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ProAssurance Corporation

pra · NYSE Financial Services
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Ticker pra
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Sector Financial Services
Industry Insurance - Property & Casualty
Employees 1036
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FY2009 Annual Report · ProAssurance Corporation
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SM

2 0 0 9   A N N U A L  R E P O R T

INTEGRITY

The core value at the heart 
  of every decision we make

FORESIGHT

The application of our experience 
  in an uncertain and evolving world

DISCIPLINE

The intense execution of a strateg y 
  designed for long-term success

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OPERATING INCOME 
PER DILUTED SHARE (1)
NET INCOME
PER DILUTED SHARE

(1) SEE PAGE 138 FOR RECONCILIATION 
OF OPERATING MEASURES TO GAAP

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BOOK VALUE 
PER SHARE (2)

(2) TOTAL CAPITAL PER 

SHARE OF COMMON 
STOCK OUTSTANDING

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SHAREHOLDERS’
EQUITY
(IN MILLIONS)

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ASSETS (3)
(IN MILLIONS)

(3) EXCLUDES

DISCONTINUED
OPERATIONS

F I N A N CI A L  H I GH L I GH T S
( 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

Operating income(3)

Net income(4)

Balance Sheet Highlights

Total investments(2)

Fiscal Years Ended December 31

2005

2006

2007

2008

2009

$  572,960

$  578,983

$  549,074

$  471,482

$  553,922

647,950

737,598

706,068

567,162

672,683

80,026

79,580

113,457

126,984

129,459

236,425

168,186

172,406

168,186

177,725

206,980

177,725

222,026

215,210

222,026

$  2,614,319

$ 3,492,098

$ 3,639,395

$ 3,575,942

$ 3,838,222

Total assets, continuing operations

$ 3,341,600

$ 4,342,853

$ 4,440,808

$ 4,280,938

$  4,647,414

Total assets(5)

$ 3,909,379

$ 4,342,853

$ 4,440,808

$ 4,280,938

$  4,647,414

Reserve for losses and loss adjustment  

  expenses(2)

Long-term debt(2)

$ 2,224,436

$ 2,607,148

$ 2,559,707

$ 2,379,468

$ 2,422,230

$ 

167,240

$ 

179,177

$ 

164,158

$ 

34,930

$ 

50,203

Total liabilities, continuing operations

$ 2,806,820

$ 3,224,306

$ 3,185,738

$  2,857,353

$ 2,942,819

(1)  Includes acquired entities since date of acquisition only (PICA Group was acquired on April 1, 2009; PIC Wisconsin was acquired on August 1, 2006; 

NCRIC Corporation was acquired on August 3, 2005)

(2) Excludes discontinued operations
(3) See Page 138 for Reconciliation of Operating Measures to GAAP
(4) Years 2006 and prior include discontinued operations
(5) 2005 includes discontinued operations

SM

one

ProA ssurance  ha s  proven  the  value  of 

l o n g - t e r m   r e s u l t s   d e r i v e d   f r o m   t h e 

persistent  and  skillf ul  e xecution  of  an 

e f f e c t i v e ,   d i s c ip l i n e d   s t r a t e g y .   We 

ea ch  take  g r eat  pr id e  in  ou r  r e cor d   

of   f in an cia l  su cce ss  an d  ope r at ion a l 

 prof iciency,  attributes  that  def ine  our 

C om pa n y   a n d   pr o d u ce   e x ce pt i on a l 

r e s u l t s   f o r   o u r   i n s u r e d s   a n d   o u r 

s h a r e h o l d e r s .   M o r e o v e r ,   w e   t a k e 

 continuing  pride  in  the  role  Treated 

Fa i rly   pl a y s   in   the  achieve ment  of  our 

goal s.  Treated  Fa irly  illuminates  our 

path  and  ser ves  a s  the  yard stick  by 

which  we  mea sure  ou r  e ve r y  a ct ion .

To My Fellow Shareholders

How do you measure success?

I ask because 2009 was, by virtually every measure, 

another successful year for ProAssurance. You and I, 

as shareholders, have much to be proud of in our 

results for this year, but I believe we can achieve more 

in the years ahead.

As I review the results produced by our disciplined 

operating strategy, I want to share with you our vision 

of the future—the foresight we believe will allow 

ProAssurance to be ever more successful in the future.

2009

Your management team believes the highest measure 

of success in a long-term enterprise such as ours is the 

overall worth of the enterprise, for that ensures our 

ability to make—and keep—promises of value and 

security to our insureds, our shareholders and those 

agents and employees who depend upon us for their 

livelihood. No matter how you choose to measure  

the worth of ProAssurance, 2009 was an especially 

successful year:

	 •	 	Book	Value	per	Share	is	the	measurement	of	

choice for your management team because it 

encapsulates the bottom line effects of all we do 

in one easily defined and calculated number. In 

2009,	we	grew	Book	Value	per	Share	to	$52.59,	 

a 23% increase over 2008. In the past two years, 

arguably the most financially challenging years 

in	most	of	our	lifetimes,	we’ve	grown	Book	

Value	per	Share	by	36%.

	 •	 	Shareholders’	Equity	broadly	defines	the	net	

worth of ProAssurance. At the end of 2009, 

Shareholders’	Equity	stood	at	a	record	$1.7	billion, 

an increase of almost 20% over 2008.

W.	Stancil	Starnes
Chief Executive Officer

two

Treated Fairly

T H E R E   IS  N O   SU BS T I T U T E  F O R 

T H E  D IS CI P L I N E D  E X ECU T I O N 

O F  A  LO N G -T E R M  S T R AT EG Y  I N 

O U R   B USI N E SS.  T O   K E E P  T H E 

P R OM ISE S  W E  M A K E 

T O   I NSU R E DS  A N D  BU I L D 

 SH A R E H O L D E R  VA L U E ,  W E 

M US T  B E  S T RO N GE R   T O DAY 

T H A N  Y E S T E R DAY,   A N D 

T O MO R ROW  W E  M US T  B E 

S T R O N GE R  S T I L L .   W E  ACH I E V E 

T H AT  GOA L  BY  PAT I E N T LY 

BU I L D I N G   F I N A N CI A L  S T R E N G T H 

Y E A R  A F T E R  Y E A R .

D
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P ER   SH A R E

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Book Value per Share is the measurement of choice for  

your management team because it encapsulates the  

bottom line effects of all we do in one easily defined and  

calculated number.

BO O K   VA L U E  GROW T H

10 year 

5 year 

1 year 

Cumulative 

278% 

151% 

23% 

CAGR

14%

20%

23%

Measured through Year-End 2009

	 •	 	Return	on	Equity	may	be	the	measure	that	

investors focus on the most, after the absolute 

price	per	share.	Our	Return	on	Equity	reached	

14.2%	in	2009,	almost	a	full	point	higher	than	

in 2008.

These results should come as no surprise to those 

shareholders who have owned a portion of our com-

pany for a number of years. The disciplined strategy 

we execute on a daily basis demands our full attention 

to enhancing the strength of our balance sheet.

We are also dedicated to enhancing the profitability 

of the company, for it’s those profits that help us 

build the balance sheet as the foundation for the 

security we provide our insureds and the value we 

create for our shareholders. In 2009, we grew Net 

Income	by	25%.

There are few businesses in the world that must set  

a price for their product years before they know the 

actual cost, yet that is our daily challenge. Thus we 

approach	top	line	growth	with	an	equal	measure	 

of discipline and dedication to strict underwriting 

	standards	and	adequate	pricing.	Taking	shortcuts	to	

 bolster the top line is a sure ticket to financial disaster, 

as we’ve seen many times over in our industry. That 

said,	we	did	achieve	17%	top	line	growth	in	2009	

through a careful mixture of prudent organic growth 

and	the	addition	of	high	quality	premium	from	

thoughtfully executed M&A transactions. This growth 

came at a time when almost every other  property 

casualty writer was experiencing a marked decline in 

Gross Premiums Written.

ProAssurance 2009 Annual Report

three

 
We	wrote	$28	million	of	new	premium	in	the	book	

of business that existed in ProAssurance prior to our 

2009	acquisitions—what	we	term	our	“historical”	

book of business. The majority of that business,  

$22	million,	was	in	our	core	physician	business.	This	

increase was the result of carefully executed strategies 

that utilized every operational department in the 

company and our agents and representatives in a 

team selling approach stressing the advantages that 

make ProAssurance’s coverage and commitment so 

much more valuable than that of our competitors. 

Our demonstrated willingness to offer insureds an 

unfettered defense of their claims, to the extent 

allowed	by	law,	is	a	key	selling	point.	So	too	is	our	

vast, effective repertoire of print, on-line and in-person 

risk management offerings. These advantages, encap-

sulated in the company-wide commitment to Treated 

Fairly as the touchstone for every encounter within 

and without the organization, have truly become 

 difference makers in the market for ProAssurance.

Our	acquisitions	of	The	PICA	Group,	Mid-Continent	

General	Agency	(now	ProAssurance	Mid-Continent	

Underwriters) and Georgia Lawyers Insurance 

Company	brought	in	$95	million	of	new,	high	

	quality	premium.

The	premium	from	The	PICA	Group	represented	 

the	largest	contribution,	$77	million.	ProAssurance	

Mid-Continent	Underwriters	was	responsible	for	 

$14	million	of	new	premium,	and	Georgia	Lawyers,	

which was folded into our existing legal professional 

liability	book	within	ProAssurance	Casualty,	brought	

us	an	additional	$4	million.

17%

Growth in Gross Written 
Premium in 2009

25%

Increase in Net Income in 2009

four

Treated Fairly

O U R   U N I QU E  K N OW L E D GE  O F 

T H E  M A R K E T S   W E  SE R V E 

A L LOW S  US   T O  D E V E LO P 

I N N OVAT I V E  I NSU R A N CE 

S O L U T I O NS ,  P ROV I D E  

E F F EC T I V E  CL A I M S  H A N D L I N G 

A N D  CR E AT E  M E A N I N GF U L 

R ISK  M A N AGE M E N T  

P R O GR A M S.   BY  A N T I CI PAT I N G 

T H E  N E E DS   O F   T H OSE  W E 

SER V E ,  W E  DEL I V ER  

INSUR A NCE  S O L U T I O NS  T H AT 

W O R K  H A N D - I N - H A N D  W I T H   O U R 

U N WAV E R I N G   COM M I T M E N T  T O 

TREATED FAIRLY.   T H E  R E SU LT 

IS   A   COM PA N Y  T H AT 

CR E AT E S  VA L U E  F O R  I NSU R E DS 

A N D  I N V E S T O R S  A L I K E .

F
O
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I

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Y E A R- END
SH A R E   P R ICE

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We are focused on long-term success, but it’s remarkable 

how much success we achieve every year when we do the 

right thing to ensure long-term strength and stability.

SH A R E   P R I CE S
S I N C E  I N C E P T I O N

10 year 

5 year 

1 year 

Cumulative 

166% 

37% 

2% 

CAGR

10%

7%

2%

Measured through Year-End 2009

We were also able to retain a remarkable 89% of all 

expiring risks in our historical book of business in 

2009.	Retention	at	PICA	was	even	higher,	with	93%	

of their expiring risks renewing. This is an outstand-

ing achievement, given the year of successful transition 

at	PICA,	as	they	came	into	ProAssurance	in	a	spon-

sored demutualization in April, 2009.

Our unmatched dedication to courtroom advocacy 

on behalf of our insureds continued in 2009. Loss 

trends of the past few years have been manageable in 

our	historical	book	of	business,	with	lower	frequency	

in virtually every jurisdiction. Our inventory of open 

claims	has	fallen	from	a	high	of	14,600	in	2005	to	

8,171	at	year-end	2009	(both	numbers	include	PICA).	

This	lower	frequency,	offset	by	a	4%–5%	annual	

increase in the overall severity of claims, has allowed 

us to reflect the improved loss climate in responsively 

lower premiums over the past three years. Yet even as 

we reflect loss trends in our pricing, we never forgo 

the discipline that ensures each risk is priced in a 

manner	that	supports	our	Return	on	Equity	objectives	

and ensures the future financial strength of the 

 company. In other words, we will never sacrifice the 

safety and security of ProAssurance on the altar of 

market share.

The Treated Fairly philosophy, which we unveiled 

late in 2008, has, as I mentioned earlier, been a 

	measure	of	excellence	for	us.	By	saying	to	everyone	

we encounter, but especially to our insureds, that we 

affirm their right to be carefully heard and thought-

fully engaged in an open, transparent fashion, we   

are reinforcing the values already present in our 

 relationship with our insureds. As you saw in last 

ProAssurance 2009 Annual Report

five

 
year’s report, Treated Fairly means different things 

to different insureds, but meeting those disparate 

expectations ensures that we are the carrier of choice 

for	approximately	57,000	policyholders	nationwide.

2010 and Beyond

Paraphrasing	Disraeli,	“The	secret	of	success	is	to	be	

ready	for	opportunity	when	it	comes.”	ProAssurance	

has always had the foresight and financial strength  

to allow us to be successful by taking advantage of 

opportunities as they arise. In many cases, our exper-

tise and capital allow us to create those opportunities. 

We intend this to be the case as we move forward 

this year and in the years ahead.

That	preparation	and	foresight	will	require	knowledge,	

and we are well positioned with what I believe to be 

the most experienced and effective management team 

amongst the specialty property casualty companies  

in America. Our average tenure in the insurance 

industry is over two decades; we average a dozen 

years working here at ProAssurance. That experience 

has seen us successfully though several insurance 

cycles and will see us successfully through the cycle 

changes to come.

In addition to our human capital, we know the future 

will	also	require	monetary	capital	and	we	have	not	

hesitated to put that capital to work when the right 

opportunities presented themselves. For example, 

during the first half of 2009, with the capital markets 

frozen, we were able to successfully consummate our 

transactions	with	PICA,	ProAssurance	Mid-Continent	

and Georgia Lawyers. The certainty of cash on hand 

enabled us to complete these important additions to 

our company.

57,000

Policyholders Nationwide

$95 MILLION

New Premiums from 
Acquisitions in 2009

six

Treated Fairly

I N T EGR I T Y  IS  T H E  CO R E  VA L U E 

AT  P ROA SSU R A N CE  T H AT 

S TA N DS  A BOV E  A L L  OT H E R S—

I N T EGR I T Y  IS  A  O N E-S T R I K E 

ISSU E   AT  P ROA SSU R A NCE .  OUR 

S T E A DFA S T  CO M M I T M E N T   T O 

I N T EGR I T Y  GO E S   H A N D - I N - H A N D 

W I T H   T H E  D I R EC T  P ROM ISE  O F 

TREATED FAIRLY.   E N G AG I N G 

E V E R YO N E  W E  E N CO U N T E R   I N  A 

FA I R ,    T R A NSPA R E N T  FA SH I O N 

E NSU R E S  T H AT  P R OA SSU R A N CE 

IS  T H E   PA R T N E R  O U R  I NSU R E DS 

A N D  I N V E S T O R S  W I L L  VA L U E 

F O R   T H E  LO N G   T E R M .

I

N
T
E
G
R
I
T
Y

Operating with integrity and informed by the principles of 

Treated Fairly, ProAssurance delivers the kind of performance 

that gets noticed by more than investors and insureds. For 

the third year in a row, The Ward Group, a top independent 

benchmarking firm, named ProAssurance as one of the  

50 top performing property/casualty insurance companies 

in America. The Ward’s 50 indentifies superior companies 

that exceed Ward’s strict financial stability requirements 

while growing their business, achieving solid underwriting 

results and maintaining a strong capital position.

In the current investment climate, cash is often 

 preferable to stock, but we also have that currency 

available for the right transaction. We have and will 

continue to deploy our capital in other ways to maxi-

mize shareholder value. For example, we expect to 

continue to buy back shares in a prudent manner, 

neither	jeopardizing	our	ability	to	build	Book	Value	

per	Share	nor	hampering	our	ability	to	execute	trans-

actions or deploy capital to write new business. The 

Board	has	been	actively	considering	capital	manage-

ment strategies and will continue to evaluate the best 

way to balance our dedication to shareholder value 

and our need to be positioned to take advantage of 

future opportunities sure to come.

On	the	subject	of	acquisitions,	long-term	investors	

are aware that ProAssurance and its subsidiaries are 

built	on	the	foundation	of	19	successful	M	&	A	

transactions. We expect and intend to continue using 

our	capital	to	fund	carefully	selected	acquisitions,	

primarily in the area of healthcare professional liabil-

ity. Our vision is that we intend to maintain our 

healthcare-centric focus on professional liability. It’s 

proven to be an area of insurance where we have a 

demonstrated expertise and see enormous potential. 

At the same time, the volatile nature of the business 

seems unfriendly to most potential competitors, thus 

leaving opportunities for successful, experienced 

Our commitment to the principles of Treated Fairly extends 

throughout ProAssurance, affirming our employees’ dedi-

cation to treating each other with respect and dignity, and 

serving as the basis of our commitment to their personal 

well-being and professional growth. This commitment to, and 

between, our employees enables the extension of Treated 

Fairly  to our customers, our agents and our shareholders and 

allows us to attract and keep the top talent in our industry. 

That’s why we’re proud to have been selected as America’s 

Best Mid-Sized Insurance Employer by Business Insurance, 

companies such as ProAssurance.

and just as proud to note that our employees’ survey 

responses were a crucial part of the selection criteria.

We will also leverage our expertise and the benefits of 

Treated Fairly when and where we are able to identify 

good business in our existing markets. We are the 

largest	writer	in	just	four	of	the	49	jurisdictions	in	

which we actively write business, Alabama, Delaware, 

the	District	of	Columbia	and	Wisconsin,	and	we	are	

a	top	five	writer	in	just	eleven	of	those	49	jurisdictions.	

ProAssurance 2009 Annual Report

seven

This means there are plenty of areas in which we can 

by chasing higher yields or seeking risky investments. 

foresee potential growth, but not every one of those 

Instead, we intend to bring sharper focus to our 

jurisdictions meets our carefully established criteria 

underwriting and claims operations. 

for	writing	additional	policies.	Business	retention	and	

new, well underwritten business remain key parts of 

our long-term goals.

As I mentioned earlier, we have an exceptional man-

agement team that is well invested alongside each of 

you, and an employee base that has a significant level 

We expect the transactions we completed in 2009 to 

of share ownership as well. Thus, each of us approaches 

allow us to take advantage of the changing healthcare 

our business every day as owners, not merely manag-

landscape. As I write this, the future of healthcare 

ers. We are focused on long-term success, but it’s 

reform is uncertain at best, but we are certain that 

remarkable how much success we achieve every year 

changes are coming in the delivery of healthcare. As 

when we do the right thing to ensure long-term 

cost containment efforts push the delivery of health-

strength and stability.

Sincerely,

W. Stancil Starnes

Chief Executive Officer

care further out of facilities and physicians’ practices 

and into home settings and the like, experts expect a 

growing demand for allied healthcare employees such 

as physician extenders, home health providers and 

others whose professional liability needs will provide 

avenues of growth for us.

These policies are lower cost, higher volume than the 

traditional policies sold in our historical book of 

business. Thus we are excited about the capabilities 

brought into the organization with the expertise and 

systems	at	ProAssurance	Mid-Continent,	which	

focuses on liability policies for allied healthcare per-

sonnel,	among	others,	and	at	PICA,	where	a	subsid-

iary has built exceptional expertise in writing higher 

volume, lower cost business. With these capabilities, 

we believe we are well positioned to take advantage  

of any changes ahead in our core markets.

As I look ahead, I don’t want to underestimate the 

challenges	we	face	in	2010	and	the	years	beyond.	For	

example, we, like other insurance companies, face a 

decline in investment income due to the low interest 

rate environment in the current economy. We do not 

intend to endanger our secure investment portfolio 

eight

Treated Fairly

D I R EC T O R S  A N D  O F F I CE R S

Board of Directors

Directors

W.	Stancil	Starnes,	Esq.

Position

Independence

Audit

Compensation

Executive

Nominating 
& Corporate
Governance

Committees

Chairman	and	Chief	Executive	Officer,	 
  ProAssurance

Victor	T.	Adamo,	Esq.,	C.P.C.U.	 President, ProAssurance

Lucian	Bloodworth

Jerry	D.	Brant,	D.P.M.

Chairman,	Cain	Manufacturing	 
	 Company,	Inc.

President	and	Chief	Executive	Officer,	 
	 The	PICA	Group

Robert	E.	Flowers,	M.D.

Retired	Physician

William J. Listwan, M.D.

Practicing Physician and Assistant  
  Clinical	Professor	of	Internal	Medicine

John J. McMahon, Jr.

Chairman,	Ligon	Industries

Drayton	Nabers,	Jr.,	Esq.

Attorney

Ann F. Putallaz, Ph.D.

Vice-President,	Munder	Capital	 
  Management

William H. Woodhams, M.D.

Practicing Physician

Wilfred W. Yeargan, M.D.

Practicing Physician

M

M

I

M

I

I

I

I

I

I

I

X

C,	E

X

X

X

X	C

X

X

X	C

X

X	C

X

M	=	Management,	Non-Independent									C	=	Chairman									I	=	Independent									E	=	Financial	Expert									X	=	Member

Senior Officers

Title

Jeffrey	L.	Bowlby,	A.R.M.

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

Howard	H.	Friedman,	A.C.A.S.,	M.A.A.A.

	Co-President	and	Chief	Underwriting	Officer,	Professional	Liability	Group 
Senior	Vice-President,	ProAssurance

Jeffrey	P.	Lisenby,	Esq.

Corporate	Secretary,	General	Counsel	and	Senior	Vice-President,	ProAssurance

Frank	B.	O’Neil

Communications	Officer	and	Senior	Vice-President,	ProAssurance

Edward	L.	Rand,	Jr.,	C.P.A.

Chief	Financial	Officer	and	Senior	Vice-President,	ProAssurance

Darryl	K.	Thomas,	Esq.

	Co-President	and	Chief	Claims	Officer,	Professional	Liability	Group 
Senior	Vice-President,	ProAssurance

Hayes	V.	Whiteside,	M.D.

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

ProAssurance 2009 Annual Report

nine

S T O CK  P E R F O R M A N CE  CH A R T

12/31/04

12/31/05

12/31/06

12/31/07

12/31/08

12/31/09

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 share-

holder	return	of	our	stock	during	the	five	years	ended	December	31,	2009,	as	well	as	the	cumulative	total	

shareholder	return	of	overall	stock	market	index	(the	Russell	2000)	and	a	peer	group	index	(the	SNL	Property	

&	Casualty	Insurance	Index)	for	the	five	years	ended	December	31,	2009.	All	cumulative	return	data	assumes	

the reinvestment of dividends.

TOTAL RETURN PERFORMANCE

200

150

100

50

200

150

100

50

12/31/04

12/31/05

12/31/06

12/31/07

12/31/08

12/31/09

12/31/04

12/31/05

12/31/06

12/31/07

12/31/08

12/31/09

ProAssurance Corporation

Russell 2000

SNL Insurance P&C

Period Ending

Index

12/31/04

12/31/05

12/31/06

12/31/07

12/31/08

12/31/09

ProAssurance Corporation

Russell 2000

SNL Insurance P&C

100.00

100.00

100.00

124.37

104.55

109.31

127.64

123.76

127.42

140.42

121.82

137.59

134.95

80.66

106.50

137.33

102.58

115.13

ten

200

150

100

50

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, 2009, 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.   

No      X 

Yes  

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate web site, if 
any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T 
(§232.405 of this chapter), during the preceding 12 months (or for such shorter period that the registrant was 
required to submit and post such files). Yes  _____   No _____ 

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. [  ]  

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,  2009  was 
$1,496,129,618. 

As of February 15, 2010, the registrant had outstanding approximately 32,411,990 shares of its common stock. 

Page 1 of 133 pages 

 
   
 
       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Documents incorporated by reference in this Form 10-K 

(i) 

(ii) 

(iii) 

(iv) 

(v) 

(vi) 

The  definitive  proxy  statement  for  the  2010  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 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. 

(vii) 

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. 

(viii)  The  ProAssurance  Corporation  Registration  Statement  of  Form  S-4  (File  No.  333-

124156) is incorporated by reference in Part IV of this report. 

(ix) 

(x) 

(xi) 

(xii) 

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

(xiii)  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. 

(xiv)  The  ProAssurance  Corporation  Annual  Report  on  Form  10-K  for  the  year  ended 
December 31, 2007 (File No. 001-16533) is incorporated by reference into Part IV of this 
report. 

(xv) 

The  ProAssurance  Corporation  Registration  Statement  on  Form  S-8  (File  No.  333-
156645) is incorporated by reference into Part IV of this report. 

(xvi)  The ProAssurance Corporation Definitive Proxy Statement filed on April 11, 2008 (File 

No. 001-16533) is incorporated by reference into Part IV of this report. 

(xvii)  The ProAssurance Corporation Current Report on Form 8-K for the event occurring May 

21, 2008 (File No. 001-16533) is incorporated by reference into Part IV of this report. 

2 

 
 
 
(xviii)  The  ProAssurance  Corporation  Current  Report  on  Form  8-K  for  event  occurring 
November 13, 2008 as filed on November 17, 2008 and amended on December 24, 2008 
(File No. 001-16533) is incorporated by reference into Part IV of this report. 

3 

 
 
 
 
ITEM 1.  BUSINESS. 

General / Corporate Overview 

PART I 

ProAssurance Corporation is a holding company for property and casualty insurance companies 

focused on professional liability insurance. Throughout this report, references to ProAssurance, “we”, 
“us” and “our” refer to ProAssurance Corporation and its consolidated subsidiaries. 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. Because the insurance business uses certain terms and phrases that carry special 
and specific meanings, we encourage you to read the Glossary that is posted on the investor section of our 
website. 

The Investor Home Page on our website provides many resources for investors seeking to learn 

more about us. Our annual report on Form 10K, our quarterly reports on Form 10Q, and our current 
reports on Form 8K are available on our website as soon as reasonably practical after filing with the 
Securities and Exchange Commission (the SEC) on its EDGAR system. 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 (compiled under Statutory Accounting Principles as required by regulation), news 
releases that we issue, a listing of our investment holdings, 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. 

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, investment valuation and performance, 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 

4 

 
 
 
 
regulators and rating agencies, court actions, legislative actions, payment or performance of obligations 
under indebtedness, payment of dividends, and other matters. 

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

–  general economic conditions, either nationally or in our market areas, that are different 

– 

– 
– 

than anticipated; 
regulatory, legislative and judicial actions or decisions that could affect our business 
plans or operations;  
the enactment or repeal of tort reforms; 
formation or dissolution of state-sponsored malpractice insurance entities that could 
remove or add sizable groups of physicians from the private insurance market; 
– 
the impact of deflation or inflation; 
–  changes in the interest rate environment; 
– 

the effect that changes in laws or government regulations affecting the U.S. economy or 
financial institutions, including the Emergency Economic Stabilization Act of 2008 and 
the American Recovery and Reinvestment Act of 2009, may have on the U.S. economy 
and our business; 

–  performance of financial markets affecting the fair value of our investments or making it 

difficult to determine the value of our investments; 

–  changes in accounting policies and practices that may be adopted by our regulatory 

agencies and the Financial Accounting Standards Board, or the Securities and Exchange 
Commission;  

–  changes in laws or government regulations affecting medical professional liability 

insurance or the financial community; 
the effects of changes in the health care delivery system; 

– 
–  uncertainties inherent in the estimate of loss and loss adjustment expense reserves and 

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

– 

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

failure to settle; 
loss of independent agents; 

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

–  changes to the ratings assigned by rating agencies to our insurance subsidiaries, 

individually or as a group; 

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

– 

markets; and 
the expected benefits from completed and proposed acquisitions may not be achieved or 
may be delayed longer than expected due to business disruption, loss of customers and 
employees, increased operating costs or inability to achieve cost savings, and assumption 
of greater than expected liabilities, among other reasons. 

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 

5 

 
 
 
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. 

6 

 
 
 
 
Business Overview 

We operate in a single business segment in the United States. We sell professional liability 

insurance primarily to physicians, dentists, other healthcare providers and healthcare facilities. We also 
have a small book of other professional liability business.  

Our top five states represented 48% of our gross premiums written for the year ended December 

31, 2009. The following table shows our gross premiums written in these states for each of the periods 
indicated. 

Alabama(1) 
Ohio 
Florida(2)  
Indiana(3) 
Michigan 
All other states 
Total 

Gross Premiums Written–Years Ended December 31 
($ in thousands) 
2008 

2007 

2009 

$ 

96,307 
69,300 
35,428 
33,304 
32,842 
286,741 
$  553,922 

17% 
13% 
6% 
6% 
6% 
52% 
100% 

  $  91,116 
75,859 
31,914 
33,822 
31,946 
206,825 
  $  471,482 

19% 
16% 
7% 
7% 
7% 
44% 
100% 

  $  95,641 
89,607 
41,291 
38,188 
41,092 
243,255 
  $  549,074 

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

(1)  Includes premium related to policies with a two year term of $23.0 million in 2009 and $2.7 million in 2008. 
(2)  Not a top five state in 2008 
(3)  Not a top five state in 2007 

We believe we differentiate ourselves from our competitors in several ways. Our financial 

strength, commitment to local market knowledge, and dedication to meeting the needs of our insureds 
have allowed us to establish what we believe is a leading position in many of our markets, thus enabling 
us to effectively compete on a basis other than just price. 

During 2008 we introduced “Treated Fairly” a branding strategy that is used along with our logo 

to reinforce our public pledge that all of our actions will deliver fair treatment, informed by the core 
values that guide our organization: integrity, respect, doctor involvement in our healthcare insurance 
activities, collaboration, communication, and enthusiasm. These values, along with our enduring 
commitment to financial strength, the defense of non-meritorious claims and the prompt, fair settlement 
of those claims with merit, have been at the heart of our existence since we were founded.  

We believe our local market 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. 

We maintain multiple claims and underwriting offices, each primarily focused on a specific 

market, which allows us to maintain active relationships with our customers and be more responsive to 
their needs. Using our local market knowledge and our experienced underwriting staff, we rigorously 
underwrite each application for coverage to ensure that we understand the risks we accept, and 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. 

7 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Corporate Organization and History 

We were incorporated in Delaware as the successor to Medical Assurance, Inc. in connection 

with its merger with Professionals Group, Inc. (Professionals Group) in June 2001. 

We are the successor to fifteen insurance organizations and much of our growth has come 

through mergers and acquisitions. In each, we retained key personnel, allowing us to maintain market 
knowledge and preserve important institutional knowledge in underwriting, claims, risk management and 
marketing. We believe that our ability to utilize this 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. 

Recent Developments 

The Board of Directors of ProAssurance authorized $100 million in September 2009 to be used 

for the repurchase of our common stock or debt securities, which was in addition to previous 
authorizations of $150 million in April 2007 and $100 million in August 2008. As of December 31, 2009 
approximately $115.4 million of the total amount authorized by the Board remains available for use. 

On April 1, 2009 we acquired Podiatry Insurance Company of America and subsidiaries (PICA) 

through a cash sponsored demutualization as a means of expanding our professional liability insurance 
operations. PICA provides professional liability insurance primarily to podiatric physicians, chiropractors 
and other healthcare providers throughout the United States and had gross written premium of 
approximately $96.7 million for the calendar year of 2009. We completed our purchases of Georgia 
Lawyers Insurance Company (Georgia Lawyers), now a part of ProAssurance Casualty Company, and 
Mid-Continent General Agency, Inc. (Mid-Continent), now ProAssurance Mid-Continent Underwriters, 
Inc., in the first quarter of 2009. Georgia Lawyers provides professional liability insurance for lawyers in 
the state of Georgia and reported premiums written of approximately $4.0 million in 2009. Mid-Continent 
is a general agency that provides professional liability insurance to ancillary healthcare providers as well 
as other professional liability coverages. In 2009 Mid-Continent produced $16.6 million of premium for 
ProAssurance. See Note 3 to the Consolidated Financial Statements included herein for additional 
information regarding acquisitions. 

In December 2008 we repurchased $23.0 million of our outstanding trust preferred securities for 
approximately $18.4 million. We recognized a gain of approximately $4.6 million on the extinguishment 
of debt which is discussed in more detail in Note 10 to the Consolidated Financial Statements. The 
repurchased securities had been issued in April and May, 2004 as a part of a larger transaction wherein 
we issued $45.0 million of trust preferred securities, having a 30-year maturity and callable at par 
beginning in May 2009. The proceeds from the sale of the trust preferred securities were used for general 
corporate purposes, including contributions to the capital of our insurance subsidiaries to support growth 
in our insurance operations.  

In July 2008, we converted all our outstanding Convertible Debentures (aggregate principal of 

$107.6 million) into approximately 2,572,000 shares of ProAssurance common stock. No gain or loss was 
recorded related to the conversion, which is discussed in more detail in Notes 10 and 11 to the 
Consolidated Financial Statements, included herein. 

In December 2007 we redeemed, at face value, for cash, outstanding subordinated debentures of 

$15.5 million that became our obligation when we acquired NCRIC Corporation (NCRIC).  

Effective August 1, 2006 we completed our acquisition of Physicians Insurance Company of 
Wisconsin, Inc., now ProAssurance Wisconsin Insurance Company (PRA Wisconsin), in an all stock 
merger. PRA 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.

Effective January 1, 2006 we sold the operating subsidiaries that comprised our personal lines 

operations, MEEMIC Insurance Company and MEEMIC Insurance Services (collectively, the MEEMIC  

8 

 
 
 
companies), 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. We 
used the sale proceeds to support the capital requirements of our professional liability insurance 
subsidiaries and other general corporate purposes.  

On August 3, 2005 we acquired all of the outstanding common stock of NCRIC Corporation and 

its subsidiaries in an all stock merger. At the time of acquisition, NCRIC was a holding company that 
owned a single insurance company providing medical professional liability insurance in the vicinity of the 
District of Columbia.  

Products and Services  

We sell medical professional liability insurance primarily to physicians, other healthcare 
providers and healthcare facilities. We also have a small, but growing, book of other professional liability 
business. We are licensed to do business in every state. 

We generate the majority of our medical professional liability 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 professional liability insurance on an excess and 
surplus lines basis.  

Marketing 

We utilize both direct marketing and independent agents to write our business. For the year ended 

December 31, 2009, we estimate that approximately 65% 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 of medical professional liability insurance 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. Through “Treated Fairly” we emphasize: 

–  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 knowledge of 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. Our pricing decisions are focused 
on achieving rate adequacy. We assess the quality and pricing of the risk, emphasizing loss history, areas 
of practice and location in making our underwriting decision. In performing their assessment, our 

9 

 
 
 
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 underwriting concentrates on knowledge of local market conditions and legal environments 

through nine market-focused underwriting offices located in Alabama, Georgia, Indiana, Missouri, 
Michigan, Tennessee, Texas, the District of Columbia, and Wisconsin. Our underwriters work closely 
with our 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 underwriters are also assisted by our medical advisory committees that operate in our key 

markets. These committees are comprised of physicians, other healthcare providers and representatives of 
hospitals and healthcare entities and help us maintain close ties to the medical communities in these 
markets, provide information on the practice of medicine in each market and provide guidance on critical 
underwriting issues. 

Claims Management 

We have 17 claims offices located in Alabama (2), Delaware, Florida (2), Illinois, Indiana, 
Kentucky, Michigan, Missouri, Ohio (2), Tennessee, Texas, Virginia, the District of Columbia, and 
Wisconsin so that we can provide specialized 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 this investigation progresses, our claims department develops an 
estimate of the case reserves for each claim. Thereafter, we monitor development of new information 
about the claim and adjust the case reserve as loss cost estimates are revised. 

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 markets 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  

Although the majority of our assets are held in our operating insurance companies, 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 targets 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, including a requirement that 
securities in a loss position cannot be sold without specific authorization from us. See Note 4 to the 
Consolidated Financial Statements for more information on our investments. 

10 

 
 
 
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 
investors, these are not ratings of our securities nor a recommendation to buy, hold or sell any of our 
securities. 

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

of February 10, 2010: 

Rating Agency 

ProAssurance 
Group 

ProAssurance 
Indemnity 
Company, Inc.

ProAssurance 
National Capital 
Insurance Co. 

ProAssurance 
Wisconsin 
Insurance Co.

ProAssurance 
Casualty Co.

ProAssurance 
Specialty 
Insurance 
Company, Inc. 

Podiatry 
Insurance 
Company of 
America 

PACO 
Assurance 
Company, 
Inc. 

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

A 
(Excellent) 

A 
(Excellent) 

B++ 
(Good) 

A- 
(Excellent) 

A 
(Excellent) 

A 
(Excellent) 

A- 
(Excellent)

A- 
(Excellent) 

Fitch 
(www.fitchratings.com) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

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.  

We believe that we have a competitive advantage due to our financial stability, local market 
knowledge, 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 compete in a fragmented market 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. We believe that 
the largest competitors in our market area are The Medical Protective Company (Berkshire Hathaway) 
and The Doctors Company.  

Improvements in loss cost trends have allowed us to reduce rates in many markets and offer 

targeted new business and renewal retention programs in selected markets. This improves policyholder 
retention but decreases 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. 

Thus, 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 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. 

11 

 
 
 
 
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 continue to be less disciplined in their pricing, or become more permissive in their 

coverage terms, we could lose 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. 

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, Illinois, 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 desist 

12 

 
 
 
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 regulations generally require domestic insurers to obtain prior 

approval of extraordinary dividends. Insurance holding company regulations that govern our principal 
operating subsidiaries, except PRA National and PRA Wisconsin, deem a dividend as 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 PRA 
National, deem a dividend to be extraordinary if the combined dividends and distributions made in any 12 
month period exceeds the lesser of: 

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

The regulations governing Wisconsin insurers, which have jurisdiction over PRA Wisconsin, 

deems a dividend to be extraordinary if the amount exceeds the lesser of: 

−  10% of a company’s capital and surplus as of December 31 of the preceding year; or 
− 

the greater of: 

− 

− 

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

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. 

13 

 
 
 
Risk-Based Capital 

In order to enhance the regulation of insurer solvency, the National Association of Insurance 

Commissioners specifies risk-based capital requirements for property and casualty insurance companies. 
At December 31, 2009, all of ProAssurance’s insurance subsidiaries exceeded the minimum RBC levels. 

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 applicable 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, notably Georgia, Florida, Illinois, Missouri, 
Ohio, Texas, and West Virginia, enacted tort reform legislation in the previous decade as a response to a 
rapid deterioration in loss trends. These reforms are generally thought to have contributed to the 
improvement in the overall loss trends in those states, although loss trends have also been favorable in 
states that did not pass any type of tort reform. In states where these reforms are perceived to have 
improved the medical professional liability climate, we have noted an increase in competition. 

Appeals are underway in most states where tort reforms were enacted. The Illinois statute was 
overturned in early 2010. We believe some of the other state reforms may also be overturned, although 
we cannot predict with any certainty how appellate courts will rule. We continue to monitor developments 

14 

 
 
 
on a state-by-state basis, and make business decisions accordingly.  

Tort reform proposals are considered from time-to-time at the Federal level. 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 is a stated priority of the current presidential administration, but the future of 

healthcare reform is unclear. Conflicting healthcare reform bills have been passed by the House and the 
Senate and work is underway on compromise legislation, but there is no certainty that such efforts will be 
successful or what reform measures will be included in the final bill, if one is passed. The earliest date for 
implementation of major proposed healthcare reforms in the current legislation is 2013, which does give 
us time to assess the likely effect of the proposals on our business and develop new products, or revise 
existing policies to compete effectively in a changed market place. 

If passed, reforms would alter the healthcare delivery system or reimbursement plans, which 

could raise the cost sensitivity of our insureds. Neither bill, as written, would implement Tort Reforms 
that would directly affect the filing or outcome of lawsuits against our insureds. The current proposed 
legislation provides incentives and funding for a limited number of demonstration projects intended to 
develop alternatives to our current tort system for managing medical malpractice disputes. 

In addition to regulatory and legislative efforts, there have been significant market-driven 

changes in the healthcare environment that have negatively affected, or threaten 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 joined or contractually affiliated with larger 
organizations. 

The sum of these changes may result in a significant decrease in the number of physicians in 
private practice and the role of the insured in the medical professional liability insurance purchasing 
decision. Under economic pressure, practices may employ 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. Such change and consolidation could reduce our medical professional 
liability premiums as groups of insurance purchasers generally seek to control costs by retaining more 
risk or moving to self insurance arrangements. 

Other federal legislation has been proposed that would bring about federal regulation of 
insurance companies, which could replace state regulation, or work beside state regulation. Legislation to 
repeal the anti-trust exemptions granted to insurance companies under the provisions of the McCarran-
Ferguson Act was proposed in conjunction with healthcare reforms, but that legislation no longer contains 
language applying to medical professional liability insurers. 

Other federal initiatives, including additional pro-patient protection legislation that would 

ultimately affect our business, may also be proposed, although we believe such legislation would most 
likely have a more direct effect on healthcare insurers and providers. New legislation could indirectly 
affect our business if our insureds face different risk and cost environments. We are unable to predict the 
likelihood of any particular type of legislation becoming effective or the likely ramifications to our 
business. 

Employees  

At December 31, 2009, we had 689 employees, none of whom are represented by a labor union. 

We consider our employee relations to be good. 

15 

 
 
 
 
 
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. 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 revenues may fluctuate with insurance market conditions. 

The property and casualty insurance business is highly competitive. We compete with large 

national property and casualty insurance companies, locally-based specialty companies, strong mutuals, 
reciprocals, 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, geographic scope, local presence, 
agent and client relationships, 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, impact our market share and reduce the profits that would otherwise 
arise from operations. 

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

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. Our largest liability is our reserve for loss and loss adjustment expenses. 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.  

The process of estimating loss reserves is complex. 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. Ultimate loss costs, even for claims with similar characteristics, can vary significantly depending 
upon many factors, including but not limited to, the nature of the claim 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, for medical professional liability, the trend of 
health care costs. Consequently, the loss cost estimation process requires actuarial skill and the 
application of judgment, and such estimates require periodic revision. As part of the reserving process, we 
review the known facts surrounding reported claims as well as historical claims data and consider the 
impact of various factors such as: 

– 
for reported claims, the nature of the claim and the jurisdiction in which the claim occurred; 
– 
trends in paid and incurred loss development; 
– 
trends in claim frequency and severity; 
–  emerging economic and social trends; 
– 
– 
–  changes in the regulatory legal and political environment. 

trend of health care costs for medical professional liability; 
inflation; and 

16 

 
 
 
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, 
each case that is litigated to a jury verdict increases our risk of incurring a loss that has a material adverse 
affect on reserves. To the extent loss reserves prove to be inadequate to meet future claim payments, we 
would incur a charge to earnings in the period the reserves are increased. 

We purchase reinsurance to mitigate the effect of losses under higher coverage limits policies and 
for a portion of all losses on certain types of policies. 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 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. 

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. Also, 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. 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. Any 
adjustments are reflected in then-current operations. 

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 or 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 our reinsurance agreements make the reinsurer liable to us 
to the extent the risk is transferred, the liability to our policyholders remains our responsibility. If 
reinsurers fail to pay us or fail to pay on a timely basis, our financial results and/or cash flows would be 
adversely affected. At December 31, 2009 our Receivable from Reinsurers on Unpaid Losses is $262.7 
million and our Receivable from Reinsurers on Paid Losses is $16.8 million. 

Our claims handling 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. These actions have 

17 

 
 
 
the potential to have a material adverse effect on our financial condition and results of operations. 
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. 

Changes in healthcare policy could have a material effect on our operations. 

Healthcare reform is a stated priority of the current presidential administration and healthcare 

reform is currently under consideration by Congress. The proposed legislation, which remains subject to 
substantial revision and may or may not become law, focuses primarily on expanding health insurance 
coverage in the U.S., but also includes measures designed to promote additional competition among 
health insurers, and measures that might increase Federal oversight of insurers. There is much speculation 
as to what would be the indirect effects of the legislation as now proposed, including the economic effects 
on physicians, other health care workers, hospitals, and other types of healthcare facilities. If passed, 
reforms could result in significant changes in the demand for and profitability of our current insurance 
products as well as significant changes to the competitive environment in which we operate. It may be 
difficult to successfully change our insurance products and current business model quickly enough to 
maintain profitable operations. It does seem likely that there will be several years between the passage of 
any reforms and the effective date of the reforms. We hope it will allow us to make the adjustments 
needed to our products and business model, but there is no certainty that we will be successful in our 
efforts. 

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, notably Georgia, Florida, Illinois, Missouri, 
Ohio, Texas, and West Virginia, enacted tort reform legislation in the previous decade as a response to a 
rapid deterioration in loss trends. The Illinois statute was overturned in early 2010. We cannot predict 
with any certainty how other state appellate courts will rule on these laws. While the effects of tort reform 
have been generally beneficial to our business in states where these laws have been enacted, there can be 
no assurance that such reforms will be ultimately upheld by the courts. 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 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. 

A significant amount of our business is concentrated in certain states so that our performance is 
dependent on the business, economic, regulatory and legislative conditions in those states. 

Our top five states, Alabama, Ohio, Florida, Indiana and Michigan, represented 48% of our 

gross premiums written for the year ended December 31, 2009. Moreover, during the three years 
ended December 31, 2009, Alabama and Ohio accounted for 30%, 35%, and 33%, respectively, of our 
gross premiums written in each year during that time period. Because of this concentration, 

18 

 
 
 
unfavorable business, economic or regulatory conditions in any of these states could have a 
disproportionately greater effect on us than they would if we were less geographically concentrated. 

We may be unable to identify future strategic acquisitions or expected benefits from completed and 
proposed acquisitions may not be achieved or may be delayed longer than expected. 

Our corporate strategy anticipates growth through the acquisition of other companies or books 
of business. However, such expansion is opportunistic and there is no guarantee that we will be able to 
identify strategic acquisition targets in the future. Additionally, if we are able to identify a strategic 
target for acquisition, state insurance regulation concerning change or acquisition of control could 
delay or prevent us from growing through acquisitions. Many states' insurance regulatory codes 
provide 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. There is no assurance that we will receive such approval from the 
respective insurance regulator.  

In the event we are able to complete an acquisition, there is no guarantee that the expected 

benefits will be achieved as planned. The process of integrating an acquired company or business can 
be complex and costly, and may create unforeseen operating difficulties and expenditures. This can be 
due to, among other reasons, business disruption, loss of customers and employees, the ineffective 
integration of underwriting, claims handling and actuarial practices, the increase in the inherent 
uncertainty of reserve estimates for a period of time until stable trends reestablish themselves within 
the combined organization, diversion of management time and resources to acquisition integration 
challenges, the cultural challenges associated with integrating employees, increased operating costs or 
inability to achieve cost savings, and the assumption of greater than expected liabilities. There is no 
guarantee that any businesses acquired in the future will be successfully integrated, and the ineffective 
integration of our businesses and processes may result in substantial costs or delays and adversely 
affect our ability to compete. 

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 Fitch and A.M. 
Best. 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 or the rating agencies 
significantly change the rating criteria that are used to determine ratings, we may not maintain our 
favorable financial strength ratings from the rating agencies. A downgrade or involuntary withdrawal of 
any such rating could limit or prevent us from writing desirable business. 

19 

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

of February 10, 2010: 

Rating Agency 

ProAssurance 
Group 

ProAssurance 
Indemnity 
Company, Inc.

ProAssurance 
National Capital 
Insurance Co. 

ProAssurance 
Wisconsin 
Insurance Co.

ProAssurance 
Casualty Co.

ProAssurance 
Specialty 
Insurance 
Company, Inc. 

Podiatry 
Insurance 
Company of 
America 

PACO 
Assurance 
Company, 
Inc. 

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

A 
(Excellent) 

A 
(Excellent) 

B++ 
(Good) 

A- 
(Excellent) 

A 
(Excellent) 

A 
(Excellent) 

A- 
(Excellent)

A- 
(Excellent) 

Fitch 
(www.fitchratings.com) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

A 
(Strong) 

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. 

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. 

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 

20 

 
 
 
 
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. 

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

We are a holding company whose principal source of funds is cash dividends and other permitted 

payments from operating subsidiaries. If our subsidiaries are unable to make payments to us, or are able 
to pay only limited amounts, we may be unable to make payments on our indebtedness. The payment of 
dividends by these operating subsidiaries is subject to restrictions set forth in the insurance laws and 
regulations of their respective states of domicile, as discussed in Item 1 Insurance Regulatory Matters. 

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 changes 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. 

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 

21 

 
 
 
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. 

In 2009 and 2008, guaranty fund refunds/recoupments exceeded current year assessments by 

$533,000 and $1.3 million, respectively, which reduced total acquisition expenses. 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 the guaranty funds do not provide sufficient information for development of such ranges. 

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. Significant movements in interest rates potentially expose us to lower yields or lower asset values. 
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 investments are subject to credit and prepayment risk.  

A significant portion of our assets ($3.8 billion or 83%) at December 31, 2009 are financial 
instruments whose value can be significantly affected by economic and market factors beyond our control 
including, among others, the unemployment rate, the strength of the domestic housing market, the price of 
oil, changes in interest rates and spreads, consumer confidence, investor confidence regarding the 
economic prospects of the entities in which we invest, corrective or remedial actions taken by the entities 
in which we invest, including mergers, spin-offs and bankruptcy filings, the actions of the U.S. 
government, and global perceptions regarding the stability of the U.S. economy. Adverse economic and 
market conditions could cause investment losses or other-than-temporary impairments of our securities, 
which could affect our financial condition, results of operations, or cash flows. 

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 affected by the existence 
of U.S. 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 
20% of our fixed maturities are asset-backed securities, 97% of which are investment grade, (91% AAA, 
3% AA, 5% BBB, 1% B) as determined by Nationally Recognized Statistical Rating Organizations 
(NRSROs) (Moody’s, Standard & Poor’s and Fitch). Ratings published by the NRSROs are among 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 subprime (See 

“Investment Exposures” included in Item 7, page 45). We have no exposure to subprime loans through 
collateralized debt obligations (CDOs). 

Our asset-backed securities are also subject to prepayment risk. A prepayment is the unscheduled 
return of principal. When rates decline, the propensity for refinancing may increase and the period of time 
we hold our asset-backed securities may shorten due to prepayments. Prepayments may cause us to 
reinvest cash flows at lower yields than currently recognized. Conversely, as rates increase, and 
motivations for refinancing lessen, the period of time we hold our asset-backed securities may lengthen, 
causing us to not reinvest cash flows at then higher available yields. 

22 

 
 
 
In a period of market illiquidity and instability, the fair values of our investments are more difficult to 
assess and our assessments may prove to be greater or less than amounts received in actual transactions. 

In accordance with applicable GAAP, we value 97% of our investments at fair value and the 

remaining 3% at cost or the current cash surrender value (BOLI). See Notes 1, 2 and 4 to the 
Consolidated Financial Statements for additional information. Approximately 6% of our investments are 
traded in active markets and we use quoted market prices to value those investments. We estimate fair 
values for the remaining 91% of our investments, based on broker dealer quotes and various other 
valuation methodologies, which may require us to choose among various input assumptions and which 
requires us to utilize judgment. When markets exhibit much volatility, there is more risk that we may 
utilize a quoted market price, broker dealer quote, valuation technique or input assumption that results in 
a fair value estimate that is either over or understated as compared to actual amounts received upon 
disposition or maturity of the security.  

The current economic environment may have a significant adverse effect on our financial condition and 
results of operations. 

The U.S. government has undertaken measures to stabilize the U.S. economy and financial 

markets, including the Emergency Economic Stabilization Act of 2008 and the American Recovery and 
Reinvestment Act of 2009, and measures are also being undertaken by the governments of other leading 
nations. In addition, the U.S. Treasury, the Federal Reserve, and FDIC began several programs to provide 
liquidity support to the financial system in 2008 and 2009: Commercial Paper Funding Facility (CPFF), 
Term-Asset Backed Loan Facility (TALF), the Temporary Guaranty Liquidity Program (TGLP), and the 
Public-Private Investment Program (PPIP), among others. Although the measures appear to have been 
positive for the economy and the financial markets, there is no assurance that the markets will further 
improve or maintain stability once these measures expire or are discontinued. In such an uncertain 
economy there is increased risk that the fair value of our investments may decline in the future. 
Additionally, the financial situation of our insureds may also decline significantly, which could result in 
an increase in non-renewals or reductions in the level of coverage purchased. A worsening economy 
could cause shifts in the frequency and severity of the claims filed against our insureds. Although we have 
not experienced such shifts to-date, a worsening economy could result in actual claims experience that is 
worse than that estimated by us in establishing our reserves and premium rates, making our operations 
less profitable or unprofitable. Our reinsurers are subject to the same uncertainties and risks. If the 
downturn is prolonged or if losses significantly increase, reinsurers may become less willing or unable to 
meet their obligations to us. 

Also, actions of the U.S. government undertaken to improve the overall economy may have a 
specific detrimental effect on the value of certain types of investments we own, particularly mortgage-
backed securities. While future actions cannot be predicted, many observers in the financial community 
believe additional measures will be undertaken to reduce home mortgage foreclosures, some of which 
may benefit homeowners more than holders of mortgages. The fair value of our investments in non-
agency mortgage-backed securities that might likely be affected by mortgage modification efforts 
approximates $36.2 million ($38.0 million recorded cost basis). We also hold agency mortgage-backed 
securities which are guaranteed by Ginnie Mae, Fannie Mae, or Freddie Mac, having a combined fair 
value of $504.5 million ($484.9 million recorded cost basis). Agency mortgage-backed securities may 
also be affected, although the guarantees provided are intended to protect bond holders from credit loss. 
The reduction of or discontinued purchases of agency mortgage-backed securities by the Federal Reserve 
could cause the fair value of our Fannie Mae and Freddie Mac mortgage-backed securities to decline if 
there is no other market support for those bonds. The continued lack of congressional action in 
determining the future structure of Fannie Mae and Freddie Mac could also impact the fair value of our 
holdings. While the two government-sponsored enterprises currently have U.S. Government support 
through 2012, there is no assurance that the support will continue thereafter. 

23 

 
 
 
The economic downturn has lessened tax receipts and other revenues in many states and their 

municipalities and the frequency of credit downgrades of these entities has increased. At December 31, 
2009 the fair value of our state/municipal portfolio is $1.45 billion (recorded cost basis of $1.40 billion). 
While our state/municipal portfolio has a high average credit rating (AA on average) which indicates a 
strong ability to pay, there is no assurance that there will not be a credit related event in our state and 
municipal bond portfolios which would cause fair values to decline.  

The company holds $92.6 million of Commercial Mortgage-Backed Securities (CMBS) which 

are affected by the general health of the economy. Commercial mortgage delinquencies have risen in the 
last 24 months as occupancy rates for commercial buildings and hotels have declined and fair values for 
many CMBS securities have declined. The recent PPIP program helped improve the fair values of the 
CMBS market, but there is no guarantee that it will continue. While we primarily hold high quality 
CMBS in our portfolio (average rating is AAA), there is no guarantee that fair values will be maintained 
in the future if delinquencies continue or increase or the economy does not maintain stability. 

We maintain banking deposits with banks that are subject to a variety of regulatory regimes. 

During late 2008 and all of 2009, all commercial deposits had unlimited FDIC insurance under the 
Transaction Account Guarantee (TAG) as part of the Temporary Liquidity Guarantee Program. The TAG 
program expired at the end of 2009, and became an optional election for banks thereafter. Three of our 
primary banks did not elect to continue participation in the TAG. We have $38.4 million of uninsured 
deposits at December 31, 2009. Absent the unlimited FDIC insurance, we assess the creditworthiness of 
our banks in determining how much exposure we have to each bank. While we believe we have 
reasonable exposures to each of the banks given their creditworthiness in excess of FDIC insurance, given 
the current economic conditions and the efforts of the FDIC to maintain a healthy banking system, there is 
no assurance that a bank with which we do business will not have difficulty in the future if economic 
conditions were to worsen. 

Resolution of uncertain income tax matters and changes in tax laws could adversely affect our results of 
operations or cash flow. 

Our provision for income taxes, our recorded tax liabilities and net deferred tax assets, including 
any valuation allowances, are recorded based on estimates. These estimates require us to make significant 
judgments regarding a number of factors, including, among others, the applicability of various federal and 
state laws, the interpretations given to those tax laws by taxing authorities, courts and ProAssurance, the 
timing of future income and deductions, and our expected levels and source of future taxable income. We 
believe our tax positions are supportable under tax laws and that our estimates are prepared in accordance 
with GAAP. Nevertheless, we are periodically under routine examination by various federal, state and 
local authorities regarding income tax matters and our tax positions could be successfully challenged; the 
costs of defending our tax position could be considerable. Additionally, from time to time there are 
changes to tax laws and interpretations of tax laws which could change our estimates of the amount of tax 
benefits or deductions expected to be available to us in future periods. In either case, changes to our prior 
estimates would be reflected in the period changed and could have a material effect on our effective tax 
rate, financial position, results of operations and cash flow.  

ProAssurance is subject to U. S. federal and various state income taxes, and generally remains 

open to income tax examinations by tax authorities for years beginning with 2006. From time to time, we 
have tax positions being reviewed by the IRS or state taxing authorities. Our expectation regarding the 
resolution of those reviews is reflected in our then-current period financial statements. At this time, we do 
not have any matters under review for which we do not expect to prevail that we consider to be a material 
amount, separately or in the aggregate. As of December 31, 2009 our current tax liability is approximately 
$17.0 million, and we have a net deferred tax asset of approximately $68.8 million. 

24 

 
 
 
 
New or changes in existing accounting standards, practices and/or policies, and also subjective 
assumptions, estimates and judgments by management related to complex accounting matters could 
significantly affect our financial results. 

U.S.generally accepted accounting principles (GAAP) and related accounting pronouncements, 
implementation guidelines and interpretations with regard to a wide range of matters that are relevant to 
our business, such as revenue recognition, estimation of losses, determination of fair value, asset 
impairment (particularly investment securities and goodwill) and tax matters, are highly complex and 
involve many subjective assumptions, estimates and judgments. Changes in these rules or their 
interpretation or changes in underlying assumptions, estimates, or judgments could significantly change 
our reported or expected financial performance or financial condition. See Note 1 of the Consolidated 
Financial Statements for the discussion on accounting policies. 

ProAssurance is primarily a holding company of insurance subsidiaries and is required to comply 
with statutory accounting principles (SAP). SAP and its components are subject to review by the National 
Association of Insurance Commissioners (NAIC) and state insurance departments. The NAIC Accounting 
Practices and Procedures manual provides that a state insurance department may allow insurance 
companies that are domiciled in that state to depart from SAP by granting them permitted non-SAP 
accounting practices. This permission may allow for more favorable treatment to competitors. We cannot 
predict whether or how reforms will be enacted, or whether the enacted reforms will have a positive or 
negative effect. We can also give no assurance that future changes to SAP or its components or the grant 
of permitted non-SAP accounting practices to our competitors will not negatively affect our financial 
results or operations. See the Insurance Regulatory Matters section in Item 1 for the full discussion on 
regulatory matters. 

25 

 
 
 
 
 
ITEM 1B. UNRESOLVED STAFF COMMENTS. 

None. 

ITEM 2.  PROPERTIES. 

We own five office buildings, all of which are unencumbered. In Birmingham, Alabama we own 

a 165,000 square foot building in which we currently occupy approximately 82,000 square feet and in 
Franklin, Tennessee we own a 103,000 square foot building in which we currently occupy 51,000 square 
feet; the remaining office space in these buildings is leased to unaffiliated persons or available for lease. 
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. In Brentwood, Tennessee we own a 
25,000 square foot building all of which is either leased to unaffiliated persons or is available for lease 
and is held for sale. 

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 relevant background with 
ProAssurance and former employers.  

W. Stancil Starnes 

Victor T. Adamo 

Howard H. Friedman 

Jeffrey P. Lisenby 

Frank B. O’Neil 

Mr. Starnes was appointed as Chief Executive Officer of ProAssurance 
effective July 2, 2007 and has served as the Chairman of the Board since 
October 2008. 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 61) 

Mr. Adamo has been the President of ProAssurance since its inception. 
Mr. Adamo joined the predecessor to Professionals Group in 1985 as 
general counsel and was elected as Professionals Group CEO in 1987. 
From 1975 to 1985, Mr. Adamo was in private legal practice and 
represented the predecessor to Professionals Group. Mr. Adamo is a 
Chartered Property Casualty Underwriter. (Age 61) 

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 51) 

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 has served as Vice President and head of the corporate Legal 
Department since 2001. Mr. Lisenby also previously practiced law 
privately 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 41)  

Mr. O’Neil was appointed as our Senior Vice President of Corporate 
Communications and Investor Relations in September 2001. Mr. O’Neil 
first joined our predecessor in 1987 and has been our Senior Vice 
President of Corporate Communications since 1997. (Age 56) 

27 

 
 
 
Edward L. Rand, Jr. 

Darryl K. Thomas 

Mr. Rand was appointed Chief Financial Officer on April 1, 2005, 
having joined ProAssurance as our Senior Vice President of Finance in 
November 2004. Prior to joining ProAssurance Mr. Rand was the Chief 
Accounting Officer and Head of Corporate Finance for PartnerRe Ltd. 
Prior to that time Mr. Rand served as the Chief Financial Officer of 
Atlantic American Corporation. Mr. Rand is a Certified Public 
Accountant. (Age 43) 

Mr. Thomas has been with ProAssurance since its inception and 
currently serves as a Co-President of our Professional Liability Group, a 
position he has held since October 2005, and as our Chief Claims 
Officer. Previously, Mr. Thomas was Senior Vice President of Claims 
for Professionals Group. Prior to joining the predecessor to Professionals 
Group 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 52) 

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, 2010, ProAssurance Corporation (PRA) had 3,779 stockholders of record and 
32,411,990 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 

2009 

2008 

  High 
  $  51.34 
    51.35 
    53.62 
    54.95 

  Low 
  $  40.66 
    43.17 
    44.80 
    49.84 

  High 
  $  58.65 
    55.19 
    64.85 
    55.07 

Low 
  $  49.90 
    48.11 
    45.61 
    41.78 

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 13 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, 2009. 

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) 

1,176,308 

$ 42.66* 

1,820,096 

– 

– 

– 

*Exclusive of 212,000 performance shares and 29,000 restricted share units which have no exercise price. 

Issuer Purchases of Equity Securities 

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

publicly announced plans or programs.  

Period 

January 1-31, 2009 
February 1-28, 2009 
March 1-31, 2009 
April 1-30, 2009 
May 1-31, 2009 
June 1-30, 2009 
July 1-31, 2009 
August 1-31, 2009 
September 1-30, 2009 
October 1-31, 2009 
November 1-30, 2009 
December 1-31, 2009 
Total 

Total  Number 
of Shares 
Purchased 

– 
– 
443,450 
– 
– 
396,823 
– 
– 
40,500 
249,500 
18,300 
– 
  1,148,573 

Average 
Price Paid 
per Share 
– 
– 
  $  42.04 
– 
– 
  $  43.93 
– 
– 
  $  51.12  
  $  51.90 
  $  52.01 
– 
  $  45.31 

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

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

Approximate Dollar Value of Shares 
that May Yet Be Purchased Under the 
Plans or Programs(1) 

74,409,144 
$ 
74,409,144 
$ 
55,767,577 
$ 
55,767,577 
$ 
55,767,577 
$ 
38,336,077 
$ 
38,336,077 
$ 
$ 
38,336,077 
$  129,265,865 
$  116,316,002 
$  115,364,171 
$  115,364,171 

– 
– 
443,450 
– 
– 
396,823 
– 
– 
40,500 
249,500 
18,300 
– 
1,148,573 

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 revenues  

Total revenues (2) 

Net losses and loss adjustment expenses (2) 
Income (loss) from continuing operations(3) 
Net income(3)  
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 

Total assets 

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

Total capital 

Total capital per share of common  

stock outstanding  

Year Ended December 31 

2009 

2008 

2007 

2006 

2005 

(In thousands except per share data) 

553,922 

514,043 

540,012 

(42,469) 

497,543 

150,945 

1,438 

12,792 

9,965 

672,683 

231,068 

222,026 

222,026 

$ 

471,482 

$ 

549,074 

$ 

578,983 

$ 

572,960 

429,007 

506,397 

543,376 

521,343 

503,579 

(44,301) 

459,278 

158,384 

(7,997) 

(50,913) 

8,410 

567,162 

211,499 

177,725 

585,310 

(51,797) 

533,513 

171,308 

1,630 

(5,939) 

5,556 

706,068 

350,997 

168,186 

627,166 

(44,099) 

583,067 

147,450 

2,339 

(1,199) 

5,941 

737,598 

443,329 

126,984 

596,557 

(53,316) 

543,241 

98,293 

900 

912 

4,604 

647,950 

438,201 

80,026 

$ 

177,725 

$ 

168,186 

$ 

236,425 

$ 

113,457 

6.76 
6.70 

6.76 
6.70 

$   
$   

$   
$   

5.43 
5.22 

5.43 
5.22 

$   
$   

$   
$   

5.10 
4.78 

5.10 
4.78 

$   
$   

$   
$   

3.96 
3.72 

7.38 
6.85 

$   
$   

$   
$   

2.66 
2.52 

3.77 
3.54 

32,848 
33,150 

32,750 
34,362 

32,960 
35,823 

32,044 
34,925 

30,049 
32,908 

$ 

$ 

$ 
$ 

$ 
$ 

$ 

3,838,222 

$  3,575,942 

$  3,639,395 

$  3,492,098 

$  2,614,319 

4,440,808 

4,440,808 

2,559,707 

164,158 

3,185,738 

4,342,853 

4,342,853 

2,607,148 

179,177 

3,224,306 

3,341,600 

3,909,379 

2,224,436 

167,240 

2,806,820 

$   1,423,585 

$  1,255,070 

$  1,118,547 

$ 

765,046 

4,647,414 

4,647,414 

4,280,938 

4,280,938 

2,422,230 

2,379,468 

50,203 

2,942,819 

1,704,595 

34,930 

2,857,353 

$ 

$ 

52.59 

$   

42.69 

$   

38.69 

$   

33.61 

$   

24.59 

Common stock outstanding at end of year  

32,412 

33,346 

32,443 

33,276 

31,109 

(1)  Includes acquired entities since date of acquisition, only. PICA was acquired on April 1, 2009. PRA Wisconsin was acquired on August 1, 

2006. NCRIC Corporation was acquired on August 3, 2005. 

(2)  Excludes discontinued operations. 
(3)  Includes a loss on extinguishment of debt of $2.8 million for the year ended December 31, 2009 and a gain on extinguishment of debt of $4.6 

million for the year ended December 31, 2008. 

30 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
RESULTS OF OPERATIONS 

The following discussion should be read in conjunction with Consolidated Financial Statements 
and Notes to those statements which accompany this report. A glossary of insurance terms and phrases is 
available on the investor section of our website. Throughout the discussion, references to ProAssurance, 
“PRA,” "we," "us" and "our" refer 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 conformity with U.S. generally accepted 

accounting principles (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 ongoing 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. Incurred losses in any period reflect our estimate of losses 
incurred related to the premiums earned in that period as well as any changes to our estimates of the 
reserve established for losses of prior periods. 

The estimation of professional liability losses is inherently difficult. Loss costs, even for claims 

with similar characteristics, can vary significantly depending upon many factors, including but not limited 
to, the nature of the claim 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, for medical professional liability, the trend of health care costs. 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. Our reserves are established by management after taking into consideration a variety of 
factors including premium rates, claims frequency, historical paid and incurred loss development trends, 
the effect of inflation, general economic trends, the legal and political environment, and the conclusions 
reached by our internal actuaries. 

Our internal actuaries perform an in-depth review of our reserve for losses on a semi-annual basis 
using the loss and exposure data of our insurance subsidiaries. In addition, we engage external actuaries to 
review our data and provide us with their observations regarding our data and the adequacy of our 
established reserve. We believe that use of external actuaries provides us with an independent viewpoint 
regarding our loss experience and a broader perspective on industry loss trends. We update and review the 
data underlying the estimation of our reserve for losses each reporting period and make adjustments to 
loss estimation assumptions 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 

 
There is a significant risk that actual incurred losses will develop differently from our 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 professional liability losses, 
we establish the initial loss estimates at a level which is approximately 8 to 10% above our pricing 
assumptions. This difference recognizes the volatility of the professional liability loss environment and 
the risk in determining pricing parameters. As each accident year matures, we analyze reserves in a 
variety of ways and use multiple actuarial methodologies in performing these analyses, including: 

–  Bornhuetter-Ferguson (Paid and Reported) Method 
–  Paid Development Method 
–  Reported Development Method 
–  Average Paid Value Method 
–  Average Reported Value Method 
–  Backward Recursive Method 

The descriptions require some explanation as to how we and actuaries view our reserves and a 

brief description of each method follows. We segment our reserves by accident year, which is the year in 
which the claim becomes our liability. As claims are incurred (reported) and claim payments are made, 
they are aggregated by accident year for analysis purposes. We also segment our reserves by reserve type: 
case reserves and IBNR reserves. Case reserves are established by our claims department based upon the 
particular circumstances of each reported claim and represent our estimate of the future loss costs (often 
referred to as expected losses) that will be paid on reported claims. Case reserves are decremented as 
claim payments are made and are periodically adjusted upward or downward as claim department 
estimates regarding the amount of future losses are revised; reported loss is the case reserve at any point 
in time plus the claim payments that have been made to date. IBNR reserves represent our estimate of 
losses that have been incurred but not reported to us, and future developments on losses that have been 
reported to us.  

Bornhuetter-Ferguson Method. We use both the Paid and the Reported Bornhuetter-Ferguson 

methods. The Paid method assigns partial weight to initial expected losses for each accident year (initial 
expected losses being the first established case and IBNR reserves for a specific accident year) and partial 
weight to paid to-date losses. The Reported method assigns partial weight to the initial expected losses 
and partial weight to current reported losses. The weights assigned to the initial expected losses decrease 
as the accident year matures. 

Paid Development and Reported Development Method. These methods use historical, cumulative 

losses (paid losses for the Paid Development Method, reported losses for the Reported Development 
Method) by accident year and develops those actual losses to estimated ultimate losses based upon the 
assumption that each accident year will develop to estimated ultimate cost in a manner that is analogous 
to prior years, adjusted as deemed appropriate for the expected effects of known changes in the claim 
payment environment (and case reserving environment for the Reported Development Method), and, to 
the extent necessary, supplemented by analyses of the development of broader industry data. 

Average Paid Value and Average Reported Value Methods. In these methods, average claim cost 
data (paid claim cost for the Average Paid Value Method and reported claim cost for the Reported Value 
Method) is developed to an ultimate average cost level by report year based on historical data. Claim 
counts are similarly developed to an ultimate count level. The average claim cost (after rounding and 
adjustment, if necessary, to accommodate report year data that is not considered to be predictive) is then 
multiplied by the ultimate claim counts by report year to derive ultimate loss and ALAE. 

Backward Recursive Development Method. This method is an extrapolation on the movements in 
case reserve adequacy in order to estimate unpaid loss costs. Historical data showing incremental changes 
to case reserves over progressive time periods is used to derive factors that represent the ratio of case 
reserve values at successive maturities. Historical claim payments data showing the additional payments 
in progressive time periods is used to derive factors that represent the portion of a case reserve paid in the 

32 

 
following period. Starting from the most mature period, after which all the case reserve is paid and the 
case reserve is exhausted, the next prior ultimate development factor for the prior case reserve can be 
calculated as the case factor times the established ultimate development factor plus the paid factor. For 
each successive prior maturity, the ultimate development factor is calculated similarly. The result of 
multiplying the ultimate development factor times the case reserve is the total indicated unpaid amount.  

Generally, methods such as the Bornhuetter-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. 

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

80% Confidence Level 
60% Confidence Level 

Low End Point 
$1.656 billion 
$1.801 billion 

Carried Net Reserve High End Point 

$2.160 billion 
$2.160 billion 

$2.725 billion 
$2.494 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. 

33 

 
 
The following table presents additional information about net favorable loss development: 

(In thousands) 

2009 

2008 

2007 

Net favorable loss development recognized 
Loss development as % of beginning of year loss reserves

  $  207,300 
8.7% 

  $  185,251 
7.2% 

  $ 104,985 
4.0% 

Any change in our estimate of losses 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, as has been the case in 2009, 
2008 and 2007. 

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, 2009 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 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. Our assessment of the collectability 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 any 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. Also, 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. 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. 

Investment Valuations 

We have engaged an independent pricing service to provide us with the fair value for 
approximately 95% of our investments, principally equity securities and fixed income securities. Fair 
value is defined as the price that would be received to sell an asset or paid to transfer a liability in an 
orderly transaction between market participants at the measurement date. The pricing service has a larger 
and more experienced staff than ours, has access to large quantities of data that would be difficult and 
expensive for us to acquire, and many years of valuation experience. 

We determine fair value using an exchange traded price if one is available. As of December 31, 

2009 we valued approximately 6% of our investments at fair value using an exchange traded price. There 
is little judgment involved when fair value is determined using an exchange traded price. In accordance 
with GAAP, for disclosure purposes we classify securities valued using an exchange traded price as  
Level 1 securities. 

34 

 
 
 
 
 
 
 
 
 
 
   
   
   
Approximately 89% of our investments, principally our fixed income securities, are valued at fair 
value using available market information. Excluding government bonds, most fixed income securities do 
not trade daily and thus exchange traded prices are generally not available for these securities. However, 
market information, (such as last reported trade, non-binding broker quotes, bids, benchmark yield curves, 
issuer spreads, two sided markets, benchmark securities, offers, and recent data regarding assumed 
prepayment speeds, cash flow and loan performance data) often referred to as observable inputs, is 
available for most of our fixed income securities. The pricing service provides us a price that has been 
determined using pricing models when multiple observable inputs are available but an exchange traded 
price is not. Pricing models vary by asset class and utilize the available market data for securities 
considered comparable to establish a price for our security. The pricing service discloses the inputs used 
for each asset class that it prices and states that all market inputs used are scrutinized for consistency with 
other relevant market information before being included in the valuation computation. Determining fair 
values using these pricing models requires the use of judgment to identify appropriate comparable 
securities and to choose valuation methodology that is appropriate for the asset class and available data. 
In accordance with GAAP, for disclosure purposes we classify securities valued using multiple market 
observable inputs as Level 2 securities. 

The pricing service provides a single price per instrument quoted. We review the pricing for 

reasonableness each quarter by comparing market yields generated by the supplied price versus market 
yields observed in the market place. If a supplied price is deemed unreasonable, we will discuss the 
provided valuation with the pricing service and would make adjustments if deemed necessary. To date, 
we have not adjusted any prices supplied by the pricing service. 

The pricing service provides a fair value only when an exchange traded price is available or when 

suitable multiple market observable inputs for a security can be identified. We hold certain non public 
investments which are not valued by the pricing service and certain other securities which are valued by 
the pricing service in some periods, but not others, depending upon the level of recent market activity for 
the securities or comparable securities. If the pricing service does not provide a price, Management 
estimates fair value using either a single non-binding broker quote or pricing models that utilize market 
based assumptions which have limited observable inputs. The process involves significant judgment in 
selecting the appropriate data and modeling techniques to use in the valuation process. We fair value 2% 
of our investments in this manner. In accordance with GAAP, for disclosure purposes we classify 
securities that are valued using limited observable inputs as Level 3 securities. 

We also hold interests in private investment funds (non-public investment partnerships and 
limited liability companies) which are accounted for under the cost method and some of which are 
accounted for under the equity method, depending on our presumed degree of influence over the 
operating and financial policies of the fund. We value our interests in the entities accounted for under the 
equity method based on quarterly net asset values provided to us by fund managers. Interests accounted 
for using the equity method total $48.5 million at December 31, 2009. Interests accounted for using the 
cost method total $36.3 million at December 31, 2009. 

Investment Impairments 

We evaluate all our investments on at least a quarterly basis for declines in fair value that 
represent other-than-temporary impairments (OTTI). In all instances we consider an impairment to be an 
other-than-temporary impairment if we intend to sell the security or if we believe we will be required to 
sell the security before we fully recover the amortized cost basis of the security. Otherwise, we consider 
various factors in our evaluation, depending upon the type of security, as discussed below. 

35 

 
For equity securities, we consider the following: 

− 

− 

the length of time for which the fair value of the investment has been less than its 
recorded 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;  
the historical and implied volatility of the fair value of the security; 

− 
−  our ability and intent to hold the investment for a period of time sufficient to allow for 

any anticipated recovery in fair value. 

For debt securities, we consider the following: 

−  whether or not we expect to fully recover the amortized cost basis of the security, based 

upon consideration of some or all of the following: 
− 
third party research and credit rating reports; 
− 
the current credit standing of the issuer, including credit rating downgrades 
−  extent to which the decline in fair value is attributable to credit risk specifically 

associated with an investment or its issuer; 

−  our internal assessments and those of our external portfolio managers regarding 

− 

specific circumstances surrounding an investment, which can cause us to believe the 
investment is more or less likely to recover its value than other investments with a 
similar structure;  
for asset-backed securities, the origination date of the underlying loans, the remaining 
average life, the probability that credit performance of the underlying loans will 
deteriorate in the future, and our assessment of the quality of the collateral underlying 
the loan; 
failure of the issuer of the security to make scheduled interest or principal payments; 

− 
−  any changes to the rating of the security by a rating agency; 
− 

recoveries or additional declines in fair value subsequent to the balance sheet date; 
and 

−  our ability and intent to hold the investment for a period of time sufficient to allow 

for any anticipated recovery in fair value. 

In assessing whether we expect to recover the cost basis of debt securities, particularly asset-
backed securities, we must make a number of assumptions regarding matters that will affect the cash 
flows that we expect to receive from the security in future periods. These judgments are subjective in 
nature and may subsequently be proved to be inaccurate. 

We evaluate our investments in private investment funds for OTTI by considering whether there 

has been a decline in fair value below the recorded value. We receive reports from the funds at least 
quarterly which provide us a net asset value (NAV) for our interest in the fund. The NAV is based on the 
fair values of securities held by the fund as determined by the fund manager. Determining whether there 
has been a decline in fair value involves assumptions and estimates. We consider the most recent NAV 
provided, the performance of the fund relative to the market, the stated objectives of the fund, and cash 
flows expected from the fund and audit results in considering whether an OTTI exists. 

We also evaluate our holdings of Federal Home Loan Bank (FHLB) securities for impairment. 
We consider the current capital status of the FHLB, whether the FHLB is in compliance with regulatory 
minimum capital requirements, and the reported operating results of the current period. 

36 

 
Deferred Policy Acquisition Costs 

Policy acquisition costs (primarily commissions, premium taxes and underwriting salaries) which 

are 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 each reporting period, and any amounts estimated 
to be unrecoverable are charged to expense in the current period. 

Deferred Taxes 

Deferred federal income taxes arise from the recognition of temporary differences between the 

basis of assets and liabilities determined for financial reporting purposes and the basis determined for 
income tax purposes. Our temporary differences principally relate to loss reserves, unearned premiums, 
deferred policy acquisition costs, unrealized investment gains (losses) and investment impairments. 
Deferred tax assets and liabilities are measured using the enacted tax rates expected to be in effect when 
such benefits are realized. We review our deferred tax assets quarterly for impairment. If we determine 
that it is more likely than not that some or all of a deferred tax asset will not be realized, a valuation 
allowance is recorded to reduce the carrying value of the asset. In assessing the need for a valuation 
allowance, management is required to make certain judgments and assumptions about our future 
operations based on historical experience and information as of the measurement period regarding 
reversal of existing temporary differences, carryback capacity, future taxable income (including its capital 
and operating characteristics) and tax planning strategies. 

Goodwill 

We make at least an annual assessment as to whether the value of our goodwill asset is impaired. 

Management evaluates the carrying value of goodwill annually during the fourth quarter and before the 
annual evaluation if events occur or circumstances change that would more likely than not reduce the fair 
value below the carrying value. We operate in a single operating segment. Our segment components are 
economically similar, and we consider ProAssurance to be one reporting unit for the purposes of 
evaluating goodwill. We estimate the fair value of our reporting unit on the evaluation date based on 
ProAssurance’s market capitalization and an expected premium that would be paid to acquire control of 
the company (a control premium). We then perform a sensitivity analysis using a range of historical stock 
prices and control premiums. We concluded in 2009, 2008, and 2007 that the fair value of our reporting 
unit exceeded the carrying value and no adjustment to impair goodwill was necessary.  

ProAssurance Overview 

We are an insurance holding company and our operating results are primarily derived from the 
operations of our insurance subsidiaries, which principally write medical and other 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 2008 
data, we are the largest publicly traded medical professional liability specialist insurance writer in the 
nation. We believe our customer focus combined with our financial strength, strong reputation and proven 
ability to manage claims, will enable us, over the long-term, to profitably expand our operations. 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. In addition to 

37 

 
prudent risk selection and pricing, we seek to control our underwriting results through effective claims 
management, and have fostered a strong culture of defending claims that we believe have no merit. We 
manage claims by tailoring claims handling to the legal climate of each state, which we believe 
differentiates us from other national writers. 

Through our market-based 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 market-based focus allows us to maintain active relationships with our customers 
and be more responsive to their needs. We understand the importance of the professional identity and 
reputation of our insureds. An important part of our strategy is to emphasize the needs of our insureds 
throughout our operations. We attempt to further our understanding of those needs through the use of 
advisory boards and operational committees that ensure we understand the challenges facing our insureds 
and ways we may best assist them. We also believe that it is important to employ medical and legal 
professionals throughout our organization, especially on our senior management team. We emphasize our 
pledge that each insured professional will be treated fairly in all of our conduct with them and that all of 
our business actions will be informed by the core values that guide our organization: integrity, respect, 
doctor involvement, collaboration, communication and enthusiasm. We believe our strategy allows us to 
compete on a basis other than price alone. We also believe that our local market knowledge 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 and through conservative investment 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 financial strength of our principal 
insurance subsidiaries and we 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 of our existing operations. 

We also look to expand through the acquisition of other specialty insurance companies or books of 
business; however, such expansion is often opportunistic and cannot be predicted. We continue to review 
our distribution channels and will make adjustments as market opportunities change.  

We continue to face price-based competition in virtually all of our markets. Some competitors 

offer coverage at rates we believe do not allow for an acceptable return for the risk being accepted. One 
competitive trend emerging with greater frequency is hospitals purchasing physician practices. In 
response to this trend, we have recently introduced a new product designed to provide greater risk sharing 
options to hospitals and large physician groups. Another continuing competitive trend is physicians and 
hospitals seeking to lower their costs through the use of alternative risk transfer approaches such as self 
insurance and risk sharing pools. These alternatives become less attractive as prices soften in the 
traditional insurance markets. Our focus on basic fundamentals is providing opportunities in a variety of 
markets. In 2009, we strengthened our agency distribution system and improved work flows related to 

38 

 
new business submissions. These process improvements allowed us to review additional risks, increasing 
our overall new business writings despite continued price and coverage competition. 

As a result of our branding campaign, “Treated Fairly”, and improvements in loss cost trends that 

have allowed us to reduce rates in certain markets, we were able to grow our organic physician count in 
2009 which partially offset the effects of lower rates. We believe our emphasis on fair treatment of our 
insureds and other important stakeholders enhanced our market position and differentiation. We will 
continue to use “Treated Fairly” in all of our activities, and we believe that as we reach more customers 
with this message we will continue to improve retention and add new insureds, both of which will help 
offset the effects of lower rates. 

Our integration of our three acquisitions in 2009 provides opportunity for continued market 

leadership in the podiatry line and expands the markets for allied health and legal professional liability. 
The entities now provide for licensure and opportunistic expansion within all states. With each of the 
acquired entities we began to cross sell and identify new opportunities for all ProAssurance entities. We 
continue to see new opportunities from each of the acquisitions and believe each will provide organic 
growth through expansion in their existing markets and relationships. 

Accounting Changes Adopted 

Consolidation-Accounting and Reporting for Decreases in Ownership of a Subsidiary  

Effective for interim and annual reporting periods ending on or after December 15, 2009, the 

FASB issued clarification on the scope of the guidance regarding decreases in ownership of consolidated 
entities. The guidance also expands disclosure requirements about deconsolidation of a subsidiary or 
derecognition of a group of assets. We adopted the revised guidance as of the quarter ended December 31, 
2009; adoption had no effect on our results of operations or financial position. 

Distributions to Shareholders with Components of Stock and Cash 

Effective for interim and annual periods ending on or after December 15, 2009, the FASB revised 

GAAP guidance that clarifies the proper accounting treatment for distributions to shareholders that 
include both stock and cash. We adopted the revised guidance as of the quarter ended December 31, 
2009; adoption had no effect on our results of operations or financial position. 

Fair Value Measurements-Investments in Certain Entities that Calculate Net Asset Value per Share (or its 
Equivalent) 

Effective for interim and annual periods ending after December 15, 2009, the FASB revised 

GAAP guidance to permit a reporting entity to measure the fair value of certain investments on the basis 
of the net asset value per share of the investment (or its equivalent). The revised guidance also requires 
new disclosures, by major category of investments, regarding investments measured on the basis of net 
asset value. We adopted the revised guidance as of the quarter ended December 31, 2009; adoption had 
no effect on our results of operations or financial position. 

Fair Value-Liabilities 

In August 2009, the FASB revised GAAP guidance regarding the valuation of liabilities at fair 
value; the guidance is effective for the first reporting period that begins after issuance of the guidance. 
The updated guidance clarifies that when a quoted price in an active market for an identical liability is not 
available, fair value should be determined using quoted prices for identical or similar liabilities traded as 
assets or using another valuation technique described in existing GAAP guidance for determining fair 
values. Such techniques include present value techniques, and techniques based on the amount that a 
reporting entity would pay on the measurement date to transfer or enter into an identical liability. We 

39 

 
adopted the revised guidance as of the quarter ended December 31, 2009; adoption had no effect on the 
valuation of our liabilities. 

FASB Accounting Standards Codification 

Effective for interim and annual periods ending after September 15, 2009, the FASB published 

the FASB Accounting Standards Codification (the Codification) as the single source of authoritative 
nongovernmental GAAP. The Codification is not intended to change current GAAP, but rather to provide 
all the authoritative literature related to a particular topic in one place. Upon the effective date, all pre-
existing accounting standard documents were superseded and accounting literature not included in the 
Codification became non-authoritative. We adopted use of the Codification as of the quarter ended 
September 30, 2009; adoption had no effect on our results of operations or financial position. 

Subsequent Events 

Effective for interim and annual reporting periods ending on or after June 15, 2009, the FASB 
revised GAAP guidance to more clearly set forth the period after the balance sheet date during which 
management should evaluate events or transactions for potential recognition or disclosure in the financial 
statements, the circumstances under which events or transactions after the balance sheet date should be 
recognized and the disclosures that should be made regarding such events. We adopted the revised 
guidance as of the quarter ended June 30, 2009; adoption had no effect on our results of operations or 
financial position. 

Fair Value 

Effective for interim and annual reporting periods ending on or after June 15, 2009, the FASB 

revised GAAP guidance regarding the valuation of assets or liabilities when the volume and level of 
market transactions for those assets or liabilities has significantly decreased. The revised guidance 
clarifies factors to be considered in determining whether there has been a significant decrease in market 
activity for an asset in relation to normal activity and provides additional guidance on when the use of 
multiple (or different) valuation techniques may be warranted and considerations for determining the 
weight that should be applied to the various techniques. The revisions also establish a requirement that 
conclusions about whether transactions are orderly be based on the weight of the evidence and require 
entities to disclose any changes to valuation techniques (and related inputs) that result from a conclusion 
that markets are not orderly and the effect of the change, if practicable. The revised guidance also 
expanded disclosure requirements regarding the fair value of financial instruments. We adopted the 
revised guidance as of the quarter ended June 30, 2009; adoption had no significant effect on our results 
of operations or financial position. 

Investments—Disclosure Requirements; Other-than-temporary Impairments 

Effective for interim and annual reporting periods ending on or after June 15, 2009, the FASB 

revised GAAP to require expanded disclosures related to investments in debt and equity securities. 
Guidance regarding other-than-temporary impairments was also revised. Previous investment guidance 
required that an impairment of a debt security be considered as other-than-temporary unless management 
could assert both the intent and the ability to hold the impaired security until recovery of value. The 
revised impairment guidance specifies that an impairment be considered as other-than-temporary unless 
an entity can assert that it has no intent to sell the security and that it is not more likely than not that the 
entity will be required to sell the security before recovery of its anticipated amortized cost basis. The new 
guidance also establishes the concept of credit loss. Credit loss is defined as the difference between the 
present value of the cash flows expected to be collected from a debt security and the amortized cost basis 
of the security. The new guidance states that “in instances in which a determination is made that a credit 
loss exists but the entity does not intend to sell the debt security and it is not more likely than not that the 

40 

 
entity will be required to sell the debt security before the anticipated recovery of its remaining amortized 
cost basis” an impairment is to be separated into (a) the amount of the total impairment related to the 
credit loss and (b) the amount of total impairment related to all other factors. The credit loss component 
of the impairment is to be recognized in income of the current period. The non-credit component is to be 
recognized as a part of other comprehensive income. Transition provisions require a cumulative effect 
adjustment to reclassify the noncredit component of a previously recognized other-than-temporary 
impairment from retained earnings to accumulated other comprehensive income “if an entity does not 
intend to sell and it is not more likely than not that the entity will be required to sell the security before 
recovery of its amortized cost basis”. We adopted the revised guidance as of the beginning of the quarter 
ended June 30, 2009. As of April 1, 2009, our debt securities included non-credit impairment losses 
previously recognized in earnings of approximately $5.4 million. In accordance with the transition 
provisions of the revised guidance, we reclassified these non-credit losses, net of tax, from retained 
earnings to accumulated comprehensive income as of April 1, 2009 (a $3.5 million increase to retained 
earnings; a $3.5 million decrease to accumulated other comprehensive income). 

Convertible Debentures 

Effective January 1, 2009, the FASB revised GAAP guidance regarding the accounting for 

Convertible Debentures. The revised guidance requires issuers to account for convertible debt securities 
that allow for either mandatory or optional cash settlement (including partial cash settlement) by 
separating the liability and equity components in a manner that reflects the issuer's nonconvertible debt 
borrowing rate at the time of issuance and requires recognition of additional (non-cash) interest expense 
in subsequent periods based on the nonconvertible rate. Additionally, when such debt instruments are 
repaid or converted, any consideration transferred at settlement is to be allocated between the 
extinguishment of the liability component and the reacquisition of the equity component. The revised 
guidance is applicable to the Convertible Debentures which we converted in July 2008. We adopted the 
revised guidance as of its effective date January 1, 2009; adoption had no effect on 2009 operating results 
because no convertible debt has been outstanding during 2009. The cumulative effect of adoption, which 
would be an increase to additional paid-in capital of $65,000 and an offsetting decrease to retained 
earnings of the same amount, has not been recorded because the effect is immaterial and would not 
change total stockholders’ equity. 

Non-controlling Interests in Subsidiaries 

Effective for interim and annual reporting periods beginning on or after December 15, 2008, the 

FASB revised GAAP guidance to establish accounting and reporting standards for the noncontrolling 
interest in a subsidiary and for the deconsolidation of a subsidiary. We adopted the revised guidance as of 
its effective date, January 1, 2009. Adoption did not have an effect on our results of operations or 
financial position. 

Business Combinations 

Effective prospectively for business combinations with an acquisition date on or after the 
beginning of the first annual reporting period beginning on or after December 15, 2008, the FASB revised 
GAAP guidance related to business combinations. The revised guidance retains the previous  requirement 
that the acquisition method of accounting be used for all business combinations but provides new and 
additional guidance 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. We adopted the new 
guidance as of its effective date, January 1, 2009 and accounted for our acquisitions of Mid-Continent 
General Agency, Inc. (Mid-Continent), Georgia Lawyers Insurance Company (Georgia Lawyers) and 

41 

 
Podiatry Insurance Company of America (PICA) during the first and second quarters of 2009 in 
accordance with the revised guidance (see Note 3). 

Trading Security Cash Flows 

Effective for fiscal years beginning after November 15, 2007 the FASB revised GAAP regarding 
cash flows from purchases, sales and maturities of trading securities. Under the new guidance, such cash 
flows are classified based on the nature and purpose for which the securities were acquired. Under prior 
guidance, cash flows from purchases, sales and maturities of trading securities were classified as 
operating cash flows. ProAssurance adopted this guidance as of January 1, 2008. Accordingly, 
ProAssurance’s statement of cash flows reflects trading security cash flows during 2007 based on the 
prior guidance, whereas cash flows during 2008 and 2009 are based on the revised guidance. 

Accounting Changes Not Yet Adopted 

Fair Value Measurements 

Effective for interim and annual reporting periods beginning after December 15, 2009 or 
December 15, 2010, as specified, the FASB revised GAAP guidance related to fair value measurement to 
require additional disclosures and to clarify certain existing disclosure requirements. The guidance is 
intended to improve the disclosures and increase transparency in financial reporting. Adoption of this 
guidance is not expected to have an effect on our results of operations or financial position. 

Own-Share Lending Arrangements in Contemplation of Convertible Debt Issuance 

Effective for interim and annual reporting periods beginning on or after December 15, 2009 for 

outstanding arrangements and effective otherwise for reporting periods beginning on or after June 15, 
2009, the FASB issued guidance related to share-lending arrangements for an entity’s own shares 
executed in contemplation of a convertible debt offering or other financing. Adoption of this guidance is 
not expected to have an effect on our results of operations or financial position. Early adoption is not 
permitted. 

Consolidation of Variable Interest Entities 

Effective at the start of a reporting entity’s first fiscal year beginning after November 15, 2009, 

the FASB revised guidance which changes how a reporting entity determines whether or not to 
consolidate its interest in an entity that is insufficiently capitalized or is not controlled through voting (or 
similar) rights. The determination of whether a reporting entity is required to consolidate another entity 
will now be based on, among other things, the other entity’s purpose and design and the reporting entity’s 
ability to direct the activities of the other entity that most significantly impact the other entity’s economic 
performance. The revised guidance also requires the reporting entity to provide additional disclosures 
about its involvement with variable interest entities and any significant changes in risk exposure due to 
that involvement. A reporting entity will be required to disclose how its involvement with a variable 
interest entity affects the reporting entity’s financial statements. Adoption of this guidance is not expected 
to have a significant effect on our results of operations or financial position. Early adoption is not 
permitted. 

Transfers and Servicing-Accounting for Transfers of Financial Assets 

Effective at the start of a reporting entity’s first fiscal year beginning after November 15, 2009, 

the FASB revised guidance that requires additional disclosure regarding transfers of financial assets, 
including securitization transactions, where entities have continuing exposure to risks related to the 
transferred financial assets. Adoption of this guidance is not expected to have an effect on our results of 
operations or financial position. Early adoption is not permitted. 

42 

 
Revenue Recognition-Multiple Deliverable Revenue Arrangements 

Effective prospectively for revenue arrangements entered into or materially modified in fiscal 

years beginning on or after June 15, 2010, the FASB issued guidance addressing the accounting for 
multiple-deliverable arrangements. The guidance eliminates the residual method of allocation and 
requires that arrangement consideration be allocated at inception using the relative selling price method. 
The guidance establishes a selling price hierarchy and also expands required disclosures related to a 
vendor’s multiple-deliverable revenue arrangements. Adoption of this guidance is not expected to have an 
effect on our results of operations or financial position.  

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. Our insurance 
subsidiaries, in aggregate, are permitted to pay dividends of approximately $204 million during 2010 
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. At December 31, 
2009 we held cash and investments of approximately $211.4 million outside of our insurance subsidiaries 
that are available for use without regulatory approval. 

Acquisitions 

In the first quarter of 2009 we acquired 100% of the outstanding shares of Mid-Continent and 

Georgia Lawyers as a means of expanding our professional liability business. These acquisitions were not 
material to ProAssurance individually or in the aggregate. 

On April 1, 2009 we acquired Podiatry Insurance Company of America and subsidiaries (PICA) 

through a cash sponsored demutualization as a means of expanding our professional liability insurance 
operations. PICA provides professional liability insurance primarily to podiatric physicians, chiropractors 
and other healthcare providers throughout the United States. We purchased all of PICA’s outstanding 
stock created in the demutualization for $135 million in cash, of which $15 million was a surplus 
contribution to be used to provide renewal premium credits to eligible policyholders over a three year 
period beginning in 2010. 

See Note 3 to the Consolidated Financial Statements for detailed information regarding the PICA 

transaction, including a summarized listing of the assets acquired and liabilities assumed. 

Cash Flows 

The principal components of our operating cash flows 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 payment of losses associated with the premiums. 
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 any associated reinsurance recoveries. 

43 

 
 
Our operating activities provided positive cash flows of approximately $75.4 million and $167.9 

million for the years ended December 31, 2009 and 2008, respectively. Operating cash flows for 2009 and 
2008 compare as follows: 

Cash provided by operating activities year ended December 31, 2008 

Increase (decrease) in operating cash flows during 2009 exclusive of PICA: 

(In millions) 

Lower premium receipts (1) 
Lower investment receipts 
Increase in net premium payments to reinsurers 
Decrease in losses paid (2) 
Decrease in reinsurance recoveries (3) 
2008 commutation receipts (no comparable receipts during 2009) 
Increase in Federal income tax payments (4) 
Payment of CHW judgment (5) 
Other amounts not individually significant, net 

PICA operating cash flows  

Cash provided by operating activities year ended December 31, 2009 

$ 

Cash Flow 
Increase 
(Decrease) 
168 

$ 

(13) 
(14) 
(7) 
101 
(77) 
(27) 
(39) 
(21) 
(11) 
15 
75 

(1)  Premiums written increased in 2009, but approximately $10 million of the increase relates to two-

year policies for which the second term amount is not due to be received until 2010. 

(2)  The timing of our loss payments varies from period to period because the process for resolving 
claims is complex and occurs at an uneven pace depending upon the circumstances of the 
individual claim. 

(3)  The timing of reinsurance recoveries varies from period to period and can depend upon the nature 

of the reinsurance treaty, the nature of the underlying claim and the timing and amount of 
underlying losses. 

(4)  The increase in tax payments reflects timing differences. Our estimated tax payments for the 
fourth quarter period are paid in the next fiscal year. Fourth quarter taxable income was 
significantly more in 2008 than in 2007, which resulted in a related tax payment in first quarter 
2009 that was higher than the payment made in first quarter of 2008. 

(5)  In 2009 we paid a judgment in favor of Columbia Hospital for Women Medical Center, Inc. 

(CHW) entered against our subsidiary, ProAssurance National Capital Insurance Company (PRA 
National), prior to our acquisition of PRA National. We established a liability related to the 
judgment and accrued post trial interest at the time PRA National was acquired in 2005. See Note 
9 to the Consolidated Financial Statements for additional information. 

44 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Investment Exposures 

The following table provides summarized information regarding our investments as of December 31, 

(In thousands) 

Carrying 
Value 

Gross 
Unrealized 
Gains 

Gross 
Unrealized 
Losses 

Average 
Rating 

% Total 
Investments 

2009: 

Fixed Maturities 
Government 
  U.S. Treasury 
  U.S. Agency 

Total government 

State and Municipal Bonds 

Corporate Bonds 
  Financial institutions 
  FDIC insured 
  Communications 
  Utilities 
  Energy 

Industrial 
  Transportation 
  Other 

Total corporate bonds 

Asset-backed Securities 
  Agency mortgage-backed securities 
  Non-agency mortgage-backed securities 
  Subprime 
  Alt-A 
  Commercial mortgage-backed securities 
  Credit card 
  Automobile 
  Other 

Total asset-backed securities 

Total fixed maturities 

Equities 
  Equity-common only 

Financial 
Energy 
Consumer cyclical 
Consumer non-cyclical 
Technology 
Industrial 
Communications 
All Other 

Total equities 

Short-Term 

BOLI 

Investment in Unconsolidated Subsidiaries 
  Private fund–primarily invested in high yield asset-backed securities(3) 
  Private fund–primarily invested in long/short equities 
  Private fund–primarily invested in non-public equities 

Total investment in unconsolidated subsidiaries 

Other Investments 
  High yield asset-backed securities, held in a private investment fund(4)
  Federal Home Loan Bank capital stock 
  Private fund–primarily invested in distressed debt 
  Private fund–primarily invested in long/short equities 
  Other 

Total other investments 

Total Investments 

45 

  $ 

  $  153,544 
67,026 
220,570 

  $ 

4,874 
2,371 
7,245 

(1,267) 
(182) 
(1,449) 

AAA 
AAA 
AAA 

1,448,649 

51,977 

(3,621) 

AA 

A+ 
AAA 
BBB+ 
A 
BBB+ 
A 
BBB+ 
A 
A 

AAA 
BBB+ 
(1) 
(2) 
AAA 
AAA 
AAA 
AA 
AA+ 
AA+ 

AA- 

286,982 
76,907 
63,286 
80,192 
36,005 
491,411 
17,655 
21,574 
1,074,012 

504,480 
36,222 
7,231 
8,930 
92,567 
34,045 
6,605 
9,684 
699,764 
3,442,995 

9,319 
7,963 
3,647 
9,527 
4,865 
4,158 
4,197 
3,729 
47,405 

187,059 

65,003 

29,930 
12,943 
5,629 
48,502 

10,932 
5,190 
23,073 
6,010 
2,053 
47,258 

9,590 
818 
3,070 
3,493 
2,591 
18,191 
624 
494 
38,871 

19,912 
1,215 
– 
1,056 
1,074 
1,247 
89 
413 
25,006 
123,099 

117 
52 
92 
206 
178 
311 
24 
48 
1,028 

– 

– 

– 
– 
– 
– 

– 
– 
– 
– 
– 
– 

(1,797) 
(13) 
(221) 
(524) 
(178) 
(2,857) 
(125) 
(40) 
(5,755) 

(368) 
(2,961) 
(3,494) 
(4,184) 
(2,448) 
(12) 
– 
(164) 
(13,631) 
(24,456) 

– 
– 
(14) 
(2) 
– 
– 
– 
(5) 
(21) 

– 

– 

– 
– 
– 
– 

(8,485) 
– 
– 
– 
– 
(8,485) 

4% 
2% 
6% 

38% 

7% 
2% 
2% 
2% 
1% 
13% 
0% 
1% 
28% 

13% 
1% 
0% 
0% 
2% 
1% 
0% 
1% 
18% 
90% 

0% 
0% 
0% 
0% 
0% 
0% 
0% 
0% 
1% 

5% 

2% 

1% 
0% 
0% 
1% 

0% 
0% 
1% 
0% 
0% 
1% 

$ 3,838,222 

  $  124,127 

  $ 

(32,962) 

100% 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) 3% AAA, 56% AA, 38% A, 3% B or below 
(2) 19% are AAA rated, 6% are AA, 5% are A, 70% are B or below 
(3) Includes subprime securities with a fair value of $12.7 million 
(4) Includes subprime securities with a fair value of $700,000 (recorded cost basis of $4.0 million; average rating of BBB) 

A complete listing of our investment holdings as of December 31, 2009 is presented in an 

Investor Supplement we make available in the Investor Relations section of our website, 
www.proassurance.com or directly at www.proassurance.com/investorrelations/supplemental.aspx. 

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, including interest 
payments, dividends and principal payments, as well as the expected cash flows to be generated by our 
operations. We anticipate that between $50 million and $80 million of our investments will mature (or be 
paid down) each quarter of the next year and become available, if needed, to meet our cash flow 
requirements. The primary outflow of cash at our insurance subsidiaries is related to net paid losses 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.  

We held cash and short-term securities of $227.7 million at December 31, 2009 as compared to 
$445.5 million at December 31, 2008. We utilized $135 million in the PICA acquisition in April 2009. 
We also moved funds to longer-term investments during 2009 as credit markets stabilized.  

Our investment portfolio continues to be composed of high quality fixed income securities with 
approximately 97% of our fixed maturities being either United States government agency or investment 
grade securities as determined by national rating agencies. The weighted average effective duration of our 
fixed maturity securities at December 31, 2009 is 4.2 years; the weighted average effective duration of 
our fixed maturity securities combined with our short-term securities is 4.0 years. The securities acquired 
in the PICA transaction were, on average, longer in duration than the securities we already owned, which 
caused a small increase in the overall weighted average effective duration. 

At December 31, 2009 we held asset-backed securities with a fair value of $699.8 million 

(recorded cost basis of $688.4 million). During 2009, we recognized $3.2 million of losses on asset-
backed securities primarily relating to mortgage-backed securities impacted by the deterioration of the 
housing market. In performing our OTTI assessment of mortgage-backed securities, management projects 
expected cash flows, making assumptions regarding expected default rates and the value of collateral 
available to recover losses. If estimated cash flows project a loss, an OTTI is realized for the difference 
between the book value and present value of the anticipated cash flows in accordance with generally 
accepted accounting principles. In some cases, the impairment loss is greater than the projected loss 
because market values are depressed as a result of market uncertainty and an aversion to risk by market 
participants. If we continue to hold these securities, and our estimates of projected loss prove over time to 
be accurate, the economic loss that we ultimately realize will be less than the impairment loss that has 
been recorded. Conversely, because our judgments about future default rates, the timing of expected cash 
flows and the estimated value of collateral may not prove over time to be accurate, we may experience 
losses on asset-backed securities that we are not currently projecting. 

We hold five positions in financial institution fixed maturity securities for which the position held 

has a fair value that exceeds $20 million. The aggregate fair value of these five positions totals $143.1 
million ($140.2 million recorded cost basis), of which $51.2 million is FDIC backed. 

At December 31, 2009 we held fixed maturity securities with pretax net unrealized gains of 
approximately $99 million as compared to pretax net unrealized losses of $43 million as of December 31, 

46 

 
 
2008. The improvement is primarily due to a reduction in credit spreads, particularly with respect to state 
and municipal securities and corporate bonds, offset somewhat by the impact of slightly higher market 
interest rates. The fixed maturity securities acquired in the PICA transaction were valued at their fair 
value on the date of acquisition, April 1, 2009—see Notes 2 and 3—and overall have appreciated in value 
because of lower market interest rates at December 31, 2009.  

Losses 

The following table, known as the Analysis of Reserve Development, 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 
ProAssurance’s predecessor, 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. 
PRA National reserves are included only in the year 2005 and thereafter. PRA Wisconsin reserves are 
included only in the year 2006 and thereafter. PICA and Georgia Lawyers reserves are included only in 
the year 2009. 

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 Analysis of Reserve Development: 

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

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

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

47 

 
Analysis of Reserve Development 
(In thousands)

December 31,

     1999

     2000

     2001

     2002

     2003

     2004

     2005

     2006

2007

2008

2009

$     

486,279

$     

493,457

$     

1,009,354

$     

1,098,941

$    

1,298,458

$    

1,544,981

$    

1,896,743

$    

2,236,385

$    

2,232,596

$    

2,111,112

$      

2,159,571

133,832
239,872
313,993
358,677
387,040
408,079
417,362
430,779
443,854
449,177

486,279
463,779
469,934
488,416
487,366
485,719
489,187
490,200
490,575
487,380
487,935

143,892
251,855
321,957
367,810
402,035
422,005
440,676
457,761
466,109

493,457
507,275
529,698
527,085
534,382
536,875
535,120
531,995
524,837
520,981

245,743
436,729
563,557
656,670
726,661
794,786
836,485
863,018

1,009,354
1,026,354
1,023,582
1,032,571
1,035,832
1,045,063
1,052,050
1,040,376
1,015,217

224,318
393,378
528,774
635,724
749,300
824,761
863,781

1,098,941
1,098,891
1,099,292
1,109,692
1,108,539
1,133,343
1,121,440
1,079,640

200,314
378,036
526,867
680,470
794,870
852,985

199,617
384,050
578,455
728,582
805,270

242,608
503,271
697,349
825,139

331,295
600,500
787,347

312,348
550,042

278,655

1,298,458
1,289,744
1,282,920
1,259,802
1,250,110
1,230,105
1,156,614

1,544,981
1,522,000
1,479,773
1,418,802
1,340,061
1,234,223

1,896,743
1,860,451
1,764,076
1,615,125
1,450,275

2,236,385
2,131,400
1,955,903
1,747,459

2,232,596
2,047,344
1,829,140

2,111,112
1,903,812

Reserve for losses, 
undiscounted and net of 
reinsurance recoverables

Cumulative net paid, as of:
One Year Later
Two Years Later
Three Years Later
Four Years Later
Five Years Later
Six Years Later
Seven Years Later
Eight Years Later
Nine Years Later
Ten Years Later

Re-estimated Net Liability as of:
End of Year
One Year Later
Two Years Later
Three Years Later
Four Years Later
Five Years Later
Six Years Later
Seven Years Later
Eight Years Later
Nine Years Later
Ten Years Later

Net cumulative redundancy (deficiency)

$        

(1,656)

$      

(27,524)

$           

(5,863)

$          

19,301

$       

141,844

$       

310,758

$       

446,468

$       

488,926

$       

403,456

$       

207,300

Original gross liability - end of year
Less: reinsurance recoverables
Original net liability - end of year

Gross re-estimated liability - latest
Re-estimated reinsurance recoverables
Net re-estimated liability - latest

$     

665,786
(179,507)
486,279

$     

$     

659,659
(166,202)
493,457

$     

$     

$     

1,322,871
(313,517)
1,009,354

$     

$     

1,494,875
(395,934)
1,098,941

$     

589,435
(101,500)
487,935

$     

$     

$     

607,163
(86,182)
520,981

$     

$     

1,245,507
(230,290)
1,015,217

$     

$     

1,381,076
(301,436)
1,079,640

$    

$    

1,634,749
(336,291)
1,298,458

$    

$    

1,467,949
(311,335)
1,156,614

$    

$    

1,818,635
(273,654)
1,544,981

$    

$    

2,224,436
(327,693)
1,896,743

$    

$    

1,538,627
(304,404)
1,234,223

$    

$    

1,821,354
(371,079)
1,450,275

$    

$    

2,607,148
(370,763)
2,236,385

$    

$    

2,186,313
(438,854)
1,747,459

$    

$    

2,559,707
(327,111)
2,232,596

$    

$    

2,176,881
(347,741)
1,829,140

$    

$    

2,379,468
(268,356)
2,111,112

$    

$    

2,170,605
(266,793)
1,903,812

Gross cumulative redundancy (deficiency)

$       

76,351

$       

52,496

$          

77,364

$        

113,799

$       

166,800

$       

280,008

$       

403,082

$       

420,835

$       

382,826

$       

208,863

48 

 
 
 
 
       
       
          
          
         
         
         
         
         
         
       
       
          
          
         
         
         
         
         
       
       
          
          
         
         
         
         
       
       
          
          
         
         
         
       
       
          
          
         
         
       
       
          
          
         
       
       
          
          
       
       
          
       
       
       
       
       
       
       
      
      
      
      
      
      
       
       
       
       
      
      
      
      
      
      
       
       
       
       
      
      
      
      
      
       
       
       
       
      
      
      
      
       
       
       
       
      
      
      
       
       
       
       
      
      
       
       
       
       
      
       
       
       
       
       
       
       
       
       
       
      
      
         
         
        
        
        
        
        
        
      
        
         
         
        
        
        
        
        
        
In each year reflected in the table, we have estimated our reserve for losses utilizing the 
management and actuarial processes discussed in critical accounting estimates. Factors that have 
contributed to the variation in loss development are primarily related to the extended period of time 
required to resolve professional liability claims and include the following: 

–  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 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 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 addressed these trends 
through increased rates, stricter underwriting and modifications to claims handling 
procedures. 

–  During 2007, 2008 and 2009 we have recognized favorable development related to our 
previously established reserves primarily for accident years 2003 through 2007 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. 

Activity in our net reserve for losses during 2009, 2008 and 2007 is summarized below: 

(In thousands) 

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

Year Ended December 31 

2009 

  $  2,379,468 
268,356 
2,111,112 

2008 
  $  2,559,707 
327,111 
    2,232,596 

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

Reserves acquired from acquisitions 

163,946 

– 

– 

Incurred related to: 
  Current year 
  Prior years 

Total incurred 

Paid related to: 

  Current year 
  Prior years 

Total paid 

438,368 
(207,300) 
231,068 

(67,900) 
(278,655) 
(346,555) 

396,750 
(185,251) 
211,499 

(20,635) 
(312,348) 
(332,983) 

455,982 
(104,985) 
350,997 

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

Net balance, end of year 
Plus receivable from reinsurers 
Balance, end of year 

2,159,571 
262,659 
  $  2,422,230 

    2,111,112 
268,356 
  $  2,379,468 

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

At December 31, 2009 our gross reserve for losses included case reserves of approximately 
$1.028 billion and IBNR reserves of approximately $1.394 billion. Our consolidated reserve for losses on 
a GAAP basis exceeds the combined reserves of our insurance subsidiaries on a statutory basis by 
approximately $63.9 million, which is principally due to the portion of the GAAP reserve for losses that 
is reflected for statutory accounting purposes as unearned premiums. These unearned premiums are 
applicable to extended reporting endorsements (“tail” coverage) issued without a premium charge upon 
death, disability, or retirement of an insured. 

49 

 
 
 
 
   
   
   
   
 
 
 
 
   
   
   
 
 
   
 
 
 
 
   
   
   
 
   
   
   
   
   
   
 
 
 
 
 
 
 
 
   
   
   
 
   
   
   
   
   
   
   
   
   
   
 
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, the 
professional liability per claim retention level has varied between 90% and 100% of the first $1 million 
and between 0% and 5% of claims exceeding those levels depending on the coverage year and the state in 
which business was written. We also insure some large professional liability risks that are above the limits 
of our 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. 

Our primary reinsurance agreement is negotiated annually at October 1. Under our most recent 
agreement, effective October 1, 2009, we will not be reimbursed for allocated loss adjustment expenses. 
As a result, the minimum and maximum premium due under the agreement have been lowered, which we 
believe will compensate for the decrease in recoveries under the treaty. Therefore, we do not expect these 
changes to result in a significant overall change in the cost of reinsurance. 

Our risk retention level is dependent upon numerous factors including our risk tolerance and the 

capital we have to support it, the price and availability of reinsurance, volume of business, level of 
experience with a particular set of claims and our analysis of the potential underwriting results within 
each state. We purchase reinsurance from a number of companies to mitigate concentrations of credit risk. 
We utilize a reinsurance broker to assist 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 significant collection difficulties due to the financial condition of any 

reinsurer; however, periodically, reinsurers may dispute our claim for reimbursement from them. We have 
established appropriate reserves for any balances that we believe may not be ultimately collected. Should 
future events lead us to believe that any reinsurer will not meet its obligations to us, adjustments to the 
amounts recoverable would be reflected in the results of current operations. Such an adjustment has the 
potential to be significant to the results of operations in the period in which it is recorded; however, we 
would not expect such an adjustment to have a material effect on our capital position or our liquidity. 

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, 2009: 

(In thousands) 

Reinsurer 
Hannover Rueckversicherung AG 
Transatlantic Reinsurance Company 
General Reinsurance Corporation 
Aspen Insurance UK, Ltd. 
AXA Reassurances SA* 

A.M. Best 
Company Rating 

A 
A 
A++ 
A 
NR-4 

Net Amounts Due 
From Reinsurer 
$  25,872 
$  20,818 
$  19,088 
$  16,703 
$  10,018 

*NR-4 indicates the reinsurer is not rated by A.M. Best at the request of the reinsurer. 

50 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Debt 

Our long-term debt as of December 31, 2009 is comprised of the following.  

(In thousands, except %) 

Contractual Rate 

Outstanding Principal 

2034 Trust Preferred Securities/Debentures 
2034 Surplus Notes 
2019 Notes Payable(4) 
2012 Surplus Note 

4.1% (1) 
4.1% (1) 
6.6% (2) 
3.3% (3) 

  $ 

22,992 
12,000 
17,739 
517 

(1) Adjusted quarterly based on LIBOR. 
(2) The related interest rate swap fixes rate at 6.6%. Swap is settled monthly. See Note 10. 
(3) Adjusted quarterly based on the U.S. prime rate. 
(4) Both the 2019 Note Payable and the related interest rate swap are valued at fair value. See Note 10. 

Carrying Value 
December 31, 2009 

  $ 

  $ 

22,992 
12,000 
14,740 
471 
50,203 

All of our long-term debt is currently repayable or redeemable, with proper notice, at a date no 

later than the next quarterly or semi-annual interest payment date. Insurance department approval is 
required for redemption of surplus notes. A detailed description of our debt is provided in Note 10 to the 
Consolidated Financial Statements. 

Off Balance Sheet Arrangements/Guarantees 

As discussed in Note 10 to the Consolidated Financial Statements, our Trust Preferred 

Subordinated Debentures (TPS Debentures) are held by, and are the sole assets of a related business trust 
(Trust-2). Trust-2 purchased the TPS Debentures with proceeds from related trust preferred stock (TPS) 
issued and sold by the trust. The terms and maturities of the TPS Debentures mirror those of the related 
TPS. Trust-2 uses the debenture interest and principal payments we pay into the trust to meet Trust-2’s 
TPS obligations. Trust-2 is not consolidated because we are not the primary beneficiary of Trust-2. 

ProAssurance has issued guarantees that amounts paid to Trust-2 related to the TPS Subordinated 

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

Contractual Obligations 

A schedule of our non-cancelable contractual obligations at December 31, 2009 follows: 

Payments due by period 

  Less than 

(In thousands) 

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

Total 
$  2,422,230 
44,552 
53,203 
9,209 
$  2,529,194 

1 year 
541,242 
2,643 
303 
2,863 
547,051 

1-3 years 
791,657 
5,222 
1,141 
2,646 
800,666 

$ 

$ 

3-5 years 
$    527,321 
5,093 
768 
1,658 
534,840 

$ 

$ 

$ 

*Includes projected payments due on interest rate swap associated with our long-term debt.

  More than 

5 years 
$    562,010 
31,594 
50,991 
2,042 
$    646,637 

51 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For the purposes of this table, all long-term debt is assumed to be settled at its contractual 

maturity and interest on variable rate long-term debt is calculated using interest rates in effect at 
December 31, 2009. 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 and office 
equipment. 

Each of our debt instruments allows for repayment before maturity, at our option, on or after 

certain dates. For more information on our debt see Note 10 to the Consolidated Financial Statements. 

Treasury Stock 

We repurchased approximately 1.1 million common shares, having a total cost of $52.0 million, 

during the year ended December 31, 2009. We reissued 100,533 treasury shares as a part of the 
consideration for acquisitions during the first quarter of 2009. Our Board of Directors authorized $150 
million in April 2007, an additional $100 million in August 2008, and an additional $100 million in 
September 2009 for the repurchase of common shares or the retirement of outstanding debt. 
Approximately $115.4 million of the amounts authorized by the Board remains available for use at 
December 31, 2009. 

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: (1) those dealing with claims and 
claim-related activities which we consider in our evaluation of our reserve for losses, and (2) those falling 
outside of these areas which we evaluate and account for as a part of our other liabilities.  

In accordance with GAAP for insurance entities, claim-related actions are considered as a part of 
our loss reserving process. 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. 

There are risks, as outlined in our Risk Factors in Part 1, that any of these 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 resolution of a claim. To the extent that the cost of resolving these 
actions exceeds our estimates, the legal actions could have a material effect on our results of operations in 
the period in which any such action is resolved. 

For non-claim related actions, we evaluate each case separately and establish what we believe is 

an appropriate reserve based on GAAP guidance related to contingent liabilities. 

52 

 
 
 
 
Overview of Results–Years Ended December 31, 2009 and 2008 

Net income totaled $222.0 million for the year ended December 31, 2009 as compared to $177.7 
million for the year ended December 31, 2008. Net income per diluted share was $6.70 and $5.22 for the 
years ended December 31, 2009 and 2008, respectively. The increase in diluted earnings per share is 
primarily attributable to an increase in net income, but also reflects a decrease in diluted weighted average 
shares outstanding. 

Results from the years ended December 31, 2009 and 2008, respectively, compare as follows: 

Premiums—Exclusive of PICA 

Net premiums earned declined in 2009 by approximately $32.0 million (7.0%) for the year. The 

decline reflects the effects of a competitive market place and rate reductions resulting from improved loss 
trends. 

Premiums—PICA 

PICA contributed net premiums earned of $70.3 million during 2009. 

Net Investment Income; Net Realized Investment Gains (Losses)—Consolidated 

Our 2009 net investment results (which include both net investment income and earnings from 

unconsolidated subsidiaries) increased by $2.0 million (1.3%) and reflects improved results from our 
investments in unconsolidated subsidiaries offset by the decline in net investment income primarily due to 
lower yields on short-term securities.  

Net realized gains were $12.8 million in 2009 as compared to net realized losses of $50.9 million 
for 2008. The improvement is principally the result of a $39.0 million reduction in impairment losses due 
to more favorable market conditions during 2009. 

Gain/Loss on Extinguishment of Debt—Consolidated 

Our 2009 results reflect a $2.8 million ($1.8 million after tax) loss related to the extinguishment 

of debt, while our 2008 results reflect a $4.6 million ($2.9 million after tax) gain from the extinguishment 
of debt. During 2009 we redeemed at par surplus notes acquired in the PICA acquisition which were 
valued below par on the date of acquisition. For additional information regarding the extinguishment of 
debt see Note 10 to the Consolidated Financial Statements. 

Expenses—Exclusive of PICA 

Current accident year net losses decreased by $22.2 million (5.6%) for the year, principally due to 

a decline in insured risks. We recognized favorable development in 2009 of $207.3 million (a $22.0 
million increase).  

Underwriting, acquisition and insurance expenses increased during 2009 by $1.5 million (1.5%) 
as compared to 2008, primarily due to additional expenses associated with an increase in non-physician 
premiums and higher commission costs for physician premiums.  

Interest expense declined by $4.9 million in 2009 because we reduced the outstanding principal 

balance of our long-term debt during the latter half of 2008 by $129 million. 

53 

 
 
 
 
Expenses—PICA 

The following PICA expenses are included in our 2009 operating results: 

(In thousands) 

  Net losses 
  Underwriting, acquisition and   

insurance expenses 
Interest expense 

Year Ended  
December 31, 2009 
$ 

63,757 

$ 
$ 

15,343 
1,521 

Ratios  

Our net loss ratio exclusive of PICA decreased to 39.2% in 2009 from 46.1% in 2008, primarily 

because favorable prior year loss development had a more pronounced effect on the calendar year net loss 
ratio in 2009 (because 2009 earned premium was less than 2008 earned premium, and because favorable 
loss development was higher in 2009). Our 2009 calendar year net loss ratio when PICA subsidiaries are 
included is 46.4%. 

Our expense ratio exclusive of PICA increased to 23.2% in 2009 from 21.6% in 2008, primarily 

because premiums earned decreased but expenses remained relatively flat. Our 2009 expense ratio is 
22.7% when the PICA subsidiaries are included.  

Our operating ratio exclusive of PICA decreased to 28.5% in 2009 from 33.3% in 2008, reflecting 

the improvement in the net loss ratio, offset by a higher expense ratio and lower investment ratio. Our 
operating ratio including PICA is 38.8% for 2009.  

Return on equity, which is computed only on a consolidated basis, is 14.2% for 2009. 

Non-GAAP Financial Measures 

Operating income is a Non-GAAP financial measure that is widely used to evaluate the 
performance of insurance entities. Operating income excludes the after-tax effects of realized gains or 
losses, guaranty fund assessments and debt retirement gain or loss. We believe operating income presents 
a useful view of the performance of our insurance operations, but should be considered in conjunction 
with net income computed in accordance with GAAP.  

The following table is a reconciliation of Net income to Operating income: 

(In thousands, except per share data) 

Net income 
Items excluded in the calculation of operating income:  
    (Gain) loss on extinguishment of debt 
    Net realized investment (gains) losses 
    Guaranty fund (recoupments) assessments 
Pre-tax effect of exclusions 

Tax effect, at 35% 

Operating income 

Per diluted common share: 
    Net income 
    Effect of exclusions 
Operating income per diluted common share 

Year Ended December 31 
2008 
2009 

  $ 

222,026 

  $ 

177,725 

2,839 
(12,792) 
(533) 
(10,486) 

3,670 

(4,571) 
50,913 
(1,334) 
45,008 

(15,753) 

  $ 

215,210 

  $ 

206,980 

  $ 

  $ 

6.70 
(0.21) 
6.49 

  $ 

  $ 

5.22 
0.85 
6.07 

54 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
Results of Operations–Year Ended December 31, 2009 Compared to Year Ended December 31, 
2008 

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

($ in thousands, except share data) 

2009 

2008 

Change 

Year Ended December 31 

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) 
Gain on extinguishment of debt 
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 
Loss on extinguishment of debt 

Total expenses 

 $  553,922 

 $  471,482 

 $  514,043 

 $  429,007 

 $  540,012 
(42,469) 
497,543 
150,945 

 $  503,579 
(44,301) 
459,278 
158,384 

 $ 

 $ 

 $ 

1,438 
12,792 
– 
9,965 
672,683 

265,983 
(34,915) 
231,068 

116,537 
3,477 
2,839 
353,921 

(7,997) 
(50,913) 
4,571 
3,839 
567,162 

267,412 
(55,913) 
211,499 

100,385 
6,892 
– 
318,776 

82,440 

85,036 

36,433 
1,832 
38,265 
(7,439) 

9,435 
63,705 
(4,571) 
6,126 
105,521 

(1,429) 
20,998 
19,569 

16,152 
(3,415) 
2,839 
35,145 

Income before income taxes 

318,762 

248,386 

70,376 

Income taxes 

Net income 

Earnings per share: 

Basic 
Diluted 

Net loss ratio 
Underwriting expense ratio 
Combined ratio 
Operating ratio 
Return on equity 

96,736 

70,661 

26,075 

 $  222,026 

 $  177,725 

 $ 

44,301 

 $ 
 $ 

6.76 
6.70 

 $ 
 $ 

5.43 
5.22 

 $ 
 $ 

1.33 
1.48 

46.4% 
22.7% 
69.1% 
38.8% 
14.2% 

46.1%    
21.7%    
67.8%    
33.3%    
13.3%    

0.3 
1.0 
1.3 
5.5 
0.9 

PLEASE NOTE: All variance discussions that follow exclude the effects of the PICA acquisition unless 
specifically stated otherwise. In all tables the abbreviation “nm” indicates that the percentage change is 
not meaningful, either because the prior year amount is zero or because the percent change exceeds 100%. 

55 

 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
  
 
  
  
 
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
 
  
 
  
  
 
  
  
 
  
  
  
  
  
  
  
  
  
  
 
 
 
 
  
  
  
 
 
 
 
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
 
Premiums 

($ in thousands) 

Gross premiums written: 

PRA all other 
PICA Acquisition 

Net premiums written: 

PRA all other 
PICA Acquisition 

Premiums earned: 
PRA all other 
PICA Acquisition 

Premiums ceded: 
PRA all other 
PICA Acquisition 

Net premiums earned: 

PRA all other 
PICA Acquisition 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

Year Ended December 31 

2008 

Change 

2009 

477,022 
76,900 
553,922 

439,354 
74,689 
514,043 

  $ 

  $ 

471,482 
 – 
471,482 

  $ 

  $ 

429,007 
– 
429,007 

467,269 
72,743 
540,012 

  $ 

  $ 

503,579 
– 
503,579 

39,986 
2,483 
42,469 

  $ 

  $  

44,301 
– 
44,301 

427,283 
70,260 
497,543 

  $ 

  $ 

459,278 
– 
459,278 

$   

$   

$   

$   

$   

$   

$   

$   

$   

$   

5,540 
76,900 
82,440 

10,347 
74,689 
85,036 

(36,310) 
72,743 
36,433 

(4,315) 
2,483 
(1,832) 

(31,995) 
70,260 
38,265 

1.2% 
nm 
17.5% 

2.4% 
nm 
19.8% 

(7.2%) 
nm 
7.2% 

(9.7%) 
nm 
(4.1%) 

(7.0%) 
nm 
8.3% 

Gross Premiums Written 

Gross premiums written by component are as follows: 

($ in thousands) 

2009 

2008 

Change 

Year Ended December 31 

Physician(1): 

  PRA all other 
  PICA Acquisition 

Non-physician(1): 

Healthcare providers 
PRA all other 
PICA Acquisition 

Hospital and facility(1) 

Other(1) 

PRA all other 
PICA Acquisition 

Non-physician total 

Tail premiums(2) 

Total Gross Premiums 
Written 

$ 

379,348 
62,512 
441,860 

  $ 

389,492 
– 
389,492 

  $      (10,144) 
62,512 
52,368 

(2.6%) 
nm 
13.4% 

27,139 
9,450 
36,589 

31,350 

19,345 
4,397 
23,742 
91,681 

20,381 

15,582 
– 
15,582 

31,229 

11,659 
– 
11,659 
58,470 

23,520 

11,557 
9,450 
21,007 

74.2% 
nm 
134.8% 

121 

0.4% 

7,686 
4,397 
12,083 
33,211 

65.9% 
nm 
103.6% 
56.8% 

 (3,139) 

(13.3%) 

$ 

553,922 

  $ 

471,482 

  $ 

82,440 

17.5% 

(1) Excludes tail premiums 
(2) Includes PICA tail premiums of $0.5 million 

56 

 
 
 
 
 
 
 
 
 
  
   
 
 
 
 
 
 
 
 
 
 
 
 
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
   
 
 
 
  
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
   
 
 
  
   
 
 
  
   
 
 
 
 
 
 
 
  
   
 
 
 
 
 
 
 
 
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
 
 
 
 
 
 
  
   
   
 
 
 
 
 
 
 
PRA Exclusive of PICA 

Changes in our premium volume are driven by three primary factors: our retention of existing 

business, the amount of new business we are able to generate (including business that comes to PRA as a 
result of acquisitions), and the premium charged for business that is renewed, which is affected both by 
rates charged and by the amount and type of coverage an insured chooses to purchase. The professional 
liability market continues to remain competitive with some competitors choosing to compete primarily on 
price. 

Physician premiums continue to be our primary revenue source and comprise 80% and 83% of 

our gross premiums written in 2009 and 2008, respectively. Our physician retention rate is 89% and 88% 
for the years ended December 31, 2009 and 2008, respectively. Retention rates are affected by a number 
of factors. Insureds may terminate coverage because they are leaving the practice of medicine through 
death, disability or retirement. Also, based on our underwriting evaluation, we may choose not to renew 
an insured. We may lose business to competitors or to self-insurance mechanisms (often when physicians 
join hospital based practice groups) due to pricing or other issues. 

New business increased during 2009. We wrote approximately $22 million of new physician 

business during the year that was not attributable to acquisitions, as compared to $12 million in 2008.  

In the third and fourth quarters of 2008, we began renewing physician policies for a two-year 
term in a selected jurisdiction. Written premium for the entire two-year policy term is recorded in the 
period the policy is renewed, while earned premium is recorded on a pro rata basis over the two-year 
policy term. The gross written premiums attributable to two-year policies for 2009 is $23.0 million as 
compared to $2.7 million written in 2008. Also, in 2009, in order to more evenly distribute renewals 
throughout the year, we offered early renewal to a number of insureds who would otherwise have had a 
first quarter 2010 renewal date. As a result of the shift in renewal dates, there will be approximately $9 
million less in business eligible to be renewed. 

As favorable loss trends have emerged we have lowered our rates where indicated. For our 

physician business, our charged rates on 2009 renewals decreased 4% on average, as compared to an 
average decrease of 6% for 2008. Our charged rates include the effects of filed rates, surcharges and 
discounts. Despite competitive pressures, we remain committed to a rate structure that will allow us to 
fulfill our obligations to our insureds, while generating competitive returns for our stockholders. 

Our non-physician healthcare providers are primarily dentists and allied health professionals. The 

2009 increase in this business is primarily attributable to business contributed by Mid-Continent. Non-
physician “other” premiums are primarily legal professional liability premiums, but also includes other 
types of general liability premiums. The acquisitions of Georgia Lawyers and Mid-Continent contributed 
additional non-physician premiums of approximately $18 million in 2009.  

We separately report tail premiums because we 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. 

PICA 

Gross premiums written contributed by PICA consist primarily of coverages provided to 

podiatrists, who are categorized as physician premiums in the above table, and coverages provided to 
chiropractors, who are categorized as non-physician health-care providers in the above table. Our 2009 
retention rate for the core PICA business is approximately 93%. 

57 

 
 
 
Premiums Earned 

($ in thousands) 

2009 

2008 

Change 

Year Ended December 31 

Premiums earned: 
  PRA all other  
  PICA Acquisition 

$   467,269 
72,743 
$   540,012 

$  503,579 
– 
$  503,579 

$  

$  

(36,310)
72,743 
36,433 

(7.2%) 
nm 
7.2% 

Because premiums are generally earned pro rata over the entire policy period, fluctuations in 

premiums earned tend to lag those of premiums written. Generally, our policies carry a term of one year, 
but as discussed above, beginning in late 2008 we began to renew some policies with a two-year term. 
Tail premiums are 100% earned in the period written because the policies insure only incidents that 
occurred in prior periods and are not cancellable. 

PRA Exclusive of PICA 

Exclusive of the effect of tail premiums and acquisitions, the decline in premiums earned for the 
year ended December 31, 2009 as compared to 2008 reflects declines in gross premiums written during 
2008 and 2009.  

PICA 

PICA subsidiaries contributed earned premiums of approximately $73 million during 2009; 

approximately $41.6 million of which relates to premiums written prior to the date of acquisition (and 
thus never reported in our written premiums). At December 31, 2009 approximately $1.7 million of 
premium written prior to the acquisition is yet to be earned and will be added to our earned premium on a 
pro rata basis, principally during the first quarter of 2010.  

Premiums Ceded 

($ in thousands) 

2009 

2008 

Change 

Year Ended December 31 

  Premiums ceded: 
  PRA all other  
  PICA Acquisition 

$  39,986 
2,483 
$  42,469 

$ 

$ 

44,301 
– 
44,301 

$  

$  

(4,315)
2,483 
(1,832)

(9.7%) 
 nm 
(4.1%) 

Reinsurance expense ratio:* 
  PRA all other 
  PICA Acquisition  
  Consolidated 

8.6% 
3.4% 
7.9% 

8.8% 
– 
8.8% 

(points) 
(0.2) 
nm 
(0.9) 

*Calculated as premiums ceded as a percentage of premiums earned 

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 
reinsurers are estimated. 

58 

 
 
 
 
 
 
 
 
 
 
   
 
   
  
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PRA Exclusive of PICA 

Premiums ceded in both 2009 and 2008 include amounts related to changes to our estimates of 

reinsurance premiums incurred for prior accident years, as follows. 

(In thousands) 

Premiums ceded, before estimate changes 
Estimate changes, prior accident years 
Premiums ceded 

Premiums Ceded 
Year Ended December 31 

2009 

  $  45,977 
(5,991) 
  $  39,986 

2008 

  $  45,509 
(1,208) 
  $  44,301 

Reinsurance Expense Ratio 
Year Ended December 31 

2009 

9.8% 
(1.2%) 
8.6% 

2008 

9.0% 
(0.2%) 
8.8% 

The increase in our reinsurance expense ratio for 2009 is due to an increase in premiums ceded, 

along with a decrease in premiums earned, which reflects shifts in the mix of our premiums.  The increase 
in premiums ceded is principally related to legal professional liability premiums, which are generally 
more heavily reinsured than our physician premiums. The decline in premiums earned is principally 
attributable to physician policies with lower coverage limits for which we retain all of the risk of loss; 
consequently, there is no corresponding decrease to premiums ceded. 

The amount of reinsurance premiums incurred for prior accident years is largely determined 

based on the losses expected to be recovered, subject to certain minimums and maximums specific to the 
reinsurance agreement being adjusted. In both 2009 and 2008, we reduced our estimates of prior accident 
year gross losses within our reinsured layers of coverage, as well as the related reinsurance recoveries and 
premiums ceded. However, the reductions were more pronounced in 2009. 

PICA 

The PICA subsidiaries cede only a small portion of the risk on the policies they issue. 

Accordingly, the reinsurance expense ratio for these entities is minimal. 

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

Net Investment Income-Consolidated 

($ in thousands) 

Net investment income 

2009 
$  150,945 

2008 
$  158,384

Change 

$ 

(7,439)

(4.7%) 

Year Ended December 31 

Net investment income is primarily derived from the income earned by our fixed maturity 

securities and also includes income from our short-term, 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: 

Year Ended December 31 

(In thousands) 

Fixed maturities 
Equities 
Short-term investments 
Other invested assets 
Business owned life insurance 
Investment expenses 
Net investment income 

  $ 

2009 
150,122 
1,036 
1,209 
2,802 
1,563 
(5,787)   

2008 

  $  150,085 
1,231 
6,891 
2,801 
1,932 
(4,556) 
 158,384 

  $ 

  $ 

150,945 

59 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
Fixed Maturities. The increase in income in 2009 reflects higher average invested balances, the benefit of 
which was offset almost entirely by lower yields. The increase in average invested balances is principally 
attributable to the PICA acquisition. Yields declined in 2009 as a result of proceeds from maturities and 
sales being reinvested at lower rates. Lower returns from TIPS (Treasury Inflation Protected Securities) 
also reduced yields in 2009. We expect average yields to continue to decrease in 2010, unless market 
rates improve. Average yields for our available-for-sale fixed maturity securities during 2009 and 2008 
are as follows: 

Average income yield 
Average tax equivalent income yield 

Year Ended December 31 

2009 
4.6% 
5.3% 

2008 
4.8% 
5.6% 

Short-term Investments. The decrease in earnings from short-term investments during 2009 reflects a 
decline in market interest rates (an average of 200 basis points for the year) on lower average balances in 
2009 as compared to 2008. In the latter portion of 2008, we increased our short-term holdings because of 
the instability in the longer term market and to also provide funds needed for the PICA acquisition. As 
markets stabilized in 2009, we reduced our short-term holdings. 

Equity in Earnings (Loss) of Unconsolidated Subsidiaries-Consolidated 

(In thousands) 
Equity in earnings (loss) of 

Year Ended December 31 
2008 

Change 

2009 

unconsolidated subsidiaries 

$ 

1,438  $ 

(7,997) 

$ 

9,435 

Equity in earnings (loss) of unconsolidated subsidiaries is derived from our investment interests 

in three private funds accounted for under the equity method. The funds primarily hold trading portfolios, 
and changes in the fair value of securities held by the fund are included in current earnings of the fund. 
The performance of all three funds is affected by the volatility of equity and credit markets. No 
unconsolidated subsidiaries were acquired in the PICA acquisition. 

Net Realized Investment Gains (Losses)-Consolidated 

The following table provides detailed information regarding our net realized investment gains 

(losses).  

(In thousands) 

Total other-than-temporary impairment losses: 
  Residential mortgage-backed securities (1) 
  Corporate bonds(2) 

Equities(3) 

  Other(4) 
Portion recognized in Other Comprehensive Income(5): 
  Residential mortgage-backed securities 
Net impairment losses recognized in earnings 
Net gains (losses) from sales 
Trading portfolio gains (losses) 
Fair value adjustments, net 
Net realized investment gains (losses) 

Year Ended December 31 

2009 

2008 

$ 

$ 

(3,393) 
(3,749) 
(494) 
(536) 

199 
(7,973) 
12,066 
9,335 
(636) 
12,792 

  $ 

(9,140) 
(25,347) 
(10,564) 
(1,969) 

– 
(47,020) 
1,533 
(5,426) 
– 
  $  (50,913) 

(1) Includes unrealized impairment losses of approximately $61,000 that were recognized in earnings in the first 
quarter of 2009 but reclassified from retained earnings to other comprehensive income on April 1, 2009  

(2) Includes $19.5 million related to Lehman for 2008 
(3) Includes $9.5 million related to Fannie Mae and Freddie Mac preferred stock for 2008 
(4) 2008 includes $1.0 million related to the Reserve Primary Fund 
(5) In accordance with GAAP all OTTI losses prior to April 1, 2009 were recognized in earnings  

60 

 
 
 
 
 
 
 
 
 
 
 
   
   
 
   
   
   
   
 
 
   
   
   
   
   
   
   
   
   
   
 
 
 
 
Trading portfolio gains are primarily attributable to improved market prices for equity securities 

during 2009. Fair value adjustments are attributable to our election of fair value treatment for both the 
2019 Note Payable and related interest rate swap, as discussed in Note 10 to the Consolidated Financial 
Statements. 

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, which represent the majority of the Company's business, 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. All losses associated with the subsidiaries we acquired from 
PICA are considered current accident year losses because the insured event became a ProAssurance 
liability in 2009. 

The following table summarizes calendar year net losses and net loss ratios for the years ended 

December 31, 2009 and 2008, respectively, by separating losses between the current accident year and all 
prior accident years.  

($ in millions) 
Current accident year: 
  PRA all other 
  PICA Acquisition 
  Consolidated 

Prior accident years: 
PRA all other  
  PICA Acquisition 
  Consolidated 

Calendar year: 
  PRA all other  
  PICA Acquisition 
  Consolidated 

$ 

$ 

$ 

$ 

$ 

$ 

Net Losses 
Year Ended December 31 
2008 

2009 

Change 

Net Loss Ratios* 
Year Ended December 31 
2008 

Change 

2009 

374.6 
63.8 
438.4 

$  396.8 
– 
$   396.8 

$   (22.2) 
    63.8 
$   41.6 

87.7% 
90.7% 
88.1% 

86.4% 
– 
86.4% 

(207.3) 
– 
(207.3) 

$  (185.3) 
 – 
$  (185.3) 

$   (22.0) 
  – 
$   (22.0) 

(48.5%) 
– 

(40.3%) 
– 

(41.7%) 

(40.3%) 

167.3 
63.8 
231.1 

$  211.5 
– 
$  211.5 

$   (44.2) 
    63.8 
$   19.6 

39.2% 
90.7% 
46.4% 

46.1% 
– 
46.1% 

1.3 
90.7 
1.7 

(8.2) 
– 

(1.4) 

(6.9) 
90.7 
0.3 

*Net losses as specified divided by net premiums earned. 

PRA Exclusive of PICA 

The current accident year loss ratio increased 1.3 points when compared to the prior year, 

approximately 60% of this increase is attributable to an increase to our reserve for the death, disability 
and retirement (DDR) provision in our claims-made polices. After a number of coverage years, most of 
our insureds qualify for this extended coverage when the insured retires or should the insured die or 
become disabled during the policy term. Our strong retention rate has resulted in an increase in the 
number of insureds expected to become eligible to receive this extended coverage and we have recorded a 
corresponding increase to the related reserve.  

61 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
During the years ended December 31, 2009 and 2008, we recognized favorable loss development 

of $207.3 million and $185.3 million, on a net basis, related to reserves established in prior years. 

The principal components of development are as follows: 

Reserve development by accident year, favorable (unfavorable): 

(In millions) 

2008 & 2007 accident years 
2006 & 2005 accident years 
2004 & 2003 accident years 

Accident years prior to 2003 
Net favorable development recognized 

Year Ended December 31 
       2008 
       2009 

$ 

(1.1) 
94.0 
73.6 
40.8 
$  207.3 

$ 
9.8 
  110.5 
58.2 
6.8 
$  185.3 

Substantially all of the development recognized during 2009 and 2008 relates to medical 
professional liability claims-made reserves. The favorable development for medical professional claims 
made policies in both 2009 and 2008 is based upon observation of actual claims data which indicates that 
claims severity (i.e., the expected average cost of claims) is trending below our initial expectations. Given 
both the long tailed nature of our business and the past volatility of final claim settlement values, we are 
generally cautious in giving credence to the trends that lead to the recognition of favorable net loss 
development. As we conclude that sufficient credible data with respect to these trends exists we take 
appropriate actions. In the case of the claims severity trends , we believe it is appropriate to recognize the 
impact of these trends in our actuarial evaluation of prior period loss estimates while also remaining 
attentive to the past volatility of claims severity. 

In establishing the rates for our insurance products we consider loss and loss trends over a multi-

year period. To the extent that we experience improvements in claims frequency and claims severity these 
improvements are considered in our rate making process and reflected in our established rates. We have 
reflected decreased estimates of severity in our rate making process as well as in our loss estimates for 
several years. 

Assumptions used in establishing our reserve are regularly reviewed and updated by management 
as new data becomes available. Any adjustments necessary are reflected in the 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. 

PICA  

The current accident year loss ratio was adversely affected by an increase to reserves for the DDR 

provision associated with PICA claims-made policies and by unfavorable development of losses 
associated with certain other liability coverages. When the effect of these two items is excluded PICA 
2009 net loss ratio is approximately 80%. In 2010, we plan to discontinue offering the other liability 
coverage that generated the 2009 unfavorable development.  

62 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Underwriting, Acquisition and Insurance Expenses 

($ in thousands) 

Insurance related: 
  PRA all other 
  PICA acquisition(2) 

Non-insurance related: 
  PRA all other 
  PICA acquisition 

Underwriting, Acquisition and Insurance Expenses 
Year Ended December 31 

2009 

2008 

Change 

$  99,233 
13,656 
  112,889 

1,961 
1,687 
3,648 
$  116,537 

$  99,182 
710 
99,892 

493 
– 
493 
$  100,385 

$ 

51 
12,946 
12,997 

1,468 
1,687 
3,155 
 $  16,152 

0.1% 
nm 
13.0% 

nm 
nm 
nm 
16.1% 

(1) Our expense ratio computations exclude non insurance related expenses. 
(2) PICA transaction expenses of $710,000 were paid by ProAssurance during 2008. 

Insurance Related Expenses-Exclusive of PICA 

  Underwriting Expense Ratio (1) (2) 

Year Ended December 31 
2008 

Change 

2009 

23.2% 
19.4% 
22.7% 

21.6% 
0.1% 
21.7% 

1.6 
nm 
1.0  

Expenses during 2009 reflect a number of cost variations, but changed little on a net basis. 

Expenses for commissions, brokerage fees, and underwriting and sales salaries and benefits were higher 
in 2009, both because we earned more non-physician premiums which carry higher expenses than 
physician premiums and because more of our physician premium was generated by external 
(commissioned) agents. Also, guaranty fund recoupments are lower in 2009 than in 2008. Partially 
offsetting these higher costs is a $1.5 million reduction in share based compensation costs, due to a 
different type of award made in 2009. Costs were also reduced in 2009 by a $1.8 million benefit related to 
final settlement of the CHW Judgment (actual costs incurred were less than amounts previously 
estimated). 

Other Expense Information 

Non-insurance related expenses. We operate several insurance agencies and provide benefit management 
services on a limited basis through a separate PICA subsidiary. These activities generate commission and 
service fee revenues, which are reported as a part of other income. The acquisition of Mid-continent and 
PICA increased these expenses in 2009. We have excluded the direct expenses of these activities  from 
our underwriting expense ratio computations because the activities are not associated with the generation 
of premiums revenues. 

Guaranty fund assessments. Insurance related expenses in the table above are reduced by net recoupments 
from guaranty fund assessments of approximately $533,000 and $1.3 million during 2009 and 2008, 
respectively. 

Underwriting Expense Ratio-Exclusive of PICA 

The 1.6 point increase in our underwriting expense ratio is primarily a result of a 7% decline in 

net premiums earned in 2009 as compared to 2008, while expenses remained relatively flat. A non-
recurring expense reduction related to final settlement of the CHW litigation, as discussed above, reduced 
our 2009 expenses; excluding this non-recurring item increases the 2009 ratio to 23.6%. 

Underwriting Expense Ratio-PICA 

PICA 2009 expenses include non-recurring transaction related expenses of approximately $2.5 

million recorded during 2009. Excluding this non-recurring item decreases the PICA expense ratio to 
15.9%. Almost 60% of PICA 2009 earned premium relates to policies written prior to the acquisition. In 

63 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
accordance with the GAAP guidance for business combinations, we did not recognize any acquisition 
expense for these policies. However, in 2010, almost all of our PICA earned premium will relate to 
policies written after the acquisition. On average, in 2010 we would expect the PICA expense ratio to 
approximate 22%. 

Interest Expense 

Consolidated 

Interest expense decreased in 2009 as compared to 2008 primarily because we reduced 
outstanding debt in the latter half of 2008. We converted all our Convertible Debentures in July of 2008 
(aggregate principal of $107.6 million) and extinguished approximately $23 million of our 2034 Trust 
Preferred Securities/Debentures (TPS/Debentures) in mid-December 2008. Also, rates on our variable 
rate debt decreased by approximately 200 basis points in 2009 as compared to 2008. These reductions in 
interest expense were partially offset by additional interest expense incurred in the latter half of 2009 
related to debt and other liabilities assumed in the PICA acquisition (see Notes 3 and 10). 

Interest expense by debt obligation is provided in the following table: 

(In thousands) 

Debt obligations held prior to PICA acquisition: 
  Convertible Debentures 
  Trust Preferred Securities/Debentures due 2034  
  Surplus Notes due May 2034 
  Surplus Note due February 2012  

Debt assumed in the PICA acquisition: 
  2033 Surplus Notes 
  Note Payable due February  2019  

Other (including PICA) 

Year Ended December 31 
2008 

2009 

Change 

$ 
– 
    1,160 
768 
28 

$  2,283 
3,463 
1,138 
– 

$ 

(2,283) 
(2,303) 
(370) 
28 

147 
900 

– 
– 

147 
900 

474 
$  3,477 

8 
$  6,892 

466 
(3,415) 

$ 

Taxes 

Consolidated 

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

Statutory rate 
Tax-exempt income 
Other 
Effective tax rate 

Year Ended December 31 
2008 
35.0% 
(7.0%) 
0.4% 
28.4% 

2009 
35.0% 
(5.2%) 
0.5% 
30.3% 

Tax exempt income had a less significant effect on our 2009 effective tax rate primarily because 

2009 taxable income increased at a greater rate than tax-exempt income. Our 2009 taxable income 
reflected impairment losses of $8.0 million, whereas 2008 taxable income reflected impairment losses of 
$47.0 million. Also, we recognized more (a $22.0 million increase) favorable loss development in 2009 
than in 2008 which also increased 2009 taxable income. 

We expect to be able to realize the full benefit of deferred tax assets associated with impairment 
losses because capital gains recognized during the statutory carryback period are sufficient to absorb the 
impairment losses. A deferred tax asset valuation allowance of approximately $900,000 has been 
established related to PICA capital loss carry-forwards. 

64 

 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
Overview of Results–Years Ended December 31, 2008 and 2007 

Net income totals $177.7 million for the year ended December 31, 2008 as compared to $168.2 
million for the year ended December 31, 2007. Net income per diluted share is $5.22 and $4.78 for the 
years ended December 31, 2008 and 2007, respectively. The increase in diluted earnings per share is 
attributable both to the increase in net income and a decrease in diluted weighted average shares 
outstanding. 

Results from the years ended December 31, 2008 and 2007, respectively, compare as follows: 

Revenues 

Net premiums earned have declined in 2008 by approximately $74.2 million (14%). The decline 

reflects rate reductions implemented to reflect favorable loss trends and the effects of a highly 
competitive market place. 

Our net investment result, which includes both net investment income and earnings from 
unconsolidated subsidiaries, has declined in 2008 by $22.6 million (13%). The decline primarily reflects 
lower interest rates on short-term funds during 2008 and unfavorable conditions in the credit markets. 

Net realized investment losses during 2008 are almost $51 million as compared to net realized 
investment losses of $5.9 million in 2007, primarily due to other-than-temporary impairments of $47.0 
million in 2008. The 2008 impairments are primarily related to our investments in the preferred stock of 
Fannie Mae and Freddie Mac, and debt securities issued by Lehman Brothers. 

Revenues for 2008 include a $4.6 million gain related to the extinguishment of $23 million of our 

Trust Preferred Debentures. 

Expenses 

Net losses have decreased in 2008 as compared to 2007 by $139.5 million due to a decline in 

insured risks and favorable prior year loss development in 2008 of $185.3 million versus $105.0 million 
in 2007. 

Underwriting, acquisition and insurance expenses have declined by approximately $6.4 million, 

principally due to the decline in policy acquisition costs.  

Interest expense has declined by $5.1 million primarily because of lower average outstanding 

debt during 2008. 

Ratios 

Our net loss ratio has decreased in 2008 by 19.7 points due to the increased amount of favorable 
net loss development as discussed above. Our expense ratio has increased by 1.9 points primarily due to 
the decline in premium. Our operating ratio is lower by 20.2 points. Return on equity is 13.3% for 2008 as 
compared to 14.2% for 2007. 

65 

 
 
 
Results of Operations–Year Ended December 31, 2008 Compared to Year Ended December 31, 
2007 

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

($ in thousands, except 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) 
Gain on extinguishment of debt 
Other income 

Total revenues 

Expenses: 

Year Ended December 31 
2007 

Change 

2008 

  $  471,482 

  $  549,074 

  $ (77,592) 

  $  429,007 

  $  506,397 

  $ (77,390) 

  $  503,579 
(44,301) 
    459,278 
    158,384 

  $  585,310 
(51,797) 
    533,513 
    171,308 

  $ (81,731) 
7,496 
    (74,235) 
    (12,924) 

(7,997) 
(50,913) 
4,571 
3,839 
    567,162 

1,630 
(5,939) 
– 
5,556 
    706,068 

(9,627) 
    (44,974) 
4,571 
(1,717) 
   (138,906) 

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

expenses 
Interest expense 

Total expenses 

    267,412 
(55,913) 
    211,499 

    438,527 
(87,530) 
    350,997 

   (171,115) 
    31,617 
   (139,498) 

    100,385 
6,892 
    318,776 

    106,751 
11,981 
    469,729 

(6,366) 
(5,089) 
   (150,953) 

Income before income taxes 

    248,386 

    236,339 

    12,047 

Income taxes 

Net income 

Earnings per share: 

Basic 
Diluted 

Net loss ratio 
Underwriting expense ratio 
Combined ratio 
Operating ratio 
Return on equity 

70,661 

68,153 

2,508 

  $  177,725 

  $  168,186 

  $  9,539 

  $ 
  $ 

5.43 
5.22 

  $ 
  $ 

5.10 
4.78 

  $ 
  $ 

0.33 
0.44 

46.1% 
21.9% 
68.0% 
33.5% 
13.3% 

65.8% 
20.0% 
85.8% 
53.7% 
14.2% 

(19.7) 
1.9 
(17.8) 
(20.2) 
(0.9) 

66 

 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
 
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
   
   
 
   
   
   
 
   
   
   
   
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Premiums 

($ in thousands) 

Gross premiums written 

2008 
$  471,482 

2007 
$  549,074 

Change 

$  (77,592)   

(14.1%) 

Year Ended December 31 

Premiums earned 
Premiums ceded 
Net premiums earned 

$  503,579 
(44,301) 
$  459,278 

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

$  (81,731)   

7,496 

$  (74,235)   

(14.0%) 
(14.5%) 
(13.9%) 

Gross Premiums Written  

Gross premiums written declined 14.1% during 2008 as compared to 2007, reflecting the effects 

of lower premium rates and a very competitive insurance market. The change in premiums is driven by 
three primary factors: our ability and desire to retain expiring business, the change in premium rates we 
charge on the business we do renew, which can also be affected by the coverage an insured chooses to 
purchase, and the production of new business. 

During 2008 our retention rate remained above 85% which is consistent with prior years. The 

professional liability market place remains extremely competitive and many of our competitors have been 
aggressive, particularly in pricing their products to retain their existing business as well as in seeking new 
business. 

The decline in premiums during 2008 also reflects the fact that overall, we are charging our 
insureds less given the favorable trends that have been emerging in losses. During 2007 and 2008 we have 
recognized improving loss trends in our rate making analysis, and have lowered the rates we charge our 
insureds where indicated. As policies take effect at these lower rates our premiums written have declined. 
For our physician business, which is discussed in more detail below, our charged rates on renewed 
business reflect an average decrease of 6% for 2008. Charged rates include the effects of filed rates, 
surcharges and discounts.  

Finally, the acquisition of new business continues to be challenging. Despite competitive 

pressures, we remain committed to a rate structure that will allow us to fulfill our obligations to our 
insureds, while still generating fair returns for our stockholders.  

Physician premiums represent 83% and 84% of gross premiums written during 2008 and 2007, 

respectively. Amounts written in 2008 have declined as compared to 2007, as shown below. 

($ in thousands) 
Physician Premiums* 

2008 
$  389,492 

2007 
$  459,609 

Change 

$  (70,117) 

(15.3%) 

Year Ended December 31 

*Exclusive of tail premiums as discussed below 

Our overall retention rate is approximately 88% for the year ended December 31, 2008, as 

compared to 86% for the year ended December 31, 2007. The retention rate is driven by several factors. 
Our underwriting evaluation may cause us to non-renew an insured. An insured may leave the practice of 
medicine through death, disability or retirement and, finally, we may lose business due to pricing or other 
issues, to our competitors or to self-insurance mechanisms. 

Premiums written for non-physician coverages represent 12% and 11% of our total gross 

premiums written for years ended December 31, 2008 and 2007, respectively. 

($ in thousands) 

2008 

2007 

Change 

Year Ended December 31 

Non-physician Premiums*
Hospital and facility 
Other non-physician 

$  31,229  $  34,237 
28,791  
$  58,470  $  63,028 

27,241 

$ 

$ 

(3,008) 
(1,550) 
(4,558) 

(8.8%) 
(5.4%) 
(7.2%) 

*Exclusive of tail premiums as discussed below 

67 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hospital and facility coverages are the most significant component of non-physician premiums 

and represent 7% and 6% of our total gross premiums written for the years ended December 31, 2008 and 
2007, respectively. Other non-physician coverages consist primarily of professional liability coverages 
provided to lawyers and to other health care professionals such as dentists and allied health professionals. 
We are seeing the same competitive pressures in these areas as we are seeing in our physician business. 

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. Tail premiums totaled 
approximately $23.5 million and $26.4 million (5% gross written premiums for both comparative periods) 
for the years ended December 31, 2008 and 2007, respectively, representing a decrease of $2.9 million. 
Many of our competitors are offering prior acts coverage to induce insureds to change insurance carriers. 
The availability of prior acts coverage negates the need for a non-renewing insured to purchase a tail 
policy. 

Premiums Earned 

($ in thousands) 

Premiums earned 

2008 
$  503,579 

2007 
$  585,310 

Change 

$  (81,731) 

(14.0%) 

Year Ended December 31 

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 for the year ended 

December 31, 2008 as compared to the same period in 2007 reflects declines in gross premiums written 
during 2007 and 2008. Also, premiums earned in 2007 include $10.1 million that originated from 
unearned premiums acquired in the merger with PRA Wisconsin.  

During the twelve months preceding December 31, 2008, our written premiums have declined as 
compared to written premiums for the twelve months preceding December 31, 2007. Consequently, 2009 
earned premiums are expected to continue to be lower than 2008 earned premiums.  

Premiums Ceded 

($ in thousands) 

Premiums ceded 

2008 
$  44,301 

2007 
$  51,797 

Change 

$ 

(7,496) 

(14.5%) 

Year Ended December 31 

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 
reinsurers are estimated. 

Exclusive of amounts included in the following table, our reinsurance expense ratio (premiums 

ceded as a percentage of premiums earned) averages 9.0% in both 2008 and 2007.  

68 

 
 
 
 
 
 
 
Premiums ceded in both 2008 and 2007 include amounts related to commutations and amounts 

resulting from changes to our estimates of reinsurance premiums incurred for prior accident years, as 
follows. 

(In millions) 

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

Year Ended December 31 

2008 
  $  45.5 
– 
(1.2) 
  $  44.3 

2007 
  $  52.4 
(3.3) 
2.7 
  $  51.8 

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. 

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

Net Investment Income 

($ in thousands) 

Net investment income 

2008 
  $ 158,384 

2007 
  $ 171,308 

Change 

$  (12,924) 

(7.5%) 

Year Ended December 31 

Net investment income is primarily derived from the income earned by our fixed maturity 

securities and also includes income from our 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: 

(In thousands) 

Fixed maturities 
Equities 
Short-term investments 
Other invested assets 
Business owned life insurance 
Investment expenses 
Net investment income 

$  

2008 
  $  150,085 
1,231 
6,891 
2,801 
1,932 
(4,556) 
  $  158,384 

Year Ended December 31 
2007 
  $ 149,494 
377 
14,713 
9,228 
1,889 
(4,393) 
  $ 171,308 

Change 
591 
854 
(7,822) 
(6,427) 
43 
(163) 
$   (12,924) 

Fixed Maturities. The increase in income from our investment in fixed maturities primarily reflects some 
improvement in yields, which are more pronounced on a tax equivalent basis because we shifted funds 
into state and municipal bonds as 2008 progressed. Although bond yields increased in 2008, we did not 
increase our fixed maturity holdings significantly due to unstable market conditions. Average yields for 
our available-for-sale fixed maturity securities during 2008 and 2007 are as follows: 

Average income yield 
Average tax equivalent income yield 

Year Ended December 31 

2008 
4.8% 
5.6% 

2007 
4.7% 
5.4% 

Short-term Investments. The decrease in earnings from short-term investments reflects a decline in market 
interest rates (an average of 350 basis points) in 2008 as compared to 2007.  

Other Invested Assets. The decline in income from other invested assets reflects a $5.8 million reduction 
in distributions from our investment in a private fund accounted for on a cost basis, as a result of turmoil 
in the debt markets. Because we recognize income related to these funds as it is distributed to us, our 
income from these holdings can vary significantly from period to period.  

69 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Equity in Earnings (Loss) of Unconsolidated Subsidiaries 

(In thousands) 
Equity in earnings (loss) of  

Year Ended December 31 
2007 

Change 

2008 

unconsolidated subsidiaries 

  $  (7,997) 

  $  1,630 

  $  (9,627) 

Equity in earnings (loss) of unconsolidated subsidiaries is derived from our investment interests 

in three private funds accounted for on the equity method. The funds primarily hold trading portfolios, 
and changes in the fair value of securities held by the fund are included in current earnings of the fund. 
The performance of two funds reflects the decline and volatility of equity and credit markets, and we 
experienced negative returns from our interest in these funds during 2008. The third fund is an early phase 
private equity fund of funds that is still incurring the costs associated with its startup phase. 

Net Realized Investment Gains (Losses) 

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

(In thousands) 

Net gains (losses) from sales 
Other-than-temporary impairment (losses): 
  Corporate(1) 
Equity(2) 

  Asset-backed securities 
  Other 

Trading portfolio gains (losses) 
Net realized investment gains (losses) 

Year Ended December 31 

2008 

2007 

  $ 

1,533 

  $  1,801 

(25,347) 
(10,564) 
(9,140) 
(1,969) 
(47,020) 
(5,426) 
  $  (50,913) 

(185) 
– 
(6,460) 
(1,108) 
(7,753) 
13 
  $  (5,939) 

(1) Includes $19.5 million related to Lehman. 
(2) Includes $9.5 million related to Fannie Mae and Freddie Mac preferred stock. 

During 2008 we recognized other-than-temporary impairment losses of $857,000 during the first 
quarter, $5.5 million during the second quarter, $29.9 million during the third quarter, and $10.9 million 
during the fourth quarter. 

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, which represent the majority of the Company's business, 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. 

70 

 
 
 
 
 
 
 
 
   
   
 
   
   
   
   
   
   
 
   
   
   
   
 
 
The following table summarizes calendar year net losses and net loss ratios for the years ended 

December 31, 2008 and 2007 by separating losses between the current accident year and all prior accident 
years. 

($ In millions) 

Current accident year 
Prior accident years 
Calendar year 

Net Losses 
Year Ended December 31 
2007 
  $  456.0 
(105.0) 
  $  351.0 

2008 
 $  396.8 
   (185.3) 
 $  211.5 

Change 
  $ 

(59.2) 
(80.3) 
  $  (139.5) 

Net Loss Ratios* 
Year Ended December 31 
2007 
    85.5% 
    (19.7%) 
   65.8% 

Change 
0.9 
  (20.6) 
  (19.7) 

2008 
  86.4% 
  (40.3%) 
  46.1% 

*Net losses as specified divided by net premiums earned. 

Our current accident year loss ratio increased in 2008, as compared to 2007. The increase in our 
2008 current accident year ratio primarily reflects an increase to our reserve for the death, disability and 
retirement provision (DDR) in our claims-made policies.  

During 2008, we recognized favorable loss development of $185.3 million, on a net basis, related 

to reserves established in prior years. Principally this is due to favorable net loss development for the 
2004 to 2006 accident years within our retained layers of coverage ($1 million and below), but also 
includes favorable development of $3.7 million due to the commutation of prior year reinsurance 
agreements during 2008. The 2004-2006 favorable development is based upon observation of actual 
claims data which indicates that claims severity is 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 net loss 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 2004-2006, 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.  

During 2007 we recognized favorable net loss development of $105.0 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 2003 through 2005 accident years. 

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 

2008 
$ 100,385 

2007 
$ 106,751 

Change 

$ 

(6,366) 

(6.0%) 

Underwriting Expense Ratio 
Year Ended December 31 
2007 
  20.0% 

Change 
  1.9 

2008 
  21.9% 

The increase in the underwriting expense ratio (expense ratio) is primarily the result of the 
decline in net premiums earned. The fixed costs associated with our insurance operations were only 
modestly higher, while underwriting and acquisition expenses declined due to the decrease in net earned 
premium. 

Underwriting, acquisition and insurance expenses include share-based compensation expense of 

approximately $7.8 million and $8.3 million for the years ended December 31, 2008 and 2007, 
respectively. Share-based compensation expense for 2007 reflects a one-time expense of $1.8 million 
related to options awarded to our CEO upon his hiring. Awards to retirement eligible employees are fully 
expensed when granted and were approximately $680,000 and $1.2 million for the years ended December 
31, 2008 and 2007, respectively. 

71 

 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
Guaranty fund assessments, in general, are recorded when they are declared by state regulatory 

authorities. Periodically we receive refunds of previous assessments. Additionally, certain states permit us 
to recoup previous guaranty fund assessments through surcharges to our insureds. In 2008 
refunds/recoupments exceeded assessments and reduced underwriting expense by $1.3 million. In 2007 
net guaranty fund assessments increased underwriting expense by approximately $550,000. The amounts 
recouped through surcharges collected from our insureds approximated $1.1 million for 2008 and 
$706,000 for 2007. During both 2008 and 2007, the amounts recouped primarily relate to assessments 
previously paid to the Florida Insurance Guaranty Association, Inc. We estimate that recoupments in 2009 
will approximate $824,000; we are unable to estimate assessments that might be declared in 2009. 

Interest Expense 

Interest expense decreased in 2008 as compared to 2007 primarily because our average 
outstanding debt declined from $179 million in 2007 to $110 million in 2008 (see Notes 10 and 11 for 
details of debt redemption and conversion). A decline in the average interest rate for our TPS/TPS 
Debentures of approximately 200 basis points also reduced interest expense (rates adjust quarterly based 
on three-month LIBOR).  

Interest expense by debt obligation is provided in the following table: 
Year Ended December 31 
2007 

(In thousands) 

2008 

Change 

Convertible Debentures 

  $  2,283 

  $  4,565 

  $  (2,282) 

2032 Subordinated Debentures 

– 

    1,639 

    (1,639) 

TPS/TPS Debentures 

    3,463 

    4,625 

    (1,162) 

Surplus Notes 

Other 

    1,138 

    1,138 

– 

8 
  $  6,892 

14 
  $ 11,981 

(6) 
  $  (5,089) 

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. During 2008 our tax-exempt income 
grew at a faster rate than did our taxable income which decreased 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 

2008 
  35.0% 
(7.0%) 
0.4% 
  28.4% 

2007 
  35.0% 
(6.7%) 
0.5% 
  28.8% 

We did not recognize any valuation allowance related to our deferred tax assets in 2008. We 

expect to be able to realize the full benefit of deferred tax assets associated with impairment losses 
because capital gains were recognized during the statutory carryback period that are sufficient to absorb 
the impairment losses. 

72 

 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
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 
do not intend to sell and believe we will not be required to sell any of the debt securities held in an 
unrealized loss position before its anticipated recovery. 

The following table summarizes estimated changes in the fair value of our available-for-sale fixed 

maturity securities for specific hypothetical changes in interest rates by asset class for December 31, 
2009. There are principally two factors that determine interest rates on a given security: market interest 
rates and credit spreads. As different asset classes can be affected in different ways by movements in 
those two factors, we have broken out our portfolio by asset class in the following table. 

(In millions, except duration) 

(200) 

December 31, 2009 
Interest Rate Shift in Basis Points 
  Current 

(100) 

100 

Fixed maturities, available for sale: 
U.S. Treasury and Agency obligations 
  Duration 

  $ 

230 
3.06 

  $ 

225 
3.22 

  $ 

221 
3.23 

  $ 

216 
3.17 

  $ 

200 

211 
3.11 

State and municipal bonds 
  Duration 

  $  1,601 
4.38 

  $  1,528 
5.20 

  $  1,449 
5.29 

  $  1,373 
5.31 

  $  1,301 
5.27 

Corporate bonds 
  Duration 

Asset-backed securities 
  Duration 

  $  1,152 
3.45 

  $  1,114 
3.69 

  $  1,074 
3.71 

  $  1,035 
3.62 

  $ 

725 
1.65 

  $ 

717 
1.64 

  $ 

699 
3.03 

  $ 

673 
3.91 

  $ 

  $ 

999 
3.54 

645 
4.21 

Fixed maturities, available for sale total 
  Duration 

  $  3,708 
3.44 

  $  3,584 
3.84 

  $  3,443 
4.15 

  $  3,297 
4.30 

  $  3,156 
4.31 

Fixed maturities, available for sale total 
  Duration 

  $  3,137 
2.44 

  $  3,069 
3.19 

December 31, 2008 
  $  2,962 
3.98 

  $  2,835 
4.18 

  $  2,712 
4.20 

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, 2009 is on a cost basis 
which approximates its fair value. This portfolio lacks significant interest rate sensitivity due to its short 
duration.  

73 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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, 2009, 97% of our fixed maturity securities are rated investment grade as 
determined by Nationally Recognized Statistical Rating Organizations (NRSROs), such as Moody's, 
Standard & Poor's and Fitch. We believe that this concentration in investment grade securities reduces our 
exposure to credit risk on our fixed income investments to an acceptable level. However, investment 
grade securities, in spite of their rating, can rapidly deteriorate and result in significant losses. Ratings 
published by the NRSROs are one of the tools used to evaluate the credit worthiness of our securities. The 
ratings reflect the subjective opinion of the rating agencies as to the credit worthiness of the securities, 
and therefore, we may be subject to additional credit exposure should the rating prove to be unreliable.  

We hold $1.45 billion of municipal bonds. These bonds may have enhanced credit ratings as a 

result of guarantees by an insurer, but we require the bonds that we purchase to meet our credit criteria on 
a stand-alone basis. As of December 31, 2009, on a stand-alone basis, our municipal bonds have a 
weighted average rating of AA-. 

Equity Price Risk 

At December 31, 2009 the fair value of our investment in common stocks was $47.4 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 0.99. 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 9.9% to $52.1 million. Conversely, a 10% 
decrease in the S&P 500 Index would imply a decrease of 9.9% in the fair value of these securities to 
$42.7 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. 

74 

 
 
 
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 80. 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, 
2009. 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, 2009 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, 2009 and that there was no change in the Company's internal controls 
during the fiscal quarter then ended that has materially affected, or is reasonably likely to materially 
affect, the Company's internal control over financial reporting, other than as described below. 

Our management excluded PICA’s systems and processes from the scope of our assessment of 

internal control over financial reporting as of December 31, 2009 in reliance on the guidance set forth in 
Question 3 of a “Frequently Asked questions” interpretive release issued by the staff of the Securities and 
Exchange Commission’s Office of the Chief Accountant and the Division of Corporation Finance in June 
2004 (and revised on October 6, 2004). We are excluding PICA from that scope because we expect 
substantially all of its significant systems and processes to be converted to those of ProAssurance during 
2010. At December 31, 2009 PICA represented $396.3 million or 8.5% of total assets, and $88.2 million 
or 13.1% of total revenues for the year then ended. 

Ernst & Young LLP, an independent registered public accounting firm, has audited the 
effectiveness of our internal controls over financial reporting as of December 31, 2009 as stated in their 
report which is included elsewhere herein. 

ITEM 9B. OTHER INFORMATION. 

None

75 

 
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, 2009, 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 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. 

As indicated in the accompanying Management’s Report on Internal Control over Financial Reporting, 
management’s assessment of and conclusion on the effectiveness of internal control over financial reporting did 
not include the internal controls of Podiatry Insurance Company of America, which is included in the 2009 
consolidated financial statements of ProAssurance Corporation and subsidiaries and constituted 8.5% and 7.2% of 
total and net assets, respectively, as of December 31, 2009, and 13.1%  and 2.4% of revenues and net income, 
respectively, for the year then ended.  Our audit of internal control over financial reporting of ProAssurance 
Corporation and subsidiaries also did not include an evaluation of the internal control over financial reporting of 
Podiatry Insurance Company of America. 

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

internal control over financial reporting as of December 31, 2009, 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, 2009 and 2008, 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, 2009, of ProAssurance Corporation and subsidiaries and our report dated February 24, 2010 
expressed an unqualified opinion thereon. 

/s/ Ernst & Young LLP 

Birmingham, Alabama 
February 24, 2010  

76 

 
 
 
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 2010 
Annual Meeting of its Stockholders to be filed with the Securities and Exchange Commission pursuant to 
Regulation 14A on or before April 8, 2010. 

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 2010 Annual 
Meeting of its Stockholders to be filed with the Securities and Exchange Commission pursuant to 
Regulation 14A on or before April 8, 2010. 

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 2010 Annual 
Meeting of its Stockholders to be filed with the Securities and Exchange Commission pursuant to 
Regulation 14A on or before April 8, 2010. 

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 2010 Annual 
Meeting of its Stockholders to be filed with the Securities and Exchange Commission pursuant to 
Regulation 14A on or before April 8, 2010. 

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 2010 Annual 
Meeting of its Stockholders to be filed with the Securities and Exchange Commission pursuant to 
Regulation 14A on or before April 8, 2010. 

77 

 
 
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 Registered Public Accounting Firm 
Consolidated Balance Sheets – December 31, 2009 and 2008  
Consolidated Statements of Changes in Capital – years ended December 31, 
2009, 2008 and 2007 
Consolidated Statements of Income – years ended December 31, 2009, 2008 and 
2007 
Consolidated Statements of Cash Flow – years ended December 31, 2009, 2008 
and 2007 
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.

78 

 
 
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 24th day of February 2010. 

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/Victor T. Adamo  
Victor T. Adamo  

/s/Lucian F. Bloodworth 
Lucian F. Bloodworth 

/s/Jerry D. Brant 
Jerry D. Brant 

/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. 
John J. McMahon, Jr. 

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

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

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

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

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

February 24, 2010 

Chief Financial Officer 

February 24, 2010 

President 

February 24, 2010 

February 24, 2010 

February 24, 2010 

February 24, 2010 

February 24, 2010 

February 24, 2010 

February 24, 2010 

February 24, 2010 

February 24, 2010 

February 24, 2010 

Director 

Director 

Director 

Director 

Director 

Director 

Director 

Director 

Director 

79 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Consolidated Financial Statements 
Years Ended December 31, 2009, 2008 and 2007 

Table of Contents 

Report of Independent Registered Public Accounting Firm ....................................................................... 81 

Audited Consolidated Financial Statements 

Consolidated Balance Sheets ...................................................................................................................... 82 

Consolidated Statements of Changes in Capital ......................................................................................... 83 

Consolidated Statements of Income ............................................................................................................ 84 

Consolidated Statements of Cash Flow ...................................................................................................... 85 

Notes to Consolidated Financial Statements ............................................................................................... 87 

80 

 
 
 
 
 
 
 
 
 
 
 
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, 2009 and 2008, 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, 2009. 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, 2009 
and 2008, and the consolidated results of their operations and their cash flow for each of the three years in 
the period ended December 31, 2009, 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, the Company changed its method 

of accounting for impairment of debt securities with the adoption of the guidance originally issued in 
FASB Staff Position 115-2 and 124-2, Recognition and Presentation of Other-Than-Temporary 
Impairments, (codified in FASB ASC Topic 320 Investments – Debt and Equity Securities) effective 
April 1, 2009. 

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, 2009, 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 24, 2010 expressed an unqualified opinion thereon. 

/s/ Ernst & Young LLP 

Birmingham, Alabama 
February 24, 2010 

81 

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

Assets 

Investments 

  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 

  Business owned life insurance 

Investment in unconsolidated subsidiaries 

  Other investments 

Total Investments 

Cash and cash equivalents 

Premiums receivable 

Receivable from reinsurers on paid losses and loss adjustment expenses 

Receivable from reinsurers on unpaid losses and loss adjustment expenses 

Prepaid reinsurance premiums 

Deferred policy acquisition costs 

Deferred taxes 

Real estate, net 

Amortizable intangible assets 

Goodwill 

Other assets 

Total Assets 

Liabilities and Stockholders' Equity 

Liabilities 

Policy liabilities and accruals 

December 31 

December 31 

2009 

2008 

  $  3,442,995 

  $  2,961,568 

3,579 

43,826 

187,059 

65,003 

48,502 

47,258 

6,981 

11,852 

441,996 

63,440 

44,522 

45,583 

3,838,222 

3,575,942 

40,642 

116,403 

16,778 

262,659 

11,836 

25,493 

68,806 

44,496 

9,973 

122,317 

89,789 

3,459 

86,137 

17,826 

268,356 

13,009 

19,505 

138,034 

23,496 

– 

72,213 

62,961 

  $  4,647,414 

  $  4,280,938 

  Reserve for losses and loss adjustment expenses 

  $  2,422,230 

  $  2,379,468 

  Unearned premiums 

  Reinsurance premiums payable 

  Total Policy Liabilities 

Other liabilities 

Long-term debt, $35,463 and $34,930, at amortized cost, respectively; $14,740 and $0 at 

fair value, respectively 

Total Liabilities 

Stockholders' Equity 

Common stock, par value $0.01 per share, 100,000,000 shares authorized, 34,223,346 and 

34,109,196 shares issued, respectively 

Additional paid-in capital 

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

$31,908 and $(19,328) respectively 

Retained earnings 

Treasury stock, at cost, 1,811,356 shares and 763,316 shares, respectively 

Total Stockholders' Equity 

244,212 

113,994 

2,780,436 

112,180 

50,203 

2,942,819 

342 

526,068 

59,254 

1,196,428 

1,782,092 

(77,497) 

1,704,595 

185,756 

127,877 

2,693,101 

129,322 

34,930 

2,857,353 

341 

518,687 

(35,898) 

970,891 

1,454,021 

(30,436) 

1,423,585 

Total Liabilities and Stockholders' Equity 

  $  4,647,414 

  $  4,280,938 

See accompanying notes. 

82 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Consolidated Statements of Changes in Capital 
(In thousands) 

Balance at January 1, 2007 
Cumulative effect of accounting change 
Purchase of treasury shares 
Common shares issued for compensation 
Share-based compensation 
Net effect of stock options exercised 
Comprehensive income: 

Other comprehensive income (loss) (see Note 11) 
Net income 

Total comprehensive income 

Balance at December 31, 2007 
Purchase of treasury shares 
Conversion of convertible debentures 
Common shares issued for compensation 
Share-based compensation 
Net effect of stock options exercised 
Comprehensive income: 

Other comprehensive income (loss) (see Note 11) 
Net income 

Total comprehensive income 

Balance at December 31, 2008 
Cumulative effect of accounting change (see Note 1) 
Purchase of treasury shares 
Treasury shares issued in acquisition (see Note 3) 
Common shares issued for compensation 
Share-based compensation 
Net effect of stock options exercised 
Comprehensive income: 

Other comprehensive income (loss) (see Note 11) 
Net income 

Total comprehensive income 

Balance at December 31, 2009 

Common 
Stock 
$  334 
– 
– 
1 
– 
1 

Additional 
Paid-in 
Capital 
  $  495,848 
– 
– 
3,249 
8,326 
(1,500) 

Accumulated Other 
Comprehensive 
Income (Loss) 
111 
$ 
– 
– 
– 
– 
– 

Retained 
Earnings 
  $  622,310 
2,670 
– 
– 
– 
– 

  $ 

– 
– 
– 
336 
– 
4 
1 
– 
– 

– 
– 
– 
341 
– 
– 
– 
1 
– 
– 

– 
– 
– 
  505,923 
– 
1,092 
3,810 
7,763 
99 

– 
– 
– 
  518,687 
– 
– 
177 
1,218 
6,210 
(224) 

– 
– 
– 
$  342 

– 
– 
– 
  $  526,068 

$ 

9,791 
– 
– 
9,902 
– 
– 
– 
– 
– 

(45,800) 
– 
– 
(35,898) 
(3,511) 
– 
– 
– 
– 
– 

98,663 
– 
– 
59,254 

– 
  168,186 
– 
  793,166 
– 
– 
– 
– 
– 

– 
  177,725 
– 
  970,891 
3,511 
– 
– 
– 
– 
– 

– 
  222,026 
– 
  $  1,196,428 

  $ 

Treasury 
Stock 

(56) 
– 
(54,201) 
– 
– 
– 

– 
– 
– 
(54,257) 
(87,561) 
111,382 
– 
– 
– 

– 
– 
– 
(30,436) 
– 
(52,045) 
4,984 
– 
– 
– 

– 
– 
– 
(77,497) 

Total 
  $  1,118,547 
2,670 
(54,201) 
3,250 
8,326 
(1,499) 

177,977 
    1,255,070 
(87,561) 
112,478 
3,811 
7,763 
99 

131,925 
    1,423,585 
– 
(52,045) 
5,161 
1,219 
6,210 
(224) 

320,689 
  $  1,704,595 

See accompanying notes. 

83 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
  
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
   
   
 
 
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-than-temporary impairment losses (OTTI) 
Less: portion of OTTI losses recognized in other  
comprehensive income (before taxes) 

Net impairment losses recognized in earnings 
Other net realized investment gains (losses) 
Total net realized investment gains (losses) 

Gain on extinguishment of debt 
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 
Loss on extinguishment of debt 

Total expenses 

Income before income taxes 

Provision for income taxes 

Current expense (benefit) 
Deferred expense (benefit) 

Total income tax expense (benefit) 

Net income  

Earnings per share: 

Basic  
Diluted 

Weighted average number of common shares outstanding 

Basic 
Diluted 

Year Ended December 31 
2008 

2009 

2007 

$  553,922 

$  471,482 

$  549,074 

$  514,043 

$  429,007 

$  506,397 

$  540,012 
(42,469) 
  497,543 
  150,945 
1,438 

$  503,579 
(44,301) 
  459,278 
  158,384 
(7,997) 

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

(8,172) 

(47,020) 

(7,753) 

199 
(7,973) 
20,765 
12,792 
–
9,965 
  672,683 

  265,983 
(34,915) 
  231,068 
  116,537 
3,477 
2,839 
  353,921 

– 
(47,020) 
(3,893) 
(50,913) 
4,571 
3,839 
  567,162 

  267,412 
(55,913) 
  211,499 
  100,385 
6,892 
– 
  318,776 

– 
(7,753) 
1,814 
(5,939) 
– 
5,556 
  706,068 

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

  318,762 

  248,386 

  236,339 

70,122 
26,614 
96,736 

70,894 
(233) 
70,661 

64,329 
3,824 
68,153 

  222,026 

$  177,725 

$  168,186 

$ 
$ 

6.76 
6.70 

$ 
$ 

5.43 
5.22 

$ 
$ 

5.10 
4.78 

32,848 
33,150 

32,750 
34,362 

32,960 
35,823 

See accompanying notes. 

84 

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

Year Ended December 31 
2008 

2007 

2009 

  $  222,026 

  $ 

177,725 

  $ 

168,186 

15,434 
4,221 
2,839 
(1,563) 
(12,792) 

–
6,210 
26,614 
(5,988) 
(535) 

(11,042) 
1,088 
11,171 
2,374 
2,758 
(126,657) 
14,021 
(15,153) 
(59,617) 
75,409 

(930,168) 
(720) 
(33,156) 
(292) 
(2,542) 

808,145 
6,362 
26,072 
2,180 
271,043 
(124,509) 
(1,572) 
20,843 

(7,000) 
(52,045) 
– 
(24) 
(59,069) 

37,183 
3,459 
40,642 

$  

13,424 
3,147 
(4,571) 
(1,931) 
50,913 
– 
7,763 
(233) 
2,615 
6,511 

12,556 
21,741 
58,755 
1,826 
13,685 
(180,239) 
(32,272) 
(705) 
17,173 
167,883 

(737,851) 
(2,701) 
(3,976) 
(278) 
(25,752) 

903,575 
956 
872 
4,238 
(212,179) 
– 
(21,581) 
(94,677) 

(18,366) 
(87,561) 
5,807 
99 
(100,021) 

(26,815) 
30,274 
3,459 

12,587 
3,500 
– 
(1,889) 
5,939 
42,683 
8,326 
3,824 
1,643 
(4,837) 

14,330 
(20,815) 
43,652 
4,119 
(3,952) 
(47,441) 
(35,745) 
22,406 
27,592 
244,108 

    (1,407,147) 
(948) 
–  
(551) 
(15,806) 

    1,276,174 
270 
– 
10,443 
(37,626) 
– 
6,858 
(168,333) 

(15,464) 
(54,201) 
972 
1,956 
(66,737) 

9,038 
21,236 
30,274 

  $ 

  $ 

Operating Activities 
Net income 
Adjustments to reconcile income to net cash provided by operating activities 
  Amortization, net of accretion 
  Depreciation 
  Loss (gain) on extinguishment of debt 

Increase in cash surrender value of business owned life insurance 

  Net realized investment (gains) losses 

Net (purchases) sales of trading portfolio securities (see Note 1) 

  Share-based compensation 
  Deferred income taxes 
  Policy acquisition costs deferred, net of related amortization 
  Other 
  Changes in assets and liabilities, excluding effect of business combinations: 

  Premiums receivable 
  Receivable from reinsurers on paid losses and loss adjustment expense 
  Receivable from reinsurers on unpaid losses and loss adjustment expenses 
  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  

Investing Activities 
Purchases of: 
  Fixed maturities available for sale 
  Equity securities available for sale 
  Equity securities trading (see Note 1) 
  Other investments 
Cash investment in unconsolidated subsidiaries 
Proceeds from sale or maturities of: 
  Fixed maturities available for sale 
  Equity securities available for sale 
  Equity securities trading (see Note 1) 
  Other investments 
Net sales or maturities of short-term investments, excluding unsettled redemptions 
Cash paid for acquisitions, net of cash received 
Other 
Net cash provided by (used by) investing activities 

Financing Activities 
Repayment of long-term debt 
Repurchase of common stock 
Book overdraft 
Other 
Net cash provided by (used by) financing activities 

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

(continued) 

See accompanying notes. 

85 

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

Supplemental Disclosure of Cash Flow Information 
Net cash paid during the year for income taxes 
Cash paid during the year for interest 

Significant non-cash transactions 
  Fixed maturities securities transferred, at fair value, to other investments 
  Common shares issued in acquisition 
  Unsettled redemption of short-term money market investment 
  Equity increase due to conversion of debt–see Notes 10 and 11 

Year Ended December 31 
2008 

2007 

2009 

  $  89,915 
4,277 
  $ 

  $  48,479 
6,439 
  $ 

  $  45,249 
  $  10,956 

  $ 
  $ 
  $ 
  $ 

– 
5,161 
3,090 
– 

– 
  $ 
– 
  $ 
  $ 
9,427 
  $  112,478 

  $  34,732 
– 
  $ 
– 
  $ 
– 
  $ 

See accompanying notes. 

86 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

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 and other professional services. ProAssurance operates in the United States of 
America (U.S.) in a single reportable segment. 

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 conformity with 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 

Certain items have been reclassified in prior year financial statements to conform to the financial 

statement presentation of the current period. Amounts reclassified did not affect net income or equity. 

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. 

87 

 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

Investments; Investment in Unconsolidated Subsidiaries 

Fair Values 

Fair value is determined using an exchange traded price, if available, or market information as 
provided by an independent pricing service. Fair values for securities not actively traded are estimated 
using exchange traded prices for similar assets, when available, or other multiple observable inputs. 
Management reviews valuations of securities obtained from the pricing service for accuracy based upon 
the specifics of the security, including class, maturity, credit rating, durations, collateral, and comparable 
markets for similar securities. 

Multiple observable inputs are not available for certain of our investments, primarily private 

placements and interests in private investment funds. Management values private placements either using 
a single non-binding broker quote or pricing models that utilize market based assumptions that have 
limited observable inputs. Management values interests in private investment funds based on the net asset 
value of the interest held, as provided by the fund. 

Fixed Maturities and Equity Securities 

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

securities. 

Available-for-sale securities are carried at fair value, as described above, 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 portfolio securities are carried at fair value, as described above, 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 a maturity at purchase 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  

88 

 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

influence over the operating and financial policies of an investee are accounted for using the cost method. 
Under the cost method, investments are valued at cost, with investment income recognized when 
received. The cost basis of the investment is reduced if the investment suffers impairment in value that is 
deemed to be other-than-temporary. 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. Under the equity method, the recorded basis of the investment is adjusted each 
period for the investor’s pro rata share of the investee’s income or loss. 

Other Investments are primarily comprised of equity interests in private investment funds, 

accounted for using the cost method. Other Investments also includes available-for-sale fixed 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 private investment 

funds that are accounted for using the equity method, which approximates fair value. 

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 

ProAssurance evaluates its investment securities on at least a quarterly basis for declines in fair 

value below recorded cost basis for the purpose of determining whether these declines represent other-
than-temporary declines.  

If there is intent to sell the security or if it is not more likely than not that the security will be 

required to be sold before full recovery of its amortized cost basis, ProAssurance considers a decline in 
fair value to be an other-than-temporary impairment. Otherwise, ProAssurance considers the following 
factors in determining whether an investment’s decline is other-than-temporary:  

For equity securities: 

−  the length of time for which the fair value of the investment has been less than its 

recorded 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;  

−  the historical and implied volatility of the fair value of the security; 

89 

 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

For debt securities, an evaluation is made as to whether the impairment is due to credit loss, 

which is defined as the excess of the current amortized cost basis of the security over the present 
value of expected future cash flows. Methodologies used to estimate the present value of expected 
cash flows to determine if a decline is due to a credit loss are: 

−  For non-structured fixed maturities (U.S. Treasury securities, obligations of U.S. 

Government and government agencies and authorities, obligations of states, municipalities 
and political subdivisions, and corporate debt) the estimate of expected cash flows is 
determined by projecting a recovery value and a recovery time frame and assessing whether 
further principal and interest will be received. ProAssurance considers the following in 
projecting recovery values and recover time frames: 
−  third party research and credit rating reports; 
−  the current credit standing of the issuer, including credit rating downgrades, whether 

before or after the balance sheet date; 

−  internal assessments and the assessments of external portfolio managers regarding specific 
circumstances surrounding an investment, which indicate the investment is more or less 
likely to recover its amortized cost than other investments with a similar structure;  
−  failure of the issuer of the security to make scheduled interest or principal payments; 
−  For structured securities (primarily asset-backed securities), ProAssurance estimates the 

present value of the security’s cash flows using the effective yield of the security at the date 
of acquisition (or the most recent implied rate used to accrete the security if the implied rate 
has changed as a result of a previous impairment or changes in expected cash flows). 
ProAssurance incorporates six month averages of the levels of delinquencies, defaults, 
severities, and prepayments in the securitization, for the parameters applied to the assets 
underlying the securitization in determining the net present value of the cash flows.  
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 equates the carrying 
amount of the investment to the present value of the anticipated future cash flows. The recalculated yield is 
then used to recognize 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. 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. 

The assessment of whether the amortized cost basis of debt securities, particularly asset-backed debt 
securities, is expected to be recovered requires management to make assumptions regarding various matters 
affecting cash flows to be received in the future. The choice of assumptions is subjective and requires the use 
of judgments; actual credit losses experienced in future periods may differ from management’s estimates of 
those credit losses. 

Investments in private investment funds are also evaluated for impairment. Management considers 

the net asset value reported by the fund, the performance of the fund relative to the market, the stated 
objectives of the fund, cash flows expected from the fund and the fund’s most recent audit results in 
considering whether there has been a decline in the fair value below the recorded value that is other than 
temporary. 

ProAssurance recognizes other than temporary impairments, including impairments of debt securities 

due to credit loss, in earnings as a part of net realized investment gains (losses). In subsequent periods, any 
measurement of gain or loss or impairment is based on the revised amortized basis of the security. Declines 
in fair value, including impairments of debt securities that are not evaluated as being due to credit loss, not 
considered to be other-than-temporary are recognized in other comprehensive income. 

90 

 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

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, but also includes land and a building held for sale. 
Properties held for sale have a combined carrying value of approximately $4.2 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.  

Real estate accumulated depreciation is approximately $15.9 million and $14.6 million at 

December 31, 2009 and 2008, respectively. Real estate depreciation expense for the three years ended 
December 31, 2009, 2008 and 2007 is $1.2 million, $1.0 million and $1.1 million, respectively. 

Reinsurance 

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

Receivable from Reinsurers on Paid Losses is the estimated amount of losses already paid that will 

be recoverable from reinsurers. Receivable from Reinsurers on Unpaid Losses 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. 

Income Taxes/Deferred Taxes 

ProAssurance files a consolidated federal income tax return. Tax-related interest and penalties are 

recognized as components of tax expense. 

Deferred federal income taxes arise from the recognition of temporary differences between the 
basis of assets and liabilities determined for financial reporting purposes and the basis determined for  

91 

 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

income tax purposes. ProAssurance’s temporary differences principally relate to loss reserves, unearned 
premium, deferred policy acquisition costs, unrealized investment gains (losses) and investment 
impairments. Deferred tax assets and liabilities are measured using the enacted tax rates expected to be in 
effect when such benefits are realized. ProAssurance reviews its deferred tax assets quarterly for 
impairment. If management determines that it is more likely than not that some or all of a deferred tax asset 
will not be realized, a valuation allowance is recorded to reduce the carrying value of the asset. In assessing 
the need for a valuation allowance, management is required to make certain judgments and assumptions 
about the future operations of ProAssurance based on historical experience and information as of the 
measurement period regarding reversal of existing temporary differences, carryback capacity, future taxable 
income, including its capital and operating characteristics, and tax planning strategies. 

Goodwill 

ProAssurance makes at least an annual assessment as to whether the value of its goodwill assets is 

impaired. Management evaluates the carrying value of goodwill during the fourth quarter and before the 
annual evaluation if events occur or circumstances change that would more likely than not reduce the fair 
value below the carrying value. In assessing goodwill, management estimates the fair value of the reporting 
unit and compares that estimate to external indicators such as market capitalization. Management 
concluded in 2009, 2008 and 2007 that no adjustment to impair goodwill was necessary. Goodwill 
approximated $122.3 million at December 31, 2009 and $72.2 million at December 31, 2008. The 2009 
increase of $50.1 million is entirely attributable to acquisitions as described in Note 3. 

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.  

Amortizable Intangible Assets 

Intangible assets with definite lives are amortized over the estimated useful life of the asset. 

Intangible assets with an indefinite life are not amortized. 

Reserve for Losses and Loss Adjustment Expenses 

ProAssurance establishes its reserve for losses and loss adjustment expenses (reserve for losses) 

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

Management establishes the reserve for losses after taking into consideration a variety of factors 
including the conclusions reached by internal actuaries, premium rates, claims frequency, historical paid 
and incurred loss development trends, the effect of inflation, general economic trends, the legal and 
political environment, and the reports received from external actuaries. Internal actuaries perform an in-
depth review of the reserve for losses at least semi-annually using the loss and exposure data of 
ProAssurance subsidiaries. Management engages external actuaries to review subsidiary loss and exposure 
data and provide reports to Management regarding the adequacy of 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  

92 

 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

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, as is the case in 2009, 2008 and 2007. 

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. 

Treasury Stock 

Treasury shares are reported at cost, and are reflected on the balance sheets as an unallocated 

reduction of total equity. 

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 

ProAssurance recognizes compensation cost for share-based payments (including stock options, 

performance shares and restricted stock units) under GAAP recognition and measurement principles 
(modified prospective method). 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. 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. Compensation cost for awards granted prior to January 1, 2006 but not 
vested on January 1, 2006 is recognized over the remaining service period related to those awards, using 
the same calculation methodologies, including grant-date fair values, as was used to prepare pro forma 
disclosures prior to January 1, 2009. 

Subsequent Events 

ProAssurance has evaluated subsequent events for disclosure or recognition in its financial 

statements through February 24, 2010 which is the date these financial statements were issued. 

Accounting Changes Adopted 

Consolidation-Accounting and Reporting for Decreases in Ownership of a Subsidiary  

Effective for interim and annual reporting periods ending on or after December 15, 2009, the FASB 

issued clarification on the scope of the guidance regarding decreases in ownership of consolidated entities. 
The guidance also expands disclosure requirements about deconsolidation of a subsidiary or derecognition 
of a group of assets. ProAssurance adopted the revised guidance as of the quarter ended December 31, 
2009; adoption had no effect on its results of operations or financial position. 

93 

 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

Distributions to Shareholders with Components of Stock and Cash 

Effective for interim and annual periods ending on or after December 15, 2009, the FASB revised 
GAAP guidance that clarifies the proper accounting treatment for distributions to shareholders that include 
both stock and cash. ProAssurance adopted the revised guidance as of the quarter ended December 31, 
2009; adoption had no effect on its results of operations or financial position. 

Fair Value Measurements-Investments in Certain Entities that Calculate Net Asset Value per Share (or its 
Equivalent) 

Effective for interim and annual periods ending after December 15, 2009, the FASB revised GAAP 
guidance to permit a reporting entity to measure the fair value of certain investments on the basis of the net 
asset value per share of the investment (or its equivalent). The revised guidance also requires new 
disclosures, by major category of investments, regarding investments measured on the basis of net asset 
value. ProAssurance adopted the revised guidance as of the quarter ended December 31, 2009; adoption 
had no effect on its results of operations or financial position. 

Fair Value-Liabilities 

In August 2009, the FASB revised GAAP guidance regarding the valuation of liabilities at fair 

value; the guidance is effective for the first reporting period that begins after issuance of the guidance. The 
updated guidance clarifies that when a quoted price in an active market for an identical liability is not 
available, fair value should be determined using quoted prices for identical or similar liabilities traded as 
assets or using another valuation technique described in existing GAAP guidance for determining fair 
values. Such techniques include present value techniques, and techniques based on the amount that a 
reporting entity would pay on the measurement date to transfer or enter into an identical liability. 
ProAssurance adopted the revised guidance as of the quarter ended December 31, 2009; adoption had no 
effect on the valuation of its liabilities. 

FASB Accounting Standards Codification 

Effective for interim and annual periods ending after September 15, 2009, the FASB published the 

FASB Accounting Standards Codification (the Codification) as the single source of authoritative 
nongovernmental GAAP. The Codification is not intended to change current GAAP, but rather to provide 
all the authoritative literature related to a particular topic in one place. Upon the effective date, all pre-
existing accounting standard documents were superseded and accounting literature not included in the 
Codification became non-authoritative. ProAssurance adopted use of the Codification as of the quarter 
ended September 30, 2009; adoption had no effect on its results of operations or financial position. 

Subsequent Events 

Effective for interim and annual reporting periods ending on or after June 15, 2009, the FASB 
revised GAAP guidance to more clearly set forth the period after the balance sheet date during which 
management should evaluate events or transactions for potential recognition or disclosure in the financial 
statements, the circumstances under which events or transactions after the balance sheet date should be 
recognized and the disclosures that should be made regarding such events. ProAssurance adopted the 
revised guidance as of the quarter ended June 30, 2009; adoption had no effect on its results of operations 
or financial position. 

94 

 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

Fair Value 

Effective for interim and annual reporting periods ending on or after June 15, 2009, the FASB 

revised GAAP guidance regarding the valuation of assets or liabilities when the volume and level of market 
transactions for those assets or liabilities has significantly decreased. The revised guidance clarifies factors 
to be considered in determining whether there has been a significant decrease in market activity for an asset 
in relation to normal activity and provides additional guidance on when the use of multiple (or different) 
valuation techniques may be warranted and considerations for determining the weight that should be 
applied to the various techniques. The revisions also establish a requirement that conclusions about whether 
transactions are orderly be based on the weight of the evidence and require entities to disclose any changes 
to valuation techniques (and related inputs) that result from a conclusion that markets are not orderly and 
the effect of the change, if practicable. The revised guidance also expanded disclosure requirements 
regarding the fair value of financial instruments. ProAssurance adopted the revised guidance as of the 
quarter ended June 30, 2009; adoption had no significant effect on its results of operations or financial 
position. 

Investments—Disclosure Requirements; Other-than-temporary Impairments 

Effective for interim and annual reporting periods ending on or after June 15, 2009, the FASB 

revised GAAP to require expanded disclosures related to investments in debt and equity securities. 
Guidance regarding other-than-temporary impairments was also revised. Previous investment guidance 
required that an impairment of a debt security be considered as other-than-temporary unless management 
could assert both the intent and the ability to hold the impaired security until recovery of value. The revised 
impairment guidance specifies that an impairment be considered as other-than-temporary unless an entity 
can assert that it has no intent to sell the security and that it is not more likely than not that the entity will be 
required to sell the security before recovery of its anticipated amortized cost basis. The new guidance also 
establishes the concept of credit loss. Credit loss is defined as the difference between the present value of 
the cash flows expected to be collected from a debt security and the amortized cost basis of the security. 
The new guidance states that “in instances in which a determination is made that a credit loss exists but the 
entity does not intend to sell the debt security and it is not more likely than not that the entity will be 
required to sell the debt security before the anticipated recovery of its remaining amortized cost basis” an 
impairment is to be separated into (a) the amount of the total impairment related to the credit loss and (b) 
the amount of total impairment related to all other factors. The credit loss component of the impairment is 
to be recognized in income of the current period. The non-credit component is to be recognized as a part of 
other comprehensive income. Transition provisions require a cumulative effect adjustment to reclassify the 
noncredit component of a previously recognized other-than-temporary impairment from retained earnings 
to accumulated other comprehensive income “if an entity does not intend to sell and it is not more likely 
than not that the entity will be required to sell the security before recovery of its amortized cost basis”. 
ProAssurance adopted the revised guidance as of the beginning of the quarter ended June 30, 2009. As of 
April 1, 2009, its debt securities included non-credit impairment losses previously recognized in earnings 
of approximately $5.4 million. In accordance with the transition provisions of the revised guidance, 
ProAssurance reclassified these non-credit losses, net of tax, from retained earnings to accumulated 
comprehensive income as of April 1, 2009 (a $3.5 million increase to retained earnings; a $3.5 million 
decrease to accumulated other comprehensive income). 

95 

 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

Convertible Debentures 

Effective January 1, 2009, the FASB revised GAAP guidance regarding the accounting for 

Convertible Debentures. The revised guidance requires issuers to account for convertible debt securities 
that allow for either mandatory or optional cash settlement (including partial cash settlement) by separating 
the liability and equity components in a manner that reflects the issuer's nonconvertible debt borrowing rate 
at the time of issuance and requires recognition of additional (non-cash) interest expense in subsequent 
periods based on the nonconvertible rate. Additionally, when such debt instruments are repaid or converted, 
any consideration transferred at settlement is to be allocated between the extinguishment of the liability 
component and the reacquisition of the equity component. The revised guidance is applicable to the 
Convertible Debentures which ProAssurance converted in July 2008. ProAssurance adopted the revised 
guidance as of its effective date January 1, 2009; adoption had no effect on 2009 operating results because 
no convertible debt has been outstanding during 2009. The cumulative effect of adoption, which would be 
an increase to additional paid-in capital of $65,000 and an offsetting decrease to retained earnings of the 
same amount, has not been recorded because the effect is immaterial and would not change total 
stockholders’ equity. 

Non-controlling Interests in Subsidiaries 

Effective for interim and annual reporting periods beginning on or after December 15, 2008, the 

FASB revised GAAP guidance to establish accounting and reporting standards for the noncontrolling 
interest in a subsidiary and for the deconsolidation of a subsidiary. ProAssurance adopted the revised 
guidance as of its effective date, January 1, 2009. Adoption did not have an effect on its results of 
operations or financial position. 

Business Combinations 

Effective prospectively for business combinations with an acquisition date on or after the beginning 

of the first annual reporting period beginning on or after December 15, 2008, the FASB revised GAAP 
guidance related to business combinations. The revised guidance retains the previous requirement that the 
acquisition method of accounting be used for all business combinations but provides new and additional 
guidance 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. ProAssurance adopted the new guidance as 
of its effective date, January 1, 2009 and accounted for its acquisitions of Mid-Continent General Agency, 
Inc. (Mid-Continent), Georgia Lawyers Insurance Company (Georgia Lawyers) and Podiatry Insurance 
Company of America (PICA) during the first and second quarters of 2009 in accordance with the revised 
guidance (see Note 3). 

Trading Security Cash Flows 

Effective for fiscal years beginning after November 15, 2007 the FASB revised GAAP regarding 
cash flows from purchases, sales and maturities of trading securities.  Under the new guidance, such cash 
flows are classified based on the nature and purpose for which the securities were acquired.  Under  prior 
guidance, cash flows from purchases, sales and maturities of trading securities were classified as operating 
cash flows.  ProAssurance adopted this guidance as of January 1, 2008.  Accordingly, ProAssurance’s 
statement of cash flows reflects trading security cash flows during 2007 based on the prior guidance, 
whereas cash flows during 2008 and 2009 are based on the revised guidance. 

96 

 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

1.  Accounting Policies (continued) 

Accounting Changes Not Yet Adopted 

Fair Value Measurements 

Effective for interim and annual reporting periods beginning after December 15, 2009 or December 

15, 2010, as specified, the FASB revised GAAP guidance related to fair value measurement to require 
additional disclosures and to clarify certain existing disclosure requirements. The guidance is intended to 
improve the disclosures and increase transparency in financial reporting. Adoption of this guidance is not 
expected to have an effect on our results of operations or financial position. 

Own-Share Lending Arrangements in Contemplation of Convertible Debt Issuance 

Effective for interim and annual reporting periods beginning on or after December 15, 2009 for 

outstanding arrangements and effective otherwise for reporting periods beginning on or after June 15, 2009, 
the FASB issued guidance related to share-lending arrangements for an entity’s own shares executed in 
contemplation of a convertible debt offering or other financing. Adoption of this guidance is not expected 
to have an effect on ProAssurance’s results of operations or financial position. Early adoption is not 
permitted. 

Consolidation of Variable Interest Entities 

Effective at the start of a reporting entity’s first fiscal year beginning after November 15, 2009, the 
FASB revised guidance which changes how a reporting entity determines whether or not to consolidate its 
interest in an entity that is insufficiently capitalized or is not controlled through voting (or similar) rights. 
The determination of whether a reporting entity is required to consolidate another entity will now be based 
on, among other things, the other entity’s purpose and design and the reporting entity’s ability to direct the 
activities of the other entity that most significantly impact the other entity’s economic performance. The 
revised guidance also requires the reporting entity to provide additional disclosures about its involvement 
with variable interest entities and any significant changes in risk exposure due to that involvement. A 
reporting entity will be required to disclose how its involvement with a variable interest entity affects the 
reporting entity’s financial statements. Adoption of this guidance is not expected to have a significant effect 
on ProAssurance’s results of operations or financial position. Early adoption is not permitted. 

Transfers and Servicing-Accounting for Transfers of Financial Assets 

Effective at the start of a reporting entity’s first fiscal year beginning after November 15, 2009, the 
FASB revised guidance that requires additional disclosure regarding transfers of financial assets, including 
securitization transactions, where entities have continuing exposure to risks related to the transferred 
financial assets. Adoption of this guidance is not expected to have an effect on ProAssurance’s results of 
operations or financial position. Early adoption is not permitted. 

Revenue Recognition-Multiple Deliverable Revenue Arrangements 

Effective prospectively for revenue arrangements entered into or materially modified in fiscal years 

beginning on or after June 15, 2010, the FASB issued guidance addressing the accounting for multiple-
deliverable arrangements. The guidance eliminates the residual method of allocation and requires that 
arrangement consideration be allocated at inception using the relative selling price method. The guidance 
establishes a selling price hierarchy and also expands required disclosures related to a vendor’s multiple-
deliverable revenue arrangements. Adoption of this guidance is not expected to have an effect on 
ProAssurance’s results of operations or financial position.  

97 

 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

2.  Fair Value Measurement 

Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability 

in an orderly transaction between market participants at the measurement date. A three level hierarchy has 
been established for valuing assets and liabilities based on how transparent (observable) the inputs are that 
are used to determine fair value, with the inputs considered most observable categorized as Level 1 and 
those that are the least observable categorized as Level 3. Hierarchy levels are defined as follows: 

Level 1:  quoted (unadjusted) market prices in active markets for identical assets and 
liabilities. For ProAssurance, Level 1 inputs are generally quotes for debt or 
equity securities actively traded in exchange or over-the-counter markets. 

Level 2:  market data obtained from sources independent of the reporting entity 

(observable inputs). For ProAssurance, Level 2 inputs generally include quoted 
prices in markets that are not active, quoted prices for similar assets/liabilities, 
and other observable inputs such as interest rates and yield curves that are 
generally available at commonly quoted intervals. 

Level 3:  the reporting entity's own assumptions about market participant assumptions 
based on the best information available in the circumstances (non-observable 
inputs). For ProAssurance, Level 3 inputs are used in situations where little or no 
Level 1 or 2 inputs are available or are inappropriate given the particular 
circumstances. Level 3 inputs include results from pricing models and 
discounted cash flow methodologies as well as adjustments to externally quoted 
prices that are based on management judgment or estimation. 

The following tables present information about ProAssurance's assets and liabilities measured at 

fair value on a recurring basis as of December 31, 2009, and indicate the fair value hierarchy of the 
valuation techniques utilized to determine such value. For some assets, the inputs used to measure fair 
value may fall into different levels of the fair value hierarchy. When this is the case, the asset is categorized 
based on the level of the most significant input to the fair value measurement. ProAssurance's assessment 
of the significance of a particular input to the fair value measurement requires judgment, and considers 
factors specific to the assets being valued. 

98 

 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

2.  Fair Value Measurement (continued) 

Assets and liabilities measured at fair value on a recurring basis as of December 31, 2009, 
including financial instruments for which ProAssurance has elected fair value accounting, are as follows: 

December 31, 2009 

Fair Value Measurements Using 
Level 2 

Level 3 

Level 1 

(In thousands) 

Assets: 
Fixed maturities, available for sale 

U.S. Treasury and Agency obligations 
State and municipal bonds 
Corporate bonds 

  Residential mortgage-backed securities 
  Commercial mortgage-backed securities 
  Other asset-backed securities 
Equity securities, available for sale 
Equity securities, trading 
Short-term investments(1) 
Investment in unconsolidated subsidiaries 
Other investments(2) 

Total assets 

Liabilities: 
2019 Note Payable 
Interest rate swap agreement 

Total liabilities 

$ 

$ 

$ 

$ 

– 
– 
– 
– 
– 
– 
3,579 
43,826 
168,060 
– 
– 
215,465 

– 
– 
– 

$ 

$ 

$ 

$ 

220,570 
1,439,154 
1,049,677 
556,863 
91,627 
50,334 
– 
– 
18,999 
– 
– 
3,427,224 

– 
– 
– 

$ 

$ 

$ 

$ 

Total 
Fair Value 

$ 

220,570 
1,448,649 
1,074,012 
556,863 
92,567 
50,334 
3,579 
43,826 
187,059 
48,502 
10,932 
$  3,736,893 

– 
9,495 
24,335 
– 
940 
– 
– 
– 
– 
48,502 
10,932 
94,204 

14,740 
2,937 
17,677 

$ 

$ 

14,740 
2,937 
17,677 

(1) Short-term investments are reported at amortized cost, which approximates fair value. 
(2) Other investments also includes $36.3 million of investments accounted for using the cost method that are not included in the 

table above. 

Level 3 assets in the table consist primarily of auction rate municipal bonds (included in State and 

municipal bonds), private placement senior notes (included in Corporate bonds), an asset-backed bond 
(included in Other asset-backed securities) and a beneficial interest in asset-backed securities held in a 
private investment fund (included in Other investments) and interests in private investment funds accounted 
for under the equity method (included in Investment in unconsolidated subsidiaries).  

The auction rate municipal bonds are rated A or better. The private placement senior notes are 

unconditionally guaranteed by large regional banks rated A+ or better. The asset-backed bond is rated AA 
and is collateralized by a timber trust. The fair values of these three types of assets are primarily derived 
using pricing models, which may require multiple market input parameters, considered appropriate for the 
asset being valued. 

The asset-backed securities held in a private investment fund are primarily backed by manufactured 

housing, recreational vehicle receivables, and subprime securities. These securities have an average rating 
of BBB, and are valued using a broker dealer quote. 

The interests in private investment funds accounted for under the equity method are valued using 
the net asset value provided by each fund. The following table provides additional information regarding 
these investments: 

(In thousands) 

Private fund primarily invested in high yield asset-backed securities 
Private fund primarily invested in long/short equities 
Private fund primarily invested in non-public equities, including other 

private funds 

Fair Value 
$ 

 29,930 
12,943 

5,629 
48,502 

$ 

Unfunded 
Commitments 
None 
None 

Fund Description 
(1) 
(2) 

$3,500 

(3) 

99 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

2.  Fair Value Measurement (continued) 

(1)  The fund primarily holds high yield asset-backed debt securities but also holds other investments 
expected to offer high yields, including equities and derivatives.  Redemptions, unless subject to 
restriction, are allowed as of the first business day of each quarter with 90 days prior notice.  
Redemption is currently allowed for approximately $9.0 million of the fund, but restricted until 
after March 31, 2010 for $18.3 million of the fund, and restricted later than June 30, 2010 for the 
remaining $2.6 million of the fund. Redemptions are paid at 75% within 30 days, with the 
remainder paid within 90 days of the redemption date. 

(2)  The fund holds both long and short U.S. and North American equities, and targets absolute returns 
using a strategy designed to take advantage of event-driven market opportunities. Redemptions are 
allowed with a notice requirement of up to 45 days and are paid within 30 days of the redemption 
date, unless the redemption request is for 90% or more of the requestor’s capital balance. 
Redemptions at the 90% and above level will be paid at 90% with the remainder paid after the 
fund’s annual audit. 

(3)  The fund is structured to provide capital appreciation through diversified investments in private 
equity, including investments in buyout, venture capital, mezzanine, distressed debt and other 
private equity-oriented funds. Redemptions are not allowed, except by special permission of the 
fund. Fund proceeds are periodically distributed at the discretion of the fund over an anticipated 
time frame that spans 3 to 5 years. 

The following tables present additional information about assets and liabilities measured at fair 

value using Level 3 inputs, including financial instruments for which ProAssurance has elected fair value 
accounting, for the year ended December 31, 2009: 

(In thousands) 

State and 
Municipal 
Bonds 

Corporate 
Bonds 

Level 3 Fair Value Measurements - Assets 
Investment in 
Unconsolidated 
Subsidiaries 

Asset-
backed 
Securities 

Equity 
Securities 

Other 
Investments 

Total 

Balance January 1, 2009 

$  

– 

$  36,472 

$  

1,327 

$  

357  $  

– 

$   14,576  $ 

  52,732 

Total gains (losses) realized and unrealized: 
Included in earnings, as a part of net realized 

investment gains (losses) 
Included in other comprehensive income 

Purchases, sales or settlements 
Transfers in 
Transfers out 
Balance December 31, 2009 

The amount of total gains (losses) for the year 
ended December 31, 2009 included in 
earnings attributable to the change in 
unrealized gains (losses) relating to assets 
still held at December 31, 2009 

– 
(330) 
(200) 
    10,025 
– 
9,495 

$  

(7)
371 
(11,337)
5,092 
(6,256)
$  24,335 

$  

– 
149 
(21)
– 
(515)
940 

$  

(357)
–
–
–
–
–

$  

– 
– 
– 
48,502 
– 
48,502 

(536) 
2,516 
(434) 
– 
(5,190) 
$   10,932  $ 

(900) 
  2,706 
 (11,992) 
  63,619 
 (11,961) 
  94,204 

$  

– 

$  

(7)

$   

– 

$  

(357) $  

– 

$  

(536)  $ 

(900) 

100 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
   
   
 
 
   
 
   
   
   
   
 
   
 
   
   
   
   
 
 
   
   
   
   
 
   
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

2.  Fair Value Measurement (continued) 

(In thousands) 

2019 Note Payable 

Interest rate 
swap 
agreement 

Total 

Level 3 Fair Value Measurements—Liabilities 

Balance January 1, 2009 
Total (gains) losses realized and unrealized: 
Included in earnings as a part of net realized 

investment (gains) losses 

Included in other comprehensive income 
Purchases, sales or settlements 
Transfers in 
Transfers out 
Balance December 31, 2009 
The amount of total (gains) losses for the year 

ended December 31, 2009 included in earnings 
attributable to the change in unrealized (gains) 
losses relating to liabilities still held at 
December 31, 2009 

  $ 

– 

$ 

 – 

  $ 

– 

2,389 
– 
12,351 
– 
– 
14,740 

(1,753) 
– 
4,690 
– 
– 
2,937 

 $ 

  $ 

636 
– 
17,041 
– 
– 
17,677 

  $ 

  $ 

2,389 

 $ 

(1,753) 

  $ 

636 

Transfers into Level 3 include: 

−  Corporate bonds having a combined value of $5 million were valued using multiple observable 
inputs at December 31, 2008, but such information was not available at December 31, 2009. At 
December 31, 2009, the bonds were valued using a single broker dealer quote.  

−  Municipal bonds totaling $10 million were valued using multiple observable inputs at December 

31, 2008. Such inputs were unavailable in 2009 and the bonds were valued using a pricing model at 
December 31, 2009. 

−  The interests in private investment funds accounted for under the equity method are valued at both 
December 31, 2009 and 2008 at the net asset value provided by fund management ($48.5 million at 
December 31, 2009). These interests were not included in the fair value table at December 31, 
2008, but were included at December 31, 2009 after GAAP guidance was issued in 2009 that 
specified such valuation constituted valuation at fair value. 

We transferred a number of securities from Level 3 to Level 2. There was no active market for the 
securities or nearly identical securities during the latter portion of 2008. Market activity increased in 2009, 
which provided multiple observable inputs that could be used to value the securities. Securities transferred 
are: 

−  Asset-backed securities valued at $515,000.  

−  A private placement bond (included in Corporate bonds) valued at $4 million that was a new issue 

during 2008.  

−  Two corporate bonds, having a combined value of $2.2 million. 

−  FHLB investments of $5.2 million are valued at cost and, as such, have been exluded from the 

table at December 31, 2009. 

Fair Value Option Elections 

ProAssurance elected to account for a liability assumed in the acquisition of PICA at fair value on a 
recurring basis, specifically the 2019 Note Payable bearing a floating interest rate discussed further in Note 
10. The 2019 Note Payable has a related interest rate swap intended to mitigate the market risk of future 
interest rate changes on the 2019 Note Payable. The interest rate swap is carried at fair value with  

101 

 
 
 
 
 
 
 
 
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

2.  Fair Value Measurement (continued) 

changes in fair value recorded in net realized gains (losses). Electing the fair value option allows 
ProAssurance to account for the note payable at fair value, which is more consistent with management’s 
view of the underlying economics and reduces the accounting inconsistency that would otherwise result 
from carrying the note payable on an amortized cost basis and the interest rate swap at fair value. As of 
December 31, 2009, the 2019 Note Payable had a fair value of $14.7 million recorded in Long-term Debt 
and an outstanding principal balance of $17.7 million. Since the date of acquisition, the fair value of the 
interest rate swap liability decreased by $1.8 million and the fair value of the 2019 Note Payable increased 
by $2.4 million; on a net basis, a loss of $636,000 was recognized related to the changes in fair value. 
Gains or losses from changes in the fair value of the 2019 Note Payable and related interest rate swap are 
included in net realized investments gains (losses) on the ProAssurance income statement. 

3.  Acquisitions  

All entities acquired in 2009 have been accounted for in accordance with GAAP relating to 
business combinations and are considered to be a part of ProAssurance’s sole reporting segment, the 
professional liability segment. No entities were acquired in 2008 or 2007. 

ProAssurance acquired 100% of the outstanding shares of Mid-Continent and Georgia Lawyers 

during the first quarter of 2009 as a means of expanding its professional liability business. Assets acquired 
and liabilities assumed were recorded based on estimated fair values as of the date of acquisition. The 
excess of the purchase price over the fair values of the identifiable net assets acquired was recognized as 
goodwill totaling $13.4 million for the two acquisitions. Approximately $12 million of the goodwill is 
expected to be tax deductible. The consideration for these acquisitions included 100,533 ProAssurance 
common shares, which were reissued from treasury stock. The shares, which had a cost basis of 
approximately $5.0 million, were valued at $5.2 million, based on the market value of ProAssurance 
common shares on the date of closing. ProAssurance’s preliminary estimate of goodwill relating to the 
Mid-Continent acquisition was reduced by $4.6 million during the fourth quarter of 2009 based on a final 
determination of the purchase price. 

On April 1, 2009 ProAssurance acquired Podiatry Insurance Company of America and 
subsidiaries (PICA) through a cash sponsored demutualization as a means of expanding its professional 
liability insurance operations. PICA provides professional liability insurance primarily to podiatric 
physicians, chiropractors and other healthcare providers throughout the United States. ProAssurance 
purchased all of PICA’s outstanding stock created in the demutualization for $120 million in cash and 
$15 million in premium credits to eligible policyholders to be paid over a three year period beginning 
in 2010. Total purchase consideration transferred had a fair value of $133.8 million on the acquisition 
date, April 1, 2009. As summarized in the table below, the purchase consideration was allocated to the 
assets acquired and liabilities assumed based on their estimated fair values on the acquisition date. 
Goodwill of $36.7 million was recognized equal to the excess of the purchase price over the net fair 
value of the identifiable assets acquired and liabilities assumed. None of the goodwill is expected to be 
tax deductible. ProAssurance incurred expenses related to the purchase of approximately $2.5 million 
during 2009, primarily in the second quarter, and $710,000 during 2008, primarily in the fourth quarter. 
These expenses have been included as a part of insurance expenses in the period incurred. 

102 

 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

3.  Acquisitions (continued) 

The purchase consideration was allocated to assets acquired and liabilities assumed based on 

estimated fair values as of April 1, 2009 as follows: 

(In thousands) 

  Fixed maturities, available for sale 
  Equity securities, available for sale 
  Equity securities, trading 
  Short-term investments 
  Premiums receivable 
  Reinsurance recoverable 

Intangible assets: 
  Goodwill 
  Other intangibles 

  Real estate 
  Deferred tax assets 
  Other assets 
  Reserve for losses and loss adjustment expenses 
  Unearned premiums 
  Long-term debt 
  Other liabilities 
  Fair value of net assets acquired 

  $ 

$ 

218,766 
1,193 
15,628 
14,114 
19,426 
3,998 

36,673 
23,200 
20,178 
9,746 
15,635 
(163,616) 
(41,851) 
(16,803) 
(22,487) 
133,800 

ProAssurance believes that all contractual cash flows related to acquired receivables will be 

collected. The fair value of net assets acquired includes fair value adjustments to record real estate 
assets at appraised market values. Certain liabilities were also adjusted including long-term debt fair 
valued using average spreads for financial instruments with similar credit ratings and maturities and an 
interest rate swap valued by determining the present value of the future cash flows. The fair value of 
reserves for losses and loss adjustment expenses and related reinsurance recoverables were estimated 
based on the present value of the expected underlying net cash flows including a profit margin and a 
risk premium and were determined to be materially the same as the recorded cost basis acquired. 

Actuarial reviews performed in connection with the finalization of ProAssurance's purchase 

accounting for PICA indicated that initial estimates of the acquisition date fair value of PICA’s reserve 
for losses were understated. The allocation of the PICA purchase price has been adjusted, in 
accordance with GAAP related to business combinations, to reflect the revised estimate. The estimate 
of deferred tax assets and current taxes payable associated with loss reserves has also been revised.  
Additionally, initial estimates of the fair value of the net deferred tax asset acquired and current tax 
liabilities assumed have also been revised as additional analysis has concluded for several matters for 
which the initial estimates were considered provisional.  The above summary of assets (liabilities) 
acquired reflects the revised estimates. The combined effect of the revisions reduced the initial 
estimates of the fair value of net assets acquired by $7.6 million and increased goodwill by a like 
amount. 

Intangible assets acquired include the following: 

(In millions) 

Trade names 
Renewal rights 
Non-compete agreements 
Internally developed software 
State license agreements 

April 1, 2009 

Estimated Fair 
Value 
$   2.0 
$   5.2 
$   0.7 
$   1.7 
$ 13.6 

Estimated 
Useful Life 
 7 years 
15 years 
2 years 
5 years 
Indefinite 

103 

 
 
 
 
 
   
   
   
   
   
 
 
 
   
 
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

3.  Acquisitions (continued) 

The following table discloses the amount of PICA revenues and earnings since the acquisition 

on April 1, 2009 that are included in ProAssurance consolidated results for the year ended December 
31, 2009. The table also includes supplemental pro forma information reflecting the combined results 
of ProAssurance and PICA as if the acquisition had occurred at the beginning of the current and prior 
year annual reporting periods (on January 1, 2009 and January 1, 2008, respectively), adjusted to 
exclude transaction costs and include pro forma amortization of certain intangibles recognized in the 
purchase price allocation. 

Actual PICA Results Included in 
ProAssurance Consolidated Results  
2009 
88,152 
5,396 

$ 
$ 

Supplemental Pro forma 
Combined Results 

2009 
697,608 
227,529 

  $ 
  $ 

2008 
672,569 
185,661 

$ 
$ 

(In thousands) 
  Revenue 
  Earnings 

4.  Investments 

The amortized cost and estimated fair value of available-for-sale fixed maturities and equity 

securities are as follows: 

(In thousands) 

Fixed maturities 
  U.S. Treasury and Agency obligations 

State and municipal bonds 

  Corporate bonds 
  Residential mortgage-backed securities 
  Commercial mortgage-backed securities 
  Other asset-backed securities 

Equity securities 

(In thousands) 

Fixed maturities 
  U.S. Treasury and Agency obligations 

State and municipal bonds 

  Corporate bonds 
  Residential mortgage-backed securities 
  Commercial mortgage-backed securities 
  Other asset-backed securities 

Equity securities 

December 31, 2009 

Gross 
Unrealized 
Gains 

Gross 
Unrealized 
Losses 

Estimated 
Fair 
Value 

  $ 

7,245 
51,977 
38,871 
22,183 
1,074 
1,749 
123,099 
1,028 
  $  124,127 

  $  

  $ 

(1,449) 
(3,621) 
(5,755) 
(11,007) 
(2,448) 
(176) 
(24,456) 
(21) 
(24,477) 

  $ 
220,570 
    1,448,649 
    1,074,012 
556,863 
92,567 
50,334 
    3,442,995 
3,579 
  $  3,446,574 

December 31, 2008 

Gross 
Unrealized 
Gains 

Gross 
Unrealized 
Losses 

Estimated 
Fair 
Value 

  $ 

  $ 

6,992 
26,268 
6,823 
17,932 
– 
120 
58,135 
558 
58,693 

  $ 

  $ 

(2,477) 
(19,492) 
(40,852) 
(10,082) 
(22,878) 
(5,607) 
(101,388) 
(1,526) 
(102,914) 

  $ 
177,168 
    1,356,206 
593,782 
584,387 
170,859 
79,166 
    2,961,568 
6,981 
$  2,968,549 

Amortized 
Cost 

$ 

214,774 
1,400,293 
1,040,896 
545,687 
93,941 
48,761 
3,344,352 
2,572 
$  3,346,924 

Amortized 
Cost 

$ 

172,653 
1,349,430 
627,811 
576,537 
193,737 
84,653 
3,004,821 
7,949 
$  3,012,770 

104 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
   
   
 
   
   
   
 
   
   
   
 
   
   
   
 
 
   
   
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
   
   
   
 
   
   
   
 
   
   
   
 
   
   
   
 
 
   
   
 
   
   
   
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

4.  Investments (continued) 

The following table provides summarized information with respect to available-for-sale securities 
held in an unrealized loss position at December 31, 2009, including the length of time the securities have 
been held in a continuous unrealized loss position. 

(In thousands) 

Fixed maturities, available for sale 
    U.S. Treasury and Agency obligations 
    State and municipal bonds 
    Corporate bonds 
    Residential mortgage-backed securities  
    Commercial mortgage-backed securities 
    Other asset-backed securities 

Common and preferred stocks 

Total 

Fair 
Value 

Unrealized 
Loss 

December 31, 2009 

Less than 12 months 
Fair 
Value 

  Unrealized 
Loss 

More than 12 months 
Fair 
Value 

Unrealized 
Loss 

$ 

55,556 
177,643 
183,995 
64,882 
53,155 
4,823 
540,054 
230 
$  540,284 

  $ 

  $ 

(1,449) $ 
(3,621)
(5,755)
(11,007)
(2,448)
(176)
(24,456)
(21)

55,556 
152,783 
140,344 
44,086 
24,940 
1,903 
419,612 
121 
(24,477) $  419,733 

$ 

$ 

(1,449)  $ 
(2,399) 
(2,284) 
(4,262) 
(92) 
(12) 
(10,498) 
(2) 
(10,500)  $ 

– 
24,860 
43,651 
20,796 
28,215 
2,920 
120,442 
109 
120,551 

$ 

$ 

– 
(1,222)
(3,471)
(6,745)
(2,356)
(164)
(13,958)
(19)
(13,977)

Management does not intend to sell and believes ProAssurance will not be required to sell any of the 

debt or equity securities held in an unrealized loss position before its anticipated recovery. 

As of December 31, 2009, there are 344 debt securities (14% of all debt securities held) in an 
unrealized loss position representing 287 issuers. After an evaluation of each debt security, management 
concluded that these securities have not suffered an other-than-temporary impairment in value. The single 
greatest unrealized loss position is approximately $2.1 million; the second greatest unrealized loss position 
is an unrealized loss of approximately $1.3 million. The unrealized losses shown in the table are primarily 
attributable to higher market yields relative to the book yields of the securities. Each fixed maturity security 
has paid all scheduled contractual payments and was assessed as to whether it would continue to do so. 
Asset-backed securities were modeled to determine if they would maintain assumed cash flows using six-
month historical performance data from the collateral (loans) underlying the security, if available, or sector 
based assumptions if not. 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 will be 
valued at or above book value in the near term. 

The following table presents a roll forward of cumulative credit losses recorded in earnings related 

to impaired debt securities for which the non-credit portion of the other-than-temporary impairment is 
recorded in Other Comprehensive Income. 

Balance January 1, 2009 

  $ 

– 

(In thousands) 

Credit losses recognized related to impaired securities held at April 1, 2009 for which a portion of the 
impairment is recorded in Other Comprehensive Income (see Note 1 regarding  impairments)  

Additional credit losses recognized during the period, related to securities for which: 
  No OTTI has been previously recognized  
  OTTI has been previously recognized 

Reductions due to:  

Securities sold during the period (realized) 
Securities which will be sold in coming periods 
Securities for which it has become more likely than not that the security will be required to be sold prior to 

anticipated recovery of amortized cost basis 

Accretion recognized during the period related to cash flows that are expected to exceed the amortized cost 

basis of the security  

Balance December 31, 2009 

1,329 

610 
129 

– 
– 

– 

– 
  $  2,068 

105 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
  
 
   
 
 
 
  
 
   
 
 
 
  
 
   
 
 
 
  
 
   
 
 
 
  
 
 
   
 
 
 
  
 
   
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

4.  Investments (continued) 

Credit losses recognized in 2009 included residential mortgage-backed securities and corporate 

bonds. ProAssurance estimates the portion of loss attributable to credit using a discounted cash flow model 
that relies on actual collateral performance measures (default rate, voluntary prepayment rate, and loss 
severity), if available, or sector based assumptions if not. These assumptions are applied throughout the 
remaining term of the security, based upon the underlying transactions’ structure, including payment 
priorities and performance triggers.  

The recorded cost basis and estimated fair value of available-for-sale securities at December 31, 

2009, 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. 

 (In thousands) 

Fixed maturities, available for sale 
    U.S. Treasury and Agency obligations 
    State and municipal bonds 
    Corporate bonds 
    Residential mortgage-backed securities  
    Commercial mortgage-backed securities 
    Other asset-backed securities 

Common and preferred stocks 

Amortized 
Cost 

Due in one 
year or less 

Due after 
one year 
through 
five years 

Due after 
five years 
through ten 
years 

Due after 
ten years 

Total Fair 
Value 

$ 

214,774 $ 

1,400,293  
1,040,896  
545,687  
93,941  
48,761  
3,344,352  
2,572  
3,346,924  

$ 

33,824 
56,674 
96,810 

$ 

81,252 
328,400 
627,939 

$ 

5,258 
373,235 
16,363 

$ 

100,236  $ 
690,340 
332,900 

220,570 
  1,448,649 
  1,074,012 
556,863 
92,567 
50,334 
  3,442,995 
3,579 
$  3,446,574 

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 entity or its affiliates exceeded 10% of stockholders’ equity at December 31, 2009. 

At December 31, 2009, ProAssurance has available-for-sale securities with a fair value of $24.7 

million on deposit with various state insurance departments to meet regulatory requirements. ProAssurance 
also has available-for-sale securities with a fair value of $26.2 million that are pledged as collateral security 
for the 2019 Note Payable (see Note 10). 

Business Owned Life Insurance (BOLI) 

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. 

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

4.  Investments (continued) 

Other Investments 

ProAssurance has Other Investments comprised of the following: 

(In millions) 

Equity interests in private investment funds, at cost  
Federal Home Loan Bank (FHLB) capital stock, at cost 
Other, at cost 
High yield asset-backed securities, at fair value (amortized cost of $19.4 and $20.5 at 

December 31, 2009 and 2008, respectively)  

Other Investments 

2009 

2008 

$ 

$ 

29.1 
5.2 
2.1 

10.9 
47.3 

$ 

$ 

29.1 
5.1 
1.9 

9.5 
45.6 

FHLB capital stock is not marketable, but may be liquidated by terminating membership in the 

FHLB. The liquidation process can take up to five years. 

The high yield asset-backed securities were originally directly owned by ProAssurance but have 

since been transferred to a private investment fund specializing in managing such securities. ProAssurance 
retains a direct beneficial interest in the securities. Management evaluated the securities for impairment as 
of December 31, 2009 and determined that the present value of expected future cash flows from each 
security equaled or exceeded the amortized cost basis of the security. 

Net Investment Income 

Net investment income by investment category is as follows: 

(In thousands) 

2009 

2008 

2007 

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

Investment expenses 
Net investment income 

  $  150,122 
1,036 
1,209 
2,802 
1,563 
156,732 
(5,787) 
  $  150,945 

  $  150,085 
1,231 
6,891 
2,801 
1,932 
162,940 
(4,556) 
  $  158,384 

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

Net realized investment gains (losses) are comprised of the following: 

(In thousands) 

2009 

2008 

2007 

Total other-than-temporary impairment losses: 
  Residential mortgage-backed securities (1) 
  Corporate bonds(2) 

Equities(3) 

  Other(4) 
  Other invested assets, asset-backed securities 
Portion recognized in Other Comprehensive Income(5): 
  Residential mortgage-backed securities 
Gross realized gains, available-for-sale and short-term securities 
Gross realized (losses), available-for-sale and short-term securities 
Net realized gains (losses), trading securities 
Change in unrealized holding gains (losses), trading securities 
Fair value adjustments, net 
Net realized investment gains (losses) 

$ 

$ 

(3,393) 
(3,749) 
(494) 
(536) 
–

199 
17,217 
(5,151) 
(956) 
10,291 
(636) 
12,792 

  $ 

  $ 

(9,140) 
(25,347) 
(10,564) 
(1,969) 
– 

– 
8,038 
(6,505) 
(890) 
(4,536) 
– 
$  (50,913) 

(2,286) 
(185) 
– 
(1,108) 
(4,174) 

– 
2,944 
(1,143) 
(284) 
297 
– 
(5,939) 

(1) Includes unrealized impairment losses of approximately $61,000 that were recognized in earnings in the first 
quarter of 2009 but reclassified from retained earnings to other comprehensive income on April 1, 2009  

(2) 2008 includes $19.5 million related to Lehman  
(3) 2008 includes $9.5 million related to Fannie Mae and Freddie Mac preferred stock  
(4) 2008 includes $1.0 million related to the Reserve Primary Fund 
(5) In accordance with GAAP all OTTI losses prior to April 1, 2009 were recognized in earnings 

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

4.  Investments (continued) 

Net gains (losses) related to fixed maturities included in the above table are $4.5 million, ($32.0) 

million and ($483,000) during 2009, 2008, and 2007, respectively. 

Other information regarding sales and purchases of available-for-sale securities: 
2007 

(In millions) 

2008 

2009 

Proceeds from sales (exclusive of maturities and paydowns): 
  Adjustable rate, short duration fixed maturity securities 
  Other available-for-sale securities 

  Total 

Purchases of: 
  Adjustable rate, short duration fixed maturity securities 
  Other available-for-sale securities 

  Total 

$ 

$ 

$ 

$ 

7.0 
485.6 
492.6 

– 
930.9 
930.9 

$ 

$ 

$ 

$ 

148.1 
400.3 
548.4 

106.7 
633.9 
740.6 

$ 

$ 

$ 

$ 

691.5 
360.6 
1,052.1 

576.7 
831.4 
1,408.1 

5.  Reinsurance 

ProAssurance has various excess of loss, quota share, and cession reinsurance agreements. 
Historically, the professional liability per claim retention level has varied between 90% and 100% of the 
first $1 million and between 0% and 5% 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 (in thousands): 

2009 Premiums 

2008 Premiums 

2007 Premiums 

Written 

Earned 

Written 

Earned 

Written 

Earned 

Direct 
Assumed 
Ceded 
Net premiums 

  $  553,777 
145 
(39,879) 
  $  514,043 

  $  539,922 
90 
(42,469) 
  $  497,543 

  $  471,510 
(28) 
(42,475) 
  $  429,007 

  $  503,607 
(28) 
(44,301) 
  $  459,278 

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

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

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, 2009, all reinsurance recoverables are considered collectible. Reinsurance 
recoverables totaling approximately $24.8 million are collateralized by letters of credit or funds withheld. 
At December 31, 2009 no amounts due from individual reinsurers exceed 5% of stockholders’ equity. 

There were no significant reinsurance commutations in 2009. 

During 2008, ProAssurance commuted (terminated) various outstanding reinsurance arrangements 

for approximately $42.7 million in cash. The commutations reduced Receivable from Reinsurers on Paid 
Losses and Receivable from Reinsurers on Unpaid Losses, combined, by approximately $3.9 million (net 
of cash received) and reduced Reinsurance Premiums Payable by approximately $122,000. 

During 2007, ProAssurance commuted (terminated) various outstanding reinsurance arrangements 

for approximately $6.3 million in cash. The commutations reduced Receivable from Reinsurers on Paid 
Losses and Receivable from Reinsurers on Unpaid Losses, combined, by approximately $477,000 (net of 
cash received) and reduced Reinsurance Premiums Payable by approximately $3.3 million.  

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

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: 

(In thousands) 

2009 

2008 

Deferred tax assets 
  Unpaid loss discount 
  Unearned premium adjustment 
  CHW and other contingencies (see Note 9) 

Loss and credit carryovers 
  Basis differences–investments 
  Compensation related 
  Unrealized losses on investments, net 
  Other 
Total deferred tax assets 

Deferred  tax liabilities 
  Deferred acquisition costs 
  Unrealized gains on investments, net 
  Other 
Total deferred tax liabilities 
Net deferred tax assets 

$ 

71,562 
19,971 
–
360 
7,311 
12,512 
–
3,166 
114,882 

  $  76,351 
14,528 
7,868 
1,276 
18,217 
7,725 
20,555 
2,859 
149,379 

8,922 
34,282 
2,872 
46,076 
68,806 

6,827 
– 
4,518 
11,345 
  $  138,034 

$ 

A valuation allowance of $920,000 was established in 2009 related to deferred tax assets acquired 

in the PICA transaction. No other valuation allowances related to deferred tax assets have been 
established. 

At December 31, 2009 ProAssurance has available net operating loss (NOL) carryforwards of 

$284,000 and Alternative Minimum Tax (AMT) credit carryforwards of $231,000. 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 2006. 

A reconciliation of the beginning and ending amounts of unrecognized tax benefits for 2009 is, as 

follows:  

(In thousands) 

Balance at January 1 
Additions for tax positions taken during the current year 
Interest 
Balance at December 31 

2009 
$  3,755 
    3,056 
345 
$   7,156 

2008 

$ 
– 
    3,755 
– 
$   3,755 

The unrecognized tax benefits at December 31, 2009, if recognized, would not affect the effective 
tax rate but would accelerate the payment of tax. The unrecognized tax benefits relate primarily to market 
values of certain securities and therefore it is reasonably possible the amount could change significantly 
during the next twelve months. Due to the nature of the uncertainty the range of such a change cannot be 
estimated. 

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements  
December 31, 2009 

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:  
(In thousands) 

2008 

2009 

2007 

Computed “expected” tax expense 

$  111,567 

$  86,935 

$  82,719 

Tax-exempt income 

Other 

Total 

(16,548) 

(17,270) 

(15,827) 

1,717 

996 

1,261 

$  96,736 

$  70,661 

$  68,153 

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

2009 nor was there any significant liability for such amounts at December 31, 2009. 

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 policy acquisition costs are $49.7 million, $47.3 million, and $52.3 

million for years ended December 31, 2009, 2008, and 2007, 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 internal actuaries to review the reserve for losses of each 
insurance subsidiary. ProAssurance also engages external actuaries to review ProAssurance claims data 
and provide observations regarding cost trends, rate adequacy and ultimate loss costs. ProAssurance 
considers the views of the 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 external actuary’s certification as to their respective reserves in 
accordance with the requirements of the National Association of Insurance Commissioners (NAIC). 

110 

 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

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

Activity in the reserve for losses and loss adjustment expenses is summarized as follows: 

(In thousands) 

Balance, beginning of year 
Less reinsurance recoverables 
Net balance, beginning of year 

Net reserves acquired from acquisitions 

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 

  $ 

2009 

2,379,468 
268,356 
2,111,112 

163,946 

2008 

2007 

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

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

– 

– 

438,368 

396,750 

455,982 

(207,300) 
231,068 

(185,251) 
211,499 

(104,985) 
350,997 

(67,900) 
(278,655) 
(346,555) 

(20,635) 
(312,348) 
(332,983) 

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

2,159,571 
262,659 
2,422,230 

  $ 

    2,111,112 
268,356 
  $  2,379,468 

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

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 2009 reflects reductions in the Company’s estimates of 
claim severity principally for the 2003 through 2007 accident years. The favorable development 
recognized in 2008 was primarily due to reductions in estimates of claims severity for the 2004, 2005 and 
2006 accident years. The favorable development recognized in 2007 was primarily due to reductions in 
estimates of claims severity for the 2003, 2004 and 2005 accident years. Actuarial evaluations of both 
internal and industry actual claims data in 2009, 2008 and 2007 all indicated that claims severity (i.e., the 
average size of a claim) is increasing more slowly than was anticipated when the reserves for 2002 
through 2006 were initially established. 

9.  Commitments and Contingencies  

As a result of the acquisition in 2005 of ProAssurance National Capital Insurance Company (PRA 

National), formerly known as NCRIC, Inc., ProAssurance assumed the risk of loss for a judgment (the 
Judgment) entered against PRA National on February 20, 2004 by a District of Columbia Superior Court 
in favor of Columbia Hospital for Women Medical Center, Inc. (CHW). The Judgment was appealed to 
the District of Columbia Court of Appeals, which affirmed the Judgment in October 2008 and denied 
PRA National’s petition for rehearing in January 2009. ProAssurance included a liability of $19.5 million 
related to the Judgment and post trial interest as a component of the fair value of assets acquired and 
liabilities assumed in the purchase price allocation in 2005, and accrued post trial interest thereafter. In 
April 2009, PRA National paid approximately $20.8 million to CHW which represents a full settlement of 
the Judgment, except with regard to a pending settlement setoff of less than $250,000. 

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  

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ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

9.  Commitments and Contingencies (continued) 
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 and office 

equipment. 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, 2009. 

Operating Leases 
(In thousands) 

2010 
2011 
2012 
2013 
Thereafter 
Total minimum lease payments 

  $  2,862 
    1,707 
    1,014 
888 
    2,737 
  $  9,208 

ProAssurance incurred rent expense of $3.5million, $2.8 million and $2.9 million in the years 

ended December 31, 2009, 2008 and 2007, respectively.  

10.  Long-term Debt  

ProAssurance’s outstanding long-term debt consists of the following as of December 31, 2009 

and December 31, 2008.  

Trust Preferred Securities/ Trust Preferred Subordinated Debentures due 2034, unsecured, 
bearing interest at a variable rate of LIBOR plus 3.85%, adjusted quarterly (4.1% at 
December 31, 2009). Estimated fair value at December 31, 2009 is $23.0 million*. 

(In thousands) 

2009 

2008 

$ 

22,992 

$  22,992 

Surplus Notes due May 2034, unsecured, principal of $12 million, bearing interest at a 

variable rate of LIBOR plus 3.85%, adjusted quarterly (4.1% at December 31, 2009). 
Estimated fair value at December 31, 2009 is $12.0 million*. 

12,000 

11,938 

Note Payable due February 2019, carried at fair value, principal of $17.7 million. Bearing a 

variable rate of LIBOR plus 0.7%, see information below regarding the associated interest 
rate swap, secured by available-for-sale securities having a fair value at December 31, 
2009 of approximately $26.2 million.  

Surplus Note due February 2012, unsecured, principal of $517,000, at December 31, 2009, 

bearing interest at the U.S. prime rate, paid and adjusted quarterly (3.3% at December 31, 
2009). Estimated fair value at December 31, 2009 is $513,000*. 

14,740 

471 

─ 

─ 

$   50,203 

$  34,930 

*Fair values given are based on the present value of expected underlying cash flows of the debt, discounted at rates available at December 
31, 2009 for similar debt issued by entities with a similar credit standing to ProAssurance or, if issued by an insurance subsidiary, the 
subsidiary issuing the debt. 

112 

 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

10.  Long-term Debt (continued) 

Trust Preferred Securities/Trust Preferred Subordinated Debentures due 2034 (TPS/TPS Debentures) 

In 2004, ProAssurance formed two business trusts, (the Trusts) for the sole purpose of issuing, in 
private placement transactions, $45.0 million of trust preferred securities and using the proceeds thereof, 
together with the equity proceeds received from ProAssurance in the initial formation of the Trusts, to 
purchase $46.4 million of variable rate subordinated debentures issued by ProAssurance. In December 
2008, ProAssurance reacquired all of the outstanding TPS of one of the trusts (Trust-1) and a portion of 
the outstanding TPS of the other trust (Trust-2), having a combined face value of $23 million, for 
approximately $18.4 million and recognized a gain on the extinguishment of the debt of $4.6 million. 
Trust-1 was liquidated in 2009. 

ProAssurance owns all voting securities of Trust-2 and the TPS Debentures are the sole assets of 

Trust-2. Trust-2 meets the obligations of its TPS with the interest and principal paid on the TPS 
Debentures. ProAssurance is not the primary beneficiary of Trust-2 and, in accordance with GAAP 
guidance for the consolidation of variable interest entities, does not consolidate Trust-2. ProAssurance 
consolidated Trust-1 prior to its liquidation. 

The TPS Debentures and the TPS are uncollateralized, do not require maintenance of minimum 
financial covenants, and carry nearly identical terms. Maturity is in 2034, but early redemption has been 
allowed since May 2009. Interest is payable quarterly at LIBOR plus 3.85%, set and paid quarterly. 
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. 

Surplus Notes Due 2034 (the Surplus Notes) 

The Surplus Notes are the unsecured obligations of ProAssurance Wisconsin Insurance Company 

(PRA Wisconsin), subordinated and junior in the right of payment to the prior payment in full of all 
senior claims and senior indebtedness of PRA Wisconsin. The Surplus Notes are not guaranteed by 
ProAssurance or 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. The 
Surplus Notes became redeemable, for cash, in whole or in part, beginning in May 2009. 

The Surplus Notes bear interest at LIBOR plus 3.85%; prior to May 2009 the rate on the notes 

was fixed at 7.7%. 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 PRA Wisconsin has sufficient surplus to make such payment. 

The Surplus Notes were acquired at a discount of $420,000 which was accreted (through interest 

expense) from the date the debt was assumed until May 2009, the first redemption date. 

Note Payable due February 2019 and related Interest Rate Swap 

The Note Payable due February 2019 (the 2019 Note Payable) was assumed in ProAssurance’s 

acquisition of PICA and is a secured obligation of PICA. Principal and interest payable are paid monthly 
with the principal amortizing over the life of the loan. The entire remaining principal shall be due and 
payable on February 1, 2019. PICA is required to maintain collateral security for the loan in an amount at 
least equal to the outstanding principal balance. The 2019 Note Payable is not guaranteed by 
ProAssurance or any of its subsidiaries other than PICA. In accordance with GAAP guidance regarding 
the valuation of liabilities assumed in a business combination, the 2019 Note Payable was recorded at its 
fair value on the PICA acquisition date, April 1, 2009. Additionally, ProAssurance elected to account for 
the 2019 Note Payable at fair value on a recurring basis and, accordingly, no accretion of the fair value 
purchase adjustment is being recorded. 

113 

 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

10.  Long-term Debt (continued) 

Future maturities of the 2019 Note Payable as of December 31, 2009 are as follows: 

2010 
$303,100 

2011 
$ 324,600 

2012 
$ 344,000 

2013 
$ 370,900 

2014 
$397,400 

Thereafter 
$ 15,999,300 

PICA is subject to certain debt covenants related to the 2019 Note Payable. The covenants are of 

the nature routinely associated with loans of this type and include the following: 

−  a requirement that PICA maintain a debt service coverage ratio of 1:1, measured annually. The 
ratio is computed as net income (as defined by GAAP) plus depreciation, interest, amortization 
and income taxes divided by aggregate principal and interest payments on all of PICA’s debt. 

−  a requirement that PICA maintain a A.M. Best insurance rating of B++ “Good” or better.  

−  a restriction on the sale, lease or transfer of a substantial, material portion of PICA’s assets 

without the approval of the bank 

PICA is currently in compliance with all covenants. 

PICA is party to an interest rate swap agreement (the swap) with the 2019 Note Payable issuing 

bank, the purpose of which is to reduce the market risk from changes in future interest rates relative to the 
2019 Note Payable. The swap fixes the interest rate related to the Note Payable at 6.6%. The swap will 
terminate February 1, 2019. The notional amount of the swap corresponds directly to the unamortized 
portion of the debt being hedged each month. Under the swap agreement, PICA agrees to exchange, at 
monthly intervals, the difference between the fixed-rate and LIBOR variable rate by reference to the 
notional principal amount. The fair value of the interest rate swap at December 31, 2009 is $2.9 million 
and is classified within Other Liabilities. 

Surplus Note due February 2012 

In connection with the acquisition of Georgia Lawyers, ProAssurance issued a surplus note (the 

2012 Surplus Note) due February 2012. The 2012 Surplus Note is the unsecured obligation of 
ProAssurance Casualty Company (PRA Casualty). The 2012 Surplus Note may be repaid, plus any 
accrued and unpaid interest, at any time without penalty or fee. The 2012 Surplus Note has been recorded 
at fair value on the acquisition date as required by GAAP. The resulting discount to the 2012 Surplus 
Note is being accreted over the remaining life of the debt using the effective interest method. 

Debt Extinguished 

As a part of the PICA acquisition, ProAssurance assumed liability for PICA’s Surplus Notes due 

May 2033 (the 2033 Surplus Notes) which had an outstanding principal balance of $7.0 million. 
ProAssurance redeemed the 2033 Surplus Notes at par, for cash, on August 24, 2009. Because the 2033 
Surplus Notes were valued at fair value on the date of acquisition, but were redeemed at par, a pre-tax 
loss of approximately $2.8 million ($1.8 million, net of tax) was incurred in the third quarter of 2009 
related to the redemption. 

ProAssurance completed the conversion of all of its outstanding Convertible Debentures 
(aggregate principal of $107.6 million) in July 2008. Approximately 2,572,000 shares of ProAssurance 
common stock were issued in the transaction (conversion rate was 23.9037 per $1,000 debenture). Of the 
common shares issued, approximately 2.12 million were reissued Treasury Shares and 450,000 were 
newly issued shares. No gain or loss was recorded related to the conversion. 

114 

 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

10.  Long-term Debt (continued) 

Credit Facility 

ProAssurance’s PICA subsidiary has a revolving credit facility with a bank in the amount of $3.0 

million. The expiration date of the line of credit is August 1, 2010 and the line bears an interest rate of 
LIBOR plus 1.25%. Outstanding balances under the facility must be collateralized by securities of an 
equal or greater value. There was no outstanding balance as of December 31, 2009. 

Debt Guarantees 

ProAssurance has guaranteed that amounts paid to Trust-2 pursuant to its TPS Debentures will be 

remitted to the holders of the TPS. These guarantees, when taken together with the obligations of 
ProAssurance under the TPS Debentures, (including obligations to pay related trust costs, fees, expenses, 
debt and other obligations for Trust-2 other than with respect to the common and trust preferred securities 
of the Trust-2), the Indentures pursuant to which those debentures were issued, and the related trust 
agreements provide a full and unconditional guarantee of amounts due on the TPS. 

11.  Stockholders’ Equity 

At December 31, 2009 ProAssurance had 100 million shares of authorized common stock and 50 

million shares of authorized preferred stock. The Board of Directors of ProAssurance Corporation (the 
Board) has the authority to determine the provisions for the issuance of 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, 2009, the Board of Directors has not approved 
the issuance of preferred stock. 

At December 31, 2009 approximately 1.8 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 1.2 million common shares are 
reserved for the exercise of outstanding options and unvested performance shares. 

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 available-for-sale securities for the years ended December 

31, 2009, 2008 and 2007 are as follows: 
(In thousands) 
Net realized investment gains (losses) included in the calculation 

of net income 
Tax effect (at 35%) 
Net realized investment gains (losses) reclassified from other 

2009 

2008 

2007 

  $ 

3,704 
(1,296)

  $ 

(44,485) 
15,570 

  $  (5,940) 
2,079 

comprehensive income 

  $ 

2,408 

  $ 

(28,915) 

  $  (3,861) 

As of April 1, 2009 in conjunction with adoption of new GAAP guidance regarding impairment 
of debt securities, ProAssurance reclassified previously recognized non-credit impairment losses, net of 
tax, from retained earnings to accumulated comprehensive income (a $3.5 million increase to retained 
earnings; a $3.5 million decrease to accumulated other comprehensive income). As of January 1, 2007, 
ProAssurance increased retained earnings by $2.7 million for the cumulative effect of adopting the new 
GAAP guidance regarding uncertain tax treatments (See Note 1 for the full discussions regarding new 
GAAP guidance adopted by ProAssurance). 

115 

 
 
 
 
 
 
 
   
   
   
   
   
   
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

11.  Stockholders’ Equity (continued) 

The Board of Directors of ProAssurance authorized $150 million in April 2007, an additional 
$100 million in August 2008 and an additional $100 million in September 2009, for the repurchase of 
common shares or the retirement of outstanding debt. As of December 31, 2009, the repurchase 
authorization remaining available for use is approximately $115.4 million. The timing and quantity of 
purchases depends upon market conditions and changes in ProAssurance’s capital requirements and 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. 

ProAssurance used approximately $7.0 million, $18.4 million and $15.5 million of the 

authorization to redeem debt during the years ended December 31, 2009, 2008 and 2007, respectively (see 
Note 10). ProAssurance repurchased approximately 1.1 million, 1.8 million and 1.0 million common 
shares, having a total cost of $52.0 million, $87.6 million and $54.2 million during the years ended 
December 31, 2009, 2008 and 2007, respectively. ProAssurance reissued 100,533 treasury shares, having 
a cost basis of approximately $5.0 million, during the first quarter of 2009 as part of the consideration for 
acquisitions in the quarter. 

As discussed in Note 10, on July 2, 2008 approximately 2.12 million treasury shares and 450,000 

newly issued common shares were used to complete the conversion of ProAssurance's Convertible 
Debentures. The conversion of the debt increased Stockholders’ Equity by $112.5 million, consisting of 
the carrying amount of the Convertible Debentures (principal of $107.6 million, less the unamortized 
portion of related loan discounts and costs of $1.8 million) and a $6.7 million tax benefit from the reversal 
of interest-related deferred tax liabilities. 

12.  Stock Options and Share-Based Payments 

ProAssurance recognized share-based compensation cost of $6.2 million, $7.8 million and $8.3 

million and a related tax benefit of $2.2 million, $2.6 million and $2.8 million during the years ended 
December 31, 2009, 2008, and 2007, respectively. Share-based compensation costs are primarily 
classified as underwriting, acquisition and insurance expenses.  

ProAssurance provided performance-based stock compensation to employees during 2009 under 
the ProAssurance Corporation 2008 Equity Incentive Plan, which was adopted in May 2008 and will be 
used for all future awards. ProAssurance primarily provided performance-based stock compensation to 
employees during 2008 and 2007 under the ProAssurance Corporation 2004 Equity Incentive Plan. Prior 
to 2005, awards were made under the ProAssurance Corporation Incentive Compensation Stock Plan. The 
Compensation Committee of the Board of Directors is responsible for the administration of all three 
plans. 

ProAssurance has provided share based compensation to employees through a combination of 

restricted stock units, performance share units and stock option awards, as follows (in millions): 

Restricted stock units 
Performance shares 
Stock options 

Share-Based Compensation 
Expense by Award Type 
Year Ended December 31 
2008 
– 
4.7 
3.1 
$  7.8 

2007 
– 
2.4 
5.9 
$  8.3 

2009 
$  0.6 
4.4 
1.2 
$  6.2 

$ 

$ 

Unrecognized 
Compensation Cost by 
Award Type at 
December 31, 2009 

$  0.8 
4.6 
0.6 
$  6.0 

All awards are charged to expense as an increase to equity over relevant service period of the 

award, which is generally three years for restricted stock units and performance shares and 54 months for 
stock option awards. 

116 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

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

Stock Options 

The following table provides information regarding ProAssurance option activity: 

Outstanding at beginning of year 
Granted      
Exercised 
Forfeited or expired 
Outstanding at end of year 
Exercisable at end of year 
Outstanding at end of year,  

vested or expected to vest 

2009 

2008 

2007 

Weighted 
Average 
Exercise 
Price 

  $  42.49 
– 
  32.23 
  53.48 
  42.66 
  40.66 

Options 
1,013,658 
– 
(34,131) 
(18,777) 
960,750 
803,750 

Weighted 
Average  
Exercise 
Price 

  $  40.55 
  54.28 
  34.33 
  52.76 
  42.48 
  39.32 

Options 
973,155 
132,500 
(68,470) 
(23,527) 
1,013,658 
725,458 

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 

957,060 

  42.62 

999,044 

  42.36 

959,049 

  40.46 

ProAssurance’s options generally vest in five equal installments, the first installment occurring 
six months after the grant date and the other installments occurring annually thereafter. All options are 
granted with an exercise price equal to the market price of ProAssurance’s common shares on the date of 
grant, and an original term of ten years. ProAssurance issues new shares for options exercised. 

At December 31, 2009, unrecognized compensation cost related to non-vested options granted 

under ProAssurance's stock compensation plans approximated $618,000. That cost is expected to be 
recognized over a weighted average period of 2.1 years. 

The fair value of options vested during the years ended December 31, 2009, 2008 and 2007 is 

$2.2 million, $11.8 million and $17.0 million, respectively.  The aggregate intrinsic value of options 
exercised during 2009, 2008 and 2007 is $695,000, $1.4 million and $8.0 million, respectively. 

Additional information regarding ProAssurance options as of December 31, 2009: 
Weighted Average 
Remaining Contractual Term 
(In years) 

Aggregate Intrinsic 
Value 
(In millions) 

Options outstanding 
Options outstanding, vested or expected to vest 
Options exercisable 

$  10.9 
$  10.9 
$  10.8 

5.7 
5.7 
5.3 

There were no cash proceeds from options exercised during the year ended December 31, 2009 or 
2008. Cash proceeds from options exercised during the year ended December 31, 2007 totaled $128,000. 

No stock options were granted during 2009. The weighted average fair values of options granted 

during 2008 and 2007 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) 

2008 
$16.49 

2007 
$16.41 

3.1% 
0.23 
0.0% 
6 

4.6% 
0.22 
0.0% 
5 

117 

 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

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

Because ProAssurance has limited historical data regarding exercise behavior of its employees, 

the expected term of the above option grants was estimated using the methodology provided for in the 
U.S. Securities and Exchange Commission's Staff Accounting Bulletin 107, which is the mid-point 
between the vesting date and the end of the contractual term of the option. The risk-free interest rate 
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 
common shares 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. 

Restricted Stock Units 

On February 26, 2009, ProAssurance granted approximately 29,000 shares of restricted stock 

units to certain employees under the ProAssurance 2008 Equity Incentive Plan. The awards 100% vest on 
February 26, 2012 based on a service requirement. The fair value of each restricted share was estimated at 
$47.70, equal to the market value of a ProAssurance common share on the date of grant. The 
unrecognized compensation cost at December 31, 2009 related to Restricted Stock is approximately 
$780,000 and is expected to be recognized over a weighted average period of 2.2 years. No restricted 
stock was forfeited during 2009. 

Performance Shares 

The following table provides information regarding ProAssurance's Performance Shares: 

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

2009 
12/31/2011 
  71,135 
  $  47.70 

Performance Shares 
2008 
12/31/2010 
  73,000 
  $  54.28 

2007 
12/31/2009 
  58,000 
  $  51.48 

At December 31, 2009, based on current achievement of the Performance Measures, it is 
estimated that approximately 265,000 Performance Shares, having an estimated grant date fair value of 
approximately $13.6 million, will ultimately vest. At December 31, 2009 the unrecognized compensation 
cost related to Performance Shares is estimated as $4.6 million and is expected to be recognized over a 
weighted average period of 1.6 years. Performance Share forfeitures have not been significant. 

ProAssurance granted Performance Share awards to employees in 2009 under the ProAssurance 
2008 Equity Incentive Plan, as well as in 2008 and 2007 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 based upon requirements for 
continued service and achievement of specified performance goals. 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 goals 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.  

In February 2009, ProAssurance awarded participants approximately 44,000 shares for 
performance shares granted in 2006. The awards were issued at the maximum level (125% of the target) 
based on performance levels achieved. Cash was given in lieu of shares sufficient to satisfy required tax 
withholdings. 

118 

 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

13.  Earnings Per Share 

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

earnings per share for each period presented: 

(In thousands, except per share data) 

2009 

2008 

2007 

Basic earnings per share calculation: 

Numerator: 
Net income 

$  222,026 

  $  177,725 

$  168,186 

Denominator: 
Weighted average number of common shares outstanding 

32,848 

32,750 

32,960 

Basic earnings per share 

$ 

6.76 

  $ 

5.43 

$ 

5.10 

Diluted earnings per share calculation: 

Numerator: 
Net income 
Effect of assumed conversion of contingently convertible  

debt instruments 

Net income–diluted computation 

Denominator: 
Weighted average number of common shares outstanding 
Assumed exercise of dilutive stock options and issuance of  

performance shares 

Assumed conversion of contingently convertible debt  

Instruments 

Diluted weighted average equivalent shares  

$  222,026 

  $  177,725 

$  168,186 

– 
$  222,026 

1,484 
  $  179,209 

2,967 
$  171,153 

32,848 

32,750 

32,960 

302 

– 
33,150 

319 

291 

1,293 
34,362 

2,572 
35,823 

Diluted earnings per share 

$ 

6.70 

  $ 

5.22 

$ 

4.78 

In accordance with GAAP guidance regarding the computation of earnings per share, the diluted 

weighted average number of shares outstanding includes an incremental adjustment for the assumed 
exercise of dilutive stock options. Stock options are considered dilutive stock options if the assumed 
exercise of the options, using the treasury stock method, produces an increased number of shares. The 
average number of ProAssurance’s outstanding options that were not considered to be dilutive 
approximated 423,000 during 2009, 389,000 during 2008, and 211,000 during 2007.

119 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

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. PICA maintained similar plans which were assumed by ProAssurance 
on the date of acquisition. The PICA savings and retirement plan has since been merged into the 
ProAssurance savings and retirement plan, and the PICA non-qualified deferred compensation plan 
became inactive as of the acquisition date. 

ProAssurance’s contribution to the savings and retirement plans was $4.5 million ($484,000 
attributable to PICA), $3.5 million and $3.3 million during the years ended December 31, 2009, 2008 
and 2007, respectively. ProAssurance's contribution to the deferred compensation plan was 
approximately $340,000 for the year ended December 31, 2009, $288,000 for the year ended 
December 31, 2008, and $125,000 during year ended December 31, 2007. ProAssurance's liability 
related to the deferred compensation plans consists primarily of employee salary deferrals and 
approximated $6.6 million at December 31, 2009 and $3.5 million at December 31, 2008. We 
acquired a deferred compensation liability of $3.0 million in the PICA acquisition. 

15.  Statutory Accounting and Dividend Restrictions 

ProAssurance's insurance subsidiaries are required to file statutory financial statements with 
state insurance regulatory authorities, prepared based upon statutory accounting practices prescribed 
or permitted by regulatory authorities. Differences between net income prepared in accordance with 
GAAP 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 and (b) certain 
deferred income taxes which are recorded under GAAP but not for statutory purposes.  

The NAIC specifies risk-based capital requirements for property and casualty insurance 

providers. At December 31, 2009 statutory capital for each of ProAssurance’s insurance subsidiaries 
was sufficient to satisfy regulatory requirements. The table includes the statutory earnings of PICA in 
the year of acquisition and thereafter (see Note 3). The net earnings so included are the earnings for 
the statutory annual period. Consolidated net income, on a GAAP basis, includes the earnings of 
PICA only for the periods following acquisition (April 2009). 

(In millions)

Net Earnings 
 2008 

  2007 

  2009 

Surplus 

  2009 

  2008 

  $239 

  $ 191 

  $171 

$1,265 

$ 1,084 

ProAssurance’s insurance subsidiaries, in aggregate, are permitted to pay dividends of 
approximately $204 million during 2010 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. 

120 

 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

16.  Variable Interest Entities 

ProAssurance holds passive interests in seven limited partnerships/limited liability companies 
that are considered to be Variable Interest Entities (VIEs) under GAAP guidance. ProAssurance is not 
the primary beneficiary relative to these entities and is not required to consolidate the entities. The 
entities are all non-public investment funds 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 essentially no 
influence over the entity. These investments are included in Other Investments and total $31.1 million 
at December 31, 2009 and $31.0 million at December 31, 2008. 

ProAssurance's investment in three of the entities represents an ownership interest of between 

10% and 30%. Because ProAssurance is deemed to have a greater than minor interest in these 
entities, they are accounted for using the equity method. ProAssurance’s investment in these three 
entities totals $48.5 million and $44.5 million at December 31, 2009 and 2008, respectively, 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. 
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 ($10.9 
million and $9.5 million at December 31, 2009 and 2008, respectively). See Note 4. 

As discussed in Note 10, ProAssurance owns all voting securities in a trust (Trust-2) 

associated with its TPS/TPS Debentures, but is not the primary beneficiary of Trust-2. 
ProAssurance’s equity investment in Trust-2 totals $992,000 and is included in Other Assets. 

121 

 
 
 
 
ProAssurance Corporation and Subsidiaries 
Notes to Consolidated Financial Statements 
December 31, 2009 

17.  Quarterly Results of Operations (unaudited) 

The following is a summary of unaudited quarterly results of operations for 2009 and 2008: 

(In thousands, except per share data) 

1st 

2nd  

3rd 

4th 

2009 

Net premiums earned 
Net losses and loss adjustment expenses: 

Current year 
Prior year 

Net income 
Basic earnings per share 
Diluted earnings per share 

  $  103,891 

  $  127,744 

  $  131,956 

  $  133,952 

87,617 
(18,500) 
28,366 
0.85 
0.84 

  104,025 
(37,000) 
53,881 
1.64 
1.62 

  112,066 
(42,500) 
55,201 
1.69 
1.67 

  134,659 
  (109,300) 
84,577 
2.61 
2.58 

(In thousands, except per share data) 

1st 

2nd 

3rd 

4th 

2008 

Net premiums earned 
Net losses and loss adjustment expenses: 

Current year 
Prior year 

Net income 
Basic earnings per share 
Diluted earnings per share 

  $  120,577 

  $  115,768 

  $  113,449 

  $  109,484 

  101,682 
(20,000) 
35,868 
1.11 
1.04 

96,921 
(31,250) 
43,318 
1.36 
1.27 

95,273 
(30,050) 
22,247 
0.66 
0.66 

  102,873 
  (103,951) 
76,292 
2.28 
2.26 

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.  

122 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule I – Summary of Investments – Other than Investments in Related Parties 
December 31, 2009 

Type of Investment 

Fixed Maturities 
  Bonds: 

(In thousands) 

Recorded 
Cost  
Basis 

Fair 
Value 

Amount 
Which is 
Presented 
in the 
Balance Sheet 

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

  Certificates of deposit 
    Mortgage-backed securities 

Total Fixed Maturities 

 $  214,774 
 1,189,824 
  289,412 
 1,010,414 
300 
  639,628 
 3,344,352 

  $  220,570 
 1,230,980 
  299,447 
 1,042,268 
300 
  649,430 
 3,442,995 

  $  220,570 
 1,230,980 
  299,447 
 1,042,268 
300 
  649,430 
 3,442,995 

Equity Securities, available-for-sale 

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

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 

107 
371 
2,094 
2,572 

1,614 
8,087 
27,340 
37,041 

120 
488 
2,971 
3,579 

1,897 
8,831 
33,098 
43,826 

120 
488 
2,971 
3,579 

1,897 
8,831 
33,098 
43,826 

  169,248 
  187,059 
 $  3,740,272 

  158,728 
  187,059 
  $ 3,836,187 

  160,763 
  187,059 
  $ 3,838,222 

(1) Other investments include investments reported at cost and investments reported at fair value. Thus, the balance 

sheet amount is less than the "cost" column but greater than the "fair value" column. 

123 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule II – Condensed Financial Information of Registrant 
Years Ended December 31, 2009, 2008 and 2007 

ProAssurance Corporation – Registrant Only 
Condensed Balance Sheets 

(In thousands) 

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 
Investment in unconsolidated subsidiaries 
Cash and cash equivalents 
Due from subsidiaries 
Other assets 

Total Assets 

Liabilities and Stockholders’ Equity 
Liabilities: 
Other liabilities 
Long-term debt 

Total Liabilities 

December 31 

2009 

2008 

  $ 1,558,390 
82,501 
– 
11,751 
34,269 
17,372 
11,780 
19,979 
13,784 
  $ 1,749,826 

  $ 1,265,452 
12,101 
412 
5,629 
  131,647 
17,159 
3 
33,613 
17,475 
  $ 1,483,491 

  $ 

22,239 
22,992 
45,231 

  $ 

36,914 
22,992 
59,906 

Stockholders’ Equity: 
Common stock 
Other stockholders’ equity, including unrealized gains (losses) on 

  securities of subsidiaries 

Total Stockholders’ Equity 

342 

341 

 1,704,253 
 1,704,595 

 1,423,244 
 1,423,585 

Total Liabilities and Stockholders’ Equity 

  $ 1,749,826 

  $ 1,483,491 

124 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule II – Condensed Financial Information of Registrant 
Years Ended December 31, 2009, 2008 and 2007 

ProAssurance Corporation – Registrant Only 
Condensed Statements of Income 

(In thousands) 

Revenues: 
Investment income including net realized investment 
gains (losses) of $1,487, ($3,379) and ($405), 
respectively 

Gain on extinguishment of debt 
Other income (loss) 

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 

Year Ended December 31 
2008 

2009 

2007 

  $  6,047 

  $ 

(34) 

  $  8,281 

– 
389 
6,436 

4,571 
(2,734) 
1,803 

– 
131 
8,412 

2,235 
8,801 
  11,036 

5,815 
5,157 
  10,972 

9,204 
4,269 
  13,473 

(4,600) 
(840) 
(3,760) 

(9,169) 
(3,325) 
(5,844) 

(5,061) 
(2,911) 
(2,150) 

  225,786 

  183,569 

  170,336 

Net income 

  $ 222,026 

  $ 177,725 

  $ 168,186 

125 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule II – Condensed Financial Information of Registrant 
Years Ended December 31, 2009, 2008 and 2007 

ProAssurance Corporation – Registrant Only 
Condensed Statements of Cash Flow 

(In thousands) 

Year Ended December 31 
2008 

2007 

2009 

Cash provided (used) by operating activities 

  $ 

(5,755) 

  $  11,915 

  $  (15,698) 

Investing activities 
  Purchases of: 

Fixed maturities, available for sale 
Equity securities, available for sale 
Equity securities trading 

  Cash investment in unconsolidated subsidiaries 
  Proceeds from sale or maturities of: 
Fixed maturities, available for sale 
Equity securities, available for sale 
Equity securities trading 

  Net decrease (increase) in short-term investments 
  Dividends from subsidiaries 
  Contribution of capital to subsidiaries 
  Cash paid for acquisitions, net of cash received 
  Other 

Financing activities 
  Repurchase of treasury stock 

Subsidiary payments for common shares and share-based 

compensation awarded to subsidiary employees 

  Book overdraft 

Principle repayment of debt 

  Other 

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

Significant non-cash transactions: 
  Extinguishment of debt as a result of Trust Preferred 
  Securities reacquired by wholly owned subsidiaries–
  See Note 3 

  Equity increase due to conversion of debt–see Notes 10 
  and 11 of the ProAssurance Consolidated Financial 
  Statements 

  Securities transferred at fair value as dividends from 

  subsidiaries 

  Common shares issued in acquisition 

(1,299) 
– 
  (13,657) 
– 

  34,822 
410 
9,122 
  126,011 
  65,712 
  (35,000) 
 (128,582) 
(745) 
  56,794 

  (28,881) 
(354) 
(3,338) 
  (20,000) 

  78,961 
– 
1,026 
  (64,717) 
  104,800 
(450) 
– 
(3,608) 
  63,439 

 (270,449) 
(291) 
(5,477) 
– 

  411,996 
– 
– 
  (45,228) 
7,000 
  (41,202) 
– 
3,731 
  60,080 

  (32,866) 

  (87,561) 

  (54,201) 

6,770 
– 
  (13,403) 
237 
  (39,262) 
  11,777 
3 
  $  11,780 

8,023 
315 
– 
192 
  (79,031) 
(3,677) 
3,680 
3 

  $ 

  11,175 
– 
– 
1,958 
  (41,068) 
3,314 
366 
  $  3,680 

  $ 

– 

  $  23,403 

  $ 

  $ 

– 

  $ 112,478 

  $ 

  $ 155,818 
  $  5,161 

  $ 
  $ 

– 
– 

  $ 
  $ 

– 

– 

– 
– 

126 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule II – Condensed Financial Information of Registrant 
Years Ended December 31, 2009, 2008 and 2007 

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 Parent) consolidated financial statements. At December 
31, 2009 and 2008, PRA Parent’s investment in subsidiaries is stated at the initial 
consolidation value plus equity in the undistributed earnings of subsidiaries since the date of 
acquisition. 

2.  Acquisitions/Dispositions 

On April 1, 2009 ProAssurance acquired Podiatry Insurance Company of America 

and subsidiaries (PICA) through a cash sponsored demutualization.  ProAssurance purchased 
all of PICA’s outstanding stock created in the demutualization for $120 million in cash and 
$15 million in premium credits. The acquisition is described in Note 3 to the Consolidated 
Financial Statements.  

3.  Long-term Debt 

Outstanding long-term debt, as of December 31, 2009 and December 31, 2008, 

consisted of the following: 

Trust  Preferred  Securities/Trust  Preferred  Subordinated  Debentures  due  2034,  unsecured, 
bearing  interest  at  a  variable  rate  of  LIBOR  plus  3.85%,  adjusted  quarterly  (4.1%  at 
December 31, 2009) (see below). 

  $  22,992 

  $  22,992 

(In thousands) 

2009 

2008 

In 2008, wholly owned subsidiaries of ProAssurance reacquired outstanding Trust 
Preferred Securities having a face value of $23 million, which effectively extinguished the 
related Trust Preferred Debentures issued by PRA Parent. Trust Preferred amounts shown in 
the above table are shown net of the reacquired Trust Preferred Securities held by PRA 
Parent’s subsidiaries. A gain of $4.6 million was recognized on the extinguishment of the 
debt. 

In 2009, PRA Parent retired $13.4 million of the Trust Preferred Securities held by its 

subsidiaries. 

See Note 10 of the Notes to the Consolidated Financial Statements included herein 

for a detailed description of the terms of the long-term debt. 

4.  Related Party Transactions 

PRA Parent received dividends from its subsidiaries of $221.5 million, $104.8 

million and $7.0 million during the years ended December 31, 2009, 2008 and 2007. PRA 
Parent contributed capital to its subsidiaries of $35.0 million, $450,000 and $41.2 million 
during the years ended December 31, 2009, 2008 and 2007. 

5.  Income Taxes 

Under terms of PRA Parent’s tax sharing agreement with its subsidiaries, income tax 

provisions for individual companies are allocated on a separate company basis. 

127 

 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule III – Supplementary Insurance Information 
Years Ended December 31, 2009, 2008 and 2007 

(In thousands) 

2009 

2008 

2007 

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 

  $ 

25,493 
  2,422,230 
244,212 
497,543 
150,945 

  $ 

19,505 
  2,379,468 
185,756 
459,278 
158,384 

  $ 

22,120 
  2,559,707 
218,028 
533,513 
171,308 

current year, net of reinsurance 

438,368 

396,750 

455,982 

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: 
Amortization of deferred policy acquisition costs 

  Other underwriting, acquisition and insurance 

expenses 

Net premiums written 

(207,300) 
(346,555) 

(185,251) 
(332,983) 

(104,985) 
(354,786) 

49,694 
66,843 

47,339 
53,046 

52,358 
54,423 

514,043 

429,007 

506,397 

Note: all amounts above are derived entirely from consolidated property and casualty entities. 

128 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ProAssurance Corporation and Subsidiaries 
Schedule IV – Reinsurance 
Years Ended December 31, 2009, 2008 and 2007 

(In thousands) 

2009 

2008 

2007 

Property and Liability(1) 
Premiums earned 
Premiums ceded 
Premiums assumed 

Net premiums earned 

  $  539,922 
(42,469) 
90 
  $  497,543 

  $  503,607 
(44,301) 
(28) 
  $  459,278 

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

Percentage of amount assumed to net 

0.02% 

(0.01%) 

0.01% 

(1) All of ProAssurance's premiums are related to property and liability coverages. 

129 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT INDEX 

 Exhibit 
Number  

Description 

2 

2.1 

2.2 

2.3 

2.4 

2.5 

3.1(a) 

3.1(b) 

3.2 

4 

10.1(a) 

10.1(b) 

10.1(c) 

Schedules to the following documents are omitted; the contents of the schedules are 
generally described in the documents; and ProAssurance will upon request furnish to 
the Commission supplementally a copy of any omitted schedule. 

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) 

Plan of Conversion of PICA as filed with the Illinois Director of Insurance on 
November 13, 2008 (4). 

Stock Purchase Agreement executed by ProAssurance Corporation and PICA dated 
October 28, 2008 (4). 

Certificate of Incorporation of ProAssurance (5) 

Certificate of Amendment to Certificate of Incorporation of ProAssurance (6) 

Second Restatement of the Bylaws of ProAssurance (7) 

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. 

Medical Assurance, Inc. Incentive Compensation Stock Plan (formerly known as the 
Mutual Assurance, Inc. 1995 Stock Award Plan) (8) * 

Amendment and Assumption Agreement by and between ProAssurance and Medical 
Assurance, Inc. (6) * 

Amendment and Assumption Agreement by and between Mutual Assurance, Inc. and 
MAIC Holdings, Inc. dated April 8, 1996 (9) * 

10.3(a) 

ProAssurance Corporation 2004 Equity Incentive Plan (10) * 

10.3(b) 

First amendment to 2004 Equity Incentive Plan (11) * 

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 (12): * 

Edward L. Rand, Jr. 

Howard H. Friedman 

Jeffrey P. Lisenby 

Darryl K. Thomas 

Frank B. O'Neil 

130 

 
 
 
 
 
10.5 

10.6(a) 

10.6(b) 

10.7 

10.8 

10.9 

Release and Severance Compensation Agreement effective as of January 1, 2008, 
between ProAssurance and Victor T. Adamo (12) * 

Employment Agreement between ProAssurance and W. Stancil Starnes dated as of 
May 1, 2007 (13) * 

Amendment to Employment Agreement with W. Stancil Starnes (May 1, 2007), 
effective as of January 1, 2008 (12) * 

Consulting Agreement between ProAssurance and William J. Listwan (14) * 

Employment Agreement between ProAssurance and Jerry D. Brant dated as of April 
2, 2009 * 

Form of Indemnification Agreement between ProAssurance and each of the 
following named executive officers and directors of ProAssurance (15)*  

Victor T. Adamo 

Lucian F. Bloodworth 

Jerry D. Brant 

Robert E. Flowers 

Howard H. Friedman 

Jeffrey P. Lisenby 

William J. Listwan 

John J. McMahon 

Drayton Nabers 

Frank B. O'Neil 

Ann F. Putallaz 

Edward L. Rand, Jr. 

W. Stancil Starnes 

Darryl K. Thomas 

William H. Woodhams 

Wilfred W. Yeargan, Jr. 

10.10 

10.11 

10.12 

10.13 

10.14 

21.1 

ProAssurance Group Employee Benefit Plan which includes the Executive 
Supplemental Life Insurance Program (Article VIII) (8) * 

Amendment and Restatement of the Executive Non-Qualified Excess Plan and Trust 
effective January 1, 2008 (12) * 

Amendment and Restatement of Director Deferred Compensation Plan effective 
January 1, 2008 (12) * 

ProAssurance Corporation 2008 Equity Incentive Plan (16) * 

ProAssurance Corporation 2008 Annual Incentive Compensation Plan (17) *  

Subsidiaries of ProAssurance Corporation 

131 

 
 
 
 
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 

Denotes a management contract or compensatory plan, contract or arrangement 
required to be filed as an exhibit to this report. 

23.1 

31.1 

31.2 

32.1 

32.2 

      * 

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  Current  Report  on  Form  8-K  for  event  occurring 
November 13, 2008 (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-
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  Current  Report  on  Form  8-K  for  the  event 
occurring  May  21,  2008  (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 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  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. 

132 

 
 
 
 
(12) 

(13) 

(14) 

(15) 

(16) 

(17) 

Filed  as  an  Exhibit  to  ProAssurance's  Annual  Report  on  Form  10-K  for  the year  ended 
December  31,  2007  (File  No.  001-16533)  and  incorporated  herein  by  this  reference 
pursuant to SEC Rule 12b-32. 

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 
September 13, 2006 (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 Registration Statement on Form S-8 (File No. 333-
156645) and incorporated by reference pursuant to SEC Rule 12b-32. 

Filed as an Exhibit to ProAssurance’s Definitive Proxy Statement (File No. 001-165333) 
on  April  11,  2008  and  incorporated  herein  by  reference  pursuant  to  SEC  Rule  12b-32.

133 

 
 
 
 
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 24, 2010 

/s/ W. Stancil Starnes 
W. Stancil Starnes 
Chief Executive Officer 

134 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 31.2 

CERTIFICATION 

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 24, 2010 

/s/ Edward L. Rand, Jr. 
Edward L. Rand, Jr. 
Chief Financial Officer

135 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 32.1 

CERTIFICATION 

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. 

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, 2009 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 24, 2010

/s/ W. Stancil Starnes 
W. Stancil Starnes 
Chief Executive Officer 

136 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 32.1 

CERTIFICATION 

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. 

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, 2009 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 24, 2010 

    /s/ Edward L. Rand, Jr. 
Edward L. Rand, Jr. 
Chief Financial Officer 

137 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Annual Report Appendix A 

Non-GAAP Financial Measures 

Operating Income is a “Non-GAAP” financial measure that is widely used in our industry to evaluate the 
performance of underwriting operations. Operating Income excludes the after-tax effects of net realized gains 
or losses, guaranty fund assessments or recoupments and debt retirement gains or losses, and we believe it 
presents a useful view of the performance of our insurance operations. While we believe disclosure of certain 
Non-GAAP information is appropriate, you should not consider this information without also considering the 
information we present in accordance with GAAP, which includes the effect of net realized gains or losses, 
guaranty fund assessments or recoupments and debt retirement gains or losses incurred during the years 
presented below. The following table reconciles Income from Continuing Operations to Operating Income: 

Reconciliation of Income from Continuing Operations to Operating Income: 

(in thousands, except per share amounts) 

2009 

Year Ended December 31, 
2007 

2006 

2008 

2005 

Income from Continuing Operations 

  $ 

222,026 

  $ 

177,725 

  $ 

168,186 

  $ 

126,984 

  $ 

80,026 

Items excluded in the calculation 

of operating income: 

(Gain) loss on the extinguishment of debt 

  Net realized investment (gains) losses 

  Guaranty Fund (recoupments) assessments 

Pre-tax effect of exclusions 

Tax effect at 35% 

Operating Income 
Per diluted common share: 

Income from Continuing Operations 

  Effect of exclusions 

Operating Income per diluted common share 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $  

  $  

  $  

2,839 

  $ 

(4,571) 

  $ 

– 

  $ 

– 

  $ 

– 

(12,792) 

  $ 

50,913 

  $ 

5,939 

  $ 

1,199 

  $ 

(912) 

(533) 

  $ 

(1,334) 

  $ 

553 

  $ 

2,609 

  $ 

226 

(10,486) 

  $ 

45,008 

  $ 

6,492 

  $ 

3,808 

  $ 

(686) 

3,670 

  $ 

(15,753) 

  $ 

(2,272) 

  $ 

(1,333) 

  $ 

240 

215,210 

  $ 

206,980 

  $ 

172,406 

  $ 

129,459 

  $ 

79,580 

6.70 

  $  

5.22 

  $  

4.78 

  $  

3.72 

  $  

2.52 

(0.21) 

  $  

0.85 

  $  

0.12 

  $  

0.07 

  $  

(0.01) 

6.49 

  $  

6.07 

  $  

4.90 

  $  

3.79 

  $  

2.51 

This page is not a part of ProAssurance’s Annual Report on Form 10K, and was not filed with the 

Securities & Exchange Commission. 

138 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our filings with the Securities and Exchange Commission (SEC) 
are available in the Investor Relations section of our website 
(www.ProAssurance.com/investorrelations/sec_ filings.aspx). 
Our SEC filings are also available in the EDGAR section of the 
SEC’s website (www.sec.gov/edgar.shtml).

W. Stancil Starnes, our Chief Executive Officer, submitted the 
required Section 12(a) CEO Certification to the New York Stock 
Exchange in a timely manner on May 20, 2009. Additionally,  
we have been timely in the filing of CEO/CFO certifications as 
required in Section 302 of the Sarbanes-Oxley Act. These certi-
fications are published as exhibits in our Form 10-K filed with 
the SEC on February 25, 2010.

Investor Relations
The Investor Relations section of our website also contains 
detailed financial information, SEC filings, the latest news 
releases about the Company, and our latest presentation mate-
rials. We also maintain an archive of this material, although 
you should realize that archived information, by its very nature, 
may no longer be accurate.

Obtaining Information Directly from ProAssurance
Any of the documents mentioned above may be obtained from 
our Communications and Investor Relations Department using 
one of the contact methods below:

By E-mail:
Investor@ProAssurance.com

By U. S. Postal Service:
ProAssurance Corporation
Investor Relations & Communications
P.O. Box 590009
Birmingham, AL 35259-0009

By Phone or Fax:
Phone: (205) 877-4400 • (800) 282-6242
Fax: (205) 802-4799

Annual Meeting
The 2010 Annual Meeting is scheduled for 10:00 AM CDT on 
Wednesday, May 19, 2010 at the headquarters of ProAssurance 
Corporation, 100 Brookwood Place, Birmingham, Alabama 35209. 

I N V E S T O R  I N F O R M AT I O N

There were 32,504,784 shares of ProAssurance Corporation 
common stock outstanding at March 15, 2010. On that date,  
we had 3,721 shareholders of record. Our common stock 
trades on The New York Stock Exchange under the symbol PRA. 
Our stock is listed as ProAsr in the stock section of USA Today 
and many major newspapers, and as ProAssurance in the  
Wall Street Journal. We also post the price of our stock on our 
website, www.ProAssurance.com.

Your 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, 
BNY Mellon Shareowner Services, for address changes, transfer 
of certificates, and replacement of share certificates that have 
been lost or stolen.

You may reach BNY Mellon Shareowner Services in a variety  
of ways:

By Phone

(800) 851-9677
(201) 680-6578

(Hearing Impaired)
(800) 231-5469  
(201) 680-6610

By Internet

www.bnymellon.com/Shareowner/isd/
Internet information about your account

www.bnymellon.com
General information about BNY Mellon

By Mail

BNY Mellon Shareowner Services, LLC
P.O. Box 358015
Pittsburgh, PA 15252-8015

BNY Mellon Shareowner Services, LLC
480 Washington Boulevard
Jersey City, NJ 07310-1900

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 ProAssurance. 
For assistance, please phone our Investor Relations depart-
ment at (800) 282-6242.

Corporate Governance and Compliance with Regulatory and 
New York Stock Exchange Requirements
We invite you to visit the Investor Relations and Corporate 
Governance sections of our website, www.ProAssurance.com, 
where you will find important information about our Company, 
including our Corporate Governance Principles and Code of 
Ethics and Conduct, which were developed and adopted by  
our Board of Directors. The Governance section of our website 
(www.ProAssurance.com/investorrelations/governance.aspx) 
also provides copies of the Board-adopted charters for our 
Audit, Compensation, and Nominating/Corporate Governance 
Committees, along with information such as stock ownership 
guidelines, committee composition and leadership, and director 
independence, including categorical standards to assist in 
determining independence.

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100 Brookwood Place
Birmingham, Alabama 35209
(205) 877-4400
(800) 282-6242

www.ProAssurance.com