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ProAssurance Corporation

pra · NYSE Financial Services
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Industry Insurance - Property & Casualty
Employees 1036
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FY2007 Annual Report · ProAssurance Corporation
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A PROVEN PAST

A PROMISING FUTURE

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2007 A N N U A L   R E P O R T

P R O A S S U R A N C E   S E L E C T E D   F I N A N C I A L   D A T A   ( I N T H O U S A N D S )

Income Statement Highlights(1)
Gross premiums written(2)
Total revenues (2)
Income (loss) from continuing 
  operations, net of tax
Net income

Balance Sheet Highlights
Total investments (2) 
Total assets, continuing operations
Total assets
Reserve for losses and loss
RR
  adjustment expenses (2)
Long-term debt (2)
Total liabilities, continuing operations

2007

2006

2005

2004

2003

 $549,074 
 $706,068 
 $168,186 

  $578,983 
 $737,598 
 $126,984

 $572,960 
 $647,950 
$80,026

 $573,592 
 $607,557 
 $43,043 

 $543,323 
 $535,841 
$15,345

 $168,186 

 $236,425 

 $113,457 

 $72,811 

$38,703 

 $3,629,607 
 $4,439,836 
 $4,439,836 
 $2,559,707 

 $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 

 $164,158 
 $3,184,766  

 $179,177 
 $3,224,306  

 $167,240 
 $2,806,820  

 $151,480 
 $2,333,405  

 $104,789 
 $2,074,560 

B O O K  VA LU E
P E R   S H A R E  3 

S TO C K H O L D E R S ’   E Q U I T Y
 $   I N   M I L L I O N S 

TOTA L   A S S E T S
 $   I N   M I L L I O N S 

$39

$34

1,255

1,119

4,343

4,440

$25

$21

$19

765

611

546

3,909

3,239

2,879

03 04 05

06

07

03

04 05

06

07

03

04

05

06

07

(1) Includes acquired entities since date of acquisition only.  PIC Wisconsin was acquired on
      acquired on August 3, 2005.

WW

August 1, 2006. NCRIC Corporation was 

(2) Excludes Discontinued Operations.

(3) Total capital per share of common stock outstanding.

TO MY FE LLOW SHARE HOLDE RS,

The company in which you and I share an investment marked two major milestones as we achieved 

excellent results in 2007. The first milestone concerns our past; the second marks a point of transition. 

Our first milestone was the celebration of the 30th anniversary of the issuance of our first policy. 

The ensuing three decades have witnessed our disciplined dedication to the protection of our insureds 

through balance sheet strength, devotion to exceptional customer service, and a shared expectation of 

shareholder returns. We do not intend to deviate from those ideals as they are all interwoven to create 

the fabric of a company that seeks the best for its insureds, agents, employees, and investors.

Our second milestone was the retirement of Derrill Crowe as Chief Executive Officer. Dr. Crowe, 

who remains as non-executive chairman, is rightly revered for his vision and leadership in building a 

well-capitalized, highly respected organization which enjoys a position of unquestioned leadership in 

our industry. You, I and every stakeholder owe him a debt of gratitude we can never repay.

Several weeks ago Dr. Crowe and I sat down to reflect on the three decades of challenges met 

and opportunities seized. That conversation also gave me a chance to outline my vision for your 

company. The relevant points of that discussion form the basis for our communication with you this 

year. We want you to understand where we’ve been, and most importantly, where we’re going and 

PROASSURANCE SENIOR OFFICERS
seated l-r: Victor T. Adamo, W. Stancil Starnes, Edward L. Rand, Jr. 
standing l-r: Jeffrey P. Lisenby, Darryl K. Thomas, Hayes V. Whiteside,
Howard H. Friedman, Frank B. O’Neil, Jeffrey L. Bowlby

how we intend to get there.

On behalf of the industry’s most 

experienced and tested management 

team and employees, thank you for 

the confidence you show in us by 

remaining invested. As your new Chief 

Executive Officer, I assure you that I 

come to the office every day working to 

achieve the best possible results for you 

in 2008 and the years ahead.

Sincerely,

W. Stancil Starnes

Chief Executive Officer

“This company has a long and distinguished record.
Our approach has proven successful; we intend to
build on that success.”

  STAN STARNES

THE DOCTORS...WANTED US TO 

BE FINANCIALLY SOUND AND 

ALWAYS BE PRESENT. MOST

IMPORTANT…WAS THEY WERE 

TIRED OF SEEING CASES SETTLED 

THAT DID NOT HAVE MERIT.

A. Derrill Crowe, M.D.
Chairman

T H E   B E G I N N I N G

Crowe: About 1973…the carrier that brokered almost 90% of the coverage for the doctors [in 

Alabama] made a decision to get out of the medical malpractice market. We looked for about six 

months locally and could not find anybody to insure our practice. We went to Europe and still 

could not find anybody. So a decision was made to form an insurance company, Mutual Assurance.

Doctors put up about $2.5 million at $1,000 a piece, so 2,500 physicians that were participating 

gave us about $8 million. And we wrote our first policy on April 1, 1977.

The doctors gave us several mandates. Number one, they wanted us to be financially sound and 

always be present. The second thing…most important…was they were tired of seeing cases settled

that did not have merit…settled for nuisance value.
Starnes: I remember it like it was yesterday. The thing that made [it] very different was that those

physicians recognized that what we were talking about was far more than money. Because when you

charge that a physician has injured or damaged his patient, you strike at the very core of who he is.

TODAY, THAT COMPANY 

HAS…THE STAYING POWER 

TO RESPOND TO THE NEEDS 

OF ITS INSUREDS WHEN 

THOSE NEEDS ARISE.

Stan Starnes
Chief Executive Officer

And if you settle a case in which he did nothing wrong, then the consequences reverberate throughout 

the system. And these physicians in 1977 and 1978 were committed to the notion that that was not 

going to happen any longer.

We pay indemnity dollars today in fewer than 12 percent of the cases that are filed against our 

insureds. That means in 88 percent of the cases filed against our insureds, and in some states as high 

as 95 percent of the cases, end with the physician being totally exonerated and completely vindicated. 

Now, we have to spend millions of dollars to produce those results in terms of attorneys’ fees and costs. 

But in my view, that’s what the physician deserves—an option for vindication.

Today, that company has…the staying power to respond to the needs of its insureds when those 

needs arise. Frankly, it’s the most important legacy that that group of Alabama physicians have left 

for the physicians practicing today; that is, a company that’s financially stable and that will provide 

them a defense which offers them vindication when they deserve vindication.

O N O U R   I N V E S T O R S …

Crowe: If we do a good job for our…policyholders, we’re going to do a good job for our shareholders. So there’s 

absolutely a common interest here. We’re here for the long run. The opportunities are going to become abundant, in 

my opinion, in the next five to ten years.

Starnes: We want our investors to share our commitment to our policyholders, to our customers. We want our investors 

to understand that we’re in a long-term business…that we think is attractive to long-term investors. And if you look at what 

Dr. Crowe did over the last thirty years, you will see that it’s been a very good place for long-term investors to be. We intend 

to continue that rich tradition on the part of the company toward its investors.

We also continue to seek opportunities that will enable us to provide the sorts of returns to those investors that 

they’ve enjoyed since the company went public in 1991. We’re probably not a place for a short-term investor; that’s not 

the nature of this business. But we’ve had lots of shareholders who have been with us for lots and lots of years. And for 

those shareholders, this has been an exceptionally good place to be.

One of the things of which I am the proudest is that there’s very much an identity of interest between our 

policyholders and our shareholders. And indeed, many of our policyholders are also our shareholders.

O N O U R   A G E N T S …

Starnes: The agents who we are privileged to have represent us are, in every sense of the word, our partners. We have 

to depend on them to tell the ProAssurance story. We respect that relationship, and we will never impose arbitrary 

burdens on them in terms of quotas and those sorts of things. We want to equip them with everything they need to tell 

the ProAssurance story, because we think that when that story is told, we will be the preferred source of professional 

liability protection throughout the United States.

It’s a great opportunity for us. It’s a great opportunity for our agents. And it’s important that we have a partnership 

with our agents that lets us march down that road in a way that benefits both of us.

O N O U R   E M P L O Y E E S …

Starnes: Our employees are the most important resource our company has. You know, we don’t have patents on what 

we do. We don’t have trademarks on what we do. Our assets are our people. And the way we leverage those assets are by 

having people committed to the whole notion of customer service. We want to ramp that up and every year take it to a 

higher level than it had the year before. Because that’s the only reason we’re there, is to provide service to that physician 

when he needs it.

Our employees must understand, from the top down, that every time we have an encounter with a physician, that’s 

an opportunity to demonstrate how much that physician means to us.

A L E G A C Y O F   S E C U R I T Y

Starnes: An insurance policy is simply a piece of paper, and it has no worth until the physician 

is sued and needs a defense; or, until a judgment is returned against him and it needs to be paid. 

It may be years after the physician bought this piece of paper before any of these things occur. The 

only assurance the physician finds in that piece of paper is the financial strength of the company 

that issued it, that wrote the insurance policy. So it is of extraordinary importance, if the company is 

going to deliver on its promises to the physician, that the company remains financially strong. The 

world of insurance is littered with the corpses of companies that did not do that.
Crowe: From the very beginning, we’ve had a total dedication and orientation around the desires of 

the physicians. We have maintained that over the years…it’s what ProAssurance is—it’s a definition of 

who we are.
Starnes: Dr. Crowe is exactly right. The core of what the company has been is the involvement of 

physicians. And even today, we do not make any major decisions in any segment of our operations 

without physician involvement. Everything we do at ProAssurance is informed by physicians; we 

remain as committed to them as that small group of Alabama physicians were in 1975.

M A D E P O S S I B L E   B Y G R O W T H

Crowe: The insurance industry is run on ratios, capital to premiums, capital to reserves, etc. Our 

well-being depends upon our financial rating…so we began to look at the possibility of converting 

from a mutual company to a stock company, specifically so we could raise additional capital. At the 

same time, we were also looking nationwide, and we saw several companies beginning to get into 

a little difficulty. We felt like there was going to be a roll-up in this industry. For those reasons, we 

decided to demutualize, and in fact, we did in 1991.
Starnes: Looking back on it, it was the correct decision because it gives us the flexibility and the 

capital we need in order to continue to be there for the physicians we serve.

Because we’re a public company with access to capital, we are not as vulnerable to the vagaries of 

the marketplace as some of the mutual companies have been historically.

O N T H E   T R A N S I T I O N …

Crowe: I’ve been in the business for thirty years, and I honestly didn’t think I’d retire until I was about 75; but things 
happened. I had a 70th birthday; I was not enjoying it as much as I did when I was a younger man. And I thought that I 

saw changes coming and I need to find someone who can adapt, who can look at it differently.

I’ve known Stan for a long time. I’ve always known that he was the one that should replace me. He’s an outstanding 

thinker. Given the issues ahead of us, I felt like he would be better for this company than I would be.
Starnes: Dr. Crowe first mentioned it to me last April, and I was shocked. I had known him very well since 1978. He and I 
worked together on almost a daily basis during that entire period; we became very close personal friends. I always figured…he 

would be the CEO of ProAssurance until he was 80 years old; and second, I figured he would come to my funeral. So it really 

never occurred to me that I would become the CEO when he decided that it was time for him to step aside.

And notice that I did not say that I would take his place, because nobody will take his place, ever. What he’s done with 

that company over the last thirty years is phenomenal. And it’s just now beginning to be appropriately recognized. So while he 

has retired, and there’s been the transition from him to me, as long as I’m there, he will continue to cast a very large shadow.

He’s taught the rest of us how it ought to be done when it’s time for one to step aside from the role he played. And he’s 

just been extraordinary at it. The transition has been as graceful and elegant as the thirty years he spent with the company.

Starnes: By becoming a public company, ProAssurance has been able, through thirteen mergers and 

acquisitions, to diversify its geographical base. And those mergers and acquisitions—that geographical 

diversity—gives us additional safety.

I think the next four or five years are going to be a very exciting and very challenging time. 

We’re in a soft market today [and] soft markets have produced the demise of insurance companies 

who are not financially strong, so I think you’ll continue to see consolidation within the industry. 

We at ProAssurance are going to be very opportunistic in that regard, attentive to those acquisition 

opportunities that make sense for us.

My own view is that bigger changes are likely to emerge from the ongoing health care debate 

in this country. Part of that action may well include changes to the professional liability arena, and 

those changes could indeed produce extraordinary changes in what we are doing and the way we run 

our business. We obviously have to be attuned to that. We have to be nimble enough to protect our 

policyholders, as well as our shareholders, through all those changes.

E N S U R I N G A   S O L I D   F U T U R E

Crowe:  I’ve been in the business thirty years, and I’ve seen a lot of mistakes made. I’ve seen a company 

get in trouble because of bad investments and go out of business. I’ve seen companies get in trouble 

because of mishandling claims and go out of business. But the most frequent trouble that companies get 

into comes from their willingness to underwrite anything in their zeal to grow the top line.

I’ve known Stan for a long time. I’ve always known that he was the one that should replace me. He’s an 

outstanding thinker. He looks at a situation [and] thinks through the process thoroughly. So I felt like, going 

forward, he would be better for this company than I would be, to make it short and simple and sweet.

Starnes: It’s important to recognize that 

healthy top line growth is important, and 

over the long term, it’s essential. But I em-

phasize the word “healthy” top line growth. 

Healthy top line growth comes from a 

policy that is fairly priced. But growth 

can jeopardize your bottom line. So that’s 

why it’s very important to analyze top line 

growth to see whether it’s a result of healthy, disciplined pricing or is it the result of irrational pricing. If it’s 

the latter, then you cannot hope to attain any sort of bottom line growth. And indeed, your bottom line 

growth will be put in jeopardy, and the existence of your company will be put in jeopardy.

We have to be disciplined in terms of the risks that we underwrite. We have to be disciplined in 

terms of the premium that we charge. It can be intoxicating when you look out there and see all the 

opportunities to add market share if you’ll simply reduce your premiums. But that’s a temptation that 

must be avoided at all costs if you’re going to be there for your policyholders just a few years from now. 

So we need to be very disciplined in terms 

of maintaining fidelity to those principles 

O U R   C L A I M S   P H I L O S O P H Y   A N D   T H E   F U T U R E …

that have gotten us to where we are today; 

we will continue to price our product in 

order to deliver what our product promises. 

We’re not going to change our business 

practices just to try to chase the false allure 

of market share.

The most important thing we can offer 

to our policyholders is a capital base that 

will withstand whatever the economy and 

whatever the vagaries of this industry throw 

at us. It’s that sound capital base which 

enables us to be there tomorrow for our 

shareholders. We want to make the appro-

priate use of that capital. We want to make 

sure the capital is employed correctly for our 

shareholders. We have the financial strength 

and stability to see ourselves through the 

vagaries of the soft market and to take 

advantage of the opportunities of the hard 

market. And we’re going to operate our 

company with discipline, and we’re going to 

operate our company with diversity in a way 

Starnes: The claims philosophy of ProAssurance is very straight-

forward. If the physician did not breach the standard of care or if a 

physician did not cause any injury or harm to his patient, then we 

want to defend that case to the full extent that the law allows. If a 

physician has breached the standard of care, which has caused injury or 

death to his patient, then we want to settle that case as quickly as we can.

None of us know the changes that are coming in health care. But 

one change that is certain to come is greater transparency between 

what a physician does with the professional liability claim and the 

public’s ability to learn the results of that claim. The whole world’s 

going to see what happens to that claim. And the truth of the matter 

is, when the general public sees that a physician has settled a claim, 

the feeling is that the physician must have done something wrong. 

That’s only human nature and, in fact, it usually indicates just that.

What we, as a company, have an opportunity to do in this world 

of greater transparency is extend to others our ability to offer them 

vindication. We price our product in order to afford the physician 

that opportunity—in order to enable us to withstand the risk of 

the trial. Most companies don’t do that. Most professional liability 

insurance companies today, very subtly and very overtly, from the 

moment the lawsuit comes in the door, attempt to get the physician 

that will enable us to continue to provide very  

to settle the lawsuit even when he didn’t do anything wrong.

beneficial returns for our shareholders.

B O A R D   O F   D I R E C T O R S

TT

DI RECTORS 
A. Derrill Crowe, M.D.
W. Stancil Starnes, Esq.
Victor T. Adamo, Esq., C.P.C.
Lucian Bloodworth
Paul R. Butrus
Robert E.
Flowers, M.D.
RR
William J. Listwan, M.D.

U.

John J. McMahon, Jr.
Drayton Nabers, Jr., Esq.
John P. North, Jr., C.P.A.
Ann F. Putallaz, Ph.D.

FF

William H. Woodhams, M.D.
Wilfred W. Yeargan, M.D.

POSITION 
Chairman, ProAssurancee
Chief Executive Officer, ProAssurance
President, ProAssurancee
Chairman, Cain Manufacturing Company, Inc.
Senior Advisor, ProAssurance
Retired Physician
Practicing Physician & Assistantt
Professor of Internal Medicine
Chairman, Ligon Industries
Attorneyy
Retired Accounting Firm Partnerr
Director of Data and Communication Services
Munder Capital Management
Practicing Physician
Practicing Physician

I N DE PE N DE NCE 

            M
            M
            M
            I
            M
            I
 I

            I
            I
            I
            I

            I
            I

COM M ITTE E(S)
1C
1
1
2,3,4
1
1
3

3, 4C

2C
2

4
3

M = Management,

Non-Independentt

I = Independentt

1 = Executive Committee
2 = Audit Committee
3 = Compensation Committee
4 = Nominating and Corporate 
     Governance Committee
C = Chairman

S E N I O R   O F F I C E R S

Jeffrey L. Bowlby, A.R.M.
Howard H. Friedman, A.C.A.S., M.A.A.A.      Co-President & Chief Underwriting Officer, Professional Liability Group

 Chief Marketing Officer & Senior Vice-President, Professional Liability Group

Jeffrey P. Lisenby, Esq., C.P.C.U.
James J. Morello, C.P.A.

Frank B. O’Neil
Edward L. Rand, Jr., C.P.A.
RR
Darryl K. Thomas, Esq.

     Senior Vice-President, ProAssurance

Corporate Secretary, General Counsel & Senior Vice-President, ProAssurance
  Chief Accounting Officer & Treasurer
  Senior Vice-President, ProAssurance

     Communications Officer & Senior Vice-President, ProAssurance
 Chief Financial Officer & Senior Vice-President, ProAssurance
   Co-President & Chief Claims Officer, Professional Liability Group
     Senior Vice-President, ProAssurance

Hayes V. Whiteside, M.D.

Chief Medical Officer & Senior Vice-President, Professional Liability Group

STOCK PRICE PE RFORMANCE
You may use the following information to compare 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 of our stock during the five years ended December 31, 2007,
as well as the cumulative total stockholder return of overall stock market index (the Russell 2000) and a peer group index (the S
Casualty Insurance Index) for the five years ended December 31, 2007. All cumulative return data assumes the reinvestment of dividends.

NL Property &

RR

TOTAL RETU RN PE RFORMANCE

ProAssurance Corporation
ProAssurance Corporation
Russell 2000  
Russell 2000 
SNL Property & Casualty Insurance Index 
SNL Property & Casualty Insurance Index 

300

250

200

150

100

50

12/31/02   

12/31/03  

12/31/04  

12/31/05

12/31/06 

12/31/07   

PE RIOD E N DI NG        

I N DEX   
ProAssurance Corporation    

Russell 2000   

SNL Property & Casualty  

     Insurance Index 

12/31/02

12/31/03

12/31/04

12/31/05

12/31/06

12/31/07

100.00

100.00

100.00

153.10

147.25

123.73

186.24

174.24

135.62

231.62

182.18

148.25

237.71

215.64

172.81

261.52

212.26

186.59

 
 
 
 
 
  
 
 
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, 2007, 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: 

Title of Each Class 
Common Stock, par value $0.01 per share 

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,  a  non-
accelerated  filer,  or  a  smaller  reporting  company.  See  the  definitions  of  “large  accelerated  filer," 
"accelerated filer” and "smaller reporting company" in Rule 12b-2 of the Exchange Act. (Check one): 

Large accelerated filer   X      Accelerated filer   

   Non-accelerated filer          Smaller reporting company        

(Do not check if a smaller reporting company) 

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, 2007 was 
$1,692,091,431. 

As of February 15, 2008, the registrant had outstanding approximately 32,203,785 shares of its common 
stock. 

Exhibit Index at page 113 
Page 1 of 117 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) 

The  definitive  proxy  statement  for  the  2008  Annual  Meeting  of  the  Stockholders  of  ProAssurance 
Corporation (File No. 001-16533) is incorporated by reference into Part III of this report. 

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

The  ProAssurance  Corporation  Registration  Statement  on  Form  S-4  (File  No.  333-49378)  is 
incorporated by reference into Party 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 ProAssurance Corporation Annual Report on the Form 10-K for the year ended December 31, 
2002 (File No. 001-16533) is incorporated by reference in 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  ProAssurance  Corporation  Registration  Statement  of  Form  S-4  (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  November  4. 
2005 (File No. 001-16533) is incorporated by reference into Part IV of this report 

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

The ProAssurance Corporation Current Report on Form 8-K for event occurring on May 12, 2007 
(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 November 5, 2007 
(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",  "potential",  "project",  "should",  "will"  and  other  analogous 
expressions.  There  are  numerous  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 actions, legislative actions, payment or performance of obligations under indebtedness, payment of 
dividends, and other matters. 

3

 
 
 
 
 
 
These forward-looking statements are subject to significant risks, assumptions and uncertainties, 

including, among other things, the following factors that could affect the actual outcome of future events: 

–  general economic conditions, either nationally or in our market area, that are worse than 

– 

anticipated; 
regulatory, legislative and judicial actions or decisions that adversely affect our business 
plans or operations;  
– 
inflation, particularly in loss costs trends; 
–  changes in the interest rate environment; 
–  performance of financial markets affecting the fair value of our investments or making it 

difficult to determine the value of our investments; 

–  changes  in  laws  or  government  regulations  affecting  medical  professional  liability 

insurance; 

the effects of changes in the health care delivery system; 

–  changes to our ratings assigned by rating agencies; 
– 
–  uncertainties inherent in the estimate of loss and loss adjustment expense reserves and 
the  availability,  cost,  quality,  or  collectibility  of 

reinsurance,  and  changes 
insurance/reinsurance; 
the  results  of  litigation,  including  pre-or-post-trial  motions,  trials  and/or  appeals  we 
undertake; 

in 

– 

–  bad  faith  litigation  which  may  arise  from  our  handling  of  any  particular  claim,  including 

failure to settle; 

–  changes  in  competition  among  insurance  providers  and  related  pricing  weaknesses  in 

our markets; 
loss of independent agents; 

– 
–  our ability to purchase reinsurance and collect payments from our reinsurers; 
– 
–  our  ability  to  achieve  continued  growth  through  expansion  into  other  states  or  through 

increases in guaranty fund assessments; 

– 

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;  

–  changes in our organization, compensation and benefit plans; and 
–  our ability to retain and recruit senior management. 

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 "Item  1A,  Risk 
Factors" in this report and other documents we file 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. 

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 regulations pertaining to its operations. (See: Non-
admitted company) 

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. 

Agent: An individual or firm that represents an insurer under a contractual or employment agreement for 
the purpose of selling 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  favor  only one  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) 

Alternative markets: Mechanisms used to fund self-insurance. This includes captives, which are insurers 
owned  by  one  or  more  insureds  to  provide  owners  with  coverage.  Risk-retention  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,  in  this  case  by  an  insurance  company,  including 
stocks, bonds, and real estate. Because insurance accounting is concerned with solvency and the ability 
to  pay  claims,  insurance  regulators  require  a  conservative  valuation  of  assets,  prohibiting  insurance 
companies  from  listing  assets  on  their  balance  sheets  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 liquidation or 
borrowed against, and 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, insurance. 
Brokers  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) 

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 already paid. 
(See: Case Reserves) 

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

Capital: Stockholders’ equity (GAAP) and policyholders’ surplus (SAP). Capital adequacy is linked to the 
riskiness of an insurer’s business. (See: Risk-Based Capital, Surplus, Solvency) 

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

5

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

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.  It  limits  a  liability  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. 

Combined ratio: The sum of the underwriting expense ratio and net loss ratio, determined in accordance 
with either SAP or GAAP. 

Commission:  Fee  paid  to an  agent  or  insurance  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 insurance policies requiring the insurer 
to receive authority from an insured before settling a claim. 

Damages; economic, non-economic and punitive: Monies awarded to a plaintiff or claimant. Economic 
damages are intended to compensate a plaintiff or claimant for quantifiable past and future losses, such 
as  lost  wages  and/or  medical  costs.  Non-economic  damages  are  those  awarded  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 for perceived outrageous conduct. 

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  isn’t  generally 
available  from  insurers  licensed  in  the  state  (See:  Admitted  company)  and  must  be  purchased  from  a 
“non-admitted  company”.  Examples  include  risks  of  an  unusual  nature  that  require  greater  flexibility  in 
policy  terms  and  conditions  than  exist  in  standard  forms  or  where  the  highest  rates  allowed  by  state 
regulators are considered inadequate by admitted companies. Laws governing surplus lines vary by state. 

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  in  medical  liability 
policies.) 

Facultative  reinsurance:  A  generic  term  describing  reinsurance  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. 

Financial  Accounting  Standards  Board  (FASB):  An  independent  board  that  establishes  and 
communicates standards of financial reporting and reporting in the United States. 

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

6

 
 
 
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 location. 

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. 

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  insurer  or  reinsurer.  Insurance  companies 
regularly adjust reserves for such losses as new information becomes available. 

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.  Insurers  have  two  sources  of 
income, underwriting (premiums less claims and expenses) and investment income. 

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

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  until  losses  are  paid,  thus 
producing a higher level of 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) 

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

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

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

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  from  the  standard  of  care  or  other  misconduct  in  rendering 
professional service. 

7

 
 
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 losses: Incurred losses and loss adjustment expenses for the period, net of anticipated reinsurance 
recoveries for the period. 

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

Net  paid  losses:  Paid  losses  and  loss  adjustment  expenses  for  the  period,  net  of  related  reinsurance 
recoveries.  

Net premium earned: The portion of net 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  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, less the ratio of investment income (exclusive 
of realized gains and losses) to net earned premiums, if determined in accordance with GAAP. While the 
combined  ratio  strictly  measures  underwriting  profitability,  the  operating  ratio  incorporates  the  effect  of 
investment income. 

Paid loss ratio: The ratio of net paid losses to net premiums earned. (See Loss ratio) 

Paid to incurred ratio: The ratio of net paid losses to net 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.” 

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

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

8

 
 
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  include  company  earnings,  capital  adequacy,  operating 
leverage, liquidity, investment performance, reinsurance programs, and management ability, integrity and 
experience. A high financial rating is not the same as a high consumer satisfaction rating. 

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  the  reinsurer.  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. 

Retroactive date: Applicable only to claims-made policies. Claims that have occurred and have not been 
reported  prior  to  this  date  are  excluded  from  coverage.  The  retroactive  date  is  generally  the  date 
coverage  was  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) 

Return  on  equity:  Net  Income  (or  if  applicable,  Income  from  Continuing  Operations)  divided  by  the 
average of beginning and ending 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. 

Risk-Based  Capital  (RBC):  A  regulatory  measure  of  the  amount  of  capital  required  for  an  insurance 
company,  based  upon  the  volume  and  inherent  riskiness  of  the  insurance  sold,  the  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) 

Risk  management:  Management  of  the  varied  risks  to  which  a  business  firm  or  association  might  be 
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. 

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

9

 
 
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  acting  under  the  same  or 
similar circumstances. 

Statement  of  Financial  Accounting  Standards  (SFAS):  A  formal  document  issued  by  the  Financial 
Accounting  Standards  Board  (FASB),  which  details  accounting  standards  and  guidance  on  selected 
accounting policies set out by the FASB. 

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  anticipated 
insurance obligations by 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) 

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

Tail:  The  period  of  time  that  elapses  between  the  occurrence  of  the  loss  event  and  the  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. 

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

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. 

10

 
 
 
 
Business Overview 

We  operate  in  a  single  business  segment  principally  in  the  Mid-Atlantic,  Midwest  and  Southern 
United  States.  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 55% of our gross premiums written for the year ended December 
31, 2007. The following table shows our gross premiums written in these states for each of the periods 
indicated. 

Gross Written Premiums–Years Ended December 31 
($ in thousands) 
2006(2)

2005(2)

2007 

Alabama 
 $  95,641 
Ohio 
89,607 
Florida 
41,291 
Michigan 
41,092 
Wisconsin(1)  
40,680 
All other states 
  240,763 
Total 
 $ 549,074 
(1) Not a top five state in 2006 and 2005 
(2) Indiana was included in the top five states in 2006 and 2005 (gross premiums written of $40,335 and $41,129, respectively) 

 $ 102,998 
  106,267 
53,469 
43,757 
10,702 
  261,790 
 $ 578,983 

 $ 111,462 
  131,102 
61,341 
46,741 
52 
  222,262 
 $ 572,960 

18% 
18% 
9% 
8% 
2% 
45% 
100% 

19% 
23% 
11% 
8% 
– 
39% 
100% 

17% 
16% 
8% 
7% 
7% 
45% 
100% 

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

We maintain 15 local claims and/or underwriting offices to ensure that we have a local presence 
in  the  markets  we  serve.  We  believe  this  emphasis  on  local  knowledge  allows  us  to  maintain  active 
relationships with our customers and be more responsive to their needs. 

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. 

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 charging rates we believe to be adequate, we seek to maintain the strong 
financial position that allows us to protect our customers in the long-term. 

Corporate Organization and History 

We  were  incorporated  in  Delaware  in  June  2001.  Our  core  operating  subsidiaries  are  The 
Medical Assurance Company, Inc., ProNational Insurance Company, NCRIC, 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. 

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. 

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. 

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Professionals  Group,  Inc.  which  was  combined  with  Medical  Assurance  to  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 Insurance Company, 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. 

Recent Developments 

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  an  outstanding  term  loan. We  used  the 
balance of the net proceeds from the sale of the Convertible Debentures for general corporate purposes, 
including  contributions  to  the  capital  of  our  insurance  subsidiaries  to  support  the  growth  in  insurance 
operations. 

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. We used the balance of the net proceeds 
from  the  sale  of  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 to the 
Consolidated  Financial  Statements  for  more  information  regarding  the  Convertible  Debentures  and  the 
trust preferred securities. 

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  are  available  to  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 to the Consolidated Financial Statements. 

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  provides  medical  professional  liability  insurance  in  the  District  of  Columbia,  Delaware,  Maryland, 
Virginia and West Virginia. 

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.  

These acquisitions strategically expanded our geographic footprint and were 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  to  the  Consolidated  Financial  Statements 
included herein. 

Effective  July  1,  2007  A.  Derrill  Crowe,  M.D.  retired  as  Chief  Executive  Officer  (CEO),  and 
remains as non-executive Chairman of our Board. The Board of Directors elected W. Stancil Starnes to 
succeed  Dr.  Crowe  as  CEO.  Mr.  Starnes  formerly  served  as  President,  Corporate  Planning  and 
Administration,  of  Brasfield  &  Gorrie,  LLC,  a  large  commercial construction  firm.  Prior  to  October  2006, 
Mr. Starnes served as the Senior and Managing Partner of Starnes & Atchison, LLP, Attorneys at Law, 
and  was  extensively  involved  with  ProAssurance  and  its  predecessor  companies  in  the  defense  of  its 
medical liability claims.  

In April 2007 our Board of Directors authorized $150 million to be used for the repurchase of our 
common  stock  and  debt  securities.  On  December  4,  2007  we  redeemed  in  cash  the  outstanding 
debentures of NCRIC using $15.5 million of our outstanding authorization. These securities became our 
obligation  when  we  acquired  NCRIC.  As  of  January  31,  2008  we  have  also  used  $67.1  million  of  that 
authorization to repurchase 1.2 million shares of our stock.  

12

 
 
 
 
 
 
 
 
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 large 
physician groups as well as hospitals. While most of our business is written in the standard market, we 
also  offer  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.  For  the  year 
ended  December  31,  2007,  we  estimate  that  approximately  69%  of  our  gross  premiums  written  were 
produced  through  independent  insurance  agencies.  These  local  agencies  usually  have  producers  who 
specialize  in  professional  liability  insurance  and  who  we  believe  are  able  to  convey  the  factors  that 
differentiate  our  professional  liability  insurance  products.  No  single  agent  or  agency  accounts  for  more 
than 10% of our total direct premiums written. 

Our  marketing  is  primarily  directed  to  individual  physicians,  and  those  in  smaller  groups.  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 decisions are more focused on price. 
Our marketing emphasizes: 

–  excellent claims service, 
– 

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. 

These  communications  and  services  demonstrate  our  understanding  of  the  insurance  needs  of 
the healthcare industry and promote a commonality of interest among us and our insureds. 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. 

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,  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  focuses  on  knowledge  of  local  market  conditions  and  legal  environments 
through our six regional underwriting offices located in Alabama, Indiana, Missouri, Michigan, the District 
of Columbia, and Wisconsin. 

Our  underwriters  work  with  our  field  marketing  force  to  identify  business  that  meets  our 
established  underwriting  standards  and  to  develop  specific  strategies  to  write  the  desired  business.  In

13

 
 
 
 
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 operate 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 
issues. 

Claims Management 

We  have  15  claims  offices  located  in  Alabama  (2),  Delaware,  Florida  (2),  Illinois,  Indiana, 
Kentucky, Michigan, Missouri, Ohio (2), Virginia, the District of Columbia, and Wisconsin so that we can 
provide localized and timely attention to claims. We offer our insureds a strong defense of claims that we 
believe are non-meritorious or those we believe cannot be settled by reasonable, good faith negotiations. 
Many  of  these  claims  are  resolved  by  jury  verdict,  and  we  engage  experienced  trial  attorneys  in  each 
venue to handle the litigation in defense of our policyholders. 

Our  claims  department  promptly  and  thoroughly  investigates  the  circumstances  surrounding  a 
reported claim against an insured. As we investigate, our claims department establishes the appropriate 
case  reserves  for  each  claim.  Thereafter,  we  monitor  development  of  new  information  about  the  claim 
and adjust the case reserve as appropriate. 

Through  our  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 carefully manages the case, including selecting 
defense  attorneys  who  specialize  in  professional  liability  defense  and  obtaining  medical,  legal  and/or 
other expert professionals 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  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.  We  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 we monitor and evaluate. The asset 
managers  typically  have  the  authority  to  make  investment  decisions  within  the  asset  class  they  are 
responsible for managing, subject to our investment policy and oversight. See Note 4 to the Consolidated 
Financial Statements for more detail on our investments. 

Rating Agencies  

Our  claims-paying  ability  and  financial  strength  are  regularly  evaluated  and  rated  by  two  major 
rating agencies, A. M. Best and Fitch. In developing their claims-paying ratings, these agencies evaluate 
an  insurer’s  ability  to  meet  its  obligations  to  policyholders.  While  these  ratings  may  be  of  interest  to 
shareholders, these are not ratings of securities nor a recommendation to buy, hold or sell any security. 

14

 
 
 
 
 
 
The following table presents the ratings of our group and our core subsidiaries as of February 28, 

2008: 

Company / Rating 

Rating Agency 

ProAssurance 
Group 

Medical 
Assurance 

NCRIC 

PIC 
Wisconsin 

ProNational 

Red 
Mountain 
Casualty 

Woodbrook 
Casualty 

Fitch 
(www.fitchratings.com) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

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

A- 
(Excellent) 

A- 
(Excellent) 

B++ 
(Good) 

A- 
(Excellent) 

A- 
(Excellent) 

A- 
(Excellent) 

B 
(Fair) 

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  a  number  of  factors  including  pricing,  size,  name  recognition,  service 
quality,  market  commitment,  market  conditions,  breadth  and  flexibility  of  coverage,  method  of  sale, 
financial  stability,  ratings  assigned  by  rating  agencies  and  regulatory  conditions.  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  believe  that  we  have  a  competitive  advantage  due  to  our  financial  stability,  local  market 
presence,  service  quality,  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 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  2006  Direct  Written  Premiums  (latest 
NAIC data available) in our business footprint.  

Competitors 
Medical Protective (Berkshire Hathaway) 

ISMIE Mutual Group 

MAG Mutual Group 

State Volunteer Mutual Ins Co. 

Health Care Indemnity Inc. 

Improvements  in  loss  cost  trends  have  allowed  us  to  reduce  rates  in  certain  markets  and  offer 
targeted new business and renewal retention programs in selected markets. While both actions improve 
policyholder  retention,  they  decrease  our  average  premiums.  While  we  reflect  loss  cost  trends  in  our 
pricing, we have chosen not to aggressively compete on price alone, and we have not compromised our 
commitment to strict underwriting. 

In  spite  of  these  reductions  we  have  lost  some  insureds  due  to  aggressive  price-based 
competition which we face in virtually all of our markets. This competition comes mostly from established 
insurers that are willing to write coverage at rates that we believe do not meet our long-term profitability 

15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
goals. We believe many competitors are also employing less-stringent underwriting standards than they 
have in the past and they appear to be offering more liberal coverage options. 

We have also lost insureds as some physicians and hospitals have entered into alternative risk 
transfer mechanisms. Historically, these alternatives have been less attractive when prices soften in the 
traditional insurance markets.  

If competitors become less disciplined in their pricing, or more permissive in their coverage terms, 
we  would  expect  to  lose  additional  business  because  our  ongoing  commitment  to  adequate  rates  and 
strong  underwriting  standards  affects  our  willingness  to  write  new  business  and  to  renew  existing 
business  in  the  face  of  this  price-based  competition.  The  combined  effects  of  lower  rates  and  the 
challenges  of  writing  new  business  are  expected  to  cause  our  gross  written  premiums  to  continue  to 
decline in 2008. 

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.  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 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 

16

 
 
 
 
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  Principles  (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 

Our operating subsidiaries are subject to various state statutory and regulatory restrictions which 
limit the amount of dividends or distributions an insurance company may pay to its shareholders 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  District  of  Columbia  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: 

(cid:120)  net income less capital gains; or 
(cid:120)  10% surplus at the prior calendar year end. 

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

exceeds the lesser of: 

(cid:120)  10%  of  a  company’s  capital  and  surplus  as  of  December  31  of  the  preceding 

year; or 
the greater of: 

(cid:120) 

(cid:120)  Statutory net income for the preceding calendar year, minus realized 

capital gains for that calendar year; or 

(cid:120)  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. 

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. 

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, 2007, all of ProAssurance’s insurance subsidiaries exceeded the 
minimum RBC levels. 

17

 
 
 
 
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. 
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.  

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. 

Changes in Legislation and Regulation 

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. 

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 or court 
selection.  A  number  of  states  in  which  we  do  business  have  enacted,  or  are  considering,  tort  reform 
legislation. 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. 

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.  

In  addition,  the  enactment  of  tort  reforms  could  be  accompanied  by  legislation  or  regulatory 
actions that may be detrimental to our business because of expected benefits which may or may not be 
realized.  These  expectations  could  result  in  regulatory  or  legislative  action  limiting  the  ability  of 
professional liability insurers to raise or maintain rates at adequate levels. Coverage mandates or other 
expanded  insurance  requirements  could  also  be  imposed.  States  may  also  consider  state  sponsored 
malpractice insurance entities that could remove some physicians from the private insurance market. 

18

 
 
 
 
 
 
 
 
We  continue  to  monitor  developments  on  a  state-by-state  basis,  and  make  business  decisions 
accordingly. 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.  In  many  of  these  states  there  are  active  challenges  to  tort  reform  and  historically,  many  tort 
reform laws have been invalidated in the appeals process. 

(cid:120) 

In  2007  a  Circuit  Court  in  Illinois  struck  down  that  state’s  tort  reforms.  We 
anticipate that a final ruling on the constitutionality of the tort reform package will 
be made by Illinois’ Supreme Court sometime in the next 18 months. 

(cid:120)  A  Circuit  Court  in  Oklahoma  struck  down  that  state’s  tort  reforms  in  January 
2008.  That  ruling  will  be  appealed  and  we  expect  a  ruling  from  that  state’s 
Supreme Court within 18 months. 

(cid:120)  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. 

We believe there will be continuing court challenges in all states in the coming years. 

Tort reform proposals are considered from time-to-time at the Federal level. This legislation has 
had the backing of the Bush administration and passed the House of Representatives in 2007, 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. 

Healthcare reform could alter the healthcare delivery system or reimbursement plans. This could 
have a material adverse effect on our business if it results in changes in 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,  especially  during  the  2008 
presidential  campaign.  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, when, or if any reform proposals will be adopted 
or what effect they may have on our business. 

In addition to regulatory and legislative efforts, there have been significant market driven changes 
in  the  healthcare  environment  that  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  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. 

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, 2007, we had 587 employees, none of whom are represented by a labor union. 

We consider our employee relations to be good. 

19

 
 
 
 
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, 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. 

Due to the size of our reserve for loss and loss adjustment expenses, even a small percentage 
adjustment  to  the  assumptions  we  make  in  establishing  our  reserve  can  have  a  material  effect  on  our 
results of operations for the period in which the change is made. 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;  
– 
–  changes in the regulatory and litigation environments. 

inflation; and  

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  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. Due to uncertainties inherent in the jury system, the risk of incurring a loss that could have a 
material  adverse  affect  on  reserves  increases  as  the  number  of  cases  being  litigated  to  a  jury  verdict 
increases. 

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 and 
Fitch. 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

20

 
 
 
 
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, 

2008: 

Company / Rating 

Rating Agency 

ProAssurance 
Group 

Medical 
Assurance 

NCRIC 

PIC 
Wisconsin 

ProNational 

Red 
Mountain 
Casualty 

Woodbrook 
Casualty 

Fitch 
(www.fitchratings.com) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

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

A- 
(Excellent) 

A- 
(Excellent) 

B++ 
(Good) 

A- 
(Excellent) 

A- 
(Excellent) 

A- 
(Excellent) 

B 
(Fair) 

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  mechanisms  (such  as  captive  insurers  and  risk  retention  groups) 
whose  activities  are  directed  to  limited  markets  in  which  they  have  extensive  knowledge.  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,  financial  strength  and  the 
experience of the insurance company in the line of insurance to be 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. 
Our  policy  is  to  charge  adequate  premiums  on  risks  that  meet  our  underwriting  standards.  We  have 
lowered our rates where warranted by loss cost improvements, however, some competitors may, or are 
currently  offering,  rates  that  are  lower  than  we  consider  to  be  justified.  Increased  competition  in  our 
markets  makes  it  difficult  for  us  to  develop  new  business  and  may  reduce  our  retention  of  current 
business,  although  our  retention  has  not  eroded  significantly  in  the  past  year.  Our  competitors  may 
become  even  less  disciplined  in  their  pricing,  or  more  permissive  in  their  terms.  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 have an adverse effect on 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  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 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,  2007  were  $3.6  billion,  of  which  $3.2  billion 

21

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
was invested in fixed maturities. Unrealized pre-tax net investment gains on investments in available-for-
sale fixed maturities were approximately $18.4 million at December 31, 2007. 

At  December  31,  2007,  we  held  equity  investments  having  a  fair  value  of  $7.6  million  in  an 
available-for-sale  portfolio  and  held  additional  equity  securities  having  a  fair  value  of  $14.2  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 current period net income. Any changes in the fair values of trading securities, 
whether unrealized/realized gains or losses, will be included in current period net income. 

Our investments are subject to prepayment and credit risk.  

Our  portfolio  holds  mortgage  backed  securities  which  are  subject  to  prepayment  risk.  A 
prepayment  is  the  unscheduled  return  of  principal.  As  rates  decline,  and  the  opportunity  for  mortgage 
refinancing  increases,  the length of  time  we  hold  our  mortgage backed  securities may  decrease  due  to 
prepayments.  Prepayments  may  cause  us  to  reinvest  cash  flows  at  lower  yields  than  currently 
recognized. Conversely, as rates increase, and mortgage refinancing opportunities lessen, the length of 
time we hold our mortgage backed securities may increase, causing us to not reinvest cash flows at then 
higher available yields. 

Our  portfolio  holds  asset  backed  securities  which  consist  of  securitizations  of  underlying  loans 
collateralized  by  homes,  autos,  credit  card  receivables,  commercial  properties,  hotels,  and  multi-family 
housing. In addition to interest rate fluctuations, asset backed security values are subject to the existence 
of  US  Government  or  Government-Sponsored  Enterprise  guarantees,  the  value  and  cash  flows  of  the 
underlying  collateral,  and  the  security’s  seniority  in  the  securitization’s  capital  structure.  Approximately 
29% of our fixed maturities are asset backed securities, all of which are investment grade, (97% AAA, 2% 
AA, 1% A) as determined by Nationally Recognized Statistical Rating Organizations (NRSROs) (Moody’s, 
Standard & Poor’s and Fitch). Ratings published by the NRSROs are one of the tools used to evaluate 
the credit worthiness of our securities. The ratings are subject to error by the agencies, therefore, we may 
be subject to additional credit exposure should the rating be misstated. 

We have direct exposure to asset backed securitizations that we classify as sub-prime. (See Item 

7 for details). We have no exposure to sub-prime loans through collateralized debt obligations (CDOs). 

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

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,  when,  or  if  any  reform  proposals  will  be  adopted  or  what  effect  they 
may have on our business. 

In addition to regulatory and legislative efforts, there have been significant market driven changes 
in  the  healthcare  environment  that  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  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 

22

 
 
 
 
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 17. 

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 possible whenever a case is taken 
to  trial,  and  they  have  been  more  common  in  recent  years.  Historically,  we  have  been  successful  in 
resolving  actions  alleging  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 or court 
selection.  A  number  of  states  in  which  we  do  business  have  enacted,  or  are  considering,  tort  reform 
legislation. 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. 

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. 

In  addition,  the  enactment  of  tort  reforms  could  be  accompanied  by  legislation  or  regulatory

23

 
 
 
 
actions that may be detrimental to our business because of expected benefits which may or may not be 
realized.  These  expectations  could  result  in  regulatory  or  legislative  action  limiting  the  ability  of 
professional liability insurers to raise or maintain rates at adequate levels. Coverage mandates or other 
expanded  insurance  requirements  could  also  be  imposed.  States  may  also  consider  state  sponsored 
malpractice insurance entities that could remove some physicians from the private insurance market. 

We  continue  to  monitor  developments  on  a  state-by-state  basis,  and  make  business  decisions 

accordingly. 

 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, 2007 our 
reinsurance  recoverable  on  unpaid  losses  is  $327  million  and  our  receivable  from  reinsurers  on  paid 
losses, which is classified as a part of Other Assets, is $40 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% 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. 

24

 
 
 
 
Net property and casualty guaranty fund assessments incurred by us totaled $553,000 and $2.6 
million  for  2007  and  2006,  respectively.  Our  policy  is  to  accrue  for  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.  Mr.  Starnes,  our  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. 

ITEM 1B. UNRESOLVED STAFF COMMENTS. 

None. 

25

 
 
 
 
 
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 the Consolidated 
Financial Statements included herein. 

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

Not applicable. 

26

 
 
 
 
 
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  19  years.  Following  is  a  brief  description  of  each 
executive  officer  of  ProAssurance,  including  their  principal  occupation  and  employment  during  the  last 
five years. 

W. Stancil Starnes 

Victor T. Adamo 

Howard H. Friedman 

Jeffrey P. Lisenby 

James J. Morello 

Mr.  Starnes  was  appointed  as  Chief  Executive  Officer  of  ProAssurance 
effective  July  2,  2007.  Mr.  Starnes  served  as  President,  Corporate 
Planning  and  Administration,  of  Brasfield  &  Gorrie,  LLC,  a  large 
commercial construction firm from October, 2006 to May, 2007. Prior to 
October 2006, Mr. Starnes served as the Senior and Managing Partner 
of  Starnes  &  Atchison,  LLP,  Attorneys  at  Law,  and  was  extensively 
involved  with  ProAssurance  and  its  predecessor  companies  in  the 
defense of its medical liability claims. (Age 59) 

Mr. Adamo has been the President 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.  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 49) 

joined  Medical  Assurance, 

Mr.  Lisenby  was  appointed  as  a  Senior  Vice  President  in  December 
2007 and has served as our Corporate Secretary since January 1, 2006. 
Mr.  Lisenby 
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 39)  

the  predecessor 

Mr. Morello was appointed as a 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  the  Chief 
Financial  Officer  of  Medical  Assurance  Company,  Inc.  since  1984.  Mr. 
Morello is a Certified Public Accountant. We announced on December 5, 
2007  that  Mr.  Morello  had  informed  us  of  his  plans  to  resign  from  his 
executive position on June 30, 2008. (Age 59) 

27

 
 
 
 
Frank B. O’Neil 

Edward L. Rand, Jr. 

Darryl K. Thomas 

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 54) 

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. Mr. Rand is a Certified Public Accountant. 
(Age 41) 

Mr.  Thomas  is  a  Co-President  of  our  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 50) 

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. 

28

 
 
 
 
PART II 

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

MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES 

At  February  15,  2008,  ProAssurance  Corporation  (PRA)  had  3,903  stockholders  of  record  and 
32,203,785 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 

2007 

2006 

  High 
 $  52.83 
    57.30 
    56.17 
    57.19 

  Low 
 $  48.67 
    51.00 
    48.69 
    50.46 

  High 
 $  53.08 
    51.22 
    51.69 
    52.11 

Low 
 $  48.95 
    45.96 
    46.18 
    47.84 

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 17 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, 2007. 

Plan Category 

Equity compensation 
  plans approved  
  by security holders 

Equity compensation 
  plans not approved 
  by security holders 

Number of securities to be 
issued 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) 

973,155 

$ 40.55 

1,452,304 

– 

– 

– 

Issuer Purchases of Equity Securities 

The  following  table  provides  information  regarding  ProAssurance's shares purchased as  part  of 

publicly announced plans or programs.  

Period 

October 1-31, 2007 
November 1-30, 2007 
December 1-31, 2007 
Total 

Total  Number 
of Shares 
Purchased 

– 
121,116 
120,900 
242,016 

Average 
Price Paid 
per Share 
– 
$ 
$ 52.93 
$ 53.98 
$ 53.45 

(1) Shown net of authorizations used for repurchase of debt. 

Total Number of Shares 
Purchased as Part of 
Publicly Announced Plans 
or Programs 

– 
121,116 
120,900 
242,016 

Approximate Dollar Value of 
Shares that May Yet Be Purchased 
Under the Plans or Programs(1)
$  108,735,790 
$  102,325,239 
$  80,335,500 

29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 6.  SELECTED FINANCIAL DATA 

Selected Financial Data (1)
Gross premiums written (2)
Net premiums written (2)

Premiums earned (2)
Premiums ceded (2)
Net premiums earned (2)
Net investment income (2)
Equity in earnings (loss) of unconsolidated 
  subsidiaries (2)
Net realized investment gains (losses) (2)
Other income (2)

Total revenues (2)

Net losses and loss adjustment expenses (2)
Income (loss) from continuing operations  

Net income  

Income (loss) from continuing operations  
  per share: 

Basic 
Diluted 

Net income per share: 

Basic 
Diluted 

Weighted average shares outstanding: 

Basic 
Diluted 

Balance Sheet Data (as of December 31) 
Total investments (2)
Total assets from continuing operations 

Year Ended December 31 

2007 

2006 

2005 

2004 

2003 

(In thousands except per share data) 

  $  549,074 

  $  578,983 

  $  572,960 

  $  573,592 

  $  543,323 

  506,397 

  543,376 

  521,343 

  535,028 

  497,659 

  585,310 

  627,166 

  596,557 

  555,524 

  509,260 

(51,797) 

(44,099) 

(53,316) 

(35,627) 

(49,389) 

  533,513 

  583,067 

  543,241 

  519,897 

  459,871 

  171,308 

  147,450 

98,293 

76,627 

64,232 

1,630

(5,939) 

5,556 

2,339 

(1,199) 

5,941 

900 

912 

4,604 

1,042 

7,572 

2,419 

300 

5,858 

5,580 

  706,068 

  737,598 

  647,950 

  607,557 

  535,841 

  350,997 

  443,329 

  438,201 

  460,437 

  439,368 

  168,186 

  126,984 

80,026 

  168,186 

  236,425 

  113,457 

43,043 

72,811 

15,345 

38,703 

  $ 
  $ 

  $ 
  $ 

5.10 
4.78 

5.10 
4.78 

  $ 
  $ 

  $ 
  $ 

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 

32,960 
35,823 

32,044 
34,925 

30,049 
32,908 

29,164 
31,984 

28,956 
30,389 

  $3,629,607 

  $3,492,098 

  $2,614,319 

  $2,145,609 

  $ 1,792,323 

  4,439,836 

  4,342,853 

  3,341,600 

  2,743,295 

  2,448,088 

Total assets 

  4,439,836 

  4,342,853 

  3,909,379 

  3,239,198 

  2,879,352 

Reserve for losses and loss  
  adjustment expenses (2)
Long-term debt (2)
Total liabilities from continuing operations 

  2,559,707 

  2,607,148 

  2,224,436 

  1,818,636 

  1,634,749 

  164,158 

  179,177 

  167,240 

  151,480 

104,789 

  3,184,766 

  3,224,306 

  2,806,820 

  2,333,405 

  2,074,560 

Total capital 

  1,255,070 

  1,118,547 

  765,046 

  611,019 

546,305 

Total capital per share of common  
  stock outstanding  

  $ 

38.69 

  $ 

33.61 

  $ 

24.59 

  $ 

20.92 

  $ 

18.77 

Common stock outstanding at end of year  
(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)  Excludes discontinued operations. 

29,204 

31,109 

32,443 

33,276 

29,105 

30

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 7. 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  to  those  statements  which  accompany  this  report.  Throughout  the  discussion, 
references to ProAssurance, "we," "us" and "our" refers to ProAssurance Corporation and its consolidated 
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. 

Critical Accounting Estimates

Our  Consolidated  Financial  Statements  are  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 we report on those statements. 
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;  reported  results  of  operations  may  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.  Ultimate  loss  costs, 
even for claims with similar characteristics, 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 claimant's family, 
the  outcome of  jury  trials, the  legislative  and  judicial  climate where  the  insured  event  occurred,  general 
economic conditions and the trend of health care costs. Medical professional 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  losses  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, during each reporting period we update and review the data underlying 
the estimation of our reserve for losses and make adjustments that we believe best reflect emerging data. 
Any  adjustments  are  reflected  in  the  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. 

31

 
 
 
External actuaries review our reserve for losses at least semi-annually. We consider 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 our 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,  we  establish  the  initial  loss 
estimates  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. 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: 

–  Bornhuetter-Ferguson method 
–  Paid development method 
–  Reported development 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  time  progresses  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  for  our 
reserve review. 

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

In  performing  these  analyses  we  partition  our  business  by  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. 

32

 
 
 
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 
distributions are as follows: 

80% Confidence Level 
60% Confidence Level 

Low End Point 
  $1.672 billion 
  $1.831 billion 

Carried Reserve High End Point 
  $ 2.233 billion 
  $ 2.233 billion 

  $2.862 billion 
  $2.574 billion 

The  claims  environment  in  which  we  and  others  in  our  industry  operate  is  inherently  uncertain. 
The development of a statistical distribution models the uncertainty as well as the limited predictive power 
of past loss data.  The distributions 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 is 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 

We use insurance and reinsurance (collectively, "reinsurance") to provide capacity to write larger 
limits of liability, to provide protection against losses in excess of policy limits, 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 for certain losses we pay. 

We  evaluate  each  of  our  ceded  reinsurance  contracts  at  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, 2007 all ceded contracts are accounted for as risk transferring contracts. 

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  under  our  insurance  and 
reinsurance  programs.  We  base  our  estimate  of  funds  recoverable  upon  our  expectation  of  ultimate 
losses  and  the  portion  of  those  losses  that  we  estimate  to  be  allocable  to  reinsurers  based  upon  the 
terms  of  our  reinsurance  agreements.  As  losses  are  paid,  the  related  amount  expected  to  be  collected 
from reinsurers is recorded as a receivable in Other Assets. 

We  estimate  premiums  ceded  under  reinsurance  agreements  wherein  the  premium  due  to  the 
reinsurer,  subject  to  certain  maximums  and  minimums,  is  based  in  part  on  losses  reimbursed  or  to  be 
reimbursed under the agreement. Our estimates of the amounts due from and to reinsurers are regularly 
reviewed  and  updated  by  management  as  new  data  becomes  available.  Our  assessment  of  the 
collectibility  of  the  recorded  amounts  receivable  from  reinsurers  considers  the  payment  history  of  the 
reinsurer, publicly available financial and rating agency data, our interpretation of the underlying contracts 
and policies, and responses by reinsurers. Appropriate reserves are established for balances we believe 
may not be collected. 

Given the uncertainty of the ultimate amounts of our losses, our estimates of losses and related 
amounts recoverable may vary significantly from the eventual outcome. Any adjustments are reflected in 
then-current operations. Due to the size of our reinsurance balances, an adjustment to these estimates 
could have a material effect on our results of operations for the period in which the adjustment is made. 

33

 
 
 
 
Investment Valuations 

We evaluate our investments on at least a quarterly basis for declines in fair 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: 

(cid:16) 
(cid:16) 

(cid:16) 

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

(cid:16)  our ability and intent to hold the investment for a period of time sufficient to allow for any 

anticipated recovery in fair value. 

Determining whether a decline in the fair value of investments is an other-than-temporary decline 
may also involve a variety of assumptions and estimates, particularly for investments that are not actively 
traded  in  established  markets.  For  example,  assessing  the  value  of  certain  investments  requires  us  to 
perform  an  analysis  of  expected  future  cash  flows  or  prepayments.  Other  investments,  such  as 
collateralized  mortgage  or  bond  obligations,  represent  selected  tranches  of  structured  transactions 
supported overall by underlying investments in a wide variety of issuers. When we judge a decline in fair 
value below cost to be other-than-temporary we reduce the cost basis of the investment to fair value and 
recognize a loss in the current period income statement for the amount of the reduction. In subsequent 
periods, we base any measurement of gain or loss or decline in value upon the adjusted cost basis of the 
investment. Our specific accounting policies related to our invested assets are discussed in Notes 1 and 4 
to the Consolidated Financial Statements. 

Deferred Policy Acquisition Costs 

Policy acquisition costs, primarily commissions, premium taxes and underwriting salaries, which 
are  primarily  and  directly  related  to  the  acquisition  of  new  and  renewal  premiums  are  capitalized  as 
deferred policy acquisition costs 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 2007, 2006 and 2005 and concluded that the value of our 
goodwill  assets  related  to  continuing  operations  was  not  impaired.  As  of  December  31,  2007  goodwill 
totaled  approximately  $72.2  million.  We  use  market-based  valuation  models  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. 

34

 
 
 
 
ProAssurance Overview 

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

Corporate Strategy 

Our  mission  is  to  be  the  preferred  source  of  professional  liability  protection  by  providing 
unparalleled claims defense, highly responsive customer service and innovative risk management while 
maintaining  our  commitment  to  long-term  financial  strength.  According  to  A.M.  Best’s  analysis  of  2006 
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, over the long-term, 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 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  timely 
manner. 

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  overall 
investment  strategy  is  to  focus  on  maximizing  current  income  from  our  investment  portfolio  while 
maintaining  safety,  liquidity,  duration  and  portfolio  diversification.  We  engage  in  activities  that  generate 
other income; however, such activities, principally fee 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  long-term  growth  to  come  through  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  face  price-based  competition  in  virtually  all  of  our  markets,  with  some  competitors  offering 
coverage at rates that we believe do not meet our long-term profitability goals. Additionally, a number of 
physicians  and  hospitals  are  seeking  to  lower  their  costs  through  the  use  of  alternative  risk  transfer 

35

 
 
 
approaches  such  as  self  insurance  and  risk  sharing  pools,  although  these  alternatives  become  less 
attractive as prices soften in the traditional insurance markets. 

Our  on-going  commitment  to  adequate  rates  and  strong  underwriting  standards  affects  our 
willingness  to  write  new  business  and  to  renew  existing  business  in  the  face  of  this  price-based 
competition. Improvements in loss cost trends have allowed us to reduce rates in certain markets during 
2007 and to offer targeted new business and renewal retention programs in selected markets. While both 
actions  improve  policyholder  retention,  they  decrease  our  average  premiums.  The  combined  effects  of 
lower rates and the challenges of writing new business are expected to cause our gross written premiums 
to continue to decline in 2008. 

Accounting Changes

We  adopted  FASB  Interpretation  No.  48,  Accounting  for  Uncertainty  in  Income  Taxes,  an 
interpretation of FAS 109, Accounting for Income Taxes (FIN 48) as of its effective date, January 1, 2007. 
FIN  48  creates  a  single  model  to  address  accounting  for  uncertainty  in  tax  positions  and  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.  The  cumulative  effect  of  adopting  FIN  48  increased  retained  earnings  and 
reduced our tax liability by $2.7 million at January 1, 2007.  

Recent Accounting Pronouncements and Guidance

In  December  2007  the  FASB  issued  SFAS  160,  Noncontrolling  Interests  in  Consolidated 
Financial  Statements  (SFAS  160).  SFAS  160  amends  Accounting  Research  Bulletin  (ARB)  51  to 
establish  accounting  and  reporting  standards  for  the  noncontrolling  interest  in  a  subsidiary  and  for  the 
deconsolidation  of  a  subsidiary.  The  Statement  is  effective  for  fiscal  years,  and  interim  periods  within 
those fiscal years, beginning on or after December 15, 2008. Earlier adoption is prohibited. We will adopt 
the Statement on its effective date. The adoption is not expected to have a significant effect on our results 
of operations or financial position. 

In  December  2007  the  FASB  issued  SFAS  141  (Revised  December  2007)  Business 
Combinations (SFAS 141R). SFAS 141R replaces FASB Statement No. 141, Business Combinations but 
retains  the  fundamental  requirement  in  SFAS  141  that  the  acquisition  method  (referred  to  as  the 
purchase  method  in  SFAS  141)  of  accounting  be  used  for  all  business  combinations.  SFAS  141R 
provides  new  or  additional  guidance  with  respect  to  business  combinations  including:  defining  the 
acquirer  in  a  transaction,  the  valuation  of  assets  and  liabilities  when  noncontrolling  interests  exist,  the 
treatment  of  contingent  consideration,  the  treatment  of  costs  incurred  to  effect  the  acquisition,  the 
treatment  of reorganization  costs,  and  the  valuation  of  assets  and  liabilities when  the  purchase  price  is 
below the net fair value of assets acquired. SFAS 141R applies prospectively to business combinations 
for which the acquisition date is on or after the beginning of the first annual reporting period beginning on 
or  after December  15, 2008.  Earlier  adoption  is prohibited. We will  adopt  the  Statement  on  its effective 
date. 

In  February 2007,  the  FASB  issued  SFAS  No.  159,  The  Fair  Value  Option  for  Financial  Assets 
and  Financial  Liabilities–Including  an  Amendment  of  FASB  Statement  No.  115  (SFAS  159).  SFAS  159 
allows  many  financial  assets  and  liabilities  and  other  items  to  be  reported  at  fair  value  that  are  not 
currently measured at fair value; unrealized gains and losses on items for which the fair value option has 
been  elected  would  be  reported  in  earnings  at  each  subsequent  reporting  date.  SFAS  159  also 
establishes new disclosure requirements with respect to fair values. SFAS 159 is effective for fiscal years 
beginning after November 15, 2007, unless early adopted. We will adopt SFAS 159 on its effective date. 
Upon adoption, we do not plan to select the fair value alternative for any financial assets or liabilities that 
are  not  currently  measured  at  fair  value.  We  do  not  expect  adoption  to  have  a  material  effect  on  our 
results of operations or financial condition. 

In  September  2006,  the  FASB  issued  SFAS  157,  Fair  Value  Measurements  (SFAS  157).  The 
standard establishes a framework for measuring fair value under GAAP and expands disclosures about 
fair  value  measurements.  SFAS  157  is  applicable  to  other  accounting  pronouncements  that  require  or 
permit fair value measurements but does not require any new fair value measurements. The statement is 
effective for fiscal years beginning after November 15, 2007, unless early adopted. We will adopt SFAS 

36

 
 
 
157 on its effective date. We do not expect adoption to have a material effect on our results of operations 
or financial condition. 

Recent Significant Events

Effective  January  1,  2006,  we  sold  our  personal  lines  operations  and  recognized  a  gain  on  the 
sale of $109.4 million after consideration of sales expenses and estimated taxes. Additional information 
regarding the sale is provided in Note 3 to the Notes to the Consolidated Financial Statements. 

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. 
This  transaction  strategically  expanded  our  geographic  footprint  and  was  in  keeping  with  our  desire  to 
expand our professional liability operations through selective acquisitions. A more detailed description of 
the merger transaction is provided in Note 2 to the Consolidated Financial Statements. 

During the first quarter of 2007 we reached a confidential settlement that ended all litigation and 
appeals stemming from, and related to, a $217 million judgment on a malpractice verdict against insureds 
of  one  of  our  subsidiaries  entered  in  Tampa,  Florida  in  October  2006.  The  effect  of  the  settlement  has 
been reflected in our financial statements. 

On April 2, 2007 our Board authorized $150 million to repurchase our shares or debt securities. 
The  timing  and  quantity  of  any  repurchase  is  dependent  upon  market  conditions  and  any  changes  in 
ProAssurance's  capital  requirements,  as  well  as  limitations  imposed  by  applicable  securities  laws  and 
regulations,  and  the  rules  of  the  New  York  Stock  Exchange.  As  of  December  31,  2007  we  have 
repurchased approximately 1.0 million common shares at a total cost of approximately $54.2 million. On 
December 4, 2007 we utilized approximately $15.5 million of the authorization to redeem our outstanding 
2032 Subordinated Debentures. 

A.  Derrill  Crowe,  M.D.  retired  as  Chief  Executive  Officer  (CEO),  effective  July  1,  2007  and 
remains as non-executive Chairman of our Board. The Board of Directors elected W. Stancil Starnes to 
succeed  Dr.  Crowe  as  CEO.  Mr.  Starnes  formerly  served  as  President,  Corporate  Planning  and 
Administration,  of  Brasfield  &  Gorrie,  LLC,  a  large  commercial construction  firm.  Prior  to  October  2006, 
Mr. Starnes served as the Senior and Managing Partner of Starnes & Atchison, LLP, Attorneys at Law, 
and  was  extensively  involved  with  ProAssurance  and  its  predecessor  companies  in  the  defense  of  its 
medical liability claims.  

Reclassifications 

Due  to  the  increasing  significance  of  the  amounts  involved,  for  all  periods  presented,  we  have 
separately  stated  our  investments  in  unconsolidated  subsidiaries  and  our  equity  in  the  earnings  of 
unconsolidated  subsidiaries.  Previously,  investments  in  unconsolidated  subsidiaries  were  included  as  a 
component  of  other  investments,  and  earnings  of  unconsolidated  subsidiaries  were  considered  as  a 
component  of  net  investment  income.  The  reclassification  had  no  effect  on  income  from  continuing 
operations, net income or total assets. 

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 the ordinary dividends that can be paid by our insurance subsidiaries in 2008. At December 31, 
2007 we held cash and investments of approximately $195 million outside of our insurance subsidiaries 
that are available for use without regulatory approval. 

37

 
 
 
Cash Flows 

The  principal  components  of  our  cash  flow  are  the  excess  of  net  investment  income  and 
premiums collected over net losses paid and operating costs, including income taxes. 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.  Likewise  timing  delays  exist  between  the  payment  of  claims  and  the 
collection of reinsurance recoveries. 

Our  operating  activities  provided  positive  cash  flows  of  approximately  $244.1  million  during  the 
year ended December 31, 2007, which is composed of $201.4 million from routine insurance operations 
and proceeds of $42.7 million related to the sale of trading securities. In 2006, cash provided by operating 
activities  of  $182.8  million  is  composed  of  net  positive  cash  flows  from  routine  insurance  operations  of 
$289.0  million,  offset  by  tax  payments  related  to  the  sale  of  our  personal  lines  operations  of 
approximately $54.6 million and purchases of trading securities of approximately $51.6 million. 

Exclusive  of  cash  flows  related  to  trading  securities  and  the  taxes  paid  on  the  MEEMIC 
transaction,  the  decline  in  operating  cash  flows  during  2007  is  principally  attributable  to  an  increase  in 
payments  for  losses  and  loss  adjustment  expenses,  net  of  reinsurance  reimbursements  received.  A 
number  of  factors  influenced  the  increase  in  losses  paid,  including  an  additional  seven  months  of  PIC 
Wisconsin payment activity, the maturing of claims incurred during the last several years of growth, and 
an increase in the number of large indemnity payments, net of amounts received from reinsurers.  

Two metrics commonly used to analyze the operating cash flows of insurance companies are the 

paid-to-incurred ratio and the paid loss ratio. 

Paid-to-incurred ratio  
Paid loss ratio  

Year Ended December 31 

2007 
  101.1% 
66.5% 

2006 
62.0% 
47.2% 

Our  paid-to-incurred  and  paid  loss  ratios  are  higher  in  2007  than  in  2006  primarily  due  to  the 
2007 increase in net loss payments. The ratios also increased in 2007 because the denominators of each 
ratio (net losses and loss adjustment expenses for the paid-to-incurred ratio; net earned premiums for the 
paid  loss  ratio)  decreased  in  2007  as  compared  to  2006.  For  a  long-tailed  business  such  as 
ProAssurance,  the  ratios  for  a  short  period  of  time  should  not  be  viewed  in  isolation.  Both  changes  in 
premium volume and the recognition of reserve development can impact the calculation of these ratios. 

The  timing  of  our  indemnity  payments  is  affected  by  many  factors,  including  the  nature  and 
number of the claims in process in any one period and the speed at which cases work through the trial 
and appellate process. In the contractual obligations table included in Part II of our December 31, 2006 
Form 10K we projected, largely based on historical payment patterns, that we would pay gross losses of 
$546  million  during  2007  related  to  the  reserves  that  were  established  at  December  31,  2006.  Actual 
gross loss and loss adjustment expenses paid during 2007 were $486 million, which, while lower than our 
2006 estimate, reflects the unpredictable nature of our business. Cash flows in 2007 were also reduced 
due  to  a  decline  in  premium  receipts.  These  decreases  to  operating  cash  flows  were  partially  offset  by 
growth in cash flows from investment earnings, and a reduction in premium payments to our reinsurers. 

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  net  losses  paid  and  operating  costs,  including  income  taxes.  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  relatively  short  duration  of  our  investments,  we  do  not  foresee  any 
such shortfall. 

38

 
 
 
 
 
 
 
 
We invest most of the cash generated from operations into debt and equity securities. We held 
cash and short-term securities of $259.1 million at December 31, 2007 as compared to $213.4 million at 
December 31, 2006. Since December 31, 2006 we have held additional funds in our short-term portfolio 
both  as  a  means  of  managing  the  duration  of  our  overall  investment  portfolio,  and  as  a  means  of 
increasing our flexibility in a volatile investment market. 

During 2007 we sold the securities held in our fixed maturities trading portfolio (primarily treasury 

indexed) because we believed active trading of these securities no longer offered superior returns.  

Other  investments  increased  from  $39.5  million  at  December  31,  2006  to  $54.9  million  at 
December 31, 2007. In January 2007 we contributed high-yield asset-backed bonds from our available-
for-sale  investment  portfolio  to  a  fund  created  for  the  purpose  of  managing  such  investments.  We 
maintain a direct beneficial interest in securities originally contributed to the fund, which are included in 
our  Balance  Sheet  as  a  component  of  other  investments  at  fair  value  ($16.2  million  at  December  31, 
2007). Cash flows from our initial investment in the fund, which approximate $10.3 million at December 
31, 2007, are being re-invested in an undivided interest of the fund. The undivided interest is considered 
as an investment in an unconsolidated subsidiary and is accounted for using the equity method. 

As of December 31, 2007 our available-for-sale fixed maturity securities of $3.24 billion comprise 
89% of our total investments. The approximate $108 million net increase as compared to our December 
31,  2006  holdings  reflects  the  investment  of  operating  cash  flows,  as  well  as  an  increase  in  fair  value 
attributable to lower interest rates (as discussed below). 

Substantially all of our fixed maturities are either United States government 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, 2007. The weighted average 
effective  duration  of  our  fixed  maturity  securities  at  December  31,  2007  is  4.13  years;  the  weighted 
average effective duration of our fixed maturity securities and our short-term securities combined is 3.88 
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, net unrealized gains on our 
available-for-sale fixed maturity securities are comprised as follows:  

Gross unrealized gains 
Gross unrealized (losses) 
Net unrealized gains (losses) 

In millions 
Year Ended December 31 

2007 
  $  37.2 
  (18.8) 
  $  18.4 

  2006 
  $  22.7 
  (25.2) 
  $  (2.5) 

Approximately  85%  of  the  unrealized  loss  positions  in  our  portfolio  are  interest-rate related.  We 
have the intent and, due to the duration of our overall portfolio and positive operating cash flows, believe 
we  have  the  ability,  to  hold  these  bonds  to  recovery  of  book  value  or  maturity  and  do  not  consider  the 
declines in value to be other-than-temporary. 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." 

As  of  December  31,  2007,  our  fixed  maturity  securities  include  securities  with  a  fair  value  of 
approximately $21.4 million (including unrealized losses of $1.1 million) that are supported  by collateral 
we  classify  as  sub-prime,  of  which  approximately  68%  are  AAA  rated,  26%  are  AA+,  and  6%  are  A. 
Additionally, we have approximately $4.0 million (including unrealized losses of $3.3 million) of securities 
exposure to below investment grade fixed income securities with sub-prime exposure within a high-yield 
investment fund; the average rating of the securities is BB+. In 2007, we evaluated our exposure to the 
sub-prime  market  and  determined  that  $6.5  million  of  writedowns  were  warranted  for  other  than 
temporary impairments.  We have no exposure to sub-prime through collateralized debt obligations. 

Equity  investments  represent  less  than  1%  of  our  total  investments  and  less  than  2%  of  our 
stockholders' equity at both December 31, 2007 and 2006. At December 31, 2007, the carrying value of 
our  equity  investments  (including  equities  in  our  available-for-sale  and  trading  portfolios)  totaled  $21.8 
million as compared to $14.9 million at December 31, 2006.  

39

 
 
 
 
 
 
 
 
 
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 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 in the year 2006 and thereafter. 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 
financial 
from  reinsurers,  each  as  showing 
statements at the end of each year (the Balance Sheet Reserves). 

in  our  consolidated 

–  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  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. 

40

 
 
 
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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 2005, 2006 and 2007 we have recognized favorable development related to 
our  previously  established  reserves  for  accident  years  2001  through  2005  because 
we have reduced our estimates of claims severity related to those years. Based on 
recent internal and industry claims data, we believe claims severity (i.e., the average 
size of a claim) is increasing at a rate slower than we estimated when our reserves 
for those years were established. 

42

 
 
Activity in our net reserve for losses during 2007, 2006 and 2005 is summarized below: 

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

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 
Balance, end of year 

In thousands 
Year Ended December 31 
2006 
  $ 2,224,436 
327,693 
    1,896,743 

2005 
  $ 1,818,636 
273,654 
    1,544,982 

2007 
  $ 2,607,148 
370,763 
    2,236,385 

– 

171,246 

139,672 

455,982 
(104,985) 
350,997 

479,621 
(36,292) 
443,329 

461,182 
(22,981) 
438,201 

(23,492) 
(331,294) 
(354,786) 
    2,232,596 
327,111 
  $ 2,559,707 

(32,325) 
(242,608) 
(274,933) 
    2,236,385 
370,763 
  $ 2,607,148 

(26,495) 
(199,617) 
(226,112) 
    1,896,743 
327,693 
  $ 2,224,436 

At  December  31,  2007  our  gross  reserve  for  losses  included  case  reserves  of  approximately 
$1.180 billion and IBNR reserves of approximately $1.380 billion. Our consolidated reserve for losses on 
a  GAAP  basis  exceeds  the  combined  reserves  of  our  insurance  subsidiaries  on  a  statutory  basis  by 
approximately $39.7 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,  to  provide  protection 
against  losses  in  excess  of  policy  limits,  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. 

We  generally  reinsure  professional  liability  risks  under  annual  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.  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. 

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  2007-2008 
reinsurance  treaties  renewed  on  October  1,  2007  without  significant  change  in  cost  or  structure.  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 

43

 
 
 
   
   
   
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
   
   
 
   
   
   
   
   
   
 
 
 
   
 
 
 
   
 
 
   
   
   
 
   
   
   
   
   
   
   
   
   
 
 
unable  to  meet  its  obligations  to  us,  adjustments  to  the  amounts  recoverable  would  be  reflected  in  the 
results of current operations. 

At  December  31,  2007  our  reinsurance  recoverable  on  unpaid  losses  is  $327  million  and  our 
receivable from reinsurers on paid losses, which is classified as a part of Other Assets, is $39.6 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, 2007:  

Reinsurer 
Hannover Ruckversicherung AG 
General Reinsurance Corp 
Transatlantic Reins Co 
AXA Re 
Lloyd's Syndicate 2791 
PMA Capital Insurance Company 

A.M. Best 
Company Rating 

A 
A++ 
A+ 
A- 
A 
B 

In thousands 

  Net Amounts Due 
From Reinsurer 
$  35,139 
$  33,997 
$  19,283 
$  17,308 
$  15,205 
$  12,666 

Off Balance Sheet Arrangements/Guarantees 

As discussed in Note 10 to the Consolidated Financial Statements, our 2034 Debentures are held 
by, and are the sole assets of, related business trusts. 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 2034 Subordinated Debentures mirror those of the related TPS. The 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  PRA  Trusts  are  not  included  in  our  consolidated  financial 
statements because we are not the primary beneficiary of either trust. 

ProAssurance  has  issued  guarantees  that  amounts  paid  to  the  PRA  Trusts  related  to  the  2034 

Subordinated Debentures will subsequently be remitted to the holders of the related TPS.  

Debt 

Our long-term debt at December 31, 2007 is comprised of the following.  

Convertible Debentures 
2034 Subordinated Debentures 
2034 Surplus Notes 

In thousands, except % 

Rate 

3.9%, fixed 
8.7%, Libor adjusted 
7.7%, fixed until May 2009 

2007 
  $  105,973 
46,395 
11,790 
  $  164,158 

First 
Redemption Date 

July 2008 
  May 2009 
  May 2009* 

*Subject to approval by the Wisconsin Commissioner of Insurance 

Our  Convertible  Debentures  may  be  converted  at  the  option  of  holders  when  the  price  of  our 
common stock exceeds a specified price (currently $50.19) during 20 of the last 30 days of any quarter. 
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, 2007 and holders may convert through March 31, 2008. To-date, no holders have 
requested  conversion.  If  converted,  we  have  the  right  to  deliver  cash  or  a  combination  of  cash  and 
common stock, in lieu of common stock. 

After July 7, 2008 we may redeem our convertible debt at face value, for cash, with at least 30 
days but not more than 60 days notice. Debentures called for redemption are convertible by the holder 
into common stock; we can elect to pay holders in cash or a combination of cash and common stock. We 
have  not  yet  made  any  decision  regarding  such  a  redemption.  Also,  on  June  30,  2008  holders  may 
require  us  to  repurchase all  or  a  portion  of  the  Convertible  Debentures  at  face  value,  plus  interest.  We 
may  elect  to  pay  all  or  a  portion  of  the  repurchase  price  in  common  stock.  If  the  Convertible  Debt  is 
repaid, the related unamortized loan discounts and loan costs, which total $2.0 million at December 31, 
2007, will be charged to expense in the period of repayment. 

44

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
We utilized cash of $15.5 million to redeem our 2032 Subordinated Debentures at face value in 

December, 2007. 

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

Statements. 

Contractual Obligations 

A schedule of our non-cancelable contractual obligations at December 31, 2007 follows: 

Payments due by period 
In thousands 

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

Total 

Total 
  $   2,559,707 
203,645 
165,995 
5,046 
  $  2,934,393 

Less than 
1 year 
  $  540,733 
9,223 
– 
2,243 
  $  552,199 

1-3 years 
  $  896,888 
18,718 
– 
2,635 
  $  918,241 

3-5 years 
  $  597,484 
18,757 
– 
168 
  $  616,409 

More than 
5 years 
  $  524,602 
156,947 
165,995 
– 
  $  847,544 

For  the  purposes  of  this  table,  all  long-term  debt  is  assumed  to  be  settled  at  its  contractual 
maturity and interest on long-term debt is calculated using interest rates in effect at December 31, 2007 
for  variable  rate  debt.  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. 

Each  of  our  debt  instruments  allows  for  repayment  before  maturity,  at  our  option,  on  or  after 
certain dates. Additionally, holders of our convertible debt can request early redemption under specified 
circumstances. For more information on our debt see Note 10 to the Consolidated Financial Statements. 

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.  

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 the facts and laws applicable to each case, 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 $21.7 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 cost us 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 available to 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 

45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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. 

Effect of Acquisitions (2007–2006) 

We  acquired  PIC  Wisconsin  effective  August  1,  2006.  Operating  results  for  the  year  ended 
December  31,  2007  include  PIC  Wisconsin  results  for  the  entire  period.  Our  results  for  the  year  ended 
December 31, 2006 include PIC Wisconsin results only for the five-month period subsequent to the date 
of acquisition. 

In  certain  of  the  tables  and  discussions  that  follow,  we  have  segregated  and  identified  as  "PIC 
Wisconsin" the results that are directly attributable to PIC Wisconsin, and have identified all other results 
as "PRA" or "PRA pre-acquisition business". 

Overview of Results–Years Ended December 31, 2007 and 2006

Income from continuing operations increased to $168.2 million for the year ended December 31, 
2007  from  $127.0  million  for  2006,  an  increase  of  32%.  Income  from  continuing  operations  per  diluted 
share increased to $4.78 from $3.72 for the same comparative period. 

Our  2007  results  benefited  from  an  increased  amount  of  favorable  loss  development.  We 
recognized favorable loss development in 2007 of $105 million as compared to $36 million in 2006. Also, 
net investment income increased by almost $24 million in 2007 due to growth in our invested assets and 
a modest improvement in yields. These benefits were partially offset by a decline in net premiums earned 
of  $50  million,  an  increase  in  our  current  year  loss  ratio  of  approximately  3  percentage  points  and  an 
increase in our expense ratio of almost 2 percentage points.  

46

 
 
Results  of  Operations–Year  Ended  December  31,  2007  Compared  to  Year  Ended  December  31, 
2006

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

$ in thousands 
Year Ended December 31 
2006 

2007 

Change 

Revenues: 

  Gross premiums written 

  Net premiums written 

  Premiums earned 
  Premiums ceded 
  Net premiums earned 
  Net investment income 
  Equity in earnings of unconsolidated subsidiaries 
  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 

  $549,074 

  $ 578,983 

  $(29,909) 

  $506,397 

  $ 543,376 

  $(36,979) 

  $585,310 
    (51,797) 
    533,513 
    171,308 
1,630 
(5,939) 
5,556 

  $ 627,166 
(44,099) 
    583,067 
    147,450 
2,339 
(1,199) 
5,941 

  $ (41,856) 
(7,698) 
    (49,554) 
    23,858 
(709) 
(4,740) 
(385) 

    706,068 

    737,598 

    (31,530) 

    438,527 
    (87,530) 
    350,997 
    106,751 
    11,981 

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

    (37,470) 
    (54,862) 
    (92,332) 
382 
908 

    469,729 

    560,771 

    (91,042) 

Income from continuing operations before income taxes 

    236,339 

    176,827 

    59,512 

Income taxes 

    68,153 

    49,843 

    18,310 

Income from continuing operations 

    168,186 

    126,984 

    41,202 

Income from discontinued operations, net of tax 

– 

    109,441 

   (109,441) 

Net income 

  $168,186 

  $ 236,425 

  $ (68,239) 

Diluted earnings per share: 

Income from continuing operations 
Income from discontinued operations 

  Net income 

Continuing Operations: 

  Net loss ratio 
  Underwriting expense ratio 
  Combined ratio 
  Operating ratio 

  $ 

  $ 

4.78 
– 
4.78 

  $ 

  $ 

3.72 
3.13 
6.85 

  $ 

  $ 

1.06 
(3.13) 
(2.07) 

    65.8% 
    20.0% 
    85.8% 
    53.7% 

76.0% 
18.2% 
94.2% 
68.9% 

(10.2) 
1.8 
(8.4) 
(15.2) 

  Return on equity 

    14.2% 

13.5% 

0.7 

47

 
 
 
 
 
 
   
   
 
   
   
   
   
   
   
   
   
   
 
 
 
   
   
 
   
   
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
   
   
 
 
Premiums

  Gross premiums written 

2007 
  $ 549,074 

2006 
  $ 578,983 

Change 

$   (29,909) 

(5%) 

$ in thousands 
Year Ended December 31 

  Premiums earned 
  Premiums ceded 
  Net premiums earned 

  $ 585,310 
(51,797) 
  $ 533,513 

  $ 627,166 
(44,099) 
  $ 583,067 

$   (41,856) 

(7%) 
(7,698)  17% 
(8%) 

$   (49,554) 

Gross Written Premiums 

Premiums  written  declined  during  2007  as  compared  to  2006  due  to  the  effects  of  increased 
competition  and  rate  reductions.  Additional  premiums  from  the  acquisition  of  PIC  Wisconsin  partially 
offset  the reduction  in premium  in  our existing book  of  business.  (The  operations  of  PIC Wisconsin  are 
included  for  twelve  months  in  2007  versus  five  months  in  2006.)  In  periods  of  market  softening,  our 
strategy  is  to  maintain  our  underwriting  and  pricing  discipline  and  grow  primarily  through  selective 
acquisitions. 

We  face  strong  price-based  competition  in  virtually  all  of  our  markets,  with  some  competitors 
offering  coverage  at  rates  that  we  do  not  believe  to  be  profitable  on  a  long-term  basis.  Additionally,  a 
number  of  physicians  and  hospitals  are  seeking  to  lower  their  costs  through  the  use  of  alternative  risk 
transfer  approaches  such as self  insurance and risk sharing pools,  although  these alternatives  become 
less attractive as prices soften in the traditional insurance markets.  

Our  ongoing  commitment  to  adequate  rates  and  strong  underwriting  standards  affects  our 
willingness  to  write  new  business  and  to  renew  existing  business  in  the  face  of  this  price-based 
competition. Improvements in loss cost trends have allowed us to reduce rates in certain markets during 
2007 and to offer targeted new business and renewal retention programs in selected markets. While this 
improves retention of business, it decreases our average premium rates. The combined effects of lower 
rates and  the  challenges  of  writing  new  business  are  expected  to  cause  our gross written  premiums  to 
continue to decline in 2008. 

Physician  premiums  represent  84%  and  85%  of  gross  written  premiums  for  the  years  ended 
December 31, 2007 and 2006, respectively. As compared to 2006, physician premiums decreased by 6% 
during 2007. 

$ in thousands 

Year Ended December 31 

2007 

2006 

Change 

 $403,384 
   56,225 
 $459,609 

 $473,038
   17,538 
 $490,576

 $  (69,654) 
   38,687 
 $  (30,967) 

(15%) 
  n/a 
 (6%) 

Physician Premiums*
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

*Exclusive of tail premiums 

Our  overall  retention  rate  (exclusive  of  PIC  Wisconsin  and  excess  and  surplus  lines  business) 
based  on  the  number  of  physician  risks  that  renew  with  us  is  approximately  86%  for  the  year  ended 
December 31, 2007, as compared to 84% for the year ended December 31, 2006. Our charged rates for 
physicians that renewed during 2007 reflect a decrease of approximately 2.3%. Charged rates include the 
effects of filed rates, surcharges and discounts.  

48

 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
Premiums written for non-physician coverages represent 11% and 10% of our total gross written 
premiums  for  the  years  ended  December  31,  2007  and  2006,  respectively,  and  include  premiums 
attributable to the PIC Wisconsin acquisition as follows: 

Non-physician Premiums*
Hospital and facility coverages: 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

Other non-physician coverages: 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

*Exclusive of tail premiums 

$ in thousands 
Year Ended December 31 

2007 

2006 

Change 

 $  23,674 
   10,563 
   34,237 

 $  29,426 
4,068 
   33,494 

 $  (5,752) 
6,495 
743 

   25,825 
2,966 
   28,791 
 $  63,028 

   24,775 
1,445 
   26,220 
 $  59,714 

1,050 
1,521 
2,571 
 $  3,314 

(20%) 
  n/a 
  2% 

  4% 
  n/a 
  10% 
  6% 

Hospital  and  facility  coverages  are  the  most  significant  component  of  non-physician  premiums 
and represent approximately 6% of our total gross premiums written during both 2007 and 2006. Other 
non-physician  coverages  consist  primarily  of  professional  liability  coverages  provided  to  lawyers  and  to 
health care professionals such as dentists and nurses. 

We  are  required  to  offer  extended  reporting  endorsement  or  "tail"  policies  to  insureds  that  are 
discontinuing their claims-made coverage with us, but we do not market such coverages separately. The 
amount  of  tail  premium  written  and  earned  can  vary  widely  from  period  to  period.  Because  of  this 
volatility,  we  separate  premiums  associated  with  tail  coverages  from  our  other  premiums.  In  2007,  tail 
premiums totaled $26.4 million (5% of gross written premiums), a decrease of $2.3 million as compared to 
2006. 

Premiums Earned 

Premiums Earned 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

$ in thousands 
Year Ended December 31 

2007 

2006 

Change 

 $ 506,529
   78,781
 $ 585,310

 $ 592,975  $  (86,446) 
   34,191    44,590 
 $ 627,166  $  (41,856) 

  (15%) 
  n/a 
  (7%) 

Because  premiums  are  generally  earned  pro  rata  over  the  entire  policy  period,  fluctuations  in 
premiums earned tend to lag those of premiums written. Our policies generally carry a term of one year. 
Tail  premiums  are  100%  earned  in  the  period  written  because  the  policies  insure  only  incidents  that 
occurred in prior periods and are not cancellable. 

Exclusive of the effect of tail premiums, the decline in premiums earned in 2007 reflects on a pro 
rata basis declines in gross premiums written during 2006 and 2007, as well as reduced earned premium 
benefit related to acquisitions. 

In the twelve months that follow the acquisition of an insurance subsidiary, our premiums earned 
include  premiums  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. In 2007, earned 
premium  includes  approximately  $10.1  million  related  to  the  unexpired  policies  acquired  in  the  PIC 
Wisconsin  transaction.  In  2006,  earned  premium  includes  approximately  $38.3  million  related  to 
unexpired policies acquired in the PIC Wisconsin and NCRIC transactions. 

As  discussed  under  Gross  Premiums  Written,  our  written  premiums  declined  in  2007; 

consequently, premiums earned are likely to decrease during 2008.  

49

 
 
 
 
 
 
 
 
 
 
 
  
  
 
  
 
 
 
 
  
  
  
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
Premiums Ceded 

Premiums  ceded  represent  the  portion  of  earned  premiums  that  we  pay  our  reinsurers  for  their 
assumption of a portion of our losses. The premium that we cede to our reinsurers is determined, in part, 
by the loss experience (subject to minimums and maximums) of the business ceded to them. It takes a 
number of years before all losses are known, and in the intervening period premiums due to the reinsurer 
are estimated. Ceded premium estimates are revised as loss estimates are revised. 

During 2007, we reduced premiums ceded by approximately $3.3 million due to the commutation 
of  certain  reinsurance  arrangements.  During  2006  we  reduced  premiums  ceded  by  approximately  $2.7 
million due to the commutation of certain reinsurance arrangements.  

We  increased  ceded  premiums  by  $2.7  million  in  2007  and  reduced  ceded  premiums  by  $10.5 
million in 2006 to reflect changes to our estimates of the amount of reinsurance premiums due for prior 
accident  years.  The  amount  of  reinsurance  premiums  incurred  for  prior  accident  years  can  vary 
significantly  because  certain  prior  year  reinsurance  agreements  adjust  premiums  based  on  loss 
experience; others do not.  Also we have reached premium maximums for certain agreements, but not for 
others. 

The following table shows the effect of the above amounts on our premiums ceded for 2007 and 

2006. 

Premiums ceded, before commutations 
   and estimate changes 
Effect of commutations 
Estimate changes, prior accident years 
Premiums ceded, as reported 

in millions 
Year Ended December 31 
  2007 

  2006 

  $  52.4 
(3.3) 
2.7 
  $  51.8 

  $  57.3 
(2.7) 
    (10.5) 
  $  44.1 

Exclusive  of  the  amounts  in  the  preceding  paragraphs,  our  reinsurance  expense  ratio  (ceded 
premiums  as  a  percentage  of  premiums  earned)  is  9.0%  for  the  year  ended  December  31,  2007,  as 
compared to 9.1% for the same period in 2006. 

50

 
 
 
 
 
   
   
   
 
 
Net Investment Income, Net Realized Investment Gains (Losses); Equity (Loss) in Earnings of 
Unconsolidated Subsidiaries 

Net Investment Income 

Net investment income 

$ in thousands 
Year Ended December 31 

2007 
 $ 171,308 

2006 
$147,450 

Change 

$  23,858  16% 

Net investment income is primarily derived from the interest income earned by our fixed maturity 
securities  and  also  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. 

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 

In thousands 
Year Ended December 31 

2007 
$ 149,494 
377 
14,713 
9,228 
1,889 
(4,393) 
$ 171,308 

2006 
$ 130,335 
414 
15,567 
2,970 
2,285 
(4,121) 
$ 147,450 

The  2007  increase  in  net  investment  income  from  fixed  maturities  reflects  both  higher  average 
invested funds and improved yields. The positive cash flows from our insurance operations and the PIC 
Wisconsin  merger  significantly  increased  average  invested  funds  during  2007  as  compared  to  2006. 
Market interest rates of the past several years have allowed us to consistently invest new and matured 
funds at rates that exceed the average held in our portfolio. Average yields for our available-for-sale fixed 
maturity securities during 2007 and 2006 are as follows: 

Average income yield 
Average tax equivalent income yield 

Year Ended December 31 

2007 
  4.7% 
  5.4% 

2006 
  4.5% 
  5.1% 

The  small  decline  in  investment  income  from  short  term  investments  reflects  lower  average 
balances  in  2007.  Income  from  other  invested  assets  is  principally  derived  from  non-public  investment 
partnerships/limited  liability  companies  accounted  for  on  a  cost  basis.  Because  we  recognize  income 
related to these investments as it is distributed to us, our income from these holdings varies from period 
to  period.  Business  owned  life  insurance  is  lower  in  2007  due  to  a  one  time  reduction  in  the  growth  of 
cash surrender values due to a restructuring of this portfolio. 

51

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net Realized Investment Gains (Losses) 

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

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

In thousands 
Year Ended December 31 

2007 
  $  1,801 
(7,753) 
13 
  $  (5,939) 

2006 
  $  1,717 
(3,037) 
121 
  $  (1,199) 

During  2007  we  recognized  other-than-temporary  impairment  losses  of  $6.5  million  related  to 
asset backed bonds (particularly those with sub-prime loan exposures). We also recognized impairments 
of approximately $1.1 million related to a passive investment that we hold in a non-public investment pool 
and impairments of $185,000 related to corporate bonds that have suffered a significant decline in value. 

Equity in Earnings (Loss) of Unconsolidated Subsidiaries 

Equity in earnings (loss) of unconsolidated subsidiaries is derived from our ownership interests in 
non-public  investment  entities  accounted  for  on  the  equity  basis.  During  2007  two  such  investment 
entities reported losses for the year. Our income from these holdings varies from period to period. 

$ in thousands 
Year Ended December 31 
Change 

2006 
2007 
$ 1,630  $ 2,339

$ (709) 

(30%) 

Equity in earnings (loss) of unconsolidated subsidiaries 

52

 
 
 
 
   
   
   
   
 
 
 
 
 
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, 
including an evaluation of the reserve amounts required for losses in excess of policy limits. 

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 the estimate of the losses incurred related to those policy premiums. 

The following table summarizes calendar year net losses and net loss ratios for the years ended 
December  31,  2007  and  2006  by  separating  losses  between  the  current  accident  year  and  all  prior 
accident years. 

In millions 
Net Losses 
Year Ended December 31 
2006 
  $  479.6 
(36.3) 
 $  443.3 

Change 
  $ (23.6) 
    (68.7) 
  $ (92.3) 

2007 
 $  456.0 
   (105.0) 
 $  351.0 

Current accident year 
Prior accident years 
Calendar year 

Net Loss Ratios* 
Year Ended December 31 
2006 
  82.3% 
  (6.3%) 
  76.0% 

Change 
3.2 
 (13.4) 
(10.2) 

2007 
  85.5% 
  (19.7%) 
  65.8% 

*Net losses as specified divided by net premiums earned. 

Our  current  accident  year  loss  ratio  has  increased  in  2007  as  compared  to  2006  for  several 
reasons. We have booked higher initial loss ratios in the states in which PIC Wisconsin operates as we 
wait for the impact of our post acquisition rate filings in those states to take effect. The 2007 ratio is also 
impacted  by  an  increase  in  our  estimates  for  losses  in  excess  of  policy  limits  as  compared  to  the  prior 
year and an increase in the reserve for the death, disability and retirement provision (DDR) in our claims-
made policies. 

PIC Wisconsin accounted for approximately $65.6 million and $34.3 million of our calendar year 
net losses for the years ended December 31, 2007 and 2006, respectively. PIC Wisconsin is included in 
our results for all 12 months of our 2007 fiscal year as compared to only 5 months during 2006. 

Based  upon  recent  claims  data,  both  internal  and  industry  figures,  we  have  reduced  our 
expectation  of  claims  severity.  As  a  result  during  calendar  year  2007  we  recognized  net  favorable 
development of $105 million generally related to our previously established (prior accident year) reserves. 
In particular we have observed claims severity, within the first $1 million of coverage, for the 2003 through 
2005 accident years below our initial expectations. 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  2003-2005,  we  believe  it  is  appropriate  to  recognize  the  impact  of  these 
trends in our actuarial evaluation of prior period loss estimates while also remaining cautious about the 
past volatility of claims severity.  

In  our  exposures  greater  than  $1  million,  which  are  generally  reinsured  with  third  parties,  we 
observed  a  trend  that  was  somewhat  counter  to  the  trend  discussed  above.  In  particular,  given  the 
number  of  large  verdicts  experienced  by  the  industry  we  increased  our  reserves  for  these  exposures 
resulting  in  a  $44  million  increase  to  gross  losses.  The  effect  of  this  increase  was  largely  offset  by  a 
corresponding  increase  to  the  anticipated  recoverables  from  our  reinsurers.  Our  analysis  of  2007  data 
indicates increased claims severity and frequency trends related to losses in both categories. We believe 
the recognition of these trends represents a cautious approach to what we are observing. 

53

 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
During  the  year  ended  December  31,  2006  we  recognized  net  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.  In  2006,  we  also  recognized  $12.4  million  decrease  to  gross  losses  which  was  offset  by  a 
corresponding decrease to the recoverable from our reinsurer. 

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. 

Underwriting, Acquisition and Insurance Expenses 

$ in thousands 
Underwriting, Acquisition and Insurance Expenses 
Year Ended December 31 
2006 
$106,369 

2007 
$  106,751 

Change 
n/a 

382 

$ 

Underwriting Expense Ratio 
Year Ended December 31 

2007 
  20.0% 

2006 
  18.2% 

Change 
1.8 

Underwriting,  operating  and  acquisition  expenses  remained  fairly  flat  in  2007  as  compared  to 
2006.  The  most  significant  changes  between  the  two  periods  are  an  increase  in  stock  based 
compensation costs ($3.6 million), a decrease in expenses related to guaranty fund assessments ($2.1 
million), and lower acquisition expenses due to the decrease in premiums earned ($2.0 million). 

The increase in underwriting expense ratio is primarily due to the effect of lower premium volume 

in 2007. The PIC Wisconsin acquisition has little effect on the underwriting expense ratio. 

Underwriting, acquisition and insurance expenses include stock based compensation expense of 
approximately $8.3 million in 2007 and $4.7 million in 2006.  In 2007, we awarded 100,000 vested options 
to  our  new  CEO.  The  options  were  fully  expensed  in  2007,  which  increased  underwriting  expenses  by 
$1.8 million and increased the 2007 underwriting expense ratio by 0.3 points. Also, $1.2 million of stock 
based  compensation  expense  for  2007  relates  to  awards  given  to  employees  who  are  eligible  for 
retirement  as  compared  to  $980,000  in  2006.  Awards  issued  to  retirement  eligible  employees  are 
expensed when granted rather than over the vesting period of the award. 

Net  guaranty  fund  assessments  totaled  approximately  $550,000  and  $2.6  million  for  the  years 
ended December 31, 2007 and 2006, respectively. The 2007 decrease reflects lower assessments during 
the year as well as a benefit of approximately $675,000 for amounts recouped from our insureds related 
to assessments from the Florida Insurance Guaranty Association, Inc. Guaranty Fund. Expenses for the 
years ended December 31, 2007 and 2006 included Florida assessments of $1.0 million and $2.3 million, 
respectively. 

54

 
 
 
 
 
 
 
 
 
 
Interest Expense

Approximately  $670,000  of  the  2007  increase  in  interest  expense  is  related  to  long  term  debt 
($11.6  million)  assumed  in  the  PIC  Wisconsin  merger.  Interest  expense  also  increased  because  our 
Subordinated Debentures carry variable rates based on LIBOR and the average LIBOR reset rate for our 
debt  increased  an  average  of  approximately  half  a  percentage  point  in  2007  as  compared  to  2006. 
Interest expense by debt obligation is provided in the following table: 

Convertible Debentures 
2032 Subordinated Debentures 
2034 Subordinated Debentures 
Surplus Notes 
Other 

In thousands 
Year Ended December 31 

2007 
  $  4,565 
    1,639 
    4,625 
    1,138 
14 
  $ 11,981 

2006 
  $  4,565 
    1,535 
    4,483 
471 
19 
  $ 11,073 

Change 

  $ 

– 
104 
142 
667 
(5) 
  $  908 

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. In 2007 our taxable income grew at a 
faster  rate  than  did  our  tax-exempt  income  which  increased  our  overall  effective  tax  rate.  The  effect  of 
tax-exempt income on our effective tax rate is shown in the table below: 

Statutory rate 
Tax-exempt income 
Other 
Effective tax rate 

Year Ended December 31 

2007 
35% 
(7%) 
1% 
29% 

2006 
35% 
(8%) 
1% 
28% 

55

 
 
 
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Effect of Acquisitions (2006–2005) 

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 and is separately presented in a number of the tables that follow. 

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. 

56

 
 
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 

  Net premiums written 

  Premiums earned 
  Premiums ceded 
  Net premiums earned 
  Net investment income 
  Equity in earnings of unconsolidated subsidiaries 
  Net realized investment gains (losses) 
  Other income 

$ in thousands 
Year Ended December 31 

2006 

2005 

Change 

  $ 578,983 

  $ 572,960 

  $  6,023 

  $ 543,376 

  $ 521,343 

  $ 22,033 

  $ 627,166 
(44,099) 
  583,067 
  147,450 
2,339 
(1,199) 
5,941 

  $ 596,557 
(53,316) 
  543,241 
98,293 
900 
912 
4,604 

  $ 30,609 
9,217 
    39,826 
    49,157 
1,439 
(2,111) 
1,337 

Total revenues 

  737,598 

  647,950 

    89,648 

Expenses: 
  Losses and loss adjustment expenses 
  Reinsurance recoveries 
  Net losses and loss adjustment expenses 
  Underwriting, acquisition and insurance expenses 

Interest expense 

Total expenses 

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

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

(3,303) 
8,431 
5,128 
    14,412 
2,144 

  560,771 

  539,087 

    21,684 

Income from continuing operations before income taxes 

  176,827 

  108,863 

    67,964 

Income taxes 

Income from continuing operations 

Income from discontinued operations, net of tax 

49,843 

28,837 

    21,006 

  126,984 

  109,441 

80,026 

    46,958 

33,431 

    76,010 

Net income 

  $ 236,425 

  $ 113,457 

  $122,968 

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 

  $ 

  $ 

1.20 
2.11 
3.31 

Continuing Operations: 

  Net loss ratio 
  Underwriting expense ratio 
  Combined ratio 
  Operating ratio 

  Return on equity 

76.0% 
18.2% 
94.2% 
68.9% 

13.5% 

80.7% 
16.9% 
97.6% 
79.5% 

11.6% 

(4.7) 
1.3 
(3.4) 
(10.6) 

1.9 

57

 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
Premiums

$ in thousands 
Year Ended December 31 

  Gross premiums written 

2006 
  $ 578,983 

2005 
  $ 572,960 

Change 
6,023 

1% 

$  

  Premiums earned 
  Premiums ceded 
  Net premiums earned 

  $ 627,166 
(44,099) 
  $ 583,067 

  $ 596,557 
(53,316) 
  $ 543,241 

$   30,609 
9,217 
$   39,826 

5% 
(17%) 
7% 

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. 

Physician  premiums  comprised  85%  of  total  premiums  in  2006  and  84%  of  total  premiums  in 

2005. 

Physician Premiums*
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

* Exclusive of tail premiums 

$ in thousands 
Year Ended December 31 

2006 

2005 

Change 

 $473,038 
   17,538 
 $490,576 

 $483,070
– 
 $483,070

 $  (10,032) 
   17,538 
 $  7,506 

 (2%) 
  n/a 
  2% 

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 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. 

58

 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
  
 
 
 
Premiums written for non-physician coverages totaled $59.7 million for the year ended December 
31,  2006  as  compared  to  $60.9  million  for  the  year  ended  December  31,  2005  and  include  premiums 
attributable to the PIC Wisconsin acquisition as follows: 

Non-physician Premiums*
Hospital coverages: 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

Other non-physician coverages: 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

* Exclusive of tail premiums 

$ in thousands 
Year Ended December 31 

2006 

2005 

Change 

 $  29,426 
4,068 
 $  33,494 

 $  36,475 
– 
 $  36,475 

 $ 

 $ 

(7,049) 
4,068 
(2,981) 

   24,775 
1,445 
   26,220 
 $  59,714 

   24,464 
– 
   24,464 
 $  60,939 

311 
1,445 
1,756 
(1,225) 

 $ 

 (19%) 
  n/a 
  (8%) 

  1% 
  n/a 
  7% 
  (2%) 

Excluding  premiums  written  by  PIC  Wisconsin,  the  decline  in  hospital  and  facility  coverages  of 
$7.0 million is 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. 

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 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.  Tail 
premiums are 100% earned in the period written because the policies insure only incidents that occurred 
in prior periods and are not cancellable. 

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 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 

$ in thousands 
Year Ended December 31 

2006 

2005 

Change 

 $592,975 
   34,191 
 $627,166 

 $596,557
– 
 $596,557

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

 (1%) 
  n/a 
  5% 

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. 

59

 
 
 
 
 
 
 
 
 
 
 
  
  
  
 
 
 
 
 
  
  
  
  
 
  
 
 
 
 
 
 
 
 
 
  
 
 
 
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. 

Net Investment Income, Net Realized Investment Gains (Losses); Equity (Loss) in Earnings of 
Unconsolidated Subsidiaries 

Net Investment Income 

$ in thousands 
Year Ended December 31 

2006 

2005 

Change 

Net investment income: 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 
  Consolidated 

$ 140,746 
6,704 
$ 147,450 

$ 98,293 
– 
$ 98,293 

$ 42,453  43.2% 
n/a 
$ 49,157  50.0% 

6,704  

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. 

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% 

60

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 

In thousands 
Year Ended December 31 

2006 

  $ 130,335 
414 
    15,567 
2,970 
2,285 
    151,571 
(4,121) 
  $ 147,450 

2005 

  $  90,496 
773 
3,608 
4,145 
2,298 
    101,320 
(3,027) 
  $  98,293 

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. 

Net Realized Investment Gains (Losses) 

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

In thousands 
Year Ended December 31 

Net gains (losses) from sales* 
Other-than-temporary impairment losses 
Trading portfolio gains (losses) 
Net realized investment gains (losses) 
*Amounts for 2006 include PIC Wisconsin net gains (losses) of $761,000. 

2006 
$  1,717 
(3,037) 
121 
$  (1,199) 

2005 
 $  1,567 
(768) 
113 
 $  912 

Other-than-temporary  impairment  losses  recognized  during  2006  include  $2.6  million  related  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. 

Equity in Earnings (Loss) of Unconsolidated Subsidiaries 

Equity in earnings (loss) of unconsolidated subsidiaries is derived from our ownership interests in 
non-pubic investment entities accounted for on the equity basis. One such entity reported higher earnings 
during 2006 as compared to 2005. Our income from these holdings varies from period to period. 

$ in thousands 
Year Ended December 31 
Change 

2006 
2005 
$ 2,339  $  900  $ 1,439 

160% 

Equity in earnings (loss) of unconsolidated subsidiaries 

61

 
 
   
   
   
   
   
   
   
 
   
   
 
 
 
 
  
 
  
 
 
 
 
 
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.  

In millions 
Net Losses 
Year Ended December 31 
2005 

Change 

2006 

Net Loss Ratios* 
Year  Ended December 31 
2005 

2006 

Change 

Current accident year: 
  PRA pre-acquisition business 
  PIC Wisconsin acquisition 
  Consolidated 

Prior accident years, all PRA: 
Calendar year: 
  PRA pre-acquisition business 
  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% 

(4.8) 
n/a 
(2.6) 

 $  (36.3) 

  $  (23.0) 

  $ (13.3) 

(6.6%) 

 (4.2%) 

 (2.4) 

 $  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% 

(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  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.  

62

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
 
 
 
 
 
 
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 2006 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. 

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. 

$ in thousands 
Underwriting, Acquisition 
and Insurance Expenses 
Year Ended December 31 

    PRA pre-acquisition business 
    PIC Wisconsin acquisition 
    Consolidated 

2006 
$  100,867 
5,502 
$  106,369 

2005 
$  91,957 
– 
$  91,957 

Change 

$  8,910 
5,502 

  9.7% 
n/a 
$ 14,412  15.7% 

Underwriting Expense Ratio 
Year Ended December 31 

2006 
    18.1% 
  20.5% 
  18.2% 

2005 
  16.9% 
– 
  16.9% 

Change 
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

63

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  (principal  of  $15.5  million  in  August  2005)  and  PIC 
Wisconsin  (principal  of  $12.0  million  in  August  2006).  Interest  expense  also  increased  because  our 
Subordinated  Debentures  carry  variable  rates  based  on  LIBOR  and  the  LIBOR  reset  rate  for  our 
outstanding  debt  increased  an  average  of  approximately  2  percentage  points  in  2006  as  compared  to 
2005. Interest expense by debt obligation is provided in the following table: 

Convertible Debentures 
2032 Subordinated Debentures 
2034 Subordinated Debentures 
Surplus Notes 
Other  

In thousands 
Year Ended December 31 
2005 
  $ 4,565 
509 
    3,659 
– 
196 
  $ 8,929 

Change 
  $ 
– 
    1,026 
824 
471 
(177) 
  $ 2,144 

2006 
  $  4,565 
    1,535 
    4,483 
471 
19 
  $ 11,073 

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 

Statutory rate 
Tax-exempt income 
Other 
Effective tax rate 

35% 
(8%) 
1% 
28% 

2005 
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.  

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. 

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 fall and vice versa. Certain of the securities are held in an unrealized loss position; we 
have the current ability and intent to hold 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, 
2007. 

In millions, except duration 

Interest Rates 
200 basis point rise 
100 basis point rise 
Current rate * 
100 basis point decline 
200 basis point decline 
*Current rates are as of December 31, 2007 and December 31, 2006.  

December 31, 2007 
Change in 
Value 
 $  (284) 
 $  (142) 
 $ 
– 
 $  129 
 $  249 

Portfolio 
Value 
 $ 2,961 
 $ 3,103 
 $ 3,245 
 $ 3,374 
 $ 3,494 

Effective 
Duration 
4.62 
4.52 
4.13 
3.67 
3.48 

December 31, 2006 
Portfolio 
Value 
 $ 2,911 
 $ 3,057 
 $ 3,185 
 $ 3,306 
 $ 3,422 

Effective 
Duration 
4.31 
4.20 
3.89 
3.55 
3.51 

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,  2007  was  on  a  cost 
basis  which  approximates  its  fair  value.  This  portfolio  lacks  significant  interest  rate  sensitivity  due  to  its 
short duration. 

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, 2007, 98.4% of our fixed maturity securities are rated investment grade as 
determined  by  a  nationally  recognized  statistical  rating  agency.  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,  even  investment  grade  securities  can  rapidly  deteriorate  and  result  in 
significant losses. 

As  of  December  31,  2007,  our  fixed  maturity  securities  include  securities  with  a  fair  value  of 
approximately $21.4 million (including unrealized losses of $1.1 million) that are supported by collateral 
we  classify  as  sub-prime,  of  which  approximately  68%  are  AAA  rated,  26%  are  AA+,  and  6%  are  A. 
Additionally, we have approximately $4.0 million (including unrealized losses of $3.3 million) of exposure 
to below investment grade fixed income securities with sub-prime exposure within a high-yield investment 
fund; the average rating of these securities is BB+. In 2007, we evaluated our exposure to the sub-prime 
market  and  determined  that  $6.5  million  of  writedowns  were  warranted  for  other-than-temporary 
impairments. We have no exposure to sub-prime loans through collateralized debt obligations. 

65

 
 
 
  
  
  
  
  
  
  
  
  
  
 
 
 
Equity Price Risk 

At  December  31,  2007  the  fair  value  of  our  investment  in  common  stocks  was  $21.5  million. 
These securities are subject to equity price risk, which is defined as the potential for loss in fair value due 
to a decline in equity prices. The weighted average Beta of this group of securities is 0.97. 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  9.7%  to  $23.6  million.  Conversely,  a  10% 
decrease  in  the  S&P  500  Index  would  imply  a  decrease  of  9.7%  in  the  fair  value  of  these  securities  to 
$19.4  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. 

66

 
 
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 72. The 
Supplementary Financial Information required by Item 302 of Regulation S-K is included in Note 17 to the 
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, 
2007. 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,  2007  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,  2007  and  that  there  was  no  change  in  the  Company's  internal  controls  during  the 
fiscal  quarter  then  ended  that  has  materially  effected,  or  is  reasonably  likely  to  materially  affect,  the 
Company's internal control over financial reporting. 

Ernst  &  Young  LLP,  an  independent  registered  public  accounting  firm,  has  audited  the 
effectiveness of our internal controls over financial reporting as of December 31, 2007 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 Stockholders of ProAssurance Corporation  

We  have  audited  ProAssurance  Corporation  and  subsidiaries’  internal  control  over  financial 
reporting  as  of  December  31,  2007,  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 and subsidiaries’ management is responsible for maintaining 
effective  internal  control  over  financial  reporting,  and  for  its  assessment  of  the  effectiveness  of  internal 
control  over  financial  reporting  included  in  the  accompanying  Management’s  Annual  Report  on  Internal 
Control  over  Financial  Reporting.  Our  responsibility  is  to  express  an  opinion  on  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,  assessing  the  risk  that  a  material  weakness  exists,  testing  and  evaluating  the  design  and 
operating  effectiveness  of  internal  control  based  on  the  assessed  risk,  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. 

In  our  opinion,  ProAssurance  Corporation  and  subsidiaries  maintained,  in  all  material  respects, 

effective internal control over financial reporting as of December 31, 2007, 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  as  of  December  31,  2007  and  2006, 
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,  2007,  of  ProAssurance  Corporation  and  subsidiaries  and  our 
report dated February 28, 2008 expressed an unqualified opinion thereon. 

Birmingham, Alabama 
February 28, 2008  

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 27 and 28) 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  2008 
Annual Meeting of its Stockholders to be filed with the Securities and Exchange Commission pursuant to 
Regulation 14A on or before April 11, 2008. 

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  2008  Annual  Meeting  of  its 
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or 
before April 11, 2008. 

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  2008  Annual  Meeting  of  its 
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or 
before April 11, 2008. 

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  2008  Annual  Meeting  of  its 
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or 
before April 11, 2008. 

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  2008  Annual  Meeting  of  its 
Stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A on or 
before April 11, 2008. 

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, 2007 and 2006  

Consolidated  Statements  of  Changes  in  Capital  –  years  ended  December  31, 
2007, 2006 and 2005 

Consolidated  Statements  of  Income  –  years  ended  December  31,  2007,  2006 
and 2005 

Consolidated Statements of Cash Flow – years ended December 31, 2007, 2006 
and 2005 

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 

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 2008. 

PROASSURANCE CORPORATION 

By: /s/  W. Stancil Starnes 
           W. Stancil Starnes 

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/W. Stancil Starnes 
W. Stancil Starnes 

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

/s/James J. Morello 
James J. Morello 

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

/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/Drayton Nabers, Jr. 
Drayton Nabers, Jr. 

/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.  

Chief Executive Officer 
(Principal Executive Officer) 
and Director 

February 28, 2008   

Chief Financial Officer 

February 28, 2008 

Chief Accounting Officer 

February 28, 2008 

Chairman of the Board 
and Director 

Director 

Director 

Director 

Director 

Director 

Director 

Director  

Director  

Director  

Director  

Director  

71

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

February 28, 2008 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Consolidated Financial Statements 
Years ended December 31, 2007, 2006 and 2005 

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 Stockholders of ProAssurance Corporation 

We  have  audited  the  accompanying  consolidated  balance  sheets  of  ProAssurance  Corporation 
and subsidiaries as of December 31, 2007 and 2006, 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, 2007. 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, 2007 
and 2006, and the consolidated results of their operations and their cash flow for each of the three years 
in the period ended December 31, 2007, 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. 

As  discussed  in  Note  1  to  the  consolidated  financial  statements,  ProAssurance  Corporation 
changed its method of accounting for income taxes as of January 1, 2007 in accordance with adoption of 
Financial Accounting Standards Board Interpretation No. 48, Accounting for Uncertainty in Income Taxes, 
an interpretation of Statement of Financial Accounting Standards No. 109. 

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting 
Oversight Board (United States), ProAssurance Corporation’s internal control over financial reporting as 
of December 31, 2007, 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, 2008 expressed an unqualified opinion thereon. 

Ernst & Young LLP 

Birmingham, Alabama 
February 28, 2008 

73

 
 
 
 
 
 
 
 
 
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 

Investment in unconsolidated subsidiaries 

  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 

Total Assets 

Liabilities and Stockholders' Equity 

Liabilities 

Policy liabilities and accruals: 

December 31 

December 31 

2007 

2006 

  $  3,244,593 

  $  3,136,222 

– 

7,597 

14,173 

220,029 

61,509 

26,767 

54,939 

49,218 

7,220 

7,638 

184,280 

58,721 

9,331 

39,468 

  3,629,607 

  3,492,098 

39,090 

98,693 

327,111 

14,835 

103,105 

24,004 

203,391 

29,146 

113,023 

370,763 

18,954 

112,201 

23,135 

183,533 

  $  4,439,836 

  $  4,342,853 

  Reserve for losses and loss adjustment expenses 

  $  2,559,707 

  $  2,607,148 

  Unearned premiums 

  Reinsurance premiums payable 

  Total Policy Liabilities 

Other liabilities 

Long-term debt 

Total Liabilities 

218,028 

128,582 

253,773 

106,176 

  2,906,317 

  2,967,097 

114,291 

164,158 

78,032 

179,177 

  3,184,766 

  3,224,306 

Commitments and contingencies 

– 

– 

Stockholders' Equity 

Common stock, par value $0.01 per share 

  100,000,000 shares authorized, 33,570,685 and 

  33,398,028 shares issued, respectively 

Additional paid-in capital 

Accumulated other comprehensive income (loss), net of deferred  

tax expense (benefit) of $5,334 and $62, respectively 

Retained earnings 

336 

505,923 

9,902 

793,166 

334 

495,848 

111 

622,310 

  1,309,327 

  1,118,603 

Treasury stock, at cost, 1,128,111 shares and 121,765 shares, respectively 

(54,257) 

(56) 

Total Stockholders' Equity 

Total Liabilities and Stockholders' Equity 

  1,255,070 

  1,118,547 

  $  4,439,836 

  $  4,342,853 

See accompanying notes. 

74

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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C

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 
Equity in earnings (loss) of unconsolidated subsidiaries   
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 

Year Ended December 31 
2006 

2007 

2005 

$ 549,074 

$ 578,983 

$ 572,960 

$ 506,397 

$ 543,376 

$ 521,343 

$ 585,310 
(51,797) 
  533,513 
  171,308 
1,630 
(5,939) 
5,556 
  706,068 

  438,527 
(87,530) 
  350,997 
  106,751 
11,981 
  469,729 

$ 627,166 
(44,099) 
  583,067 
  147,450 
2,339 
(1,199) 
5,941 
  737,598 

  475,997 
(32,668) 
  443,329 
  106,369 
11,073 
  560,771 

$ 596,557 
(53,316) 
  543,241 
98,293 
900 
912 
4,604 
  647,950 

  479,300 
(41,099) 
  438,201 
91,957 
8,929 
  539,087 

Income from continuing operations before income  taxes 

  236,339 

  176,827 

  108,863 

Provision for income taxes: 

Current expense (benefit) 
Deferred expense (benefit) 

64,329 
3,824 
68,153 

48,456 
1,387 
49,843 

Income from continuing operations 

  168,186 

  126,984 

Income from discontinued operations, net of tax 

– 

109,441 

28,130 
707 
28,837 

80,026 

33,431 

Net income  

$ 168,186 

$ 236,425 

$ 113,457 

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 

$ 

$ 

$ 

$ 

5.10 
– 

5.10 

4.78 
– 

4.78 

$ 

$ 

$ 

$ 

3.96 
3.42 

7.38 

3.72 
3.13 

6.85 

$ 

$ 

$ 

$ 

2.66 
1.11 

3.77 

2.52 
1.02 

3.54 

32,960 

35,823 

32,044 

34,925 

30,049 

32,908 

 See accompanying notes. 

76

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

Year Ended December 31 
2006 

2007 

2005 

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 
  Share-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 
Cash investment in unconsolidated subsidiaries 
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 
Repayment of long-term debt 
Repurchase of treasury shares 
Other 
Net cash provided by (used 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) 

  $ 168,186 
– 

  $ 236,425 
    (109,441) 

  $ 113,457 
(33,431) 

12,587 
3,500 
(1,889) 
5,939 
42,683 
8,326 
3,824 
1,643 
– 
(4,839) 

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

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

14,330 
43,652 
4,119 
(24,767) 
(47,441) 
(35,745) 
22,406 
27,592 
  244,106 

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

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

 (1,394,695) 
(948) 
(551) 
(15,806) 

  1,276,191 
270 
10,443 
(35,749) 
– 
(5,610) 
(166,455) 

 (2,384,986) 
(407) 
(25,364) 
– 

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

(900,481) 
(777) 
(2,386) 
– 

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

(15,464) 
(54,201) 
1,958 
(67,707) 

– 
– 
1,455 
1,455 

– 
– 
3,644 
3,644 

9,944 
29,146 
  $  39,090 

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

13,808 
20,698 
  $  34,506 

See accompanying notes. 

77

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

Year Ended December 31 
2006 

2007 

2005 

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 

  $ 

  $ 

– 
– 
– 

– 
– 
– 

  $ 

  $ 

– 
– 
– 

– 
– 
– 

  $  40,920 
2,415 
– 

43,335 
9,386 
  $  52,721 

  $  45,249 
– 
  $ 

  $  95,748 
– 
  $ 

  $  25,998 
  $  15,528 

  $  10,956 
– 
  $ 

  $  10,192 
– 
  $ 

  $  8,034 
– 
  $ 

Significant non-cash transactions: 
  Fixed maturities securities received as proceeds from sale of discontinued operations 
  Fixed maturities securities transferred, at fair value, to other investments 
  Common shares issued in acquisition 

  $ 
– 
  $  34,732 
– 
  $ 

  $  24,819 
– 
  $ 
  $  99,128 

– 
  $ 
– 
  $ 
  $  67,066 

See accompanying notes. 

78

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
   
   
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

1.  Accounting Policies 
Organization and Nature of Business 

ProAssurance  Corporation  (ProAssurance  or  PRA),  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 South. 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 
Corporation  and  its  wholly-owned  subsidiaries.  Investments  in  entities  where  ProAssurance  holds  a 
greater  than  minor  interest  but  does  not  hold  a  controlling  interest  are  accounted  for  using  the  equity 
method. All significant intercompany accounts and transactions are eliminated in consolidation. 

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 

In 2007, due to the increased significance of the amounts involved, ProAssurance has separately 
reported  its  investments  in  unconsolidated  subsidiaries  and  its  equity  in  the  earnings  of  unconsolidated 
subsidiaries.  Previously,  investments  in  unconsolidated  subsidiaries  were  included  as  a  component  of 
other  investments  and  earnings  of  unconsolidated subsidiaries were considered  as  a  component  of  net 
investment  income.  Prior  period  balances  in  this  report  have  been  reclassified  to  conform  to  the  2007 
presentation. The reclassification had no effect on income from continuing operations, net income or total 
assets. 

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, 2007 

1. Accounting Policies (continued) 

Investments; Investment in Unconsolidated Subsidiaries 

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.  

Valuations of securities obtained from pricing services are reviewed for accuracy based upon the 
specifics  of  the  security,  including  class,  maturity,  credit  rating,  durations,  collateral,  and  comparable 
markets for similar securities. 

Asset backed security valuations are subject to prospective adjustments in yield due to changes 
in  prepayment  assumptions.  Under  the  prospective  method,  the  recalculated  effective  yield  will  equate 
the  carrying  amount  of  the  investment  to  the  present  value  of  the  anticipated  future  cash  flows.  The 
recalculated  yield  is  then  used  to  accrue  income  on  the  investment  balance  for  subsequent  accounting 
periods. 

Asset  backed  securities  that  have  been  impaired  due  to  credit  or  are  below  investment  grade 
quality  are  accounted  for  under  the  effective  yield  method  discussed  in  FASB  Emerging  Issues  Task 
Force  (EITF)  99-20,  "Recognition  of  Interest  Income  and  Impairment  on  Purchased  and  Retained 
Beneficial Interests in Securitized Financial Assets". Under the effective yield method estimates of cash 
flows  expected  over  the  life  of  asset  backed  securities  are  updated  quarterly.  If  there  are  adverse 
changes  in  cash  flow  projections,  considering  timing  and  amount,  an  other-than-temporary  impairment 
loss is recognized. 

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 
available-for-sale  securities  are  included,  net  of  related  tax  effects,  in  Stockholders’  Equity  as  a 
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; Investment in Unconsolidated Subsidiaries 

Investments  in  limited  partnerships/liability  companies  where  ProAssurance  has  virtually  no 
influence over the operating and financial policies of an investee are accounted for using the cost method. 
Investments in limited partnerships/liability companies where ProAssurance is deemed to have influence 
because it holds a greater than minor interest are accounted for using the equity method. 

Other  Investments  are  primarily  comprised  of  equity  interests  in  non-public  investment  funds, 
accounted  for  using  the  cost  method.  In  2007,  Other  Investments  also  includes  available-for-sale  fixed

80

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

1. Accounting Policies (continued) 
maturity securities accounted for at fair value in which ProAssurance maintains a direct beneficial interest 
but that are held by a separate investment entity. 

Investments  in  unconsolidated  subsidiaries  consist  of  ownership  interests  in  non-public 

investment funds that are accounted for using the equity method. 

Business Owned Life Insurance (BOLI) 

ProAssurance  owns  life  insurance  contracts  on  certain  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. 

Realized Gains and Losses 

Realized investment gains and losses 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 
fair  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 among those considered in determining whether an 
investment’s decline is other-than-temporary:  

– 
– 
– 

the extent to which the fair value of the security is less than its cost  basis, 
the length of time for which the fair 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. 

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. 

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  and  land  held  for  sale  of  $2.1  million.  Depreciation  is 
computed over the estimated useful lives of the related property using the straight-line method. Excess 
office capacity 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.  

81

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

1. Accounting Policies (continued) 

Real  estate  accumulated  depreciation  is  approximately  $13.6  million  and  $12.5  million  at 
December 31, 2007 and 2006, respectively. Real estate depreciation expense for the three years ended 
December 31, 2007, 2006 and 2005 is $1.1 million, $1.3 million and $1.2 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. 
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 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

82

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

1. Accounting Policies (continued) 
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.  

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. 

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,  which 

are generally one year in duration. 

Share-Based Compensation 

In  2007  and  2006,  ProAssurance  recognized  compensation  cost  for  share-based  payments 
(including  stock  options  and  performance  shares)  under  the  recognition  and  measurement  principles 
(modified  prospective  method)  of  SFAS  123  (revised  2004)  Share-Based  Payment  (SFAS  123(R)). 
Compensation  cost  for  awards  that  were  granted  prior  to  January  1,  2006  and  had  not  yet  vested  on 
January  1,  2006  is  recognized  over  the  remaining  service  period  related  to  those  awards,  based  on 
amounts,  including  grant-date  fair  values,  previously  reported  in  SFAS  123  pro  forma  disclosures. 
Compensation cost for awards granted after January 1, 2006 is recognized based on the grant-date fair 
value  of  the  award  over  the  relevant  service  period  of  the  award;  for  awards  that  vest  in  increments 
(graded  vesting),  compensation  cost  is  recognized  over  the  relevant  service  period  for  each  separately 
vested portion of the award. Note 12 provides detailed information regarding the determination of grant 
date fair values. 

In 2005, ProAssurance recognized compensation cost for option awards under the intrinsic-value 
provisions  set  forth  in  Accounting  Principles  Board  Opinion  No.  25,  Accounting  for  Stock  Issued  to 
Employees, and related Interpretations (collectively referred to as APB 25) as permitted by SFAS 123. No 
compensation  cost  is  generally  recognized  under  APB  25  since  ProAssurance  options  are  granted with 
an exercise price equal to the fair value of ProAssurance's common shares on the date of grant. 

In 2007 and 2006, “excess tax benefits" (tax deductions realized in excess of the compensation 
costs recognized  for  the  exercise of  the  awards, multiplied  by  the  incremental  tax  rate)  are  reported  as 
financing cash inflows. In 2005, “excess tax benefits” are included within operating cash flows. 

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.  ProAssurance  recognizes  tax-related  interest  and  penalties  as 
components of tax expense. 

83

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

1. Accounting Policies (continued) 
Accounting Changes 

In  December  2007  the  Financial  Accounting  Standards  Board  (FASB)  issued  SFAS  160, 
Noncontrolling  Interests  in  Consolidated  Financial  Statements  (SFAS  160).  SFAS  160  amends 
Accounting  Research  Bulletin  (ARB)  51  to  establish  accounting  and  reporting  standards  for  the 
noncontrolling  interest  in  a  subsidiary  and  for  the  deconsolidation  of  a  subsidiary.  The  Statement  is 
effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 
2008. Earlier adoption is prohibited. ProAssurance will adopt the Statement on its effective date. Adoption 
is not expected to have a significant effect on ProAssurance's results of operations or financial position. 

In  December  2007  the  FASB  issued  SFAS  141  (Revised  2007)  Business  Combinations  (SFAS 
141R).  SFAS  141R  replaces  FASB  Statement  No.  141,  Business  Combinations,  but  retains  the 
fundamental requirement in SFAS 141 that the acquisition method (referred to as the purchase method in 
SFAS 141) of accounting be used for all business combinations. SFAS 141R provides new or additional 
guidance  with  respect  to  business  combinations  including:  defining  the  acquirer  in  a  transaction,  the 
valuation  of  assets  and  liabilities  when  noncontrolling  interests  exist,  the  treatment  of  contingent 
consideration,  the  treatment  of  costs  incurred  to  effect  the  acquisition,  the  treatment  of  reorganization 
costs,  and  the  valuation  of  assets  and  liabilities  when  the  purchase  price  is  below  the  net  fair  value  of 
assets  acquired.  SFAS  141R  applies  prospectively  to  business  combinations  for  which  the  acquisition 
date is on or after the beginning of the first annual reporting period beginning on or after December 15, 
2008. Earlier adoption is prohibited. ProAssurance will adopt the Statement on its effective date. 

In February 2007, the FASB issued SFAS 159, The Fair Value Option for Financial Assets and 
Financial  Liabilities  –  Including  an  Amendment  of  FASB  Statement  No.  115  (SFAS  159).  SFAS  159 
allows  many  financial  assets  and  liabilities  and  other  items  to  be  reported  at  fair  value  that  are  not 
currently measured at fair value. Unrealized gains and losses on items for which the fair value has been 
elected would be reported in earnings at each subsequent reporting date. SFAS 159 also establishes new 
disclosure requirements with respect to fair values. SFAS 159 is effective for fiscal years beginning after 
November  15,  2007,  unless  early  adopted.  ProAssurance  will  adopt  SFAS  159  on  its  effective  date. 
ProAssurance does not plan to select the fair value alternative for financial assets or liabilities that are not 
currently  measured  at  fair  value  and  does  not  expect  adoption  to  have  an  effect  on  its  results  of 
operations or financial condition. 

In  September  2006,  the  FASB  issued  SFAS  157,  Fair  Value  Measurements  (SFAS  157).  The 
standard establishes a framework for measuring fair value under GAAP, and expands disclosures about 
fair  value  measurements.  SFAS  157  is  applicable  to  other  accounting  pronouncements  that  require  or 
permit fair value measurements but does not require any new fair value measurements. The statement is 
effective  for  fiscal  years  beginning  after  November  15,  2007,  unless  early  adopted.  ProAssurance  will 
adopt  SFAS  157  on  its  effective  date,  and  does  not  expect  the  implementation  of  SFAS  157  to  have  a 
material effect on its results of operations or financial condition. 

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 adopted FIN 48 as of January 
1, 2007. The cumulative effect of adopting FIN 48 reduced tax liabilities and increased retained earnings 
by $2.7 million. The disclosures required by FIN 48 are provided in Note 6. 

84

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

1. Accounting Policies (continued) 

On  December  16,  2004  the  FASB  issued  SFAS  123(R)  Share-Based  Payment,  which  is  a 
revision  of  SFAS  123,  which  superseded  APB  25,  and  amends  SFAS  95,  Statement  of  Cash  Flows. 
ProAssurance  adopted  SFAS  123(R)  on  its  effective  date,  January  1,  2006,  using  the  modified 
prospective method permitted by the statement, which does not require restatement of prior periods nor 
recognition of a cumulative effect of adoption. Information regarding the effect of adoption is provided in 
Note 12. 

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  liability  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  the  District  of  Columbia  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 share 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  share  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  acquisitions  and  the  allocation  of  the 

purchase price (in millions): 

Aggregate 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 
  Liability for judgment  
  Other liabilities 
  Fair value of net assets acquired 

PIC Wisconsin 

NCRIC 

  $ 

99.1 
4.6 
  $  103.7 

  $ 

  $ 

67.1 
4.1 
71.2 

  $  199.3 
34.4 
7.8 
24.3 

  $  185.0 
27.8 
3.2 
9.1 

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

  $ 

43.5 
46.7 
(183.2) 
(39.2) 
(15.5) 
(19.5) 
(11.7) 
46.2 

  $ 

85

 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
   
   
   
   
   
   
 
 
   
   
   
 
   
   
   
   
   
   
   
   
   
   
   
   
   
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

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.  

Each  company's  historical  undiscounted  loss  reserve,  which  had  been  determined  based  on  a 
recent  actuarial  review,  was  discounted  to  present  value  assuming  payment  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. 

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. 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 

 $ 

 $ 

2007 

2006 
In thousands 

2005 

– 
– 
– 
– 
– 
– 
– 
– 
– 
– 

 $ 

– 
– 
– 
– 
– 
    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 

86

 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
   
  
  
  
  
  
   
  
 
  
  
  
   
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

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 

$  107,027 
179,603 
  1,328,410 
659,057 
952,043 
  3,226,140 
4,985 
$  3,231,125 

Cost 
or 
Amortized 
Cost 

$ 

57,400 
232,193 
  1,190,651 
629,809 
  1,028,595 
  3,138,648 
4,618 
$  3,143,266 

December 31, 2007 

Gross 
Unrealized 
Gains 

Gross 
Unrealized 
(Losses) 

Estimated 
Fair 
Value 

In thousands 

$ 

$ 

$ 

$ 

2,811 
2,440 
15,174 
6,551 
10,270 
37,246 
2,724 
39,970 

$ 

$ 

(12) 
(33) 
(2,088) 
(9,675) 
(6,985) 
(18,793) 
(112) 
(18,905) 

$  109,826 
182,010 
  1,341,496 
655,933 
955,328 
  3,244,593 
7,597 
$  3,252,190 

December 31, 2006 

Gross 
Unrealized 
Gains 

Gross 
Unrealized 
(Losses) 

Estimated 
Fair 
Value 

In thousands 

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) 
– 
(25,151) 

$ 

56,977 
230,949 
  1,198,227 
625,003 
  1,025,066 
  3,136,222 
7,220 
$  3,143,442 

The following table provides summarized information with respect to available-for-sale securities 
held in an unrealized loss position at December 31, 2007, 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 

Equity securities, available for sale 
Available for sale securities held 
  with unrealized losses 

Total 

Fair 
Value 

Unrealized 
Loss 

December 31, 2007 
  Less than 12 months 
 Unrealized 
Loss 

Fair 
Value 
In thousands 

More than 12 months 

Fair 
Value 

Unrealized 
Loss 

 $ 

4,025 
23,469 
234,925 
346,537 
403,023 
   1,011,979 
1,026 

 $ 

(12) 
(33) 
(2,088) 
(9,675) 
(6,985) 
(18,793) 
(112) 

 $ 

–   $ 
–    
   153,844    
   116,874    
81,305    
   352,023    
1,026    

– 
– 
(1,499) 
(3,747) 
(2,856) 
(8,102) 
(112) 

 $ 

4,025   $ 

23,469    
81,081    
229,663    
321,718    
659,956    
–    

(12)
(33)
(589)
(5,928)
(4,129)
(10,691)
–

 $  1,013,005 

 $  (18,905) 

 $  353,049

  $ 

(8,214) 

 $  659,956 

 $  (10,691)

87

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
   
  
 
  
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

4. Investments (continued) 

After  an  evaluation  of  each  security,  management  concluded  that  these  securities  have  not 
suffered  an  other-than-temporary  impairment  in  value  that  had  not  otherwise  been  recognized.  Of  the 
fixed  maturity  unrealized  losses  aggregated  in  the  above  table,  85%  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. In total, there are approximately 679 fixed maturity securities in an unrealized loss 
position. Management considers the unrealized loss on nine of those securities to be credit related; the 
unrealized losses related to these securities total approximately $2.8 million. The single greatest credit-
related  unrealized  loss  position  approximates  $610,000;  the  second  greatest  credit-related  unrealized 
loss position is an unrealized loss of approximately $524,000. Management believes each of the equity 
securities  in  an  unrealized  loss  position,  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. 

Management  has  the  intent  and  believes  ProAssurance  has  the  ability,  due  to  the  duration  of 
ProAssurance’s  overall  portfolio  and  positive  operating  cash  flows,  to  hold  the  securities  (that  are  in 
unrealized loss positions) to recovery of book value or maturity. 

The amortized cost and estimated fair value of available-for-sale fixed maturities at December 31, 
2007, 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 

$  242,945 
722,858 
768,453 
539,841 
952,043 
$  3,226,140 

$  243,001 
727,295 
776,919 
542,050 
955,328 
$  3,244,593 

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, 2007. 

At December 31, 2007 ProAssurance has available-for-sale securities with a fair value of $15.8 

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  $51  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. 

88

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

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 

2007 

  $ 149,494 
377 
14,713 
9,228 
1,889 
    175,701 
(4,393) 
  $ 171,308 

2006 
In thousands 
  $ 130,335 
414 
15,567 
2,970 
2,285 
    151,571 
(4,121) 
  $ 147,450 

2005 

  $ 90,496 
773 
3,608 
4,145 
2,298 
   101,320 
(3,027) 
  $ 98,293 

Net realized investment gains (losses) are as follows: 

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) 

2007 

  $  2,944 
  (1,143) 
(284) 
297 
  (7,753) 
  $ (5,939) 

2006 
In thousands 
  $  5,127 
  (3,410) 
(138) 
259 
  (3,037) 
  $ (1,199) 

2005 

  $  3,488 
  (1,921) 
51 
62 
(768) 
  $  912 

Net  gains  (losses)  related  to  fixed  maturities  included  in  the  above  table  are  ($483,000),  ($2.5) 

million and $836,000 during 2007, 2006 and 2005, respectively. 

Proceeds  from  sales  (excluding  maturities  and  paydowns)  of  available-for-sale  securities  were 
$1.1 billion, $1.6 billion and $441.0 million during 2007, 2006 and 2005, respectively, including proceeds 
from sales of adjustable rate, short-duration fixed maturities of approximately $691.5 million, $1.2 billion, 
and  $138.3  million,  respectively.  Purchases  of  adjustable  rate,  short-duration 
fixed  maturities 
approximated $576.7 million, $1.4 billion, and $120.9 million during the same respective periods. 

In January 2007, ProAssurance transferred high yield asset backed bonds (previously considered 
as available-for-sale securities) having a fair value of approximately $34.7 million to an investment fund 
created  for  the  purpose  of  managing  such  investments.  ProAssurance  holds  a  separate  and  direct 
beneficial  interest  in  the  securities  contributed  to  the  fund.  Cash  flows  from  the  initial  investment, 
including net investment earnings and proceeds from maturities, approximately $10.3 million in 2007, are 
being re-invested in a joint fund in which ProAssurance holds an undivided interest.  

The  securities  in  which  ProAssurance  holds  a  direct  beneficial  interest  are  included  in  the 
ProAssurance  Balance  Sheet  as  a  component  of  Other  Investments,  at  fair  value  ($16.2  million  at 
December  31,  2007,  including  net  unrealized  losses  of  $5.8  million).  During  the  first  quarter  of  2007 
ProAssurance  recognized  other-than-temporary  impairments  of  $4.2  million  related  to  the  securities 
contributed to the above fund; the $5.8 million unrealized loss originated subsequent to the first quarter. 
Management has not recognized additional impairment at December 31, 2007 because an evaluation of 
the metrics underlying the securities indicated that the decline in value was not due to prospective default 
of  the  underlying  loans.  Management  intends  and  believes  it  has  the  ability  to  hold  the  securities  until 
recovery. 

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

4. Investments (continued) 

ProAssurance  holds  a  non-controlling  interest  in  the  undivided  fund  and  accounts  for  the  fund 
using  the  equity  method.  At  December  31,  2007  the  carrying  value  of  the  undivided  interest  of  $10.0 
million  is  included  in  Investments  in  Unconsolidated  Subsidiaries.  (The  carrying  value  reflects  losses 
recognized under the equity method of approximately $350,000.) 

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: 

2007 Premiums 

2006 Premiums 

2005 Premiums 

Written 

Earned 

Written 

Earned 

Written 

Earned 

In thousands 

Direct 
Assumed 
Ceded 
Net premiums 

  $  549,034 
40 
(42,677) 
  $  506,397 

  $  585,267 
43 
(51,797) 
  $  533,513 

  $  578,963 
20 
(35,607) 
  $  543,376 

  $  627,148 
18 
(44,099) 
  $  583,067 

  $  572,692 
268 
(51,617) 
  $  521,343 

  $  596,289 
268 
(53,316) 
  $  543,241 

Reinsurance  contracts  do  not  relieve  ProAssurance  from  its  obligations  to  policyholders  and 
ProAssurance  remains  liable  to  its  policyholders  whether  or  not  reinsurers  honor  their  contractual 
obligations to ProAssurance. ProAssurance continually monitors its reinsurers to minimize its exposure to 
significant losses from reinsurer insolvencies. 

At  December  31,  2007,  all  reinsurance  recoverables  are  considered  collectible.  Reinsurance 
recoverables totaling approximately $33.2 million are collateralized by letters of credit or funds withheld. 
At December 31, 2007 no amounts due from individual reinsurers exceed 5% of stockholders’ equity. 

During  2007,  ProAssurance  commuted 

reinsurance 
arrangements  for  approximately  $6.3  million  in  cash.  The  commutations  reduced  Receivable  from 
Reinsurers  by  approximately  $477,000  (net  of  cash  received)  and  reduced  Reinsurance  Premiums 
Payable  by  approximately  $3.3  million.  During  2006,  ProAssurance  commuted  various  outstanding 
reinsurance arrangements for approximately $5.5 million in cash. The commutations reduced Receivable 
from Reinsurers by approximately $427,000 (net of cash received) and reduced Reinsurance Premiums 
Payable by approximately $2.7 million. 

(terminated)  various  outstanding 

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

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 assets and liabilities 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 
Other 

Total deferred tax assets 

Deferred  tax liabilities 

Deferred acquisition costs 
Basis difference on convertible debentures 
Unrealized gains on investments, net 
Other 

Total deferred tax liabilities 
Net deferred tax assets 

2007 

2006 

In thousands 

 $  84,549 
    17,954 
7,989 
2,322 
6,598 
8,495 
1,635 
    129,542 

 $  88,988 
    18,939 
7,636 
3,366 
5,350 
5,286 
2,199 
    131,764 

7,742 
8,814 
5,334 
4,547 
    26,437 
 $ 103,105 

8,453 
6,528 
62 
4,520 
    19,563 
 $ 112,201 

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. 

At  December  31,  2007  ProAssurance  has  available  net  operating  loss  (NOL)  carryforwards  of 
$4.8  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.  ProAssurance 
files income tax returns in the U.S. federal jurisdiction and various states, and generally remains open to 
income tax examinations by tax authorities for filings for years beginning with 2004 for federal and 2003 
for state. 

ProAssurance adopted the provisions of FASB Interpretation No. 48, Accounting for Uncertainty 
in Income Taxes, on January 1, 2007. The cumulative effect of adopting FIN 48 reduced tax liabilities and 
increased retained earnings by $2.7 million. At December 31, 2007 ProAssurance has no unrecognized 
tax  benefits  and  did  not  record  any  activity  related  to  unrecognized  tax  benefits  during  the  year  ended 
December 31, 2007. 

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

6. Income Taxes (continued) 

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 
Other 
Total 

2007 

2006 

2005 

 $  82,719 
   (15,827) 
1,261 
 $  68,153 

In thousands 
  $ 61,890 
    (13,217) 
    1,170 
  $ 49,843 

  $ 38,102 
(9,548) 
283 
  $ 28,837 

No  significant  interest  or  penalties  were  accrued  or  paid  during  the  year  ended  December  31, 

2007 nor was there any significant liability for such amounts at December 31, 2007. 

7. Deferred Policy Acquisition Costs 

Policy  acquisition  costs,  most  significantly  commissions,  premium  taxes,  and  underwriting 
salaries,  that  are  primarily  and  directly  related  to  the  production  of  new  and  renewal  premiums  are 
capitalized  as  policy  acquisition  costs  and  amortized  to  expense  as  the  related  premium  revenues  are 
earned.  

Amortization  of  deferred  acquisition  costs,  included  in  continuing  operations,  amounted  to 
approximately  $52.9  million,  $56.9  million,  and  $54.0  million  for  the  years  ended  December  31,  2007, 
2006  and  2005,  respectively.  Unamortized  deferred  acquisition  costs  are  included  in  Other  Assets  and 
are $22.1 million and $23.8 million at December 31, 2007 and 2006, respectively. 

8. Reserve for Losses and Loss Adjustment Expenses 

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

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

8. Reserve for Losses and Loss Adjustment Expenses (continued) 
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). 

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 

2007 

  $ 2,607,148 
370,763 
    2,236,385 

2006 
In thousands 

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

2005 

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

Net reserves acquired in PIC Wisconsin transaction 
Net reserves acquired in NCRIC transaction 

– 
– 

171,246 
– 

– 
139,672 

Net losses: 
  Current year 
  Favorable development of reserves 

  established in prior years 

Total  

Paid related to: 
  Current year 
  Prior years 

Total paid 

Net balance, end of year 
Plus reinsurance recoverables 
Balance, end of year 

455,982 

479,621 

461,182 

(104,985) 
350,997 

(36,292) 
443,329 

(22,981) 
438,201 

(23,492) 
(331,294) 
(354,786) 

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

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

    2,232,596 
327,111 
  $ 2,559,707 

    2,236,385 
370,763 
  $ 2,607,148 

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

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 2007 was primarily due to reductions in estimates of 
claims  severity  for  the  2003,  2004  and  2005  accident  years.  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. Actuarial evaluations of both internal and industry actual claims data in 2007, 2006 
and  2005  all  indicated  that  claims  severity  (i.e.,  the  average  size  of  a  claim)  is  increasing  more  slowly 
than was anticipated when the reserves for 2003, 2004 and 2005 were initially established. 

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

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  $21.7  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 
ProAssurance  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 
loss  and  loss  adjustment  expense  reserves.  The  outcome  of  such  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. 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,  the  ultimate cost  of  resolving these  legal 
actions may differ from the reserves established; the resulting difference 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, 2007. 

Operating Leases 
In thousands 

2008 
2009 
2010 
2011 
Thereafter 
Total minimum lease payments 

  $ 2,243 
    1,445 
    1,190 
153 
15 
  $ 5,046 

ProAssurance  incurred  rent  expense  of  $2.9  million,  $2.8  million  and  $2.4  million  in  the  years 

ended December 31, 2007, 2006 and 2005, respectively.  

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

10. Long-term Debt  

Outstanding long-term debt, as of December 31, 2007 and December 31, 2006, 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 unamortized 
discounts  of  $1.6  million  and  $1.9  million  at  December  31,  2007  and  2006, 
respectively. 

Trust  Preferred  Subordinated  Debentures  (the  2032  Subordinated  Debentures;  the 
2034  Subordinated  Debentures),  unsecured,  bearing  interest  at  a  floating  rate, 
adjustable quarterly. 

Due 

  December 2032 
  April 2034 
  May 2034 

12/31/2007 Rate
– 
8.7% 
8.7% 

Surplus  Notes  due  May  2034  (the  Surplus  Notes),  unsecured,  net  of  unamortized 
discounts  of  $0.2  and  $0.4  million  at  December  31,  2007  and  2006,  principal  of 
$12.0 million bearing a fixed interest rate of 7.7%, until May 2009. 

2007 

2006 

In thousands 

$ 105,973 

$ 105,677 

– 
  13,403 
  32,992 

  15,464 
  13,403 
  32,992 

  11,790 
$ 164,158 

  11,641 
$ 179,177 

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, 2007 

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 shares 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  share  price  criterion  allowing  conversion  was  met  during  the  quarter  ended 
December  31,  2007  and  holders  may  convert  through  March  31,  2008.  To  date,  no 
holders have requested conversion. 

At  December  31,  2007  conversion  would  be  at  a  rate  of  23.9037  common  shares  for 
each  $1,000  principal  amount  of  Convertible  Debentures;  this  represents  a  conversion 
price of approximately $41.83 per common share. 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 shares 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 shares, cash 
or a combination of cash and common shares. 

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,  common  shares,  or  a  combination  of  cash  and 
common shares. If ProAssurance elects to pay all or a portion of the repurchase price in 
common shares, the common shares 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, 2007 

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,  common  shares, 
common  shares  of  the  surviving  corporation  or  a  combination  of  cash  and  common 
shares. If ProAssurance elects to pay all or a portion of the repurchase price in common 
shares, the applicable common shares will be valued at 97.5% of the average sale price 
of the applicable common shares 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 2032 Subordinated Debentures 

In December 2007 ProAssurance redeemed, at face value, the 2032 Subordinated Debentures of 

its subsidiary, NCRIC Corporation for cash of $15.5 million. 

The 2034 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. 

The 2034 Subordinated Debentures are uncollateralized and have the same maturities and other 
applicable  terms  and  features  as  the  associated  trust  preferred  securities.  Neither  requires  PRA  to 
maintain  minimum  financial  covenants.  Early  redemption  is  allowed  beginning  in  May  2009.  Interest  is 
payable quarterly at LIBOR + 3.85%, set quarterly based upon the three-month LIBOR rate on the date 
that is two banking days preceding the applicable interest payment dates of February 15, May 15, August 
15,  and  November  15,  with  a  maximum  rate  through  May  2009  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. 

97

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

10. Long-term Debt (continued) 
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,  nor  any  of  its  subsidiaries,  and  are  effectively  subordinated  to  the 
indebtedness and other liabilities of ProAssurance and its other 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 LIBOR + 3.85%. Each payment of interest and principal, including redemption, 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 has guaranteed that amounts paid to the PRA Trusts under the 2034 Subordinated 
Debentures will be remitted to the holders of the associated trust preferred securities. These guarantees, 
when  taken  together  with  the  obligations  of  ProAssurance  under  the  subordinated  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 Trusts other than 
with respect to the common and trust preferred securities of the Trusts), provide a full and unconditional 
guarantee of amounts due on the TPS. 

Fair Value 

At  December  31,  2007,  the  fair  value  of  the  Convertible  Debentures  is  approximately  136%  of 
face value of $107.6 million based on available independent market quotes. At December 31, 2007, the 
fair value of the Surplus Notes approximates 101% of their face value of $12.0 million based on available 
third party valuation information. The fair value  of the 2034 Subordinated Debentures approximates the 
face value of the debentures. 

98

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

11. Stockholders’ Equity 

At December 31, 2007 ProAssurance had 100 million authorized common shares and 50 million 
authorized preferred shares. The Board of Directors has the authority to determine the provisions for the 
issuance of the preferred shares, 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, 
2007, the Board of Directors had not authorized the issuance of any preferred shares nor determined any 
provisions for the preferred shares. 

At  December  31,  2007  approximately  1.5  million  of  ProAssurance’s  authorized  common shares 
are  reserved  by  the  Board  of  Directors  of  ProAssurance  for  award  or  issuance  under  incentive 
compensation plans as described in Note 12. Additionally, approximately 1.1 million common shares are 
reserved  for  the  exercise  of  outstanding  options  and  unvested  performance  shares,  and  2.6  million 
common shares are reserved for issuance related to the Convertible Debentures. 

As discussed in Note 1, ProAssurance adopted FIN 48 on January 1, 2007. In accordance with 
the guidance provided by FIN 48, retained earnings increased as of January 1, 2007 by the $2.7 million 
cumulative effect of adoption. 

In  April  2007,  the  Board  of  Directors  of  ProAssurance  Corporation  authorized  $150  million  to 
repurchase  its  common  shares  or  debt  securities.  The  authorization  was  effective  immediately,  but  the 
timing and quantity of any purchases will depend upon market conditions and changes in ProAssurance's 
capital requirements. Additionally, ProAssurance's repurchase activity is subject to limitations that may be 
imposed on such purchases by applicable securities laws and regulations, and the rules of the New York 
Stock  Exchange.  During  the  year  ended  December  31,  2007  approximately  $15.5  million  of  the 
authorization was utilized to redeem debt (see Note 10) and approximately $54.2 million was utilized to 
repurchase common shares. As of December 31,  2007 approximately $80.3 million of the authorization 
remains available for use. 

During 2007, ProAssurance repurchased approximately 1.0 million common shares, all of which 
are being held as treasury shares. Treasury shares are reported at cost, and are reflected on the balance 
sheet as an unallocated reduction of total equity. 

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 for gains (losses) from available-for-sale securities recognized 
in current period net income. 

Reclassification adjustments related to continuing operations for the years ended December 31, 

2007, 2006 and 2005 are as follows (in thousands): 

Gains (losses) included in the  calculation of income from 
  continuing operations 
Tax effect (at 35%) 
Net amount reclassified from other comprehensive income 

2007 

  2006 

  2005 

  $  (5,940) 
2,079 
  $  (3,861) 

  $  806 
  $  (1,320) 
462 
(282) 
(858)    $  524 

  $ 

Reclassification  adjustments  related  to  discontinued  operations  for  the  years  ended  December 

31, 2006 and 2005 are as follows (in thousands): 

Gains (losses) included in the  calculation of income from 
  discontinued operations 
Tax effect (at 35%) 
Net amount reclassified from other comprehensive income 

2006 

  2005 

  $  (574) 
201 
  $  (373) 

  $  498 
(174) 
  $  324 

99

 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
   
   
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

12. Stock Options and Share-Based Payments 

ProAssurance  recognized, 

in  continuing  operations,  share-based  compensation  cost  of 
approximately  $8.3  million  and  $4.7  million  and  a  related  tax  benefit  of  approximately  $2.8  million  and 
$1.5  million  during  the  years  ended  December  31,  2007  and  2006,  respectively;  share-based 
compensation costs are primarily classified as underwriting, acquisition and insurance expenses. In 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 shares 
on the date of grant, and have an original term of ten years. ProAssurance issues new shares for options 
exercised. In 2007, ProAssurance granted 100,000 options to its new CEO, with the same terms as those 
of other options granted under the plan, except that the options vested on the date of grant. 

The  weighted  average  fair  values  of  options  granted  during  2007,  2006  and  2005  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. 

Weighted average fair value 

Assumptions: 
  Risk-free interest rate 
  Expected volatility 
  Dividend yield 
  Expected average term (in years) 

2007 
  $ 16.41 

2006 
  $ 18.37 

2005 
  $ 16.52 

    4.6% 
    0.22 
    0% 
    5 

    4.7% 
    0.25 
    0% 
    6 

    4.3% 
    0.33 
    0% 
    6 

Because ProAssurance has limited historical data regarding exercise behavior of its employees, 
the  expected  term  of  2007  and  2006  option  grants  (awarded  after  adoption  of  SFAS  123(R))  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 expected term of 2005 option grants (awarded prior to adoption of SFAS 123R)) 
was  estimated  by  Management  after  consideration  of  publicly  available  statistics  regarding  option 
behavior. The risk-free interest rate assumptions were based upon a U.S. Treasury instrument with a term 
that  is  similar  to  the  expected  term  of  the  option  grant.  The  volatility  assumptions  were  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 yields were assumed to be zero since ProAssurance has historically 
not paid dividends. 

100

 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

12. Stock Options and Share-Based Payments (continued) 

The following table provides information regarding ProAssurance's outstanding options: 

Outstanding at December 31, 2006 
Granted under incentive plans     
Exercised 
Forfeited 
Outstanding at December 31, 2007 
Exercisable at December 31, 2007 
Outstanding, vested or expected to vest 
  at December 31, 2007 

Aggregate 
Intrinsic 
Value 
(in thousands) (1)

Weighted 
Average Remaining 
Contractual Term 

Weighted 
Average 
Exercise 
Price 
$  32.81 
        $  53.72 
$  25.81 
$  29.79 
$  40.55 
$  37.02 

Options 
982,303 
268,173 
(273,943) 
(3,378) 
973,155 
604,977 

                – (2)
        $    7,976 
        $ 
86  
        $  13,984 

$  10,829   

959,049 

$  40.46 

$  13,868 

7.3 years 
7.1 years 

7.3 years 

(1)   Intrinsic value is the difference in the market value of a ProAssurance common share at a given point in time and the option exercise 

price 

(2)   As of the date of grant;  all options were granted with an exercise price equal to the current market value of the ProAssurance common 

share 

At  December  31,  2007,  unrecognized compensation  cost  related  to  non-vested  options  granted 
under ProAssurance's stock compensation plans approximated $2.9 million. That cost is expected to be 
recognized over a weighted average period of 1.8 years. 

The fair value of options vested during the years ended December 31, 2007, 2006 and 2005 is 
$17.0 million, $15.3 million and $11.1 million, respectively.  The intrinsic value of options exercised during 
2006 and 2005 is $7.9 million and $5.0 million, respectively. 

Cash  proceeds  from  options  exercised  during  the  years  ended  December  31,  2007,  2006,  and 

2005, respectively, totaled $128,000, $210,000, and $3.6 million. 

ProAssurance also granted Performance Shares awards to employees in 2007 and 2006 under 
the ProAssurance 2004 Equity Incentive Plan. The awards were issued to two groups of employees: PRA 
executive officers and other managers. The Performance Shares vest at the end of a three year service 
period  if  one  of  two  Performance  Measures  is  attained.  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  vest  if  performance  criteria  are 
met can vary (from 75% to 125% of the target award) depending upon the degree to which Performance 
Measures are attained. The fair value of each Performance Share was estimated as the market value of 
ProAssurance's common shares on the respective date of grant. The following table provides information 
regarding ProAssurance's Performance Shares: 

100% vesting date 
Shares awarded (target)  
Grant date fair value  

Performance Shares 
2006 
2007 
12/31/2008 
12/31/2009 
72,000 
58,000 
$  51.38 
$  51.48 

At  December  31,  2007,  based  on  current  achievement  of  the  Performance  Measures,  it  is 
estimated that approximately 150,000 Performance Shares, having an estimated grant date fair value of 
approximately  $7.7  million,  will  ultimately  vest.  At  December  31,  2007  the  unrecognized  compensation 
cost related to Performance Shares is estimated as $4.0 million and is expected to be recognized over a 
weighted  average  period  of  1.6  years.  Performance  Shares  having  a  grant  date  fair  value  of 
approximately $231,000 at the target level were forfeited in 2007; none were forfeited in 2006. 

101

 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
  
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

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 25 as permitted by SFAS 123. Accordingly, no compensation expense was recognized for option 
grants prior to 2006 since the exercise price of options granted equaled the fair value of ProAssurance’s 
common shares on the date of grant. Share-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 

2006 
  $ 4,669 
  $ 3,184 
  $  417 
  $ 3,601 

Income per share from continuing operations: 
  Basic 
  Diluted 

  $  0.10 
  $  0.09 

Net Income: 
  Basic 
  Diluted 

  $  0.11 
  $  0.10 

SFAS  123(R)  increased  2006  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 (in thousands, except per share data): 

Income from continuing operations, as reported 
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 

Pro forma income from continuing operations 

Earnings per share, continuing operations: 

Basic–as reported 
Basic–pro forma 
Diluted–as reported 
Diluted–pro forma 

2005 
  $  80,026 

84 

(1,808) 
  $   78,302 

  $ 
  $ 
  $ 
  $ 

2.66 
2.61 
2.52 
2.47 

102

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
 
 
   
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

13. Earnings Per Share 

The  following  table  provides  detailed  information  regarding  the  calculation  of  basic  and  diluted 

earnings per share for each period presented:  

2007 
2005 
2006 
In thousands except per share data 

Basic earnings per share calculation:

  Numerator: 

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

  Net income 
  Denominator: 
  Weighted average number of common shares outstanding 

  $ 168,186 
– 
  $ 168,186 

  $ 126,984 
    109,441 
  $ 236,425 

  $  80,026 
    33,431 
  $ 113,457 

    32,960 

    32,044 

    30,049 

  Basic earnings per share: 

Income from continuing operations 
Income from discontinued operations 

  Net income 

Diluted earnings per share calculation:

  Numerator: 

  $ 

  $ 

5.10 
– 
5.10 

  $ 

  $ 

3.96 
3.42 
7.38 

  $ 

  $ 

2.66 
1.11 
3.77 

Income from continuing operations, net of tax 

  $ 168,186 

  $ 126,984 

  $  80,026 

  Effect of assumed conversion of contingently convertible  

  debt instruments 
Income from continuing operations─diluted computation 
Income from discontinued operations, net of tax 

  Net income–diluted computation 
  Denominator: 
  Weighted average number of common shares outstanding 
  Assumed conversion of dilutive stock options/issuance 

of performance shares 

  Assumed conversion of contingently convertible debt instruments 
  Diluted weighted average equivalent shares

2,967 
    171,153 
– 
  $ 171,153 

2,967 
    129,951 
    109,441 
  $ 239,392 

2,967 
    82,993 
    33,431 
  $ 116,424 

    32,960 

    32,044 

    30,049 

291 
2,572 
    35,823 

309 
2,572 
    34,925 

287 
2,572 
    32,908 

  Diluted earnings per share: 

Income from continuing operations 
Income from discontinued operations 

  Net income 

  $ 

  $ 

4.78 
– 
4.78 

  $ 

  $ 

3.72 
3.13 
6.85 

  $ 

  $ 

2.52 
1.02 
3.54 

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 211,000 during 2007, 180,000 during 2006 and 158,000 during 2005.  

103

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
 
   
   
 
   
 
 
   
 
 
 
 
   
 
   
   
 
   
   
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

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  $3.3  million,  $3.2 
million  and  $2.3  million  during  the  years  ended  December  31,  2007,  2006  and  2005,  respectively. 
ProAssurance's contribution to the deferred compensation plan was approximately $125,000 during each 
of  the  years  ended  December  31,  2007  and  2006;  there  was  no  contribution  in  2005.  ProAssurance's 
liability  related  to  the  deferred  compensation  plan  consists  primarily  of  employee  salary  deferrals  and 
approximated $3.1 million at December 31, 2007 and $1.8 million at December 31, 2006. 

When  acquired,  both  PIC  Wisconsin  and  NCRIC  maintained  defined  contribution  retirement 
benefit plans which were assumed by ProAssurance.  On January 1, 2006 the NCRIC plan was merged 
into  ProAssurance’s  existing  plan.  The  PIC  Wisconsin  plan  was  similarly  merged  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 plan. 

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, 2007 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.  For  all  years  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. 

Net Earnings 
 2006 

  2005 

  2007 

Surplus 

  2007 

  2006 

$  171 

  $ 400

  $ 69 

$1,001 

  $ 839 

In millions 

ProAssurance’s  insurance  subsidiaries  are  permitted  to  pay  dividends  of  approximately  $162 
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, 2007 

16. Variable Interest Entities 

ProAssurance holds passive interests in seven limited partnerships/limited liability companies that 
are considered to be VIEs 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). 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.  The  interests  were  acquired  at  various  times  since  January  1, 
2001.  

ProAssurance's  investment  in  four  of  the  entities  represents  an  ownership  interest  of  less  than 
7%. These interests are accounted for on the cost basis because ProAssurance has virtually no influence 
over the entity. These investments are included in Other Investments and total $34.0 million at December 
31, 2007 and $35.1 million at December 31, 2006. 

ProAssurance's  investment  in  three  of  the  entities  represents  an  ownership  interest  of  between 
9%  and  32%.  These  investments  are  accounted  for  using  the  equity  method  of  accounting  because 
ProAssurance has a greater than minor interest in the entity. ProAssurance’s investment in these three 
entities  totals  $26.8  million  at  December  31,  2007  and  is  included  in  Investment  in  Unconsolidated 
Subsidiaries. 

ProAssurance also holds a direct and beneficial interest in certain high-yield asset backed bonds 
contributed to an investment fund created for the purpose of managing such investments. The Company’s 
direct  beneficial  interest  in  the  securities  contributed  to  the  fund  qualifies  as  a  silo  under  FIN  46(R). 
ProAssurance is considered the primary beneficiary of this silo, and therefore has consolidated its interest 
in  these  securities.  The  securities  are  included  in  Other  Investments  at  fair  value  ($16.2  million  at 
December 31, 2007). See Note 4. 

ProAssurance  also  holds  all  the  voting  securities  issued  by  certain  trusts  (the  Trusts)  as 
discussed  in  Note  10  and  such  trusts  are  considered  to  be  VIEs.  The  Trusts  are  not  consolidated 
because ProAssurance is not the primary beneficiary of these trusts. The 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 $1.4 million and are included in Other Assets. 

105

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2007 

17. Quarterly Results of Operations (unaudited) 

The following is a summary of unaudited quarterly results of operations for 2007 and 2006: 

Net premiums earned(1)
Net losses and loss adjustment expenses(1)
Income from continuing operations(2)
Net income 

Basic earnings per share: 

Income from continuing operations 

  Net income 

Diluted earnings per share: 

Income from continuing 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 

2007 

1st 

2nd  

3rd 

4th 

In thousands except per share data 

  $  137,177 
  99,047 
  36,090 
  36,090 

  $  132,663 
  98,793 
  37,621 
  37,621 

  $  135,508 
  88,108 
  43,112 
  43,112 

  $  128,165 
  65,049 
  51,363 
  51,363 

1.08 
1.08 

1.02 
1.02 

1.13 
1.13 

1.06 
1.06 

1.32 
1.32 

1.23 
1.23 

1.58 
1.58 

1.47 
1.47 

1st 

2nd 

3rd 

4th 

2006 

  $  142,430 
  111,132 
  27,835 
  109,441 
  137,276 

In thousands except per share data 
  $  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 

Quarterly and year-to-date computations of per share amounts are made independently; therefore, the sum of per share amounts for the 
quarters  may  not  equal  per  share  amounts  for  the  year.  In  2006,  the  difference  in  the  sum  of  the  quarterly  per  share  amounts  for 
discontinued  operations  and  net  income  also  differ  from  the  annual  computation  of  these  amounts  due  to  the  shares  issued  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, 2007 

Type of Investment 

Fixed Maturities 
  Bonds: 

U.S. Government or government agencies and authorities 
States, municipalities and political subdivisions 
Foreign governments 
Public utilities 
All other corporate bonds 

    Certificates of deposit 
    Redeemable preferred stock 

Total Fixed Maturities 

Equity Securities, available-for-sale 

 Common Stocks: 
  Banks, trusts and insurance companies 
Industrial, miscellaneous and all other 

 Non redeemable preferred stocks 

Total Equity Securities, available-for-sale 

Equity Securities, trading 
    Common Stocks: 
  Public utilities 
  Banks, trusts and insurance companies 
Industrial, miscellaneous and all other 
Total Equity Securities, trading 

Other long-term investments(1)
Short-term investments 

Total Investments 

Cost
or
Amortized 
Cost 

Amount 
Which is 
Presented
in the 
Balance Sheet 

Fair 
Value 
In thousands 

  $  837,778 
1,183,990 
997 
144,420 
1,043,958
270 
14,727 
  3,226,140

  $  847,874 
  1,195,733 
990 
145,763 
  1,040,860 
270 
13,103 
  3,244,593 

  $  847,874 
  1,195,733 
990 
145,763 
  1,040,860 
270 
13,103 
  3,244,593

922
3,772 
291 
4,985 

446 
2,886 
9,812 
13,144 

1,336 
5,980 
281 
7,597 

551 
2,594 
11,028 
14,173 

1,336
5,980 
281 
7,597 

551 
2,594 
11,028 
14,173 

142,830 
220,029 
  $ 3,607,128 

150,254 
220,029 
  $ 3,636,646 

143,215 
220,029 
  $ 3,629,607 

(1) Other investments include investments reported at cost and investments reported at fair value. Thus, the balance sheet amount  
   is greater than the "cost" column but less than the "fair value" column. 

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 
Equity securities available for sale, at fair value 
Equity securities, 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 

2007 

2006 

In thousands 

  $ 1,250,690 
62,493 
281 
5,203 
71,181 
3,680 
18,848 
10,312 
  $ 1,422,688 

  $ 1,041,230 
204,562 
– 
– 
25,953 
366 
– 
10,603 
  $ 1,282,714 

  $ 

– 
15,250 
152,368 
167,618 

336 

  $ 

4,369 
7,726 
152,072 
164,167 

334 

  1,254,734 
  1,255,070 
  $ 1,422,688 

  1,118,213 
  1,118,547 
  $ 1,282,714 

ProAssurance Corporation – Registrant Only 
Condensed Statements of Income 

Revenues:
Investment income including net realized
investment gains (losses) of $(405),  
($1,450) and $63, respectively 

Other Income 

Expenses:
Interest expense 
Other expenses 

Income (loss) before income tax expense (benefit) 
and equity in net income of subsidiaries  

Income tax expense (benefit) 
Income (loss) before equity in net income of 

subsidiaries 

Equity in net income of subsidiaries 
Net income 

2007 

Year Ended December 31 
2006 
In thousands 

2005 

  $ 

8,281 
131 
8,412 

  $ 

6,407 
174 
6,581 

  $  2,407 
62 
2,469 

9,204 
4,269 
13,473 

(5,061) 
(2,911) 

9,063 
3,538 
12,601 

(6,020) 
(2,632) 

8,416 
3,923 
  12,339 

(9,870) 
(3,491) 

(2,150) 
  170,336 
  $  168,186 

(3,388) 
  239,813 
  $  236,425 

(6,379) 
  119,836 
  $ 113,457 

108

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule II – Condensed Financial Information of Registrant (continued) 

ProAssurance Corporation – Registrant Only 
Condensed Statements of Cash Flow 

2007 

Year Ended December 31 
2006 
In thousands 

2005 

Cash provided (used) by operating activities 

  $  (21,175) 

  $ 

2,529 

  $ 

(4,858) 

Investing activities 
  Purchases of: 

Fixed maturities, available for sale 
Equity securities, available for sale 

  Proceeds from sale of fixed maturities, available for sale 
  Net decrease (increase) in short-term investments 
  Dividends from subsidiaries 
  Contribution of capital to subsidiaries 
  Other 

  (270,449) 
(291) 
  411,996 
(45,228) 
7,000 
(41,202) 
3,731 
  65,557 

  (416,691) 
– 
  252,360 
(15,217) 
  200,000 
(30,410) 
(2,794) 
(12,752) 

(45,734) 
– 
  60,162 
(8,059) 
3,000 
(5,937) 
(3,517) 
(85) 

Financing activities 
  Repurchase of treasury stock 
  Subsidiary payments for common shares and share-based 
compensation awarded to subsidiary employees 

  Other 

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

(54,201) 

  11,175 
1,958 
(41,068) 
3,314 
366 
  $  3,680 

– 

7,702 
1,453 
9,155 
(1,068) 
1,434 
366 

  $ 

– 

1,990 
3,644 
5,634 
691 
743 
  $  1,434 

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,  2007,  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.

Acquisitions/Dispositions

In August 2006 PRA Holding purchased Physicians Insurance Company of Wisconsin, Inc. The acquisition is 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, 2007 and December 31, 2006, 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  unamortized  discounts  of  $1.6  million  and  $1.9 
million at December 31, 2007 and 2006, respectively. 

Trust  Preferred  Subordinated  Debentures  (the  2034  Subordinated 
Debentures),  unsecured,  bearing  interest  at  a  floating  rate, 
adjustable quarterly. 

  Due 
April 2034 
May 2034  

12/31/2007
Rate
8.7% 
8.7% 

2007

2006 

$ In thousands 

  $ 105,973 

  $ 105,677 

    13,403 
    32,992 
  $ 152,368 

    13,403 
    32,992 
  $ 152,072 

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  from  its  subsidiaries  of  $7.0  million,  $200.0  million  and  $3.0  million  during  the  years 
ended  December  31,  2007,  2006  and  2005.  PRA  Holding  contributed  capital  to  its  subsidiaries  of  $41.2  million,  $30.4 
million and $5.9 million during the years ended December 31, 2007, 2006 and 2005. 

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. 

5.  Cash Flow 

In  2007,  2006  and  2005,  ProAssurance  received  reimbursement  from  its  subsidiaries  related  to  share  based 
compensation that was paid or is to be paid in future periods to employees of the subsidiaries. These reimbursements are 
more properly classified as financing activities in the statement of cash flows. In 2006 and 2005, these reimbursements 
($7.7 million and $2.0 million, respectively) were classified as a component of cash flow from operations. To conform to 
the  current  year  presentation,  these  amounts  have  been  reclassified  from  (reducing)  cash  flow  from  operations  to 
(increasing) cash flow from financing activities. 

110

 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule III–Supplementary Insurance Information
Years Ended December 31, 2007, 2006, and 2005 

Deferred policy acquisition costs 
Reserve for losses and loss adjustment expenses  
Unearned premiums 
Net premiums earned 
Net investment income 
Losses and loss adjustment expenses incurred 
related to current year, net of reinsurance 
Losses and loss adjustment expenses incurred 

related to prior year, net of reinsurance 
Paid losses and loss adjustment expenses 
  net of reinsurance 
Underwriting, acquisition and insurance expenses: 

2007 

Continuing Operations 

 2006 
In thousands 

2005

22,120 
$
  2,559,707
218,028 
533,513 
171,308 

$ 

23,763 
2,607,148 
253,773
583,067 
147,450 

$ 

22,256 
2,224,436 
264,258 
543,241 
98,293 

455,982 

479,621 

461,182 

(104,985) 

(36,292)   

(22,981) 

(354,786) 

(274,933)   

(226,112) 

  Amortization of deferred policy acquisition costs 
  Other underwriting, acquisition and insurance expenses 

Net premiums written 

52,855
53,896 
506,397 

56,944
49,425 
543,376 

53,967 
37,990 
521,343 

Note: all amounts above are derived entirely from consolidated property and casualty entities. 

111

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule IV–Reinsurance  
Years Ended December 31, 2007, 2006, and 2005 

Property and Liability(1)
Premiums earned 
Premiums ceded 
Premiums assumed 

Net premiums earned 

2007

Continuing Operations

2006 
In thousands 

$ 585,267 
(51,797) 
43 
$ 533,513 

$ 627,148 
(44,099) 
18 
$ 583,067 

2005 

$ 596,289 
(53,316) 
268 
$ 543,241 

Percentage of amount assumed to net 

0.01% 

0.00% 

0.05% 

(1) All of ProAssurance's premiums are related to property and liability coverages. 

112

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Exhibit 
Number  

2 

2.1 

2.2 

2.3 

EXHIBIT INDEX 

Description 

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  and  Plan  of  Merger  among  ProAssurance,  NCRIC 
Group, Inc. and NCP Merger Corporation, dated February 28, 2005, 
as amended (1) 

Stock Purchase Agreement dated November 7, 2005, among Motors 
Insurance  Corporation,  MEEMIC  Insurance  Company,  MEEMIC 
Insurance  Services  Corporation,  MEEMIC  Holdings, 
Inc.  and 
ProAssurance Corporation (2) 

Agreement  and  Plan  of  Merger,  dated  as  of  December  8,  2005, 
between  ProAssurance  and  PIC  Wisconsin,  as  amended  February 
14, 2006 (3) 

3.1(a) 

Certificate of Incorporation of ProAssurance (4) 

3.1(b) 

Certificate  of  Amendment 
ProAssurance (5) 

to  Certificate  of 

Incorporation  of 

3.2 

4 

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. 

10.1(a) 

Medical  Assurance, 
Incentive  Compensation  Stock  Plan 
(formerly  known  as  the  Mutual  Assurance,  Inc.  1995  Stock  Award 
Plan) (7) 

Inc. 

10.1(b) 

Amendment  and  Assumption  Agreement  by  and  between 
ProAssurance and Medical Assurance, Inc. (5) 

10.1(c) 

Amendment  and  Assumption  Agreement  by  and  between  Mutual 
Assurance, Inc. and MAIC Holdings, Inc. dated April 8, 1996 (8) 

10.2 

Professionals  Insurance  Company  Management  Group  1996  Long 
Term Incentive Plan (9) 

10.3(a) 

ProAssurance Corporation 2004 Equity Incentive Plan (10) 

10.3(b) 

First amendment to 2004 Equity Incentive Plan (15) 

113

 
 
 
 
 
 
 
 
 
 
 
10.4 

Form of Release and Severance Compensation Agreement dated as 
of January 1, 2008 between ProAssurance and each of the following 
named executive officers: 

Edward L. Rand, Jr. 
Howard H. Friedman 
Jeffrey P. Lisenby 
Darryl K. Thomas 
Frank B. O'Neil 

10.5 

Release  and  Severance  Compensation  Agreement  between 
ProAssurance and Victor T. Adamo effective as of January 1, 2008, 

10.6(a) 

Employment  Agreement  between  ProAssurance  and  W.  Stancil 
Starnes dated as of May 1, 2007 (12) 

10.6(b) 

Amendment  to  Employment  Agreement  (May  1,  2007)  with  W. 
Stancil Starnes effective as of January 1, 2008 

10.7 

10.8 

10.9 

10.10 

Employment Agreement between ProAssurance and A. Derrill Crowe 
effective as of July 1, 2007 (13) 

Employment Agreement between ProAssurance and Paul R. Butrus 
effective as of January 1, 2008 

Consulting  Agreement  between  ProAssurance  and  William  J. 
Listwan (11) 

Form  of  Indemnification  Agreement  between  ProAssurance  and 
each  of  the  following  named  executive  officers  and  directors  of 
ProAssurance: (14)  

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 
Drayton Nabers 
John P. North, Jr. 
Frank B. O'Neil 
Ann F. Putallaz 
Edward L. Rand, Jr. 
W. Stancil Starnes 
Darryl K. Thomas 
William H. Woodhams 
Wilfred W. Yeargan, Jr. 

10.11 

ProAssurance  Group  Employee  Benefit  Plan  which  includes  the 
Executive Supplemental Life Insurance Program (Article VIII) (6) 

114

 
 
 
 
10.12 

10.13 

21.1 

23.1 

31.1 

31.2 

32.1 

32.2 

Amendment and Restatement of the Executive Non-Qualified Excess 
Plan and Trust effective January 1, 2008 

Amendment  and  Restatement  of  Director  Deferred  Compensation 
Plan effective January 1, 2008  

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 

115

 
 
 
Footnotes 

(1) 

(2) 

(3) 

(4) 

(5) 

(6) 

(7) 

(8) 

(9) 

(10) 

(11) 

Filed as an Exhibit 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 Registration Statement on Form S-
4 (File No. 333-49378) and incorporated herein by reference pursuant to 
Rule 12b-32 of the Securities and Exchange Commission (SEC). 

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  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. 

116

 
 
 
(12) 

(13) 

(14) 

(15) 

Filed  as  an  Exhibit  to  ProAssurance’s  Current  Report  on  Form  8-K  for 
the event occurring May 13, 2007 (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  November  5,  2007  (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,  2002  (File  No.  001-16533)  and 
incorporated herein by this reference pursuant to SEC Rule 12b-32. 

Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10-Q for 
the  quarter  ended  September  30,  2006  (File  No.  001-16533)  and 
incorporated herein by this reference pursuant to SEC Rule 12b-32. 

117

 
 
 
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Exhibit 31.1 

CERTIFICATION 

I, W. Stancil Starnes, 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, 2008 

/s/ W. Stancil Starnes 
W. Stancil Starnes 
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, 2008 

/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,  2007  as  filed  with  the  Securities  and  Exchange  Commission  on  the  date 
hereof (the “Report”), I, W. Stancil Starnes, 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, 2008 

/s/ W. Stancil Starnes 
W. Stancil Starnes 
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,  2007  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, 2008 

    /s/ Edward L. Rand, Jr. 
Edward L. Rand, Jr. 
Chief Financial Officer 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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I N V E S T O R   I N F O R M A T I O N

There were 32,099,947 shares of ProAoo ssurance 

AA

Corporation

published in our proxy statement which is mailed to 

common stock outstanding at March 15, 2008. On that date, 

stockholders and filed with the Securities and Exchange 

EE

Commission

we had 3,872 stockholders of record. Our common stock trades

(the “SEC”). Our filings with the SEC are available in the Investor

on The New York Stock Exchange under the symbol P

EE

RA. Our

stock is listed as ProAoo sr in the stock section of 

AA

USA Today and

y

many major newspapers, and as ProAoo ssurance in

AA

 The Wall Street 

RR
Relations section of our website, and from the 

EDGAR section of 

R

the SEC’s website, www.sec.gov/edgar.shtml.

Our Board of Directors has adopted charters for our Audit,

AA

Journal.ll We also post the price of our stock on our website,

WW

Compensation, and Nominating/Corporate Governance Commit-

www.ProAoo ssurance.com.

AA

YOU R SHARES

If you hold your shares through a brokerage account, your 

broker or a customer service representative at that firm should

be able to answer questions about your holdings.

If you hold your shares in certificate form, or have shares

held in direct registration (DRS), you may contact our transfer

agent, BNYMYY ellon Shareowner Services, for address changes,

transfer of certificates, and replacement of share certificates 

that have been lost or stolen.

You may reach BNYMYY ellon Shareowner Services in a 

variety of ways:

Phone

(800) 851-9677

(201) 680-6578

Internet information about your account

www.bnymellon.com/shareowner/isd

tees. In addition the Board has established and adopted Corporate 

Governance Principles and a Code of Ethics and 

EE

WW
Conduct. We make 

these documents, and other information such as committee compo-

sition and leadership, director independence, and stock ownership 

guidelines available in the Governance section of our website.

Our Chairman and then Chief Executive Officer, A. Derrill 

Crowe, M.D., submitted the required Section 12(a) CEO

Certification to The New York Stock Exchange in a timely manner

EE

on June 8, 2007. Additionally, we have been timely in the filing 

AA

of CEO/CFO certifications as required in Section 302 of the 

Sarbanes-Oxley Act. These certifications are published as exhibits 

AA

K
in our Form 10K filed with the

SEC on February 28, 2008.

I NVESTOR RE LATIONS

The Investor Relations section of our website also contains 

RR

detailed financial information, SEC filings, the latest news

releases about the Company, and our latest presentation

Hearing Impaired

General information about Mellon

materials. We also maintain an archive of this material, 

WW

(800) 231-5469 

www.bnymellon.com 

although you should realize that archived information, by its 

(201) 680-6610

Mail

BNYMYY ellon Shareowner Services

480 Washington Boulevard

WW

P.O. Box 358015 

very nature, may no longer be accurate.

OBTAI N I NG I N FORMATION DI RECTLY FROM PROASSU RANCE

Any of the documents mentioned above may be obtained

from our Communications and Investor Relations 

RR

Department

N
Jersey City, NJ 07310-1900

Pittsburgh, PAPP . 15252-8015

using one of the contact methods below:

IF YOU STILL HOLD SHARES OF PHYSICIANS INSURANCE  
COMPANY OF WISCONSIN (PIC Wisconsin) stock, you should
act quickly to convert your PIC Wisconsin shares into shares of 

WW

WW

ProAoo ssurance. Please phone our 

AA

Investor Relations department

RR

for assistance. 

CORPORATE GOVERNANCE AND COMPLIANCE WITH REGULATORY 

AND NEW YORK STOCK EXCHANGE REQUIREMENTS

WW
We post detailed information in the 

Corporate Governance and 

Investor Relations sections of our website, www.Pro

RR

AA
Aoo ssurance.com.

Our Board of Directors has adopted a policy regarding 

determination of director independence, including categorical 

standards to assist in determining independence. These are 

E-mail 

  Mail

Investor@ProAoo ssurance.com   Pro

AA

Assurance Corporation

RR
  Investor Relations & 

Communications

Phone or Fax

Phone: (205) 877-4400 

                P.O. Box 590009   

  Birmingham, AL  35259-0009

(800) 282-6242

Fax: (205) 802-4799

AN N UAL M E ETI NG

The 2008 Annual 

AA

Meeting is scheduled for 10:00 AM CDT on

WW
Wednesday, 

May 21, 2008 at the headquarters of ProAoo ssurance 

AA

Corporation, 100 Brookwood Place, Birmingham, Alabama 35209.

AA

 
 
 
100 BROOKWOOD PLACE

BIRMINGHAM, ALABAMA 35209

205 8774400

800 2826242

WWW.PROASSURANCE.COM