t

e
s
a
h
c
r
u
p
n

i

d
e
u
s
s

i

k
c
o
t
s

n
o
m
m
o
C

i

d
e
s
c
r
e
x
e

s
n
o
i
t
p
o

k
c
o
t
S

s
n
o

i
t

a
r
e
p
o

d
e
u
n
i
t
n
o
c
s
D

i

:

n
o

i
t

a
s
n
e
p
m
o
c
d
e
s
a
b
-
k
c
o
t
S

s
n
o

i
t

a
r
e
p
o
g
n
u
n
i
t
n
o
C

i

n
o

i
t

a
s
n
e
p
m
o
c

r
o

f

d
e
u
s
s

i

k
c
o
t
s

n
o
m
m
o
C

:
)
1
1
e

t

o
N
e
e
s
(

)
s
s
o
l
(

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

r
e
h
t
O

s
n
o

i
t

a
r
e
p
o

d
e
u
n
i
t
n
o
c
s
D

i

s
n
o

i
t

a
r
e
p
o
g
n
u
n
i
t
n
o
C

i

x
a

t

f

o

t

e
n

,
s
n
o

i
t

a
r
e
p
o
d
e
u
n

i
t

i

n
o
c
s
d
m
o
r
f
e
m
o
c
n
I

x
a

t

f

o

t

e
n

,
s
n
o

i
t

a
r
e
p
o

g
n
u
n

i

i
t

n
o
c
m
o
r
f
e
m
o
c
n
I

:

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
C

:
)
1
1
e

t

o
N
e
e
s
(

)
s
s
o
l
(

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

r
e
h
t
O

s
n
o

i
t

a
r
e
p
o

d
e
u
n
i
t
n
o
c
s
D

i

s
n
o

i
t

a
r
e
p
o
g
n
u
n
i
t
n
o
C

i

x
a

t

f

o

t

e
n

,
s
n
o

i
t

a
r
e
p
o
d
e
u
n

i
t

i

n
o
c
s
d
m
o
r
f
e
m
o
c
n
I

x
a

t

f

o

t

e
n

,
s
n
o

i
t

a
r
e
p
o

g
n
u
n

i

i
t

n
o
c
m
o
r
f
e
m
o
c
n
I

n
o

i
t

a
s
n
e
p
m
o
c

r
o

f

d
e
u
s
s

i

k
c
o
t
s

n
o
m
m
o
C

i

d
e
s
c
r
e
x
e

s
n
o
i
t
p
o

k
c
o
t
S

4
0
0
2

,

1

y
r
a
u
n
a
J

t
a
e
c
n
a
a
B

l

:

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
C

s
n
o

i
t

a
r
e
p
o

g
n
u
n

i

i
t

n
o
c

,

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

l

a
t
o
T

s
n
o
i
t
a
r
e
p
o

d
e
u
n

i
t

n
o
c
s
d

i

,

e
m
o
c
n

i

i

e
v
s
n
e
h
e
r
p
m
o
c

l

a
t
o
T

6
0
0
2

,

1
3

r
e
b
m
e
c
e
D

t
a
e
c
n
a
a
B

l

5
7

.
s
e

t

o
n

i

g
n
y
n
a
p
m
o
c
c
a

e
e
S

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Consolidated Statements of Income 
(In thousands, except per share data)

Revenues:

Gross premiums written

Net premiums written

Premiums earned
Premiums ceded
Net premiums earned
Net investment income 
Net realized investment gains (losses) 
Other income

Total revenues 

Expenses:

Year Ended December 31
2005

2006

2004

$ 578,983

$ 572,960

$ 573,592

$ 543,376

$ 521,343

$ 535,028

$ 627,166
(44,099)
583,067
149,789
(1,199)
5,941

$ 596,557
(53,316)
  543,241 
99,193
912
4,604

$ 555,524
(35,627)
  519,897 
77,669
7,572
2,419

737,598

  647,950 

  607,557 

Losses and loss adjustment expenses
Reinsurance recoveries
Net losses and loss adjustment expenses 
Underwriting, acquisition and insurance expenses
Interest expense

475,997
(32,668)
443,329
106,369
11,073

  479,300 
(41,099)
  438,201 
91,957
8,929

  447,521 
12,916
  460,437 
86,784
6,515

Total expenses

560,771

  539,087 

  553,736 

Income from continuing operations before income  taxes

176,827

108,863

53,821

Provision for income taxes: 

Current expense (benefit)
Deferred expense (benefit) 

Income from continuing operations

Income from discontinued operations, net of tax

48,456
1,387
49,843

126,984

109,441

28,130
707
28,837

80,026

33,431

10,244
534
10,778

43,043

29,768

Net income

$ 236,425

$ 113,457

$  72,811

Basic earnings per share: 

Income from continuing operations
Income from discontinued operations

Net income

Diluted earnings per share: 

Income from continuing operations
Income from discontinued operations

Net income

Weighted average number of common shares outstanding:

Basic 

Diluted 

$ 

$ 

$ 

$ 

3.96
3.42

7.38

3.72
3.13

6.85

$ 

$ 

$ 

$ 

2.66
1.11

3.77

2.52
1.02

3.54

$ 

$ 

$ 

$ 

1.48
1.02

2.50

1.44
0.93

2.37

32,044

34,925

30,049

32,908

29,164

31,984

See accompanying notes. 

76

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Consolidated Statements of Cash Flow
(In thousands)

Continuing Operations:

Operating Activities
Net income 
Income from discontinued operations, net of tax
Adjustments to reconcile income to net cash provided by operating activities:

Amortization
Depreciation
Increase in cash surrender value of business owned life insurance 
Net realized investment (gains) losses
Net (purchases) sales of trading portfolio securities 

  Stock-based compensation
Deferred income taxes
Policy acquisition costs deferred, net of related amortization
Taxes paid related to gain on sale of discontinued operations 
Other
Changes in assets and liabilities:
Premiums receivable 
Receivable from reinsurers 
Prepaid reinsurance premiums 
Other assets 
Reserve for losses and loss adjustment expenses
Unearned premiums
Reinsurance premiums payable
Other liabilities 

Net cash provided by operating activities of continuing operations 

Investing Activities
Purchases of: 

Fixed maturities available for sale 
Equity securities available for sale 

  Other investments
Proceeds from sale or maturities of:
Fixed maturities available for sale 
Equity securities available for sale 
Other investments

Net (increase) decrease in short-term investments 
Cash proceeds, net of sales expenses of $4,080, from sale of personal lines operations 
Other
Net cash used by investing activities of continuing operations 

Financing Activities
Net proceeds from long-term debt
Other
Net cash provided by financing activities of continuing operations 

Increase (decrease) in cash and cash equivalents 
Cash and cash equivalents at beginning at period 
Cash and cash equivalents at end of period 

(continued)

Year Ended December 31
2005 

2006 

2004

  $ 236,425
(109,441)

  $ 113,457
(33,431)

  $  72,811
(29,768)

14,664 
4,164 
(2,285)
1,199 
(51,585)
4,669 
1,387 
2,845 
(54,565)
516

17,868 
14,122 
7,817 
(19,017)
  154,274 
(48,130)
642
7,261 
  182,830 

 (2,384,986)
(407)
(25,364)

  1,873,041 
38,801 
25,074 
(83,415)
  371,037 
(3,426)
(189,645)

20,274 
3,727 
(2,298)
(912)
(917)
–
707
(1,002)
–
(701)

21,452 
3,387 
(2,432) 
(7,572)
4,610
– 
534 
(3,352) 
– 
(622) 

19,104 
(10,553)
1,119 
(1,272)
  222,643 
(23,514)
14,182 
2,977 
  323,590 

1,857
62,637
(1,237)
(1,237) 
  183,887 
18,097
1,933
11,302
  336,287 

(900,481)
(777)
(2,386)

(1,133,391)
(856) 
(4,205) 

  597,472 
44,773 
–
(51,903)
–
(124)
(313,426)

  677,009 
8,854
– 
69,737
– 
(9,144)
(391,996)

–
1,455 
1,455 

–
3,644 
3,644 

44,907
35
44,942

(5,360)
34,506 
  $  29,146

13,808 
20,698 
  $  34,506

(10,767)
31,465 
  $  20,698

See accompanying notes. 

77

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Consolidated Statements of Cash Flow
(In thousands)

Discontinued Operations:

Net cash provided by (used in) operating activities of discontinued operations 
Net cash provided by (used in) investing activities of discontinued operations 
Net cash provided by (used in) financing activities of discontinued operations 

Increase (decrease) in cash and cash equivalents 
Cash and cash equivalents at beginning of period 
Cash and cash equivalents at end of period 

Supplemental Disclosure of Cash Flow Information:
Net cash paid (received) during the year for income taxes: 
  Continuing operations
  Discontinued operations
Cash paid during the year for interest:
  Continuing operations
  Discontinued operations

Year Ended December 31
2005 

2006 

2004

  $ 

  $ 

–
–
–

–
–
–

  $  40,920
2,415 
–

43,335 
9,386 
  $  52,721

  $  37,252
(38,446)
–

(1,194)
10,580
  $  9,386

  $  95,748
–
  $ 

  $  25,998
  $  15,528

  $  7,165
  $  15,916

  $  10,192
–
  $ 

  $  8,034
–
  $ 

  $  5,501
–
  $ 

Significant non-cash transactions:
Fixed maturities securities received as proceeds from sale of discontinued operations
Common stock issued in acquisition

  $  24,819
  $  99,128

  $ 
–
  $  67,066

  $ 
  $ 

–
–

See accompanying notes. 

78

 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

1.  Accounting Policies 
Organization and Nature of Business

ProAssurance  Corporation  (ProAssurance),  a  Delaware corporation,  is  an  insurance  holding
company for wholly-owned specialty property and casualty insurance companies that principally provide
professional liability insurance for providers of health care services, and to a lesser extent, providers of
legal  services.  ProAssurance operates  in  the  United States  of  America  (U.S.),  principally  in  the  mid-
Atlantic, Midwest and Southeast. ProAssurance’s operations are in a single reportable segment.

Segment Information / Discontinued Operations

In  January  2006  ProAssurance  sold  its  Personal  Lines  Division consisting  of  its  wholly-owned
subsidiaries,  MEEMIC  Insurance Company,  Inc.  and MEEMIC  Insurance  Services  (collectively,  the
MEEMIC  Companies).  The  MEEMIC  Companies were  formerly  considered  as  a  separate  reportable
industry  segment.  In  accordance  with  Statement  of  Financial  Accounting Standard  (SFAS)  No.  144
Accounting  for  the  Impairment  or  Disposal  of  Long-lived  Assets,  ProAssurance’s  personal  lines 
operations  have  been classified  in  this  report as discontinued  operations  in  all  periods presented.  See
Note 3 for further discussion of discontinued operations.

Principles of Consolidation

The  accompanying consolidated  financial statements  include  the  accounts  of  ProAssurance
intercompany  accounts and  transactions  between

Corporation and  its  subsidiaries.  All  significant
consolidated companies have been eliminated.

Basis of Presentation

The  preparation  of  financial  statements  in  accordance with  accounting  principles  generally
accepted  in  the  United  States (GAAP)  requires  management  to  make estimates  and  assumptions  that
affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at 
the  date  of  the  financial statements  and  the  reported  amounts of  revenues and expenses  during  the
reporting period. Actual results could differ from those estimates.

Reclassifications

Currently,  rental  income from  real  estate  holdings  is  included  in  other  income;  real  estate
expenses  are  included  in  underwriting,  acquisition and insurance  expenses. Previously,  rental  income
from  real  estate  holdings  and  real  estate  related expenses  were  considered  as  components  of  net
investment income. To conform to the 2006 financial statement presentation, rental income of $1.1 million
(both  years) and  real  estate  related  expenses  of  $2.6  million  and  $2.4  million  were  reclassified  for  the
years  ended December 31,  2005  and  2004,  respectively.  The  reclassification  had  no  effect  on  income
from continuing operations or net income.

Accounting Policies 

The significant accounting policies followed by ProAssurance in making estimates that materially 

affect financial reporting are summarized in these notes to the consolidated financial statements.

79

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

1.  Accounting Policies (continued) 
Investments

Fixed Maturities and Equity Securities

  Fair Values

Fair  values  for  fixed  maturity  and  equity  securities are based on  quoted  market prices,  where
available.  For  fixed  maturity  and  equity  securities not  actively  traded,  fair  values  are  estimated  using
values obtained from independent pricing services.

Fixed  maturities  and  equity  securities  are  considered  as  either  available-for-sale or  trading

securities.

  Available for Sale

Available-for-sale securities  are carried  at  fair  value,  and  unrealized gains  and  losses  on such
related  tax  effects,  in  stockholders’  equity  as a

available-for-sale  securities are  included,  net  of
component of “Accumulated other comprehensive income (loss).”

Investment  income  includes  amortization  of  premium  and  accretion  of  discount  related  to  debt
securities acquired at other than par value. Debt securities and mandatorily redeemable preferred stock
with maturities beyond one year when purchased are classified as fixed maturities.

  Trading

Trading portfolio securities are carried at fair value with the holding gains and losses included in

realized investment gains and losses in the current period.

Short-term Investments

Short-term  investments,  which  have an  original maturity  of  one  year  or  less,  are  primarily
comprised of investments in U.S. Treasury obligations and commercial paper. All balances are reported
at amortized cost, which approximates fair value.

Other Investments

Other  investments  are  primarily  comprised  of equity  interests  in  non-public  investment
partnerships/limited liability companies. Interests where ProAssurance has virtually no influence over the
operating and financial policies of the entity and for which there is no readily determinable fair value are 
accounted for using the cost method. Interests where ProAssurance has a greater than minor interest in 
the entity are accounted for using the equity method. 

Business Owned Life Insurance (BOLI)

ProAssurance  owns  life  insurance contracts on certain  key  management  employees.  The  life 
insurance contracts  are carried  at  their  current  cash  surrender value.  Changes  in  the  cash surrender
value  are  included  in  income  in  the  current  period as  investment  income. Death  proceeds  from  the 
contracts are recorded when the proceeds become payable under the policy terms. 

Cash and Cash Equivalents

For  purposes of the  consolidated  balance sheets and statements  of  cash  flow,  ProAssurance

considers all demand deposits and overnight investments to be cash equivalents.

80

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

1.  Accounting Policies (continued) 
Realized Gains and Losses

Realized  gains  and  losses  on  sales of  investments are recognized  on  the  specific  identification

basis.

Other-than-temporary Impairments

In  accordance  with  SFAS  No.  115,  “Accounting  for  Certain  Investments  in  Debt  and  Equity
Securities,” ProAssurance evaluates its investment securities on at least a quarterly basis for declines in
market  value  below  cost  for  the  purpose  of  determining whether  these  declines  represent  other  than
temporary declines. A decline in the fair value of a security below cost judged to be other than temporary
is  recognized  as  a  loss  in  the  then  current  period  and reduces  the  cost  basis  of  the  security.  In
subsequent  periods,  ProAssurance measures  any  gain  or  loss or decline  in  value  against  the  adjusted
cost  basis  of  the  security.  The  following  factors  are  considered  in  determining  whether  an  investment’s 
decline is other than temporary:

–
–

–

the extent to which the market value of the security is less than its cost  basis,
the length of time for which the market value of the security has been less than its cost
basis,
the  financial  condition and  near-term  prospects  of  the  security’s  issuer,  taking  into
consideration the economic prospects of the issuer’s industry and geographical region, to 
the extent that information is publicly available, and

– ProAssurance’s ability and intent to hold the investment for a period of time sufficient to 

allow for any anticipated recovery in market value. 

Real Estate

Real estate balances  are  reported  at  cost  or,  for  properties  acquired  in  business  combinations,
estimated  fair  value  on  the  date  of  acquisition,  less  accumulated  depreciation.  Real  estate  consists  of 
properties primarily in use as corporate offices; at December 31, 2006 real estate also includes land held
for sale of $5.3 million acquired as a part of the PIC Wisconsin merger. Depreciation is computed over the 
estimated  useful  lives  of the  related property  using the  straight-line  method.  Excess  office  capacity
(74,000  square  feet  at  December  31,  2006)  is  leased  or  made  available  for  lease;  rental  income  is
included in other income and real estate expenses are included in underwriting, acquisition and insurance
expenses.

Accumulated depreciation is approximately $11.1 million and $9.9 million at December 31, 2006
and 2005, respectively. Real estate depreciation expense for the three years ended December 31, 2006,
2005 and 2004 is $1.3 million, $1.2 million and $1.1 million, respectively.

Reinsurance

ProAssurance  enters  into  reinsurance  agreements  whereby  other  insurance  entities  agree  to 
assume  a  portion of  the  risk  associated  with  the  policies  issued  by  ProAssurance.  In  return,
ProAssurance agrees to pay a premium to the reinsurer. ProAssurance purchases (cedes) reinsurance to
provide for greater diversification of business and to allow management to control exposure to potential 
losses arising from large risks.

Receivable  from  reinsurers  is  the  estimated  amount  of  future  loss  payments  that  will  be 
recoverable from reinsurers. Reinsurance recoveries are the portion of losses incurred during the period
that are estimated to be allocable to reinsurers. Premiums ceded are the estimated premiums that will be
due to reinsurers with respect to premiums earned and losses incurred during the period.

These estimates are based upon management’s estimates of ultimate losses and the portion of
those  losses  that  are  allocable  to  reinsurers under  the  terms  of  the  related  reinsurance  agreements.

81

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

1.  Accounting Policies (continued)
Given the uncertainty of the ultimate amounts of losses, these estimates may vary significantly from the
eventual outcome.  Management regularly  reviews  these  estimates  and  any adjustments  necessary are
reflected in the period in which the estimate is changed. Due to the size of the receivable from reinsurers,
even  a  small  adjustment  to  the  estimates  could  have a  material  effect  on  ProAssurance’s  results  of 
operations for the period in which the change is made.

Reinsurance  contracts  do  not  relieve  ProAssurance  from  its  obligations  to  policyholders.
ProAssurance  continually  monitors  its  reinsurers  to  minimize  its  exposure  to  significant  losses  from
reinsurer insolvencies. Any amount determined to be uncollectible is written off in the period in which the
uncollectible amount is identified.

Goodwill

Intangible assets consist primarily of the excess of cost over the fair value of net assets acquired
(i.e., goodwill). In accordance with SFAS No. 142, “Goodwill and Other Intangible Assets”, goodwill is not
amortized. Goodwill  is  tested  annually for  impairment.  ProAssurance  regularly  reviews  its goodwill  and
other intangibles to determine if any adverse conditions exist that could indicate impairment. Conditions
that could trigger impairment include, but are not limited to, a significant adverse change in legal factors
or  business climate  that  could  affect  the  value  of an  asset  or an  adverse  action  or  assessment  by  a 
regulator.  ProAssurance does  not  believe  that  any  of  its  recorded goodwill  or  intangible  assets  has
suffered  impairment.  Goodwill  of  $72.2  million  is  included  in  the  Consolidated  Balance Sheets  as  a
component of other assets.

Deferred Policy Acquisition Costs

Costs  that  vary  with  and  are  directly  related  to  the  production of  new  and  renewal  premiums
(primarily  premium  taxes,  commissions  and  underwriting  salaries)  are  deferred  to  the  extent  they  are 
recoverable against  unearned  premiums  and  are amortized  as  related  premiums  are  earned.  Deferred
Policy  Acquisition  Costs  are  included  in  the  Consolidated  Balance  Sheets as  a  component  of  other 
assets.

Reserve for Losses and Loss Adjustment Expenses

ProAssurance  establishes  its  reserve for  losses and  loss  adjustment  expenses (reserve  for
losses) based  on  estimates of  the  future  amounts necessary  to  pay  claims  and  expenses (losses)
associated with  the  investigation  and  settlement  of claims.  The  reserve  for  losses  is  determined  on  the 
basis  of  individual  claims  and  payments  thereon  as  well  as  actuarially  determined  estimates  of  future
losses  based  on  past  loss  experience,  available  industry  data  and  projections  as  to  future claims
frequency, severity, inflationary trends, judicial trends, legislative changes and settlement patterns.

ProAssurance  believes  that  the  methods  it  uses  to  establish  the  reserve  for  losses are
reasonable and appropriate. External actuaries review the reserve for losses of each insurance subsidiary
at  least  semi-annually.  ProAssurance considers  the views  of  the  external  actuaries  as  well  as  other 
factors,  such  as  known,  anticipated  or  estimated  changes  in  frequency  and  severity  of  claims,  loss
retention  levels  and  premium  rates  in  establishing its  reserves.  Estimating  casualty  insurance  reserves,
and particularly liability reserves, is a complex process. Claims may be resolved over an extended period
of  time,  often  five  years  or  more,  and may  be  subject  to  litigation.  Estimating  losses  for  liability  claims
requires ProAssurance to make and revise judgments and assessments regarding multiple uncertainties
over an extended period of time. As a result, reserve estimates may vary significantly from the eventual
outcome. Reserve estimates and the assumptions on which these estimates are predicated are regularly
reviewed and updated as new information becomes available. Any adjustments necessary are reflected in
then current operations. Due to the size of ProAssurance’s reserve for losses, even a small percentage
adjustment  to  these estimates could  have  a  material effect  on  earnings  in  the  period  in  which  the
adjustment is made. 

82

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

1.  Accounting Policies (continued) 

The effect of adjustments made to reinsured losses is mitigated by the corresponding adjustment
that  is  made  to  reinsurance  recoveries.  Thus,  in  any  given  year,  ProAssurance  may  make  significant
adjustments to gross losses that have little effect on its net losses.

Recognition of Revenues

Insurance premiums are recognized as revenues pro rata over the terms of the policies.

Stock-Based Compensation

ProAssurance  accounts  for  stock  options  under  the  recognition  and  measurement  principles  of 
Financial Accounting Standard 123(R), issued December 16, 2004. Prior to the adoption of FAS 123(R) 
on January 1, 2006 ProAssurance accounted for stock options under SFAS 123 using the recognition and
measurement principles of Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to
Employees, and related interpretations (collectively referred to as APB 25). 

Income Taxes

ProAssurance files a consolidated federal income tax return. Deferred income taxes are provided 
for temporary differences between financial and income tax reporting relating primarily to unrealized gains
on securities, discounting of losses for income tax reporting, and the limitation of the unearned premiums
deduction for income tax reporting.

Accounting Changes

On December 16, 2004 the Financial Accounting Standards Board (FASB) issued Statement of 
Financial Accounting Standard (SFAS) 123 (revised 2004), Share-Based Payment, hereafter referred to 
as  SFAS  123(R),  which  is  a  revision of  SFAS  123, Accounting  for  Stock-Based  Compensation  (SFAS 
123), which  superseded  Accounting  Principles Board  (APB)  25,  Accounting  for  Stock  Issued  to
Employees (APB 25), and amends SFAS 95, Statement of Cash Flows. The provisions of SFAS 123(R)
require all  share-based payments  to  employees,  including grants  of  employee  stock options,  to  be
recognized  in  the  financial  statements based  on  their  fair  values.  SFAS  123(R) also requires  that  the
benefits  of  tax  deductions  in  excess  of  recognized compensation  cost  be  reported as  a  financing cash
flow, rather than as an operating cash flow as required under previous literature. ProAssurance adopted
SFAS  123(R)  on  January  1,  2006,  the  required  effective  date,  using  the  "modified  prospective"  method
permitted by the statement. The disclosures required by SFAS 123(R) are provided in Note 12.

The  FASB  issued  SFAS  154, Accounting Changes  and  Error Corrections, in  May  2005  as  a 
replacement for  APB  20,  Accounting  Changes, and  SFAS  3, Reporting  Accounting Changes  in  Interim
Financial  Statements. SFAS  154  applies  to  voluntary  changes  in  accounting  principle  and  changes  the
requirements  for  accounting  for  and  reporting of  a  change  in  accounting  principle  and  is  effective  for
accounting changes and corrections of errors made in fiscal years beginning after December 15, 2005.
ProAssurance adopted SFAS 154 effective January 1, 2006; however, to date, the adoption has had no
effect.

In  June  2006,  the  FASB  issued  Interpretation  No.  48,  Accounting  for  Uncertainty  in  Income
Taxes, an interpretation of FAS 109, Accounting for Income Taxes (FIN 48), to create a single model to 
address accounting for uncertainty in tax positions. FIN 48 clarifies the accounting for income taxes, by
prescribing  a  minimum  recognition  threshold  that a  tax  position  is  required  to  meet before  being
recognized  in  the  financial  statements. FIN  48  also provides  guidance  on  derecognition,  measurement,
classification,  interest  and penalties,  accounting  for  interim periods,  disclosure and  transition.  FIN  48  is
effective  for  fiscal  years beginning  after  December 15,  2006.  ProAssurance will  adopt  FIN  48  as of
January 1, 2007 and estimates the cumulative effect of adopting FIN 48 will increase retained earnings
and reduce tax liabilities by $2.7 million. 

83

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

2. Acquisitions 

ProAssurance  acquired  100%  of  the outstanding shares of  Physicians  Insurance  Company  of 
Wisconsin,  Inc.  (PIC Wisconsin)  on  August 1,  2006  and  acquired  100%  of  the  outstanding shares of
NCRIC Corporation (NCRIC) on August 3, 2005, as a means of expanding its operations geographically.
PIC Wisconsin is an insurance company that focuses on medical professional insurance. PIC Wisconsin's
largest premium states are Wisconsin and Iowa. NCRIC is a holding company; its primary subsidiary is 
NCRIC,  Inc.,  an  insurance  company  also  focused  on  providing  medical  professional  liability  insurance.
NCRIC, Inc.'s premium revenues are concentrated in Washington, D.C. and adjacent states.

Both acquisitions  were  stock-for-stock transactions  accounted  for  as  purchase  transactions  in 
accordance with  SFAS  141.  In  the  PIC Wisconsin transaction ProAssurance  issued  approximately 2.0
million common shares which were valued in the determination of the purchase price at $49.76 per share,
which is the average PRA stock price for three days before and after July 31, 2006, the date on which the
number  of  shares  issued  in  the  transaction was determined.  In  the  NCRIC transaction,  PRA  issued
approximately 1.7 million common shares which were valued in the determination of the purchase price at 
$40.54 per  share,  which  is  the  average  PRA  stock  price  for  three  days  before  and  after February 28,
2005 (the date the terms of the acquisition were agreed to and publicly announced). In both transactions,
the  purchase  price  was  allocated  to  the  assets  acquired  and  liabilities  assumed  based  on  estimates  of 
their respective fair values at the date of acquisition. Goodwill of $42.7 million (PIC Wisconsin) and $25.0
million  (NCRIC) was  recognized  equal  to  the  excess  of  the  purchase  price  over  the  fair  values  of  the
identifiable net assets acquired. The goodwill is not expected to be tax deductible.

The following chart summarizes the total cost of the acquisition and the allocation of the purchase

price (in millions): 

Aggregate Purchase Price:

Fair value of ProAssurance common shares issued 

$

99.1

Other acquisition costs

Aggregate purchase price 

4.6

$ 103.7

$

$

67.1

4.1

71.2

PIC Wisconsin 

NCRIC

Assets (liabilities) acquired, at fair value:

Fixed maturities, available for sale 

Equity securities, available for sale 

Short-term investments

Premiums receivable

Receivable from reinsurers on unpaid losses and

loss adjustment expenses

Other assets

Reserve for losses and loss adjustment expenses

Unearned premiums

Long-term debt

Liability for judgment

Other liabilities

$ 199.3

$ 185.0

34.4

7.8

24.3

57.2

45.4

(228.4)

(37.6)

(11.6)

–

(29.8)

27.8

3.2

9.1

43.5

46.7

(183.2)

(39.2)

(15.5)

(19.5)

(11.7)

Fair value of net assets acquired 

$

61.0

$

46.2

84

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

2. Acquisitions (continued) 

The  fair  values  of  the  reserves  for  losses  and  related  reinsurance  recoverables  (the  net  loss 
reserves) acquired  in  the  PIC  Wisconsin  and  NCRIC  transactions were  estimated  as  of  the  dates  of 
acquisition based on present value of the expected underlying net cash flows, and include a profit margin
and a risk premium.  In  determining each  fair  value  estimate, management  discounted  the  purchased
company's historical undiscounted loss reserves, both based on recent actuarial reviews, to present value
assuming discounting patterns actuarially developed from the historical loss data of each company. The
discount rates used, 4.86% for PIC Wisconsin and 4.31% for NCRIC, approximate the risk-free treasury
rate  on  the  acquisition  date  for  maturities similar  to the  estimated  duration of  the  reserve  being  valued.
For each estimate an expected profit margin of 5% was applied to the discounted loss reserves which is
consistent  with  management's understanding  of  the  returns  anticipated  by  the  reinsurance market  (the
reinsurance market  representing  a  willing  partner  in  the  purchase of  loss  reserves).  Additionally,  in 
consideration of the long-tail nature and the related high degree of uncertainty of such loss reserves, an 
estimated risk  premium  of  5%  was  also  applied  to  the  discounted  loss  reserves.  In  both  instances,  the 
calculation  resulted  in  a  fair  value  estimate  which was  not  materially  different  than  the  historical  loss
reserves and therefore did not result in an adjustment to the historical reserve amount.

for 

Actuarial  reviews  performed  in  connection with  the  finalization  of  ProAssurance's  purchase
accounting  for  PIC  Wisconsin  indicated  that  initial  estimates  of  the  acquisition  date  fair  value  of  PIC
Wisconsin's reserve 
losses,  reinsurance recoverables and  ceded  premiums  payable  were
understated.  In  accordance  with  SFAS  141,  at  December  31,  2006  the  allocation  of  the  PIC  Wisconsin
purchase  price has  been  adjusted  to  reflect  the  revised estimates  for  these balances and  the  related
balances of  taxes  recoverable  and  deferred tax  assets.  The above summary  of  assets  (liabilities)
acquired reflects the revised estimates. The combined effect of the revisions reduced the initial estimates
of the fair value of net assets acquired by $5.0 million and increased goodwill by the same amount.

85

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

3. Discontinued Operations

Effective January 1, 2006 ProAssurance sold its wholly owned subsidiaries, MEEMIC Insurance
Company and MEEMIC Insurance Services (collectively, the MEEMIC Companies) to Motors Insurance
Corporation, a subsidiary of GMAC Insurance Holdings, Inc., for total consideration of $400 million before
taxes  and 
the  only  active  entities  of 
ProAssurance's personal lines operations.

transaction expenses.  The  MEEMIC  Companies  were 

On December  28,  2005, ProAssurance  sold  ConsiCare,  a  non-insurance subsidiary acquired
August  3,  2005  in  the  NCRIC  transaction,  for  approximately  $1.7  million  (cash  of  $0.8  million  and  note
receivable of $0.9 million). No gain or loss was recognized related to the sale because the carrying value
for ConsiCare's net assets approximated the sales price less sale expenses.

In  accordance  with  SFAS  144,  the  assets,  liabilities  and  operating  results  attributed  to  the
personal lines operations and the operating results of ConsiCare are reported as discontinued operations
in the Consolidated Financial Statements.

The following tables provide detailed information regarding the financial statement lines identified

as discontinued operations.

Personal Lines results: 
Net premiums earned
Net investment income 

  Other revenues

Net losses and loss adjustment expenses 

  Underwriting, acquisition and insurance expenses

Gain from sale of discontinued operations 
Provision for income taxes 

Personal lines results, net of tax 

ConsiCare results, net of tax 
Income from discontinued operations, net of tax

2006

2005
In thousands 

2004

 $ 

–
–
–
–
–
164,006
(54,565)
109,441
–
 $  109,441

  $ 187,903
12,817
2,871
(110,929)
(43,323)
–
(15,805)
33,534
(103)
  $  33,431

  $ 183,365
10,879
2,395
(112,444)
(40,548)
–
(13,879)
29,768
–
  $  29,768

Assets of Discontinued Operations:

Fixed maturities available for sale, at fair value 
Cash and cash equivalents

  Premiums receivable

Receivable from reinsurers on unpaid losses and

loss adjustment expenses

Other assets, including goodwill of $16.2 million 

Total

Liabilities of Discontinued Operations:

Reserve for losses and loss adjustment expenses

  Unearned premiums
  Other liabilities

Total

December 31
2005
In thousands 

$ 261,896
52,721
15,063

171,820
66,279
$ 567,779

$ 252,294
65,429
19,790
$ 337,513

86

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

4.  Investments

The amortized  cost  and estimated  fair  value  of  available-for-sale  fixed  maturities  and equity

securities are as follows:

Fixed Maturities

U.S. treasury securities 

  Government-sponsored enterprises

State and municipal bonds 

  Corporate bonds
  Asset-backed securities

Equity securities 

Fixed Maturities

U.S. treasury securities 
Government-sponsored enterprises
State and municipal bonds 
Corporate bonds
Asset-backed securities

Equity securities

Cost
or
Amortized
Cost

December 31, 2006

Gross
Unrealized
Gains

Gross
Unrealized
(Losses)

In thousands

Estimated
Fair
Value

$

$ 

57,400 
232,193 
  1,190,651 
629,809 
  1,028,595 
  3,138,648 
4,618

$  3,143,266 

$

105
129
10,497
4,356
7,638
22,725
2,602

25,327

$

(528)
(1,373)
(2,921)
(9,162)
(11,167)
(25,151)
–

$ 

56,977 
230,949 
  1,198,227 
625,003 
  1,025,066 
  3,136,222 
7,220 

$

(25,151)

$  3,143,442 

Cost
or
Amortized
Cost

$

45,350
129,410
906,192
627,385
710,284
2,418,621
7,858

December 31, 2005

Gross
Unrealized
Gains

Gross
Unrealized
(Losses)

In thousands 

Estimated
Fair
Value

$

3
–
7,185
6,422
1,518
15,128
2,295

$

(443)
(1,837)
(6,258)
(10,587)
(11,174)
(30,299)
(135)

$

44,910
127,573
907,119
623,220
700,628
2,403,450
10,018

$ 2,426,479

$  17,423

$ (30,434)

$ 2,413,468

The following table provides summarized information with respect to available-for-sale securities
held in an unrealized loss position at December 31, 2006, including the length of time the securities have
been held in a continuous unrealized loss position.

Fixed maturities, available for sale 

U.S. treasury securities 

 $ 

  Government-sponsored enterprises

State and municipal bonds 

  Corporate bonds
  Asset-backed securities
Available for sale securities held 

with unrealized losses 

Total

Fair
Value

Unrealized
Loss

December 31, 2006
Less than 12 months
Unrealized
Loss

Fair
Value
In thousands

More than 12 months

Fair
Value

Unrealized
Loss

37,578
172,288
394,288
429,692
585,030

 $ 

(528)
(1,374)
(2,921)
(9,162)
(11,166)

 $  21,118
89,710
131,239
93,711
129,333

$

(116)
(116)
(528)
(727)
(1,456)

 $ 

16,460  $ 
82,578
263,049
335,981
455,697

(412)
(1,258)
(2,393)
(8,435)
(9,710)

 $  1,618,876

 $  (25,151)

 $  465,111   $ 

(2,943)

 $  1,153,765  $  (22,208)

87

 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

4.  Investments (continued) 

After  an  evaluation  of  each security,  management  concluded  that  these  securities have  not 
suffered an other than temporary impairment in value. Of the unrealized losses aggregated in the above
table,  over  98%  are  considered  to  be  interest  rate related.  Each  fixed  maturity  security  has  paid  all
scheduled contractual  payments.  Management believes  that  each  issuer  has the  capacity  to  meet  the
remaining  contractual obligations  of  the  security,  including payment  at  maturity,  and  that  ProAssurance
has  the  current  ability  and  intent  to  hold  the  security  until  either  the  scheduled  maturity  date  or  the
security recovers in value. In total, there are approximately 1,000 securities in an unrealized loss position.
Management considers the unrealized loss on 14 of those securities to be credit related; the unrealized
losses  related  to  these securities  total  approximately  $900,000.  The  single  greatest  credit-related
unrealized  loss position approximates  $162,000;  the  second greatest  credit-related  unrealized  loss
position is an unrealized loss of approximately $146,000. Management also believes each of the equity 
securities,  given  the  characteristics of  the  underlying  company,  industry,  and  price  volatility  of  the 
security, has a reasonable probability of being valued at or above book value in the near term.

The amortized cost and estimated fair value of our available-for-sale fixed maturities at December
31,  2006,  by  contractual maturity,  are  shown  below. Expected  maturities  will  differ  from  contractual
maturities  because  borrowers may  have  the  right  to  call  or  prepay  obligations with  or without  call  or
prepayment penalties. ProAssurance uses the call date as the contractual maturity for prerefunded state 
and municipal bonds which are 100% backed by U.S. Treasury obligations.

Due in one year or less 
Due after one year through five years
Due after five years through ten years 
Due after ten years
Asset-backed securities

Amortized
Cost

Estimated
Fair
Value

In thousands 

$  117,130 
710,931
593,289
688,703
  1,028,595

$  116,567 
706,900
594,706
692,983
  1,025,066

$  3,138,648 

$  3,136,222 

Excluding investments in bonds and notes of the U.S. Government, a U.S. Government agency,
or  prerefunded  state  and  municipal  bonds  which are  100%  backed  by  U.S.  Treasury  obligations,  no 
investment in any person or its affiliates exceeded 10% of stockholders' equity at December 31, 2006. 

At December 31, 2006 ProAssurance has available-for-sale securities with a fair value of $12.7

million on deposit with various state insurance departments to meet regulatory requirements.

Business Owned Life Insurance

ProAssurance holds BOLI policies on management employees that were purchased at a cost of
approximately  $50  million.  The  primary  purpose  of  the  program  is  to  offset  future  employee  benefit
expenses through earnings on the cash value of the policies.  ProAssurance is the owner and principal
beneficiary  of  these  policies;  however,  $50,000  of  each  death  benefit  is  payable  to  beneficiaries
designated by the insured employee. 

88

 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

4.  Investments (continued) 
Net Investment Income / Net Realized Investment Gains (Losses)

Net investment income by investment category is as follows:

Fixed maturities
Equities
Short-term investments 
Other invested assets 
Business owned life insurance 

Investment expenses

Net investment income 

2006

2005
In thousands 

2004

  $ 130,386
414
15,567
5,309
2,285

  $ 90,496
773
3,608
5,045
2,298

  $ 69,950
1,736
1,296
4,592
2,432

153,961
(4,172)

102,220
(3,027)

80,006
(2,337)

  $ 149,789

  $ 99,193

  $ 77,669

Gross investment gains and losses are primarily from sales of investment securities. Net realized

investment gains (losses) are as follows: 

2006

2005
In thousands 

2004

Gross gains, available-for-sale and short-term securities 
Gross losses, available-for-sale and short-term securities
Net realized gains (losses), trading securities 
Change in unrealized holding gains (losses), trading securities 
Other than temporary impairments

Net realized investment gains (losses) 

  $  5,127
(3,410)
(138)
259
(3,037)

  $  3,488
(1,921)
51
62
(768)

  $  6,998
(1,713)
2,811
87
(611)

  $ (1,199)

  $  912

  $  7,572

Net  gains  (losses)  related  to  fixed  maturities  included  in  the  above  table  are  ($2.5)  million,

$836,000 and $3.7 million during 2006, 2005 and 2004, respectively.

Proceeds  from  sales  (excluding  maturities  and  paydowns)  of  available-for-sale  securities were
$1.6  billion, $441.0  million  and  $500.5  million  during  2006, 2005  and 2004,  respectively,  including
proceeds  from  sales  of  adjustable rate,  short-duration  fixed  maturities  of  approximately  $1.2  billion  and 
$138.3  million,  and  $69.7  million,  respectively.  Purchases  of  adjustable rate,  short-duration  fixed 
maturities approximated $1.4 billion, $120.9 million, and $85.4 million during the same respective periods.

89

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

5.  Reinsurance 

ProAssurance  has  various  quota  share,  excess  of  loss,  and  cession  reinsurance  agreements.
Historically, professional liability per claim retention levels have varied between 90% and 100% of the first 
$200,000  to $2  million  and  between  0%  and  10% of  claims exceeding  those  levels  depending  on  the
coverage  year  and  the  state  in  which  business was written.  ProAssurance also  insures some  large
professional  liability  risks  that  are above  the  limits of  its  basic reinsurance treaties. These  risks  are 
reinsured on  a  facultative  basis, whereby  the  reinsurer  agrees  to  insure  a  particular  risk  up  to  a
designated limit. 

The effect of reinsurance on premiums written and earned is as follows: 

2006 Premiums

2005 Premiums 

2004 Premiums 

Written

Earned

Written

Earned

Written

Earned

In thousands 

Direct

Assumed

Ceded

  $  578,963

  $  627,148

  $  572,692

  $  596,289

  $  573,496

  $  555,428

20

18

268

268

96

96

(35,607)

(44,099)

(51,617)

(53,316)

(38,564)

(35,627)

Net premiums 

  $  543,376

  $  583,067

  $  521,343

  $  543,241

  $  535,028

  $  519,897

Reinsurance  contracts  do  not  relieve  ProAssurance  from  its  obligations  to  policyholders.  A
contingent liability exists with respect to reinsurance ceded to the extent that any reinsurer does not meet 
the  obligations  assumed  under  the  reinsurance  agreements.  ProAssurance  continually  monitors  its 
reinsurers to minimize its exposure to significant losses from reinsurer insolvencies.

At  December  31,  2006,  all  reinsurance  recoverables  are  considered  collectible.  Reinsurance
recoverables totaling approximately $38.4 million are collateralized by letters of credit or funds withheld.
At December 31, 2006 no amounts due from individual reinsurers exceed 5% of stockholders’ equity.

During  2006,  ProAssurance commuted  (terminated)  its  outstanding  reinsurance  arrangements
with the Converium group of companies for approximately $4.2 million in cash. The transaction reduced 
its  receivable  from  reinsurers  by  approximately $250,000  (net  of  cash  received)  and  reduced  its 
reinsurance liabilities  by  approximately  $2.7  million,  resulting  in  a  gain  on  the  commutation  of 
approximately $2.4 million. 

During  2004,  ProAssurance commuted  its  various  reinsurance  agreements  with  one  of  its 
reinsurers, Gerling  Global  Reinsurance  Corporation of  America.  As  a result  of  that  commutation,
ProAssurance reduced its receivable from reinsurers by approximately $5.5 million (net of $11.9 million 
cash received) and reduced its reinsurance liabilities by approximately $1.6 million, resulting in a net loss 
on the commutation of approximately $3.9 million. 

90

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

6.  Income Taxes 

Deferred income taxes reflect the net tax effects of temporary differences between the amount of 
assets and  liabilities  for  financial  reporting  purposes  and  the  amounts used  for  income  tax  purposes.
Significant components of ProAssurance's deferred tax liabilities and assets are as follows: 

Deferred tax assets 

Unpaid loss discount 

Unearned premium adjustment 

CHW and other contingencies (see Note 9) 

Loss and credit carryovers

Basis differences–investments

Compensation related

Unrealized losses on investments, net 

Other 

2006 

2005 

In thousands 

 $  88,988

 $  77,049

18,939

19,026

7,636

3,366

5,350

5,286

–

2,199

6,825

4,006

1,477

2,835

4,554

1,566

Total deferred tax assets 

131,764

117,338

Deferred  tax liabilities

Deferred acquisition costs 

Basis difference on Convertible Debentures

Unrealized gains on investments, net 

Other 

8,453

6,528

62

4,520

7,790

–

–

5,613

Total deferred tax liabilities 

19,563

13,403

Net deferred tax assets

 $ 112,201

 $ 103,935

In December 2006 ProAssurance received approval from the Internal Revenue Service to change
its income tax method of accounting for interest on its Convertible Debentures which were issued in 2003.
The  new  method,  the  "comparable  yield"  method,  accelerates  recognition of  interest  expense  for  tax
purposes.  The  change  in  method,  recorded  in  2006,  decreased  current  tax  expense  and  increased
deferred tax expense by $6.5 million, of which $4.4 million related to pre-2006 interest periods. 

In  management’s opinion,  it  is  more  likely  than  not  that  ProAssurance will  realize  the  benefit  of

the deferred tax assets, and therefore, no valuation allowance has been established.

ProAssurance,  after  adjustment  for  its  tax  liability  for  the  year  ended December 31,  2006, has
available  net operating loss  (NOL)  carryforwards of  $7.8  million  and  Alternative  Minimum  Tax  (AMT)
credit  carryforwards  of  $639,000.  The  NOL  carryforwards will  expire  in  2019;  the  AMT  credit
carryforwards have no expiration date. 

A reconciliation of “expected” income tax expense (35% of income before income taxes) to actual

income tax expense in the accompanying financial statements follows:

Computed “expected” tax expense
Tax-exempt income
Resolution of tax contingencies 
Other

Total

2006 

2005 

2004

In thousands

  $ 61,890
(13,217)
–
1,170

  $ 38,102
(9,548)
–
283

  $ 18,837
(5,947)
(1,667)
(445)

  $ 49,843

  $ 28,837

  $ 10,778

91

 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

7.  Deferred Policy Acquisition Costs 

Underwriting and other costs, primarily commissions and premium taxes, that are directly related
to the production of new and renewal premiums are considered as acquisition costs and are capitalized
and amortized to expense over the period in which the related premiums are earned. Reinsurance ceding
commissions due ProAssurance are considered as a reduction of acquisition costs, and therefore reduce
the total amount capitalized.

Amortization  of  deferred  acquisition costs,  included  in  continuing operations, amounted  to 
approximately  $56.9  million,  $54.0  million,  and  $52.8 million  for  the  years  ended December  31,  2006,
2005 and 2004, respectively. Unamortized deferred acquisition costs are included in other assets on the 
Consolidated  Balance  Sheets  and amounted  to approximately  $23.8  million  and  $22.3  million  at 
December 31, 2006 and 2005, respectively.

8.  Reserve for Losses and Loss Adjustment Expenses 

ProAssurance  establishes  its reserve for  losses  based  on  estimates of  the  future  amounts
necessary to pay claims and expenses associated with the investigation and settlement of claims. These
estimates consist  of case  reserves  and  bulk reserves. Case reserves  are estimates  of  future  losses  for
reported claims and are established by ProAssurance’s claims department. Bulk reserves, which include
a provision for losses that have occurred but have not been reported to ProAssurance and reserves for
the  potential aggregate  development of  known  claims,  are  the  difference  between  (i)  the  sum  of  case
reserves and paid losses and (ii) an actuarially determined estimate of the total losses necessary for the
ultimate settlement of all reported and incurred but not reported claims, including amounts already paid.

The  reserve for  losses  is  established based  on  estimates  of  individual  claims  and  actuarially
determined estimates of future losses based on ProAssurance’s past loss experience, available industry
data  and  projections  as  to  future  claims  frequency, severity,  inflationary  trends  and  settlement  patterns.
Estimating  reserves,  and  particularly  liability  reserves,  is  a  complex  process.  Claims  may  be  resolved
over  an  extended  period of  time,  often  five  years  or  more,  and may  be  subject  to  litigation.  Estimating 
losses  for  liability  claims  requires  ProAssurance to  make  and  revise  judgments  and  assessments
regarding multiple uncertainties over an extended period of time. As a result, reserve estimates may vary 
significantly from the eventual outcome. The assumptions used in establishing ProAssurance’s reserves
are  regularly reviewed  and updated  by  management as  new data  becomes  available. Changes  to
estimates of previously established reserves are included in earnings in the period in which the estimate
is changed.

ProAssurance  believes  that  the  methods  it  uses  to  establish  reserves  are  reasonable  and 
appropriate.  Each  year,  ProAssurance uses  external  actuaries  to  review  the  reserve  for  losses  of  each
insurance subsidiary. ProAssurance considers the views of the external actuaries as well as other factors,
such as known, anticipated or estimated changes in frequency and severity of claims and loss retention
levels and premium rates, in establishing the amount of its reserve for losses. The statutory filings of each
insurance company with the insurance regulators must be accompanied by an actuary’s certification as to 
their respective  reserves  in  accordance  with  the  requirements  of the  National Association of  Insurance
Commissioners (NAIC). 

92

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

8.  Reserve for Losses and Loss Adjustment Expenses (continued) 

Activity in the reserve for losses and loss adjustment expenses is summarized as follows:

Balance, beginning of year
Less reinsurance recoverables 
Net balance, beginning of year

2006

2005

2004

In thousands 

  $ 2,224,436
327,693
1,896,743

  $ 1,818,636
273,654
1,544,982

  $ 1,634,749
336,291
1,298,458

Net reserves acquired in PIC Wisconsin transaction 

171,246

–

Net reserves acquired in NCRIC transaction

–

139,672

–

–

Net losses: 

  Current year

Favorable development of reserves

established in prior years

Total

Paid related to: 

  Current year
  Prior years

Total paid

479,621

461,182

469,151

(36,292)
443,329

(22,981)
438,201

(8,714)
460,437

(32,325)
(242,608)
(274,933)

(26,495)
(199,617)
(226,112)

(13,599)
(200,314)
(213,913)

Net balance, end of year

2,236,385

1,896,743

1,544,982

Plus reinsurance recoverables 

370,763

327,693

273,654

Balance, end of year

  $ 2,607,148

  $ 2,224,436

  $ 1,818,636

As  discussed  in  Note  1,  estimating  liability  reserves is complex  and  requires  the  use of  many
assumptions. As time passes and ultimate losses for prior years are either known or become subject to a
more precise estimation, ProAssurance increases or decreases the reserve estimates established in prior
periods. The favorable development recognized in 2006 was primarily due to reductions in estimates of 
claims  severity  for  the  2002,  2003  and  2004  accident  years.  The  favorable  development  recognized  in 
2005 was primarily due to reductions in estimates of claims severity for the 2003 accident year; however,
favorable  development  was  also  seen  in  accident years  2002 and  prior.  The  favorable  development
recognized in 2004 primarily reflected small improvements in claims severity for accident years 2002 and
prior.

93

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

9.  Commitments and Contingencies 

As a result of the acquisition of NCRIC, ProAssurance assumed the risk of loss for a judgment
entered  against  NCRIC  on February  20,  2004  by  a  District of  Columbia  Superior  Court  in  favor  of
Columbia Hospital  for Women  Medical  Center,  Inc. (“CHW”)  in  the  amount  of  $18.2  million  (the  “CHW 
Judgment”). The judgment is now on appeal to the District of Columbia Court of Appeals. ProAssurance
has  established  a  liability  related  to  the  judgment of  $20.8  million,  which  includes  the  estimated costs
associated with  pursuing  the  post-trial  motions  or appeal  of  a  final  judgment  and  projected  post-trial
interest, $19.5 million of which was established as a component of the fair value of assets acquired and
liabilities  assumed  in  the  allocation  of  the  NCRIC  purchase  price.  ProAssurance  has  posted  a  $20.5
million appellate bond to secure payment of the CHW judgment plus interest and court costs, in the event
the judgment is ultimately affirmed and paid.

ProAssurance is involved in various other legal actions arising primarily from claims against itself 
related  to  insurance  policies  and  claims  handling,  including  but  not  limited  to  claims asserted  by
policyholders.  Such  legal actions  have  been  considered by  ProAssurance  in  establishing  its  reserves.
The outcome of all legal actions is not presently determinable for a number of reasons. For example, in 
the event that ProAssurance or its insureds receive adverse verdicts, post-trial motions may be denied, in 
whole  or  in  part;  any  appeals  that  may  be  undertaken  may  be  unsuccessful;  ProAssurance  may  be
unsuccessful  in  legal  efforts  to  limit  the  scope  of  coverage available  to  its  insureds;  and  ProAssurance
may  become  a  party  to  bad  faith  litigation  over  the  amount  of  the  judgment above  an  insured's policy
limits. However, ProAssurance's management is of the opinion, based on consultation with legal counsel,
that  the  resolution  of  these  actions will  not  have  a  material  adverse effect  on  ProAssurance's  financial
position.  However,  to  the  extent  that  the  cost of  resolving  these  actions exceeds the  corresponding
reserves,  the  legal  actions  could  have a  material effect  on  ProAssurance's results  of  operations  for  the
period in which any such action is resolved.

ProAssurance  is  involved  in  a  number  of  operating  leases  primarily  for  office  space, office
equipment, and communication lines. The following is a schedule of future minimum lease payments for 
operating  leases  that  had  initial  or  remaining  noncancelable  lease  terms  in  excess  of  one  year  as  of
December 31, 2006. 

Operating Leases

In thousands 

2007

2008

2009

2010

Thereafter

$ 2,255

1,767

673

410

128

Total minimum lease payments

$ 5,233 

ProAssurance  incurred  rent  expense  of  $2.8  million,  $2.4  million  and  $1.9  million  in  the  years

ended December 31, 2006, 2005 and 2004, respectively.

94

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

10.  Long-term Debt

Outstanding long-term debt, as of December 31, 2006 and December 31, 2005, consists of the 

following:

Convertible Debentures due June 2023 (the Convertible Debentures), unsecured,

principal of $107.6 million bearing a fixed interest rate of 3.9%, net of discounts of 
$1.9  million  at  December  31,  2006  and  $2.2  million  at  December  31,  2005,
respectively.

Trust Preferred  Subordinated  Debentures (the  2034  Subordinated  Debentures;  the
2032  Subordinated  Debentures),  unsecured,  bearing  interest  at  a  floating  rate, 

  adjustable quarterly.

Due
  December 2032
  April 2034
  May 2034

12/31/2006
Rate
9.37%
9.22%
9.22%

Surplus Notes due May 2034 (the Surplus Notes), unsecured, net of discount of $0.4 
million,  principal  of  $12.0  million  bearing  a  fixed  interest  rate  of  7.7%,  until  May,

  2009. 

2006

2005

In thousands 

$ 105,677

  $ 105,381

15,464
13,403
32,992

15,464
13,403
32,992

11,641

–

$ 179,177

  $ 167,240

Convertible Debentures Due June 30, 2023 (the Convertible Debentures)

The Convertible  Debentures were  issued  by  ProAssurance  in  July  2003  in  a  Private  Offering
transaction, net of an initial purchaser’s discount of $3.0 million. Summarized information regarding the
structure and terms of the Convertible Debentures follows: 

Issue Price. The Convertible Debentures were issued at 100.0% of their principal amount
and each Convertible Debenture has a principal amount at maturity of $1,000.

Maturity Date. June 30, 2023.

Ranking. The Convertible Debentures are unsecured obligations and rank equally in right 
of payment with all other existing and future unsecured and unsubordinated obligations.
The  Convertible  Debentures  are  not  guaranteed by  any  of  ProAssurance’s subsidiaries
and,  accordingly,  the  Convertible  Debentures  are  effectively  subordinated  to  the
indebtedness  and other  liabilities  of  ProAssurance’s subsidiaries,  including  insurance
policy-related liabilities.

Interest. Interest is payable on June 30 and December 30 of each year, at an annual rate 
of  3.90%.  In  addition,  ProAssurance  may  be  required  to  pay  contingent  interest,  as  set 
forth below under Contingent Interest.

Contingent  Interest.  Contingent  interest  is  due to the  holders  of  the  Convertible
Debentures during  any  six-month  period  from  June  30  to  December  29  and  from 
December  30  to  June  29  commencing  with  the  six-month  period  beginning  June  30,
2008,  if  the  average  market  price of  a  Convertible  Debenture  for  the  five  trading  days
ending  on  the  second  trading  day  immediately  preceding  the  relevant  six-month  period
equals 120% or more of the principal amount of the Convertible Debentures. The amount
of  contingent  interest  payable  in  respect  of  any  six-month  period  will  equal 0.1875% of
the  average  market  price  of  a  Convertible Debenture  for  the  five  trading  day  period
referred to above.

95

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

10.  Long-term Debt (continued)

Conversion Rights. Holders may convert the Convertible Debentures at any time prior to 
stated maturity from and after the date of the following events:

–

–

–

if  the  sale  price  of  ProAssurance’s common stock  for  at  least  20
trading days in the 30 trading-day period ending on the last trading
day  of  the  immediately preceding fiscal  quarter  exceeds 120% of
the conversion price on that 30th trading day,
if  ProAssurance calls  the Convertible Debentures  for  redemption,
or
upon the occurrence of certain corporate transactions.

The  stock  price criterion  allowing  conversion  was  met  during  the  quarter  ended
December 31,  2006  and  holders  may  convert  through  March 31,  2007.  To  date,  no
holders have requested conversion.

At December 31, 2006 conversion would be at a rate of 23.9037 shares of common stock 
for each $1,000 principal amount of Convertible Debentures; this represents a conversion
price of approximately $41.83 per share of common stock. The conversion rate is subject
to  future  adjustment should  certain corporate  events  occur,  as  defined  by  the  related
indenture  agreement. Upon  conversion, holders  will  generally  not  receive  any  cash
payment  representing  accrued  interest  or  contingent  interest,  if  any.  Instead,  accrued
interest and contingent interest will be deemed paid by the common stock received by the
holders  on  conversion.  Convertible  Debentures  called 
for  redemption  may  be
surrendered  for  conversion  until  the  close  of  business  two  business  days  prior  to  the
redemption date.

Upon conversion, ProAssurance has the right to deliver, in lieu of common stock, cash or
a combination of cash and shares of common stock.

Payment  at  Maturity. Each holder  of  $1,000  Convertible  Debentures  will  be  entitled  to
receive $1,000 at maturity, plus accrued interest, including contingent interest, if any. 

Sinking Fund. None. 

Optional Redemption. ProAssurance may not redeem the Convertible Debentures prior to 
July  7,  2008.  ProAssurance  may redeem  some or all of the Convertible Debentures for
cash on or after July 7, 2008, upon at least 30 days but not more than 60 days notice by
mail to holders.

Repurchase  Right  of  Holders.  Each  holder of  the  Convertible  Debentures  may  require
ProAssurance  to  repurchase  all  or  a  portion of  the  holder’s Convertible  Debentures  on
June  30,  2008,  June  30,  2013  and June  30,  2018  at  a  purchase price equal  to  the
principal  amount  of  the Convertible Debentures  plus  accrued and  unpaid interest,
including contingent interest, if any, to the date of repurchase. ProAssurance may choose
to pay the purchase price in cash, shares of common stock, or a combination of cash and
shares of common stock. If ProAssurance elects to pay all or a portion of the repurchase
price  in  common  stock,  the  shares  of  common  stock  will be  valued  at  97.5%  of  the
average sale price for the 20 trading days immediately preceding and including the third
day prior to the repurchase date.

96

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

10.  Long-term Debt (continued)

Change  of  Control. Upon  a  change  of  control  of  ProAssurance,  holders  may  require
ProAssurance,  subject  to  conditions,  to  repurchase  all  or  a  portion  of  the  Convertible
Debentures.  Depending  upon  the  date  at  which  the  change  of  control  occurs,
ProAssurance will pay a purchase price equal to a varying percentage of the applicable
principal  amount  of  such  Convertible  Debentures  plus  accrued  and  unpaid  interest, 
including contingent interest and additional amounts, if any. The percentage is 102% until 
June 30, 2008 when it becomes 100%.

ProAssurance may choose to pay the repurchase price in cash, shares of common stock,
shares of common stock of the surviving corporation or a combination of cash and shares
of  the  applicable common  stock.  If  ProAssurance elects  to  pay  all  or a  portion  of  the
repurchase price in shares of common stock, the shares of the applicable common stock
will be valued at 97.5% of the average sale price of the applicable common stock for 20 
trading days commencing after the third trading day following notice of the occurrence of
a change of control. 

Events  of  Default.  If  there  is  an  event  of  default  under  the  Convertible Debentures,  the
principal amount  of  the  Convertible  Debentures,  plus  accrued  interest,  including
contingent  interest,  if  any,  may  be  declared  immediately  due  and  payable.  These
amounts automatically become due and payable if an event of default relating to certain
events of bankruptcy, insolvency or reorganization occurs.

The Convertible  Debentures  do  not

require  ProAssurance  to  maintain  minimum  financial

covenants.

Trust  Preferred  Subordinated  Debentures  (the  2034  Subordinated  Debentures;  the  2032 Subordinated
Debentures)

In April and May 2004, ProAssurance formed two business trusts, (the PRA Trusts) for the sole
purpose  of  issuing,  in  private  placement  transactions,  $45.0  million  of  trust  preferred  securities (PRA
TPS) and using the proceeds thereof, together with the equity proceeds received from ProAssurance in 
the initial formation of the PRA Trusts, to purchase $46.4 million of variable rate subordinated debentures
(the 2034 Subordinated Debentures) issued by ProAssurance. ProAssurance owns all voting securities of 
the PRA Trusts and the 2034 Subordinated Debentures are the sole assets of the PRA Trusts. The PRA 
Trusts will  meet  the  obligations of  the  PRA  TPS  with  the  interest and  principal  paid  on  the  2034
Subordinated  Debentures.  ProAssurance  received  net  proceeds  from  the  PRA  TPS  transactions,  after 
commissions and other costs of issuance, of $44.9 million.

In  December  2002,  NCRIC  formed  a  business  trust  (the  NCRIC  Trust), for the sole  purpose  of 
issuing,  in  private  placement  transactions,  $15.0 million  of  trust preferred securities  (NCRIC  TPS)  and
using the proceeds thereof, together with the equity proceeds received from NCRIC in the initial formation
of  the  NCRIC  Trust,  to  purchase  $15.5  million  of  variable  rate  subordinated  debentures (the  2032
Subordinated Debentures) issued by NCRIC. NCRIC owns all voting securities of the NCRIC Trust and
the 2032 Subordinated Debentures are the sole assets of the NCRIC Trust. The NCRIC Trust will meet
the  obligations of  the  NCRIC  TPS  with  the  interest and  principal  paid on  the  2032  Subordinated
Debentures.

97

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

10.  Long-term Debt (continued)

The  2034  and  2032  Subordinated Debentures have  the  same  maturities  and other applicable
terms and  features  as  the  associated  trust  preferred  securities.  The  2034  and  2032 Subordinated
Debentures are uncollateralized and bear a floating interest rate adjusted quarterly based upon the three-
month LIBOR rate, with a maximum rate for the first five years following issuance of 12.5%. Payment of 
interest  may  be  deferred  for  up  to  20  consecutive  quarters;  however,  stockholder  dividends  cannot  be 
paid during any extended interest payment period or at any time the debentures are in default. All have
stated  maturities  of  thirty  years  but  may  be  redeemed  at  any  time  following  the  fifth  anniversary  of 
issuance (May,  2009  for  the  2034  debentures;  December,  2007 for  the  2032 debentures).  None  of  the
securities require either PRA or NCRIC to maintain minimum financial covenants.

Surplus Notes

The  Surplus  Notes were  assumed  in  ProAssurance's  acquisition  of  PIC  Wisconsin  and  are
unsecured  obligations  of  PIC  Wisconsin,  subordinated  and  junior  in  the  right  of  payment  to  the  prior
payment in full of all Senior Claims and Senior Indebtedness of PIC Wisconsin. The Surplus Notes are
not guaranteed by ProAssurance and are effectively subordinated to the indebtedness and other liabilities
of  ProAssurance  Corp.  and  its  subsidiaries,  including  insurance  policy-related  liabilities.  PIC  Wisconsin
may redeem some or all of the Surplus Notes for cash beginning in May 2009. 

Interest is payable quarterly at a fixed annual rate of 7.7% until May 2009. Thereafter the Surplus
Notes bear interest at a floating rate of London Interbank Offered Rates (LIBOR) + 3.85%. Each payment
of interest and principal may be made only with the prior approval of the Office of the Commissioner of 
Insurance of the State of Wisconsin and only to the extent PIC Wisconsin has sufficient surplus to make
such payment.

The Surplus Notes were recorded at fair value on the acquisition date estimated in accordance
with  the  purchase  accounting  requirement  of  SFAS  141.  The  discount  recorded  at  the  acquisition  date 
totaled $420,000 and is being amortized over the remaining expected life of the debt (until May 2009, the 
first
redemption  date)  using  the  effective  interest  method.  Such  amortization  is  included  in  the
accompanying financial statements as an addition to interest expense.

Debt Guarantees

ProAssurance  and  NCRIC  have  guaranteed  that  amounts  paid to  the  PRA  and  NCRIC  Trusts 
under  the  2034  and  2032  Subordinated  Debentures,  respectively  will  be  remitted  to  the  holders  of  the
associated  trust  preferred  securities.  These  guarantees, when  taken  together with  the  obligations of
ProAssurance  and  NCRIC  under  their  respective  debentures,  the  Indentures  pursuant  to  which  those
debentures were issued, and the related trust agreements (including obligations to pay related trust cost,
fees, expenses, debt and other obligations for the PRA and NCRIC Trusts other than with respect to the
common and trust preferred securities of the PRA and NCRIC Trusts), provides a full and unconditional
guarantee of amounts due on the PRA and NCRIC TPS. The amounts guaranteed are not expected to at 
any  time  exceed  the  obligations  of  the  2034 and 2032  Subordinated Debentures,  and no  additional
liability has been recorded related to the PRA and NCRIC TPS or the guarantees.

Fair Value

At  December  31,  2006,  the  fair  value  of  the  Convertible  Debentures  is  approximately  126%  of 
face value of $107.6 million based on available independent market quotes. At December 31, 2006, the
fair value of the Surplus Notes approximates their carrying value and the fair value of the 2034 and 2032
Subordinated Debentures approximates the face value of the debentures.

98

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

11. Stockholders’ Equity

At December 31, 2006 ProAssurance had 100 million shares of authorized common stock and 50
million  shares  of  authorized  preferred  stock.  The  Board  of  Directors  has  the  authority  to  determine  the
provisions for the issuance of shares of the preferred stock, including the number of shares to be issued,
the designations, powers, preferences and rights, and the qualifications, limitations or restrictions of such
shares. At December 31, 2006, the Board of Directors had not authorized the issuance of any preferred
stock nor determined any provisions for the preferred stock. 

At December 31, 2006 approximately 2.3 million of ProAssurance’s authorized shares of common
stock are reserved by the Board of Directors of ProAssurance for the award or issuance of shares under
incentive compensation  plans  as  described in  Note  12.  Additionally,  approximately  1.0  million  common
shares  are  reserved  for  the  exercise of  outstanding  options  and  2.6  million  shares  are  reserved  for 
issuance related to the Convertible Debentures.

Accumulated  other  comprehensive  income  is comprised  entirely  of  unrealized  gains  and  losses
from  available-for sale  securities,  net  of  tax.  For  all  periods  presented,  other  comprehensive  income  is 
comprised of unrealized gains and losses (net of tax) arising during the period related to available-for-sale
securities  less  reclassification  adjustments. Reclassification adjustments  are  gains (losses)  from
available-for-sale securities recognized in the current period net income that were previously included in 
other comprehensive income.

Reclassification adjustments related to continuing operations for the years ended December 31, 

2006, 2005 and 2004 are as follows (in thousands):

Gains (losses) included in the  calculation of income from 
  continuing operations
Tax effect
Net amount reclassified from other comprehensive income 

2006 

  2005 

2004

  $  (1,320)
462
(858)

  $ 

  $  806
(282)
  $  524

  $  5,297
(1,854)
  $  3,443

Reclassification  adjustments  related  to  discontinued  operations  for  the  years  ended  December

31, 2006, 2005 and 2004 are as follows (in thousands):

Gains (losses) included in the  calculation of income from 
  discontinued operations
Tax effect
Net amount reclassified from other comprehensive income 

2006 

2005 

2004

  $ 

  $ 

(574)
201
(373)

  $  498
(174)
  $  324

  $ 

  $ 

18
(6)
12

All  tax  effects  considered  in  the  calculation of  other  comprehensive  income  and  accumulated
other comprehensive income  have  been  computed using  a  rate  of  35%.  ProAssurance  follows  the
practice  of  recognizing  all  gains and losses  on  available-for-sale  securities  in  other comprehensive
income before recognizing them in net income as realized gains and losses.

12. Stock Options and Share-Based Payments

Effective January 1, 2006 ProAssurance adopted SFAS 123(R), "Share-Based Payment", which
revises SFAS 123 "Accounting for Stock Based Compensation" and supersedes APB 25 "Accounting for
Stock Issued to Employees". SFAS 123(R) requires recognition of the cost of employee services received
in  exchange for  an  award  of  equity  instruments  in the  financial statements  based  on  the grant-date  fair
value of the award, recognized over the period the employee is required to perform services in exchange
for the award (presumptively the vesting period). SFAS 123(R) also amends SFAS No. 95 "Statement of 
Cash  Flows,"  to  require  that  "excess  tax  benefits"  be  reported as  financing cash  inflows,  instead  of  as
reductions  of  taxes  paid within operating cash  flows  as  previously  presented.  "Excess  tax  benefit"  is 
defined as the actual tax benefit received related to an option exercise that is in excess of the deferred 
tax benefit recognized under SFAS 123(R) related to the options.

99

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

12. Stock Options and Share-Based Payments (continued) 

ProAssurance adopted SFAS 123(R) using the modified-prospective method. Under the modified-
prospective  method,  prior  periods  are  not  restated.  However,  for  awards  granted  prior  to  the  date  of
adoption  that  are  unvested  on  the  adoption date, compensation  cost  is recognized  prospectively.  In 
periods after adoption compensation cost is recognized over the remaining service period related to the
award,  based  on  amounts  previously reported  in  the  pro  forma  disclosures required  under  SFAS  123.
Compensation cost is also recognized for awards granted after the effective adoption date based on the
grant-date fair value of the award, calculated and recognized under the measurement provisions of SFAS 
123(R).

ProAssurance  recognized, 

in  continuing  operations,  share-based  compensation  cost of
approximately $4.7 million and a related tax benefit of approximately $1.5 million during the year ended
December  31,  2006.    ProAssurance also recognized,  as  a  component of  the  gain  on  the  sale  of  the 
MEEMIC companies,  share-based  compensation expense  of  approximately  $642,000  and a  related  tax
benefit  of  approximately  $225,000 related  to  the  accelerated  vesting  of  options  held  by  MEEMIC 
employees.

ProAssurance  provides performance-based stock  compensation  to  employees under  the 
ProAssurance  2004  Equity  Incentive  Plan  and  the  ProAssurance  Corporation  Incentive  Compensation
Stock  Plan  (the  Plans).  The  Compensation  Committee  of  the  Board  of  Directors  is  responsible  for  the
administration of the Plans. 

Options granted under the Plans since 2002 generally vest at a rate of 20% annually beginning
six months after the grant date. Options granted prior to 2002 were fully vested at the grant date. Options 
are generally granted with an exercise price equal to the market price of ProAssurance's common stock
on the date of grant, and have an original term of ten years. ProAssurance issues new shares for options
exercised.

The  weighted  average  fair  values  of  options  granted  during  2006,  2005  and  2004  and the
assumptions (on  a  weighted-average  basis)  used  to  estimate  those  fair  values  as  of  the  date  of  grant
using the Black-Scholes option pricing model are shown in the following table. 

2006

2005

2004

Weighted average fair value 

  $ 18.37

  $ 16.52

  $ 13.10

Assumptions:

Risk-free interest rate 

  Expected volatility
  Dividend yield

Expected average term (in years)

4.7%
0.25

0%
6

4.3%
0.33

0%
6

3.4%
0.34

0%
6

Because ProAssurance has limited historical data regarding exercise behavior of its employees,
the expected term of 2006 option grants was estimated using the methodology provided for in the U.S.
Securities and Exchange Commission's Staff Accounting Bulletin 107, which is the mid-point between the
vesting date and the end of the contractual term of the option. The risk-free interest rate assumption for 
2006 awards was based upon a U.S. Treasury instrument with a term that is similar to the expected term
of  the  option  grant.  The  volatility  assumption  for  2006 awards was  based  on  the  historical  volatility  of 
ProAssurance's stock price for the most recent period (as of the grant date) equal to the shorter of either
the  expected  term  of  the  option  or  the  period  since  June  27,  2001,  when  ProAssurance  was formed.
Dividend yield was assumed to be zero since ProAssurance has historically not paid dividends.

100

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

12. Stock Options and Share-Based Payments (continued) 

The following table provides information regarding ProAssurance's outstanding options:

Weighted
Average
Exercise
Price

Aggregate
Intrinsic
Value
(in thousands) (1)

Weighted
Average Remaining
Contractual Term

Outstanding at December 31, 2005
Granted under incentive plans 
Exercised
Forfeited
Outstanding at December 31, 2006
Exercisable at December 31, 2006
Outstanding, vested or expected to vest 

Options

1,162,863
       116,584 
(294,408)
(2,736)
        982,303 

584,369

$ 28.73
$  51.33 
$ 24.36
$ 22.13
$ 32.81
$ 28.03

                – (2)
        $   7,859 
        $        76 
        $ 16,807 
$  12,792 

at December 31, 2006

943,630 

$  32.50

$  16,438 

6.6 years
5.3 years

6.5 years

Intrinsic value is the difference in the market value of the stock at a given point in time and the option exercise price 

(1)
(2) As of the date of grant: all options were granted with an exercise price equal to the market value of the stock 

At  December  31,  2006,  unrecognized compensation  cost  related  to  non-vested  options  granted
under ProAssurance's stock compensation plans approximated $3.8 million. That cost is expected to be 
recognized over a weighted average period of 2.5 years. 

The fair value of options vested during the years ended December 31, 2006, 2005 and 2004 is
$15.3 million, $11.1 million and $6.0 million, respectively.  The intrinsic value of options exercised during
2005 and 2004 is $5.0 million and $2.2 million, respectively.

During  2006 ProAssurance  also granted  Performance  Shares  awards  to  employees  under  the
ProAssurance  2004  Equity  Incentive  Plan.  The  awards  were  issued  to  two groups of  employees:  key 
executives and management. The Performance Shares vest at 100% on December 31, 2008 based upon
continued  service  and  attainment  of  one  of
two Performance  Measures.  For  both groups  one
Performance  Measure  is  achievement  of  a  specified  financial goal;  the  other  Performance  Measure
requires achievement of a specified peer group ranking. The number of Performance Shares that will be 
awarded if vesting criteria are met can vary between 46,000 shares and 76,000 shares, depending upon
the degree to which Performance Measures are attained. No Performance Shares were forfeited during
2006.

The  fair  value  of  each  Performance  Share  was  estimated  on  the  date  of  grant  as  $51.38  per
share, based on the market value of ProAssurance common stock on that date. At December 31, 2006,
based  on current  achievement  of  the  Performance Measures,  it  is  estimated  that  approximately  64,000
Performance Shares, having an estimated fair value of approximately $3.3 million will ultimately vest. At 
December 31, 2006 the unrecognized compensation cost related to Performance Shares is estimated as
$2.2 million and is expected to be recognized over 2.0 years. 

101

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

12. Stock Options and Share-Based Payments (continued) 

Prior to the adoption of SFAS 123(R) ProAssurance applied the intrinsic-value provisions set forth
in  APB  No.  25  and  related  Interpretations  as  permitted  by  SFAS  123.  Accordingly,  no  compensation
expense was  recognized  for  option  grants  in  prior  periods  since  the  exercise price  of  options  granted
equaled  the fair  market  value of  ProAssurance’s common  stock  on  the  date  of  grant.  Stock-based
compensation expense recorded in accordance with SFAS 123(R) decreased earnings for the year ended
December 31, 2006 as follows (in thousands, except per share data):

Income from continuing operations, before tax
Income from continuing operations, after tax 
Income from discontinued operations
Net income 

Income per share from continuing operations: 
  Basic 
  Diluted 

Net Income: 
  Basic 
  Diluted 

$ 4,669
$ 3,184
$
417
$ 3,601

$ 0.10
$ 0.09

$ 0.11
$ 0.10

SFAS  123(R)  increased  cash  flow  from  financing activities  by  $1.2  million  and  decreased  cash

flow from operations by the same amount.

No  restatement of  prior  periods is required when SFAS  123(R)  is  adopted using  the  modified
prospective transition method. SFAS 123(R) does, however, require disclosure of the effect that applying 
the  fair  value  recognition provisions  of  SFAS  123  would  have  had  on  prior periods.  The  following  table 
provides the required disclosure.

2005

2004

In thousands, except per share data

Income from continuing operations, as reported 

$  80,026

$  43,043

Add: Share-based employee compensation
expense included in reported net income,
net of related income taxes 

Less: Share-based employee compensation

expense determined under fair value
based method of all awards, net
of related income taxes 

84

218

(1,808)

(1,111)

Pro forma income from continuing operations 

$   78,302 

$   42,150 

Earnings per share, continuing operations:

Basic–as reported

Basic–pro forma

Diluted–as reported

Diluted–pro forma

$ 

$ 

$ 

$ 

2.66

2.61

2.52

2.47

$ 

$ 

$ 

$ 

1.48

1.45

1.44

1.41

102

 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

13. Earnings Per Share

The  following  table  provides  detailed  information  regarding  the  calculation  of  basic  and  diluted

earnings per share for each period presented:

Basic earnings per share calculation:

Numerator:
Income from continuing operations, net of tax 
Income from discontinued operations, net of tax

  Net income

  Denominator:

2006 
2004
2005 
In thousands except per share data

  $ 126,984
109,441
  $ 236,425

  $  80,026
33,431
  $ 113,457

$ 43,043
29,768
$ 72,811

Weighted average number of common shares outstanding

32,044

30,049

29,164

Basic earnings per share: 

Income from continuing operations
Income from discontinued operations
Net income 

  $ 

  $ 

3.96
3.42
7.38

  $ 

  $ 

2.66
1.11
3.77

$

$

1.48
1.02
2.50

Diluted earnings per share calculation:

Numerator:
Income from continuing operations, net of tax 
Effect of assumed conversion of contingently convertible
  debt instruments
Income from continuing operations(cid:326)diluted computation 
Income from discontinued operations, net of tax
Net income–diluted computation 

  $ 126,984

  $  80,026

$ 43,043

2,967
129,951
109,441
  $ 239,392

2,967
82,993
33,431
  $ 116,424

2,967
46,010
29,768
$ 75,778

  Denominator:

Weighted average number of common shares outstanding
Assumed conversion of dilutive stock options 
Assumed conversion of contingently convertible debt instruments 
Diluted weighted average equivalent shares

32,044
309
2,572
34,925

30,049
287
2,572
32,908

29,164
248
2,572
31,984

Diluted earnings per share: 

Income from continuing operations
Income from discontinued operations
Net income 

  $ 

  $ 

3.72
3.13
6.85

  $ 

  $ 

2.52
1.02
3.54

$

$

1.44
0.93
2.37

In  accordance  with  SFAS  128  “Earnings  per  Share”,  the  diluted  weighted  average  number  of 
shares outstanding includes an incremental adjustment for the assumed exercise of dilutive stock options.
The adjustment is computed quarterly; the annual incremental adjustment is the average of the quarterly
adjustments.  Stock  options are  considered  dilutive stock  options  if  the  assumed  conversion  of  the 
options,  using  the  treasury  stock  method  as specified  by  SFAS  128,  produces  an  increased  number  of 
shares.  The  average  number  of  ProAssurance’s  outstanding  options  that  were  not  considered  to  be
dilutive approximated 180,000 during 2006, 158,000 during 2005 and 126,000 during 2004.

103

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

14. Benefit Plans 

ProAssurance  currently  maintains  a  defined contribution  savings  and  retirement  plan  that  is
intended to provide retirement income to eligible employees. ProAssurance also maintains a non-qualified
deferred compensation plan which allows participating management employees to defer a portion of their
current  salary.  ProAssurance’s  contribution  to  the  savings  and  retirement  plan  was  $3.2  million,  $2.3 
million  and  $2.2  million  during  the  years  ended December  31,  2006,  2005  and  2004,  respectively.
ProAssurance's contribution to the deferred compensation plan was approximately $125,000 for the year 
ended December 31, 2006; there was no contribution in 2005 or 2004. ProAssurance's liability related to
the  deferred  compensation  plan  consists  primarily of  employee  salary  deferrals  and  approximated  $1.8
million at December 31, 2006 and $700,000 at December 31, 2005.

When  acquired,  both  PIC  Wisconsin and NCRIC maintained defined  contribution  retirement
benefit  plans  which  were  assumed  by  ProAssurance.    On  January  1,  2006  NCRIC  plans were  merged
into ProAssurance’s existing plan. The PIC Wisconsin plan was similarly transitioned on January 1, 2007.
ProAssurance  incurred  expense  of  approximately $205,000  in  2006  related  to  the  PIC  Wisconsin  plan
and expense of approximately $72,000 in 2005 related to the NCRIC plans.

15. Statutory Accounting and Dividend Restrictions 

ProAssurance's  insurance  subsidiaries  are  required  to  file  statutory  financial  statements  with 
state  insurance  regulatory  authorities.  GAAP  differs  from  statutory  accounting  practices  prescribed  or 
permitted by regulatory authorities. Differences between financial statement net income and statutory net
income are principally due to: (a) policy acquisition and certain software and equipment costs which are
deferred under GAAP but expensed for statutory purposes (b) certain deferred income taxes which are 
recorded under GAAP but not for statutory purposes and (c) for 2006, the recognition of statutory income 
from the sale of the MEEMIC companies which exceeded the gain recorded for GAAP purposes.

The  NAIC  specifies  risk-based  capital  requirements  for  property  and  casualty  insurance
providers. At December 31, 2006 statutory capital for each insurance subsidiary was sufficient to satisfy
regulatory  requirements.  Net  earnings and  surplus of ProAssurance’s insurance  subsidiaries  on  a 
statutory basis are shown in the following table. The table excludes MEEMIC Insurance Company sold in
early 2006 (see Note 3); however, the table does include statutory income of approximately $282 million
related to the sale of the MEEMIC companies. The table includes the statutory earnings of PIC Wisconsin
and NCRIC in the year of acquisition and thereafter (see Note 2). The net earnings so included are the
earnings  for  the  statutory  annual  period.  Consolidated  net  income,  on  a  GAAP  basis,  includes  the 
earnings  of  PIC  Wisconsin  and  NCRIC  only  for  the  periods  following  acquisition:  August  2006  for  PIC
Wisconsin and August 2005 for NCRIC.

2006

Net Earnings
 2005 

2004
In millions

Surplus

2006

  2005 

$ 400 

  $ 69

  $ 49

$ 839

  $ 726

ProAssurance’s  insurance  subsidiaries  are  permitted  to  pay  dividends  of  approximately $186
million during the next year without prior approval. However, the payment of any dividend requires prior
notice to the insurance regulator in the state of domicile and the regulator may prevent the dividend if, in 
its  judgment,  payment  of  the  dividend would  have  an adverse effect  on  the  surplus  of  the  insurance
subsidiary.

104

 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

16. Variable Interest Entities 

in various 

investments 

limited  partnerships/limited 

ProAssurance  holds  passive 

liability
companies that are considered to be VIE’s under FIN 46(R) guidance. ProAssurance is not the primary
beneficiary relative to these entities and is not required to consolidate the entities under FIN 46(R). These
investments, five in total at December 31, 2006, are included in Other Investments and total $44.5 million
at December 31, 2006 and $42.1 million at December 31, 2005. The entities are all non-public investment
pools formed for the purpose of achieving diversified equity and debt returns. ProAssurance’s maximum
loss exposure relative to these investments is limited to the carrying value of ProAssurance’s investment
in  the  entity.  ProAssurance’s  investment  in  one  of  the  entities  approximates  $9.3  million  (a  10.6% 
interest)  and  is  accounted  for  using  the  equity  method  of  accounting;  this  investment was  acquired  in
2002. ProAssurance’s investment in each of the four remaining entities represents an interest of less than
10%  and  ProAssurance  uses  the  cost  method  of  accounting  for  these  investments.  All  were  acquired
after January 1, 2001. 

ProAssurance  also  holds all  the  voting  securities  issued  by  certain  trusts  (the  PRA  and NCRIC
Trusts; the Trusts) as discussed in Note 10 and such trusts are considered to be VIE’s. The Trusts are not
consolidated because  ProAssurance  is  not  the  primary  beneficiary  of  these  trusts.  The 2032  and  2034
Subordinated  Debentures  are  reported  in  the  accompanying Consolidated  Balance  Sheet  as a
component of long-term debt. ProAssurance’s equity investments in the Trusts total $1.9 million and are
included in Other Assets.

105

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006 

17. Quarterly Results of Operations (unaudited) 

The following is a summary of unaudited quarterly results of operations for 2006 and 2005:

Net premiums earned(1)
Net losses and loss adjustment expenses(1)
Income from continuing operations(2)
Income from discontinued operations(2)
Net income 

Basic earnings per share: 

Income from continuing operations
Income from discontinued operations

  Net income

Diluted earnings per share: 

Income from continuing operations
Income from discontinued operations

  Net income

Net premiums earned(1)
Net losses and loss adjustment expenses(1)
Income from continuing operations(2)
Income from discontinued operations(2)
Net income

Basic earnings per share: 

Income from continuing operations
Income from discontinued operations
Net income

Diluted earnings per share:

Income from continuing operations
Income from discontinued operations
Net income

2006

1st 

2nd

3rd

4th

In thousands except per share data

  $  142,430
111,132
27,835
109,441
137,276

  $  137,420
103,110
29,991
–
29,991

  $  149,444
114,037
33,368
–
33,368

  $  153,772
115,050
35,790
–
35,790

0.89
3.51
4.40

0.84
3.21
4.05

0.96
–
0.96

0.90
–
0.90

1.03
–
1.03

0.96
–
0.96

1.08
–
1.08

1.01
–
1.01

2005

1st

2nd

3rd

4th

In thousands except per share data

  $  128,728
110,450
14,596
7,341
21,937

  $  126,203
103,124
18,311
9,154
27,465

  $  144,963
117,898
20,217
9,120
29,337

  $  143,347
106,728
26,902
7,816
34,718

0.50
0.25
0.75

0.48
0.23
0.71

0.62
0.31
0.93

0.59
0.29
0.88

0.66
0.30
0.96

0.63
0.27
0.90

0.87
0.25
1.12

0.81
0.23
1.04

The  difference  in  the  sum  of  the  quarterly  per  share  amounts for  discontinued  operations  and  net  income  is  different than  the  annual
computation of these amounts due to the issuance of shares in the acquisition of PIC Wisconsin in the third quarter of 2006.

(1) From continuing operations
(2) Net of tax

106

 
 
ProAssurance Corporation and Subsidiaries
Schedule I – Summary of Investments – Other Than Investments in Related Parties
December 31, 2006 

Type of Investment

Fixed Maturities:

Cost
or
Amortized
Cost

U.S. Treasury securities
Government-sponsored enterprises
State and municipal bonds 
Corporate bonds
Asset-backed securities
Trading

$

57,400
232,193
1,190,651
629,809
1,028,595
49,486

Amount
Which is 
Presented
in the
Balance Sheet

$

56,977
230,949
1,198,227
625,003
1,025,066
49,218

Fair 
Value
In thousands

$

56,977
230,949
1,198,227
625,003
1,025,066
49,218

Total fixed maturities

3,188,134

  $ 3,185,440

3,185,440

Equity securities: 

Available for sale
Trading

Total equity securities

Short-term investments
Other invested assets
Business owned life insurance 

7,220
7,638

  $ 

14,858

4,618
6,637

11,255
184,280
48,799
58,721

7,220
7,638

14,858
184,280
48,799
58,721

Total investments

  $ 3,491,189

  $ 3,492,098

107

 
 
 
ProAssurance Corporation and Subsidiaries
Schedule II – Condensed Financial Information of Registrant

ProAssurance Corporation – Registrant Only
Condensed Balance Sheets 

Assets
Investment in subsidiaries, at equity
Fixed maturities available for sale, at fair value 
Fixed maturities, trading, at fair value
Short-term investments 
Cash and cash equivalents
Due from subsidiaries 
Other assets 

Liabilities and Stockholders’ Equity

Liabilities:
Payable to subsidiaries 
Other liabilities 
Long-term debt 

Stockholders’ Equity:

Common stock
Other stockholders’ equity, including unrealized 
gains (losses) on securities of subsidiaries

Total stockholders’ equity

December 31 

2006 

2005 

In thousands

  $ 1,041,230
204,562
–
25,953
366
–
10,603

  $ 853,801
41,288
–
10,735
1,434
1,645
9,585

  $ 1,282,714

  $ 918,488

  $ 

4,369
7,726
152,072

164,167

  $ 

–
1,666
151,776

153,442

334

312

1,118,213

1,118,547

764,734

765,046

  $ 1,282,714

  $ 918,488

ProAssurance Corporation – Registrant Only
Condensed Statements of Income

Revenues:
Investment income including net realized
investment gains (losses) of $(1,450),
$63 and $2,740, respectively

Other Income 

Expenses:
Interest expense
Other expenses

Loss before income tax (benefit) and equity in 

net income of subsidiaries 

Income tax (benefit)
Loss before equity in net income of subsidiaries 
Equity in net income of subsidiaries 

2006 

Year Ended December 31
2005 
In thousands

2004 

  $ 

6,407
174

6,581

9,063
3,538

12,601

(6,020)
(2,632)
(3,338)
239,813

  $  2,407
62

2,469

8,416
3,923

12,339

(9,870)
(3,491)
(6,379)
119,836

$  4,057
39

4,096

6,515
3,882

10,397

(6,301)
(2,319)
(3,982)
76,793

Net income 

  $  236,425

  $ 113,457

$ 72,811

108

 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Schedule II – Condensed Financial Information of Registrant (continued)

ProAssurance Corporation – Registrant Only
Condensed Statements of Cash Flow

2006 

Year Ended December 31
2005 
In thousands

2004 

Cash provided (used) by operating activities

  $  10,231

  $ 

(2,868)

$ (11,896)

Investing activities

Purchases of fixed maturities 
Proceeds from sale or maturities of:
Fixed maturities available for sale 
Equity securities available for sale 

Net decrease (increase) in short-term investments 
Dividends from subsidiaries 
Contribution of capital to subsidiaries

  Other 

Financing activities 

Proceeds from long-term debt

  Other 

Increase (decrease) in cash and cash equivalents 
Cash and cash equivalents, beginning of period 

(416,691)

(45,734)

(101,172)

252,360
–
(15,217)
200,000
(30,410)
(2,794) 

(12,752)

–
1,453

1,453

(1,068)
1,434

60,162
–

(8,059) 
3,000
(5,937) 
(3,517) 

(85)

–
3,644

3,644

691
743

50,480
7,791
20,764
28,350
(38,000)
(1,395) 

(33,182)

44,907
36

44,943

(135)
878

Cash and cash equivalents, end of period 

  $ 

366

  $  1,434

$

743

Notes to Condensed Financial Statements of Registrant

1.  Basis of Presentation 

The  registrant-only  financial  statements  should  be  read  in  conjunction  with  ProAssurance  Corporation’s  (PRA  Holding) 
consolidated financial statements.  At December 31, 2006 and 2005 PRA Holding’s investment in subsidiaries is stated at 
the  initial  consolidation  value  plus  equity  in  the  undistributed  earnings  of  subsidiaries  since  the  date  of  acquisition  less 
dividends received from the subsidiaries.

Reclassifications

Certain reclassifications have been made to the 2005 and 2004 condensed financial statements to conform to the 2006 
presentation.

Acquisitions/Dispositions

In  August  2006 PRA  Holding  purchased  Physicians  Insurance Company  of  Wisconsin,  Inc.  PRA  Holding  purchased
NCRIC Corporation in August 2005. Both acquisitions are described in Note 2 to the Consolidated Financial Statements. 
In  January  2006  PRA  Holding  sold  its  indirect  subsidiaries,  MEEMIC  Insurance  Company  and  MEEMIC  Insurance
Services, as described in Note 3 to the Consolidated Financial Statements. The proceeds from the sale of $400 million
were paid to an indirect subsidiary of PRA Holding.

109

 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Schedule II – Condensed Financial Information of Registrant (continued)

Notes to Condensed Financial Statements of Registrant (continued)

2.  Long-term Debt

Outstanding long-term debt, as of December 31, 2006 and December 31, 2005, consisted of the following:

Convertible Debentures due June 2023 (the Convertible Debentures),

unsecured, principal of $107.6 million bearing a fixed interest
rate of 3.9%, net of discounts of $1.9 million at December 31,
2006 and $2.2 million at December 31, 2005, respectively.

Trust Preferred Subordinated Debentures (the 2034 Subordinated
Debentures; the 2032 Subordinated Debentures), unsecured,
bearing interest at a floating rate, adjustable quarterly.

Due
April 2034 
May 2034

12/31/2006
Rate
9.22%
9.22%

2006

2005 

$ In thousands 

  $ 105,677

  $ 105,381

13,403
32,992

13,403
32,992

  $ 152,072

  $ 151,776

See Note 10 of the Notes to the Consolidated Financial Statements of PRA Holding and its subsidiaries included herein
for a detailed description of the terms of the long-term debt.

3.  Related Party Transactions 

PRA  Holding  received  dividends  of  $200  million,  $3.0  million  and  $28.4  million  during  the years  ended  December  31,
2006, 2005 and 2004 from its subsidiaries. PRA Holding contributed capital of $30.4 million, $5.9 million and $38.0 million
during the years ended December 31, 2006, 2005 and 2004. 

All  of  PRA  Holding’s  treasury  shares  are  owned  by  its  subsidiaries.  In  the  registrant-only financial  statements,
stockholders’ equity has been reduced by the cost of these treasury shares and PRA Holding’s investment in subsidiaries 
has been reduced by the cost of the treasury shares owned by the subsidiaries.

4.  Income Taxes

Under terms of PRA Holding’s tax sharing agreement with its subsidiaries, income tax provisions for individual companies
are allocated on a separate company basis. 

110

 
 
ProAssurance Corporation and Subsidiaries
Schedule III–Supplementary Insurance Information
Years Ended December 31, 2006, 2005, and 2004 

Continuing Operations

2006

2005

2004

In thousands 

Deferred policy acquisition costs ................................................

$ 

23,763

$ 

22,256

$ 

21,254

Reserve for losses and loss adjustment expenses ……………...

  2,607,148

2,224,436

1,818,636

Unearned premiums ...................................................................

Net premiums earned .................................................................

Premiums assumed from other companies ................................

Net investment income ...............................................................

Net losses and loss adjustment expenses………………………..

Underwriting, acquisition and insurance expenses:

Amortization of deferred policy acquisition costs....................

  Other underwriting, acquisition and insurance expenses .......

Net premiums written ..................................................................

253,773

583,067

18 

149,789

443,329

56,944

49,425

543,376

264,258

543,241

268

99,193

438,201

53,967

37,990

521,343

248,539

519,897

96

77,669

460,437

52,808

33,976

535,028

111

 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Schedule IV–Reinsurance
Years Ended December 31, 2006, 2005, and 2004 

Property and Casualty

Premiums earned

Premiums ceded 

Premiums assumed 

2006

Continuing Operations

2005

In thousands

2004

$ 627,148

(44,099)

18

$ 596,289

$ 555,428

(53,316)

268

(35,627)

282

Net premiums earned

$ 583,067

$ 543,241

$ 520,083

Percentage of amount assumed to net 

0.00%

0.05%

0.05%

Accident and Health

Premiums earned

Premiums ceded 

Premiums assumed 

Net premiums earned

Percentage of amount assumed to net 

$ 

$ 

–

–

–

–

–

$ 

$ 

–

–

–

–

–

$ 

$ 

–

–

(186)

(186)

100%

Total net premiums earned 

$ 583,067

$ 543,241

$ 519,897

112

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries
Schedule VI – Supplementary Property and Casualty Insurance Information
Years Ended December 31, 2006, 2005, and 2004

2006

Continuing Operations

2005

In thousands 

2004

Deferred policy acquisition costs ……………………………....

  $ 

23,763

  $ 

22,256

  $ 

21,254

Reserve for losses and loss adjustment expenses …………. 

2,607,148

2,224,436

1,818,636

Unearned premiums …………………………………………….

Net premiums earned……………………………………………

Net investment income …………………….…………..……….

253,773

583,067

149,789

264,258

543,241

99,193

248,539

519,897

77,669

Losses and loss adjustment  expenses incurred 

related to current year, net of reinsurance………………….

479,621

461,182

469,151

Losses and loss adjustment expenses incurred 

related to prior year, net of reinsurance………………........

Amortization of deferred policy acquisition costs …………… 

(36,292)

56,944

(22,981)

53,967

(8,714)

52,808

Paid losses and loss adjustment expenses related to

current year losses, net of reinsurance…………………..…

(32,325)

(26,495)

(13,599)

Paid losses and loss adjustment expenses related to

prior year losses, net of reinsurance……………………...

(242,608)

(199,617)

(200,314)

113

 
EXHIBIT INDEX 

 Exhibit 
Number

Description

2

2.1

2.2

2.3

2.4

Schedules  to  the  following  documents  are  omitted;  the  contents  of
the  schedules  are  generally  described  in  the  documents;  and
ProAssurance  will  upon 
the  Commission
supplementally a copy of any omitted schedule.

request 

furnish 

to 

Agreement to Consolidate by and between Medical Assurance, Inc. 
and Professionals Group, Inc. dated June 22, 2000 as amended as
of November 1, 2000. (1)

Agreement and  Plan  of  Merger  among  ProAssurance, NCRIC
Group, Inc. and NCP Merger Corporation, dated February 28, 2005,
as amended (2) 

Stock Purchase Agreement dated November 7, 2005, among Motors
Insurance Corporation,  MEEMIC  Insurance Company,  MEEMIC 
Insurance  Services  Corporation,  MEEMIC  Holdings, 
Inc.  and
ProAssurance Corporation (3) 

Agreement  and  Plan  of  Merger,  dated  as  of  December  8,  2005,
between  ProAssurance  and  PIC  Wisconsin,  as  amended  February
14, 2006 (4) 

3.1(a)

Certificate of Incorporation of ProAssurance (1) 

3.1(b)

Certificate  of  Amendment 
ProAssurance (5) 

to  Certificate  of 

Incorporation of

3.2

4

10.1(a)

10.1(b)

10.1(c)

10.2

First Restatement of the Bylaws of ProAssurance (6)

ProAssurance will file with the Commission upon request pursuant to 
the  requirements of  Item  601 (b)(4)  of  Regulation S-K  documents
defining rights of holders of ProAssurance’s long-term indebtedness.

Incentive  Compensation  Stock  Plan
Medical  Assurance, 
(formerly known as  the  Mutual  Assurance,  Inc.  1995  Stock  Award
Plan) (7)

Inc. 

Amendment  and  Assumption  Agreement  by  and  between
ProAssurance and Medical Assurance, Inc. (5)

Amendment  and  Assumption  Agreement  by  and  between  Mutual
Assurance, Inc. and MAIC Holdings, Inc. dated April 8, 1996 (8)

Professionals  Insurance  Company  Management  Group  1996  Long
Term Incentive Plan (9) 

10.3(a)

ProAssurance Corporation 2004 Equity Incentive Plan (10) 

114

 
10.3(b)

First amendment to 2004 Equity Incentive Plan (18)

10.4(a)

10.4(b)

10.4(c)

10.4(d)

10.4(e)

10.4(f)

10.4(g)

10.5

10.6

Release  and  Severance  Agreement  between  Victor  T.  Adamo  and 
ProAssurance (11)

Amendment to Release and Severance Compensation Agreement of
Victor T. Adamo (12) 

Release  and  Severance Agreement  between  Howard  H.  Friedman
and ProAssurance (12)

Release  and  Severance  Agreement  between  James J.  Morello  and
ProAssurance (12)

Release  and  Severance Agreement  between  Frank  B.  O'Neil  and
ProAssurance (13)

Release  and  Severance Agreement  between  Edward  L.  Rand,  Jr. 
and ProAssurance (14)

Release and Severance Agreement between Darryl K. Thomas and
ProAssurance (16)

Employment Agreement of A. Derrill Crowe, as amended (12)

Form  of  Indemnification  Agreement  between  ProAssurance  and
each  of  the  following  named  executive  officers  and  directors  of 
ProAssurance: (13) 

Victor T. Adamo 
Lucian F. Bloodworth 
Paul R. Butrus
A. Derrill Crowe 
Robert E. Flowers 
Howard H. Friedman
Jeffrey P. Lisenby 
William J. Listwan
John J. McMahon
James J. Morello
John P. North, Jr.
Frank B. O'Neil 
Ann F. Putallaz 
Edward L. Rand, Jr. 
Darryl K. Thomas 
William H. Woodhams
Wilfred W. Yeargan, Jr. 

10.7

10.8 

ProAssurance  Group  Employee  Benefit  Plan  which  includes  the
Executive Supplemental Life Insurance Program (Article VIII) (6) 

Executive  Non-Qualified Excess  Plan  and  Trust  adopted  May  17,
2006 (17)

115

 
 
10.9

10.10

21.1

23.1

31.1

31.2

32.1

32.2

ProAssurance  Director  Deferred  Compensation  Plan  adopted on
May 18, 2005 (15) 

Consulting  Agreement  between  ProAssurance  and  William  J. 
Listwan (19)

Subsidiaries of ProAssurance Corporation

Consent of Ernst & Young LLP

Certification of  Principal  Executive  Officer  of  ProAssurance as
required under SEC Rule 13a-14(a)

Certification of  Principal  Financial  Officer  of  ProAssurance as
required under SEC Rule 13a-14(a)

Certification of  Principal  Executive  Officer  of  ProAssurance as
required under SEC Rule 13a-14(b) and Section 1350 of Chapter 63 
of Title 18 of the United States Code, as amended (18 U.S.C. 1350) 

Certification of  Principal  Financial  Officer  of  ProAssurance as
required under SEC Rule 13a-14(b) and 18 U.S.C. 1350

116

 
Footnotes

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

Filed  as  an  Exhibit  to  ProAssurance’s  Registration  Statement  on 
Form S-4 (File No. 333-49378) and incorporated herein by reference
pursuant 
the  Securities  and  Exchange
Commission (SEC). 

to  Rule  12b-32  of 

Filed as  an  Appendix  to  ProAssurance’s  Registration Statement on
Form  S-4 (File  No.  333-124156) and  incorporated  herein by
reference pursuant to SEC Rule 12b-32.

Filed  as  an  Exhibit  to  ProAssurance’s  Current  Report  on  Form 8-K
for  event  occurring  November 4,  2005  (File  No. 001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

Filed  as  an  Exhibit  to  ProAssurance’s  Registration  Statement  on 
Form  S-4 (File  No.  333-131874)  and  incorporated  by  reference
pursuant to SEC Rule 12b-32. 

Filed as an Exhibit to ProAssurance’s Annual Report on Form 10-K
for  the  year  ended  December 31,  2001  (File  No.  001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

Filed as an Exhibit to ProAssurance's Annual Report on Form 10-K
for  the  year  ended  December 31,  2004  (File  No.  001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

Filed  as  an  Exhibit  to  MAIC  Holding’s  Registration  Statement  on 
Form S-4 (File No. 33-91508) and incorporated herein by reference
pursuant to SEC Rule 12b-32. 

Filed as an Exhibit to MAIC Holding’s Proxy Statement for the 1996
Annual  Meeting  (File  No.  0-19439)  is  incorporated  herein  by
reference pursuant to SEC Rule 12b-32.

Filed as an Exhibit to Professionals Group’s Registration Statement
on  Form  S-4  (File  No.  333-3138) and  incorporated  herein  by
reference pursuant to SEC Rule 12b-32.

Filed  as  an  Exhibit  to  ProAssurance’s  Definitive  Proxy  Statement 
(File No. 001-165333) on April 16, 2004 and incorporated herein by 
reference pursuant to SEC Rule 12b-32.

Filed  as an Exhibit  to  ProAssurance’s  Form  10-Q for  the  quarter
ended June 30, 2001 (File No. 001-16533) and incorporated herein 
by reference pursuant to SEC Rule 12b-32.

Filed  as  an  Exhibit  to  ProAssurance’s  Registration  Statement  on 
Form  S-3 (File  No.  333-100526) and  incorporated  herein by
reference pursuant to SEC Rule 12b-32.

Filed as an Exhibit to ProAssurance's Annual Report on Form 10-K
for  the  year  ended  December 31,  2002  (File  No.  001-16533) and
incorporated herein by this reference pursuant to SEC Rule 12b-32.

117

 
(14)

(15)

(16)

(17)

(18)

(19)

Filed  as  an  Exhibit  to  ProAssurance’s  Current  Report  on  Form 8-K
for  event  occurring  March  31,  2005  (File  No. 001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

Filed  as  an  Exhibit  to  ProAssurance’s  Current  Report  on  Form 8-K
for  event  occurring  on May  18,  2005 (File No.  001-16533)  and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

Filed  as  an Exhibit  to  ProAssurance's  Annual  Report  on  Form 10K
for  the  year ended  December  31,  2005  (File  No 001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

Filed  as an Exhibit  to  ProAssurance's  Current Report  on  Form 8-K
for  event  occurring  on  May  17,  2006  (File  Number 001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

Filed  as  an Exhibit  to  ProAssurance's  Form  10Q for  the  quarter
ended  September  30,  2006  (File  No.  001-16533) and  incorporated
herein by reference pursuant to SEC Rule 12b-32. 

Filed  as an Exhibit  to  ProAssurance's  Current Report  on  Form 8-K
for event occurring on September 13, 2006 (File No. 001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32. 

118

 
Exhibit 31.1

CERTIFICATION

I, A. Derrill Crowe, certify that: 

1.    I have reviewed this report on Form 10-K of ProAssurance Corporation; 

2.    Based on my knowledge, this report does not contain any untrue statement of a material fact or omit 
to state a material fact necessary to make the statements made, in light of the circumstances under which 
such statements were made, not misleading with respect to the period covered by this report;  

3.    Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this 
report, fairly present in all material respects the financial condition, results of operations and cash flows of 
the registrant as of, and for, the periods presented in this report;  

4.   The  registrant's  other  certifying  officer  and  I  are  responsible  for  establishing  and  maintaining 
disclosure  controls  and  procedures  (as  defined  in  Exchange  Act  Rules  13a-15(e)  and  15d-15  (e))  and 
internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the 
registrant and have: 

a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and 
procedures to be designed under our supervision, to ensure that material information relating to the 
registrant, including its consolidated subsidiaries, is made known to us by others within those entities, 
particularly during the period in which this  report is being prepared; 

b)  Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over 
financial reporting to be designed under our supervision, to provide reasonable assurance regarding 
the reliability of financial reporting and the preparation of financial statements for external purposes in 
accordance with generally accepted accounting principles; 

c)  Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented 
in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and 

d)  Disclosed in this report any change in the registrant’s internal control over financial reporting that 
occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the 
case of an annual report) that has materially affected, or is reasonably likely to materially affect, the 
registrant’s internal control over financial reporting; and  

5.  The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of 
internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's 
board of directors (or persons performing the equivalent functions): 

a) All significant deficiencies and material weaknesses in the design or operation of internal control 
over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, 
process, summarize and report financial information; and 

b)  Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a 
significant role in the registrant's internal control over financial reporting. 

Date: February 28, 2007 

/s/ A. Derrill Crowe, M.D.
A. Derrill Crowe, M.D. 
Chief Executive Officer 

 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 31.2

CERTIFICATIONS

I, Edward L. Rand, Jr., certify that:

1.

I have reviewed this report on Form 10-K of ProAssurance Corporation;

2. Based on my knowledge, this  report does not contain any untrue statement of a material fact or omit 
to state a material fact necessary to make the statements made, in light of the circumstances under which
such statements were made, not misleading with respect to the period covered by this  report;

3. Based  on  my  knowledge,  the  financial  statements, and  other  financial  information  included  in  this 
report, fairly present in all material respects the financial condition, results of operations and cash flows of
the registrant as of, and for, the periods presented in this  report;

4. The  registrant's  other  certifying  officer  and  I  are  responsible  for  establishing and  maintaining
disclosure controls  and  procedures  (as defined in  Exchange  Act  Rules  13a-15(e) and  15d-15  (e)) and
internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the 
registrant and have: 

a)  Designed  such  disclosure  controls  and  procedures, or  caused  such disclosure  controls and
procedures to be designed under our supervision, to ensure that material information relating to the
registrant, including its consolidated subsidiaries, is made known to us by others within those entities,
particularly during the period in which this  report is being prepared;

b)  Designed  such  internal  control  over  financial reporting,  or  caused  such  internal  control  over
financial reporting to be designed under our supervision, to provide reasonable assurance regarding
the reliability of financial reporting and the preparation of financial statements for external purposes in
accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented
in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of 
the end of the period covered by this report based on such evaluation; and 

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that 
occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the
case of an annual report) that has materially affected, or is reasonably likely to materially affect, the
registrant’s internal control over financial reporting; and

5.  The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of 
internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's
board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control
over financial reporting which are reasonably likely to adversely affect the registrant's ability to record,
process, summarize and report financial information; and 

b)  Any  fraud,  whether  or  not  material,  that  involves management  or  other  employees  who  have  a
significant role in the registrant's internal control over financial reporting.

Date: February 28, 2007 

/s/ Edward L. Rand, Jr.
Edward L. Rand, Jr.
Chief Financial Officer

 
 
 
 
 
 
A  signed  original  of  this  written statement  required by  Section  906  has  been provided  to  ProAssurance
Corporation and will  be retained  by  ProAssurance  Corporation  and  furnished  to  the Securities and
Exchange Commission or its staff upon request.

Exhibit 32.1

CERTIFICATION PURSUANT TO 
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

In connection with the Annual Report of ProAssurance Corporation (the “Company”) on Form 10-K for the 
year  ending December 31,  2006  as  filed  with  the Securities and  Exchange Commission on  the  date
hereof (the “Report”), I, A. Derrill Crowe, M.D., Chief Executive Officer of the Company, certify, pursuant
to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that: 

(1) The Report fully complies with the requirements of Section 13(a) of the Securities Exchange

Act of 1934; and 

(2) The information contained in the Report fairly presents, in all material respects, the financial

condition and result of operations of the Company.

February 28, 2007

/s/ A. Derrill Crowe, M.D
A. Derrill Crowe, M.D. 
Chief Executive Officer

 
A  signed  original  of  this  written statement  required by  Section  906  has  been provided  to  ProAssurance
Corporation and will  be retained  by  ProAssurance  Corporation  and  furnished  to  the Securities and
Exchange Commission or its staff upon request.

Exhibit 32.2 

CERTIFICATION PURSUANT TO 
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

In connection with the Annual Report of ProAssurance Corporation (the “Company”) on Form 10-K for the 
year  ending December 31,  2006  as  filed  with  the Securities and  Exchange Commission on  the  date
hereof (the “Report”), I, Edward L. Rand, Jr., Chief Financial Officer of the Company, certify, pursuant to
18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that: 

(1) The Report fully complies with the requirements of Section 13(a) of the Securities Exchange

Act of 1934; and 

(2) The information contained in the Report fairly presents, in all material respects, the financial

condition and result of operations of the Company.

February 28, 2007

/s/ Edward L. Rand, Jr.
Edward L. Rand, Jr. 
Chief Financial Officer

Board of Directors
Directors 
A. Derrill Crowe, M.D. 
Victor T. Adamo, Esq., C.P.C.U.  
Paul R. Butrus 
Lucian Bloodworth 
Robert E. Flowers, M.D. 
William J. Listwan, M.D. 
John J. McMahon, Jr. 
John P. North, Jr., C.P.A. 
Ann F. Putallaz, Ph.D. 
William H. Woodhams, M.D. 
Wilfred W. Yeargan, M.D. 

Independence  Committee(s)
Position  
Chairman & Chief Executive Offi cer, ProAssurance 
M 
Vice-Chairman & Chief Operating Offi cer, ProAssurance  M 
M 
Vice-Chairman, ProAssurance  
I 
Chairman, Cain Manufacturing Company, Inc. 
NM 
Retired Physician 
I 
Practicing Physician & Professor of Internal Medicine 
I 
Chairman, Ligon Industries 
I 
Retired Accounting Firm Partner 
I 
Vice-President, Munder Capital Management 
I 
Practicing Physician 
I 
Practicing Physician 

3, 4C
2C 
2 
4
3C

1C 
1 
1 
2 

M = Management, Non-Independent  
NM = Non-Management, Non-Independent 
I = Independent 

1 = Executive Committee
2 = Audit Committee
3 = Compensation Committee
4 = Nominating and Corporate Governance Committee
C = Chairman

Senior Offi cers
Jeffrey L. Bowlby, A.R.M. 
Howard H. Friedman, A.C.A.S., M.A.A.A.  Co-President & Chief Underwriting Offi cer, Professional Liability Group

     Chief Marketing Offi cer & Senior Vice-President, Professional Liability Group

Jeffrey P. Lisenby, Esq. 
James J. Morello, C.P.A. 

Frank B. O’Neil 
Edward L. Rand, Jr., C.P.A.   
Darryl K. Thomas, Esq. 

Hayes V. Whiteside, M.D. 

     Senior Vice-President, ProAssurance
     Corporate Secretary, General Counsel & Vice President, ProAssurance
     Chief Accounting Offi cer & Treasurer
     Senior Vice-President, ProAssurance
     Communications Offi cer & Senior Vice-President, ProAssurance
     Chief Financial Offi cer & Senior Vice-President, ProAssurance
     Co-President & Chief Claims Offi cer, Professional Liability Group
     Senior Vice-President, ProAssurance
     Chief Medical Offi cer & Senior Vice-President, Professional Liability Group

Stock Price Performance
The following information may be used to comparing the market value of our Common Stock with other public companies and 
public companies in the insurance industry. The graph sets forth the cumulative total stockholder return (assuming reinvestment 
of dividends) to our stockholders during the fi ve years ended December 31, 2006, as well as an overall stock market index (Russell 
2000) and a peer group index (SNL Property & Casualty) for the fi ve years ended December 31, 2006.

TOTAL RETURN PERFORMANCE

ProAssurance Corporation   
Russell 2000  
SNL Property & Casualty Insurance Index 

300

250

200

150

100

50

12/31/01    

12/31/02   

12/31/03   

12/31/04  

12/31/05   

12/31/06   

INDEX     
ProAssurance Corporation    

Russell 2000   

SNL Property & Casualty  

     Insurance Index 

P E R I O D   E N D I N G        

12/31/01

12/31/02

12/31/03

12/31/04

12/31/05

12/31/06

100.00

100.00

100.00

119.45

79.52 

93.80

182.88  

117.09 

116.05

222.47

138.55

127.20  

276.68   

144.86 

139.05

283.96

171.47

162.09

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Market and Shareholder Information

There were 33,281,390 shares of ProAssurance Corporation 

Our Board of Directors has adopted charters for our Audit, 

common stock outstanding at February 28, 2007. On that 

Compensation, and Nominating/Corporate Governance  

date, we had 3,892 shareholders of record. Our common stock 

Committees. In addition the Board has established and adopted 

trades on The New York Stock Exchange under the symbol 

Corporate Governance Principles and a Code of Ethics and Con-

PRA. Our stock is listed as ProAsr in the stock section of USA 

duct. We make these documents, and other information such as 

Today and many major newspapers, and as ProAssurance in 

committee composition and leadership, director independence, 

The Wall Street Journal. We also post the price of our stock on 

and stock ownership guidelines available in the Governance  

our website, www.ProAssurance.com.

section of our website.

Your shares

Our Chairman and Chief Executive Officer, A. Derrill Crowe, 

M.D., submitted the required Section 12(a) CEO Certification 

If you hold your shares through a brokerage account, your 

to the New York Stock Exchange in a timely manner on May 30, 

broker or a customer service representative at that firm should 

2006. Additionally, we have been timely in the filing of CEO/

be able to answer questions about your holdings.

CFO certifications as required in Section 302 of the Sarbanes-

If you hold your shares in certificate form, or have shares 

Oxley Act. These certifications are published as exhibits in our 

held in direct registration (DRS), you may contact our transfer 

Form 10K filed with the SEC on March 1, 2007.

agent, Mellon Investor Services, for address changes, transfer 

of certificates, and replacement of share certificates that have 

Investor Relations

been lost or stolen.

The Investor Relations section of our website also contains 

You may reach Mellon Investor Services in a variety of ways:

detailed financial information, SEC filings, the latest news re-

         By Phone 

           By Internet

leases about the Company and our latest presentation materials.  

(800) 851-4218 

           www.melloninvestor.com/isd/  

We also maintain an archive of this material, although you 

(800) 231-5469 

              Specific information about your account

should realize that archived information, by its very nature, may 

   (Hearing Impaired)        www.melloninvestor.com

no longer be accurate.

              General information about Mellon 

Obtaining Information Directly from ProAssurance

           By Mail         

Any of the documents mentioned above may be obtained 

Mellon Investor Services, LLC         Mellon Investor Services, LLC 

from our Communications and Investor Relations Department 

P.O. Box 3315 

        480 Washington Boulevard 

using one of the contact methods below:

South Hackensack, NJ 07606          Jersey City, NJ 07310-1900 

            By e-mail:   

         By Mail

Corporate Governance and Compliance with Regulatory 

        Investor Relations 

and New York Stock Exchange Requirements

        By phone or fax: 

        P.O. Box 590009   

We post detailed information in the Corporate Governance and 

Phone: (205) 877-4400  

        Birmingham, AL  35259-0009

Investor@ProAssurance.com      ProAssurance Corporation 

Investor Relations sections of our website, www.ProAssurance.com.

(800) 282-6242 

Our Board of Directors has adopted a policy regarding 

Fax: (205) 802-4799

determination of director independence, including categorical 

standards to assist in determining independence. These are pub-

Annual Meeting

lished in our proxy statement which is mailed to stockholders 

The 2007 Annual Meeting is scheduled for 10:00 AM CDT on 

and filed with the Securities and Exchange Commission (the 

Wednesday, May 16, 2007 at the headquarters of ProAssurance,  

“SEC”). Our filings with the SEC are available in the Investor 

100 Brookwood Place, Birmingham, Alabama 35209.

Relations section of our website, and from the EDGAR section 

of the SEC’s website, www.sec.gov/edgar.shtml. 

 
 
 
 
 
       
 
 
 
 
 
 
 
 
100 Brookwood Place

Birmingham, Alabama 35209

(205) 877-4400

(800) 282-6242

www.ProAssurance.com