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ProAssurance Corporation

pra · NYSE Financial Services
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Exchange NYSE
Sector Financial Services
Industry Insurance - Property & Casualty
Employees 1036
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FY2013 Annual Report · ProAssurance Corporation
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2013
SUMMARY ANNUAL REPORT

Ahead of

the Curve

a

Financial Highlights 
(IN THOUSANDS)

FISCAL YEARS ENDED DECEMBER 31,

2013

2012

2011

2010

2009

Income Statement Highlights(1)

Gross premiums written

Net premiums earned

Total revenues

$  567,547 $  536,431 $  565,895 $  533,205 $  553,922

$  527,919 $  550,664 $  565,415 $  519,107 $  497,543

$  740,178 $  715,854 $  716,784 $  692,065 $  672,683

Net losses and loss adjustment expenses

$  224,761 $  179,913 $  162,287 $  221,115 $  231,068

Net income(2) 

Operating income(3) 

Balance Sheet Highlights

50
50

Total investments

Total assets

40
40

30
30

Reserve for losses and loss  
  adjustment expenses

20
20

Long-term debt

09
09

10
10

13
13
Total liabilities

11
11

12
12

10
10

0
0

09
09

10
10

11
11

12
12

5
5

4
4

3
3

2
2

1
1

0
0

$  297,523 $  275,470 $  287,096 $  231,598 $  222,026

$  221,097 $  257,238 $  278,514 $  219,457 $  215,210

2500
2500

6000
6000

$ 3,941,045 $ 3,926,902 $ 4,090,541 $ 3,990,431 $ 3,838,222

$ 5,150,891 $ 4,876,578 $ 4,998,878 $ 4,875,056 $ 4,647,414

$ 2,072,822 $ 2,054,994 $ 2,247,772 $ 2,414,100 $ 2,422,230

$  250,000 $  125,000 $ 

500
500

49,687 $ 

51,104 $ 

1000
1000

50,203

13
13

$ 2,756,477 $ 2,605,998 $ 2,834,425 $ 3,019,193 $ 2,942,819

10
10

11
11

12
12

13
13

10
10

11
11

12
12

09
09

13
13

5000
5000

4000
4000

3000
3000

2000
2000

0
0

2000
2000

1500
1500

1000
1000

0
0

(1)   Includes acquired entities since date of acquisition only.
(2)   Includes a gain on acquisition of $32.3 million for the year ended December 31, 2013 and a loss on extinguishment of debt of $2.2 million 

and $2.8 million for the years ended December 31, 2012 and 2009, respectively.

(3)   A reconciliation of Operating Income to GAAP is provided in Appendix A to the ProAssurance Form 10-K included with this mailing to 

shareholders.

5
6
5
.
4
6
$
.
4
$

2
5
2
.
4
5
$
.
4
$

6
4
6
.
4
4
$
.
4
$

0
8
0
.
4
8
6 $
.
4
1
6 $
.
4
1
$
.
4
$

6
5
6
.
3
5
$
.
3
$

0
6
0
.
3
6
$
.
3
$

1
4
1
.
3
4
$
.
3
$

5
3
5
.
3
3
$
.
3
$

5
2
5
.
3
2
$
.
3
$

3
1
3
.
9
1
3
.
9
$
3
$

5
8
5
.
6
8
3
.
6
$
3
$

2
4
2
.
5
4
3
.
5
$
3
$

$4.43
$4.43
$3.38
$3.38
$0.25
$0.25

6
5
6
8
5
,
1
8
$
,
1
$

5
0
5
7
0
,
1
7
$
,
1
$

7
1
7
.
0
1
3
.
0
$
3
$

0
3
0
.
6
3
2
.
6
$
2
$

4
9
4
3
9
,
2
3
$
,
2
$

1
7
1
2
7
,
2
2
$
,
2
$

4
6
4
1
6
,
2
1
$
,
2
$

5
7
5
8
7
,
4
8
$
,
4
$

9
9
9
9
9
,
4
9
$
,
4
$

7
7
7
8
7
,
4
8
$
,
4
$

1
5
1
1
5
,
5
1
$
,
5
$

7
4
7
6
4
,
4
6
$
,
4
$

13
13

12
12

10
10

09
11
09
11
Net income per diluted share(1)
Net income per diluted share(1)
Operating income per diluted share(2)
Operating income per diluted share(2)

09
09

10
10

11
11

12
12

13
13
Book value per share(1)(3)
Book value per share(1)(3)
Dividends declared (1)
Dividends declared (1)

13
13

11
11

10
10

09
12
09
12
Shareholders’ Equity 
Shareholders’ Equity 
(in millions)
(in millions)

11
11

10
10

09
12
09
12
Assets (in millions)
Assets (in millions)

13
13

(1) For all periods presented, share and per share amounts reflect the effect of the two-for-one stock split effected in the form of a stock dividend that was effective December 27, 2012.
(1) For all periods presented, share and per share amounts reflect the effect of the two-for-one stock split effected in the form of a stock dividend that was effective December 27, 2012.
(2) A reconciliation of Operating Income to GAAP is provided in Appendix A to the ProAssurance Form 10-K included with this mailing to shareholders.
(2) A reconciliation of Operating Income to GAAP is provided in Appendix A to the ProAssurance Form 10-K included with this mailing to shareholders.
(3) Total capital per share of common stock outstanding.
(3) Total capital per share of common stock outstanding.

a 
 
a

Ahead of

the Curve

ProAssurance remains ahead 
of the curve by consistently creating 
value for our shareholders and ensuring 
the security of our insureds.

Since our founding in 1976, ProAssurance has responded 

to  the  insurance  needs  of  our  customers,  and  we  have 

evolved to ensure that we have the capacity and capability to 

address  new  risks  as  they  emerge.  Our  evolution  has  seen  us 

grow  into  a  healthcare-centric  specialty  insurance  holding  company 

with  international  reach.  With  a  foundation  of  unquestioned  financial 

strength, we continue to serve our insureds through innovation and dedication. 

We are ahead of the curve.

2013 ANNUAL REPORT   1

aTo My Fellow Shareholders

“In  2013,  our  relentless  execution 
produced  strong  results  and  our  
customer  commitment  set  us  on  a 
solid course for the future.”

W. Stancil Starnes

Chairman and Chief Executive Officer

ProAssurance has always been driven to stay ahead 

Among our financial accomplishments in 2013:

of  the  curve.  We  understand  that  we  must  evolve  

so  that  we  are  best  able  to  meet  the  needs  of  our 

 customers—present and future—no matter what that 

future holds.

This  long-term  view  ensures  that  we  are  able  to 

   Record Net Income of $298 million

   Record Shareholders’ Equity of $2.4 billion

   Record Total Assets of $5.2 billion, ending the year 

above $5 billion for the first time in our history

serve our customers at their points of need and lays 

   Record Book Value per share of $39.13

a solid foundation for success across all time hori-

Achieving  these  results  during  a  time  of  transition 

zons.  In  2013,  our  relentless  execution  produced 

and challenge in our industry is indeed remarkable.

strong results and our customer commitment set us 

on a solid course for the future.

2   2013 ANNUAL REPORT  

ProAssurance’s  operational  focus  was  also  front 

Overall  the  renewal  pricing  on  our  HCPL  business 

and center in 2013 as we achieved a Combined Ratio 

remained unchanged from the prior year and I believe 

of  70.6%,  a  percentage  that  we  believe  puts  us  at 

that speaks to the disciplined operating philosophy 

an elite level amongst top U.S. Property & Casualty 

that  governs  ProAssurance’s  approach  to  both 

Insurers.  Equally  important,  our  operating  ratio, 

underwriting  and  pricing.  Our  business  is  built  on 

which adds the benefit of investment income to the 

anticipating  the  risks  our  customers  will  face  and 

Combined Ratio, was 46.1%.

addressing those current and future needs at a price 

We were able to increase Gross Premiums Written to 

$568  million,  driven  by  our  successful  acquisition 

strategy and supported by the addition of new busi-

ness in our existing lines.

Our  acquisitions  deserve  special  mention  because 

each  demonstrates  key  points  of  our  acquisition 

strategy.  Independent  Nevada  Doctors  Insurance 

Company  (IND),  which  was  quickly  integrated  into 

our existing physicians medical professional liability 

line, expands our presence in healthcare professional 

liability  (HCPL),  and  allows  us  to  broaden  our  geo-

graphic  reach  while  increasing  our  penetration  in 

the important Nevada market. As I discussed in my 

letter to you last year, Medmarc Casualty Insurance 

Company  (formerly  Medmarc  Mutual  Insurance 

that  ensures  we  will  be  able  to  keep  our  insurance 

promises, no matter when the call comes.

Our business is built on anticipating 
the risks our customers will face and 
addressing  those  current  and  future 
needs at a price that ensures we will be 
able  to  keep  our  insurance  promises, 
no matter when the call comes.

We  remain  dedicated  to  the  idea  that  the  sound 

application  of  our  strategy  not  only  benefits  our 

insureds, but also allows us to create—and sustain—

real, lasting value for our shareholders.

Company)  broadens  our  ability  to  cover  the  wide 

Our  shareholders  were  rewarded  in  2013  with  a 

range of emerging healthcare delivery liability risks 

solid Return  on Equity of 11.4%, even  after exclud-

and positions us to respond to the broader needs of 

ing a $32 million gain on the Medmarc acquisition. 

the larger healthcare market. Each company brought 

Given the low interest rate environment in which we 

high  quality,  well-underwritten  business  into  the 

invest the vast majority of our assets and the com-

organ i zation, and each sets the stage for us to serve 

petitive  forces  in  our  market,  we  believe  this  is  a 

a greater number of insureds with diverse insurance 

result many insurers would envy.

needs—they are helping keep us ahead of the curve.

2013 ANNUAL REPORT   3

In  2013,  we  continued  to  deploy  capital  in  a  bal-

capital  provider  for  Syndicate  1729  at  Lloyd’s  of 

anced,  shareholder-friendly  manner  that  allowed  

London. Both broaden our ability to respond to the 

us  to  increase  our  quarterly  dividend  by  20%  to  

evolving  needs  of  a  changing  customer  base.  As 

$1.20/year. We have increased our cash dividend in 

you read further in our report to you, you’ll see how 

every year since we initiated dividends in 2011. With 

each  fits  into  our  vision  for  the  future  along  with 

our  latest  increase,  we  have  achieved  a  dividend 

other strategies for continuing success.

yield  that  places  us  solidly  in  the  top  echelon  of 

specialty Property & Casualty insurers in the US.

I’d like to close my letter to you by reinforcing that 

this  is  a  business  requiring  patience  and  vision. 

Shareholders  further  benefited  from  our  share 

Patience  allows  us  to  avoid  short-sighted,  market-

repurchase  program  that  we  believe  balances  the 

share focused strategies that weaken our insurance 

need to return capital to shareholders and maintain 

operations.  Patience  also  allows  us  to  avoid  the 

a  balance  sheet  that  ensures  our  policyholders’ 

quarter-to-quarter  philosophy  that  impedes  long-

security  while  providing  us  with  the  means  to  pur-

term strategic thinking.

sue new opportunities as they present themselves.

We remain dedicated to the idea that 
the sound application of our strategy 
not only benefits our insureds, but also 
allows us to create—and sustain—real, 
lasting value for our shareholders.

We fortified our balance sheet with the issuance of 

$250  million  in  long-term  debt  in  2013.  We  did  so 

because the opportunity to add liquidity to our bal-

ance  sheet  on  favorable  terms  gives  us  additional 

options  as  we  deploy  capital  to  benefit  our  share-

holders  and  map  our  strategic  decisions  regarding 

expansion and acquisitions.

Vision  allows  us  to  prepare  for  a  future  where  our 

historical  commitment  to  individual  insureds  will 

remain steadfast and our ability to deal with emerg-

ing risks across the spectrum of healthcare delivery 

is unsurpassed. We are confident we have the right 

vision; and we are constructing a nimble, dynamic, 

responsive  company  that  can  compete  no  matter 

what that future may hold.

All of us at ProAssurance thank you for your contin-

ued confidence in this Company and for your invest-

ment  alongside  us.  Rest  assured,  the  more  than 

900  employees  of  ProAssurance  are  working  hard 

every day to enhance our mutual investment.

Two  events  in  2013  provide  concrete  examples  of 

W. Stancil Starnes

our  approach  to  the  rapidly  changing  future.  In 

Chairman and Chief Executive Officer

September, we announced our acquisition of Eastern 

Insurance Holdings, Inc. (Eastern) and our entry into 

the  international  insurance  market  as  the  majority 

4   2013 ANNUAL REPORT  

We have pursued a visionary strategy 
that maximizes our ability to respond 
to new risks, whenever and wherever 
they emerge.

To  succeed  in  today’s  rapidly  changing  healthcare 

environment you must be innovative and adaptable 

and have a clear vision of where you want to go. You 

need to be ahead of the curve.

Since  our  founding  in  1976  we  have  endeavored  to 

stay ahead of the curve. In many ways, today’s health-

care  and  insurance  climate  is  just  as  murky  and 

chaotic as in the seventies when the large multiline 

insurance companies all but abandoned healthcare 

professional liability, forcing physicians to fend for 

themselves. This led to the founding of our Company, 

and  we  succeeded  in  those  years  because  we  were 

ahead of the curve in providing a strong defense of 

the  practice  of  sound  medicine.  We  have  retained 

that  clear  vision  of  what  our  policyholders  require 

—financial strength, insurance flexibility and a will-

ingness  to  look  beyond  today  to  determine  where 

new risks will emerge.

Staying ahead of the curve led us in 1984 to begin 

insuring hospitals, a truly revolutionary notion for a 

physician founded company. In the fullness of time, 

we know that this ability to insure hospitals, facili-

ties  and  other  consolidating  risks  is  something  to 

which  most  companies  aspire,  and  few,  if  any,  can 

match our experience and expertise.

Fast forward to 1991: ProAssurance was again ahead 

of  the  curve  in  converting  to  a  public  company.  

Evolving

That decision, taken with the confident foresight of 

the  future  consolidation  of  healthcare  providers 

and  the  insurers  serving  them,  allowed  us  to  

expand  geographically  and  provided  access  to  the 

capital we used to build a balance sheet of unchal-

lenged strength.

In the many mergers and acquisitions that followed, 

we have brought a number of great companies and 

their  talented  employees  into  ProAssurance  and 

broadened  our  geographic  reach  to  include  all  50 

states  and  the  District  of  Columbia.  We  have  pur-

sued a visionary strategy that maximizes our ability 

to  respond  to  new  risks,  whenever  and  wherever 

they emerge. The speed with which those new risks 

are emerging has accelerated in recent years, along-

side the race to control costs and enhance access to 

healthcare.  Being  ahead  of  the  curve,  we  saw  it 

coming and have responded.

We  see  an  increasing  amount  of  healthcare  being 

delivered  by  physician  extenders  and  other  ancil-

lary healthcare workers. That was the reason for our 

acquisition  of  what  is  now  ProAssurance  Mid-

Continent  Underwriters,  a  platform  through  which 

we insure this ever-expanding class of risk. Podiatric 

medicine  is  expanding  just  as  rapidly,  as  America 

faces  an  epidemic  of  diabetes  and  obesity  that 

require  specialized  care  of  the  foot  and  ankle.  Our 

subsidiary, Podiatry Insurance Company of America 

(PICA), is by far the leading provider of medical pro-

fessional  liability  to  podiatric  physicians  and  has 

played an important role in our growth.

Medmarc brought ProAssurance expertise in medi-

cal  products  and  life  sciences  liability,  born  of  its 

founding  by  industr y  leaders  more  than  two 

2013 ANNUAL REPORT   5

decades  ago.  Today,  Medmarc  is  an  industr y 

developing new coverages and adding complemen-

thought-leader,  providing  new  coverages  in  the 

tary lines of insurance.

complex  arena  of  medical  products  and  devices, 

clinical trials, and life sciences technology that will 

literally  shape  and  define  the  future  of  healthcare. 

As larger healthcare systems focus on the develop-

ment  and  deliver y  of  emerging  technologies, 

Medmarc  allows  us  to  serve  their  growing  liability 

needs by insuring these risks.

As  ProAssurance  evolves  to  help  our 
customers meet the insurance challenges 
they  will  face,  we  will  be  guided  by 
our deep expertise and experience, and 
also by our dedication to the princi-
ples of Treated Fairly. 

The  trend  toward  larger,  more  complex  health  sys-

tems with previously unknown geographic reach is 

challenging  our  entire  industry.  We  are  responding 

by  ensuring  our  availability  as  an  attractive  M&A 

partner,  and  we  are  also  finding  new  ways  to 

address increasingly complex risks that are emerg-

ing  as  healthcare  deliver y  consolidates.  Our 

Certitude program with Ascension Health, the larg-

est  not-for-profit  healthcare  organization  in 

America,  is  allowing  us  to  bring  new  business  into 

the  organization,  while  we  share  risk  and  develop 

strategies  to  mitigate  risk  and  enhance  patient 

care.  We  have  partnered  with  the  Cooperative  of 

American  Physicians,  Inc.,  a  leading  physician-

focused  organization  in  California,  to  address  the 

large  group  and  hospital  market  in  California.  Our 

CAPAssurance program utilizes the strength of each 

organization to address increasingly  complex  risks 

and strengthen each organization.

As  healthcare  organizations  grow  in  size  and  com-

plexity, they are increasingly searching for ways to 

make  sense  of  complicated  insurance  purchasing 

decisions.  We  are  responding  to  this  desire  for 
insurance  purchasing  clarity  and  convenience  by 

6   2013 ANNUAL REPORT  

Effective January 1, 2014, we completed our merger 

with Eastern Insurance Holdings, Inc., a best-in-class 

workers’  compensation  insurer  with  demonstrated 

expertise  in  the  healthcare  setting.  Eastern,  like 

ProAssurance, has proven to be successful in a very 

challenging long-tail line of insurance. And they have 

achieved their long-term success in much the same 

way—by focusing on providing their customers with 

unique solutions while maintaining the operational 

discipline that produces sustainable results.

Workers’ compensation is one of the key challenges 

faced by many of our large healthcare policyholders 

as  well  as  those  we  see  as  prospects.  Providing 

workers’  compensation  and  medical  professional 

liability,  two  ver y  complicated  coverages  will  

enhance  the  desirability  of  both  companies  as  an 

insurance partner and will open a wide range of new 

opportunities as well.

Eastern  has  also  been  a  leader  in  providing  self-

insurance vehicles to address the unique needs of a 

wide  range  of  risks,  many  of  them  in  healthcare 

workers’ compensation. There is a real opportunity 

to  leverage  the  expertise  of  both  companies  to 

bring  existing  clients’  healthcare  liability  captives 

into  these  programs,  and  we  are  confident  that 

Eastern’s expertise will allow us to expand our cap-

tive insurance efforts as well. 

KEy STRATEGiES FOR AN EVOLViNG MARKET

Leverage our deep expertise to respond to 
evolving needs with innovative coverages

Utilize our broad geographic reach to 
respond wherever risks arise

Enhance our unquestioned financial 
strength to provide secure protection  
to insureds across the broad spectrum  
of healthcare

Importantly, the addition of Eastern provides addi-

opportunities in the life sciences and medical tech-

tional  diversification  for  ProAssurance,  which 

nology arena.

enhances our balance sheet and increases our abil-

ity to respond to the needs of all we insure.

As  ProAssurance  evolves  to  help  our  customers 

meet  the  insurance  challenges  they  will  face,  we 

Addressing  expanding  risks  was  the  key  driver  of 

will  be  guided  by  our  deep  expertise  and  experi-

our  decision  to  become  the  majority  capital  pro-

ence, and also by our dedication to the principles of 

vider for Syndicate 1729 at Lloyd’s of London. Many 

Treated Fairly.  This  unshakable  commitment  to  a 

months in the making, Syndicate 1729 began under-

bedrock  belief  in  honest,  open  communications 

writing  effective  January  1,  2014.  The  Syndicate’s 

with  all  our  stakeholders  ensures  that  everything 

lead underwriter, Duncan Dale, is highly regarded in 

we do upholds the highest commitment to integrity 

the London insurance market and adds credibility to 

and  focuses  our  attention  on  the  best  outcome  in 

our  investment.  Healthcare-related  professional 

every encounter.

liability  will  be  a  focus  of  the  Syndicate,  but  it  will 

write a broad range of risk, providing further diver-

sification for us.

We  are  ready  for  the  future,  and  while  the  exact 

future  is  unknowable,  we  know  the  risks  we  face 

with our insureds in the coming years will be vastly 

We  believe  the  Syndicate  will  greatly  enhance  our 

different than those we face today. ProAssurance is 

ability  to  respond  to  an  international  array  of 

evolving  to  help  meet  those  new  risks,  just  as  we 

healthcare-related  risks.  This  will  be  especially 

important  given  the  growing  number  of  countries 

have  been  throughout  our  history.  We will  remain 
ahead of the curve.

that  are  emulating  the  American  civil  justice  sys-

tem,  thus  producing  opportunities  for  a  select 

group of insurers such as ProAssurance. And, in the 

fullness  of  time,  we  expect  to  see  international 

We will remain ahead of the curve.

(cid:31)

National Footprint

HCPL Claims/ Underwriting Offices

HCPL Claims Offices

PL/LS Claims/Underwriting Office

PL/LS Underwriting Office

WC Offices

LPL Underwriting Offices

Corporate Headquarters

2013 ANNUAL REPORT   7

B o a r d  of  D i r e c t or s

Committees

Directors

Position

Independence

Audit

Compensation Executive

W. Stancil Starnes, Esq.

Chairman and Chief Executive 

N

Officer, ProAssurance

Lucian F. Bloodworth

Chairman, Cain Manufacturing 

Company, inc.

Samuel A. Di Piazza, Jr.

Chairman, Mayo Clinic Board  

of Trustees and retired 
accounting executive

Robert E. Flowers, M.D.

Retired Physician

M. James Gorrie

President and Chief Executive 
Officer, Brasfield & Gorrie

William J. Listwan, M.D.

Practicing Physician and 

Associate Clinical Professor  
of Medicine

John J. McMahon, Jr.

Chairman, Ligon industries

Drayton Nabers, Jr., Esq.

Director, Mann Center for  
Ethics and Leadership

Ann F. Putallaz, Ph.D.

Principal, AFP Consulting, LLC

Frank A. Spinosa, D.P.M.

Practicing Podiatrist and 

Vice President of the American 
Podiatric Medical Association

Anthony R. Tersigni, Ed.D., FACHE President & Chief Executive  

Officer, Ascension

Thomas A. S. Wilson, Jr., M.D.

Practicing Physician

i

i

i

i

i

i

i

i

i

i

i

Nominating 
& Corporate 
Governance

M

C

M

M

M

C

M

C, M, E

M

M

M

M

C

M

M

N  =  Management,  Non-independent          i  =  independent          M  =  Member          C  =  Chairman          E  =  Financial  Expert

E x e c u t i v e  O f f ic e r s  

Ti t l e

Michael L. Boguski, C.P.C.U. 

President, Eastern insurance Holdings, inc.

Kelly B. Brewer, C.P.A. 

Vice-President and Chief Accounting Officer, ProAssurance Corporation

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

 Executive Vice-President, ProAssurance Corporation and President, Healthcare 
Professional Liability Group

Jeffrey P. Lisenby, Esq. 

Frank B. O’Neil 

Mary Todd Peterson 

Edward L. Rand, Jr. 

 Executive Vice-President, Corporate Secretary and General Counsel,  
ProAssurance Corporation

Senior Vice-President and Chief Communications Officer, ProAssurance Corporation

President, Medmarc Casualty insurance Company

Executive Vice-President and Chief Financial Officer, ProAssurance Corporation

Ross E. Taubman, D.P.M. 

President and Chief Medical Officer, Podiatry insurance Company of America

8   2013 ANNUAL REPORT  

a

260

240

220

200

St o c k  P r ic e   P e r f or m a nc e
180

You may use the following information to compare the market value of our Common Stock with other public 
160

companies and public companies in the insurance industry. The graph sets forth the cumulative stockholder 
140
return  of  our  stock  during  the  five  years  ended  December  31,  2013,  as  well  as  the  cumulative  stockholder 

120
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, 2013. We have included the Standard & Poor’s 500 
100
Index in this graph because we believe it is a more recognizable broad index and yields a more meaningful 

12/31/08

12/30/13

12/31/10

12/31/19

12/31/12

12/31/11

comparison for investors given our market capitalization and dividend payout ratio.

To t a l  R e t u r n  P e r f or m a nc e

260

240

220

200

180

160

140

120

100
12/31/08

12/31/09

12/31/10

12/31/11

12/31/12

12/31/13

Russell 2000

S&P 500  

SNL Insurance P&C 

ProAssurance Corporation

Period Ending

I n de x

Russell 2000

S&P 500

SNL Insurance P&C

ProAssurance Corporation

12/31/08

12/31/09

12/31/10

12/31/11

12/31/12

12/31/13

100.00

100.00

100.00

100.00

127.17

126.46

108.11

101.76

161.32

145.51

128.91

114.82

154.59

148.59

130.33

152.23

179.86

172.37

153.85

172.74

249.69

228.19

203.82

202.89

ProAssurance®,  Treated  Fairly®,  ProControl®,  LawyerCare®  and  the  “Curl”  device  are  registered  trademarks  of 
ProAssurance Corporation. Certitude® is a registered trademark of Ascension Health and is used by permission. 
All Rights Reserved.

a100 Brookwood Place
Birmingham, Alabama 35209
(205) 877-4400  (800) 282-6242

www.ProAssurance.com

2013
FORM 10-K

P

r

o

A

s

s

u

r

a

n

c

e

2

0

1

3

F

o

r

m

1

0

-

K

Ahead of

the Curve

 
 
 
 
Ahead of

the Curve

ProAssurance  remains  ahead  of 
the curve by consistently creating value 
for  our  shareholders  and  ensuring  the 

 security of our insureds.

Since our founding in 1976, ProAssurance has responded to 

the insurance needs of our customers and we have evolved to 

ensure  that  we  have  the  capacity  and  capability  to  address  new 

risks as they emerge. Our evolution has seen us grow into a healthcare-

centric  specialty  insurance  holding  company  with  international  reach. 

With a foundation of unquestioned financial strength, we continue to serve 

our insureds through innovation and dedication. We are ahead of the curve.

United States
Securities and Exchange Commission
Washington, D.C. 20549 
FORM 10-K

(Mark One)

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, 2013,

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)

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

63-1261433
(I.R.S. Employer Identification No.)

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  

    No  

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

    No  

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  

    No  

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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405) 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

   Accelerated filer

Non-accelerated filer

 (Do not check if a smaller reporting company)

   Smaller reporting company

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

    No  

The aggregate market value of voting stock held by non-affiliates of the registrant at June 30, 2013 was $3,178,444,502.

As of February 12, 2014, the registrant had outstanding approximately 60,486,816 shares of its common stock.

 
 
 
 
 
 
 
 
 
 
TABLE OF CONTENTS

PART I

PART II

Item 5.

Item 6.

Item 7.

Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity 
Securities

Selected Financial Data

Management's Discussion and Analysis of Financial Condition and Results of Operations

Item 7A.

Quantitative and Qualitative Disclosures About Market Risk

Item 8.

Item 9.

Financial Statements and Supplementary Data

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Item 9A.

Controls and Procedures

Item 9B.

Other Information

PART III

Item 10.

Item 11.

Item 12.

Item 13.

Item 14.

PART IV

Directors and Executive Officers of the Registrant

Executive Compensation

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Certain Relationships and Related Transactions

Principal Accountant Fees and Services

Item 15.

Exhibits and Financial Statement Schedules

7

28

30

31

83

85

85

85

85

87

87

87

87

87

88

2

 
Documents incorporated by reference in this Form 10-K

(i) 

The definitive proxy statement for the 2014 Annual Meeting of the Stockholders of ProAssurance Corporation 
(File No. 001-16533) is incorporated by reference into Part III of this report.

3

General Information

Throughout this report, references to ProAssurance, “we”, “us”, “our” or "the Company" refer to ProAssurance 
Corporation and its consolidated subsidiaries. Also, as ProAssurance is an insurance holding company and certain terms and 
phrases common to the insurance industry are used in this report that carry special and specific meanings, we encourage you to 
read the Glossary of Selected Insurance and Related Financial Terms posted on the Supplemental Information page of our 
website (www.proassurance.com/InvestorRelations/supplemental.aspx).

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”, “likely”, “may”, “optimistic”, “possible”, “potential”, “preliminary”, “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 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:

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

changes in general economic conditions, including the impact of inflation or deflation and unemployment;

our ability to maintain our dividend payments;

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 healthcare professional liability insurance entities that could remove or add 
sizable groups of physicians from or to the private insurance market;

changes in the interest rate environment;

changes in U.S. laws or government regulations regarding financial markets or market activity that may affect the U.S. 
economy and our business;

changes in the ability of the U.S. government to meet its obligations that may affect 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 requirements or accounting policies and practices that may be adopted by our regulatory agencies, the 
Financial Accounting Standards Board, the Securities and Exchange Commission (SEC), the Public Company 
Accounting Oversight Board, or the New York Stock Exchange (NYSE) and that may affect our business;

changes in laws or government regulations affecting the financial services industry, the property and casualty 
insurance industry or the particular insurance lines underwritten by our subsidiaries;

the effects of changes in the healthcare delivery system, including but not limited to the Patient Protection and 
Affordable Care Act (the Healthcare Reform Act);

consolidation of healthcare providers resulting in entities that are more likely to self-insure a substantial portion of 
their healthcare professional liability risk;

uncertainties inherent in the estimate of loss and loss adjustment expense reserves and reinsurance;

changes in the availability, cost, quality or collectability of insurance/reinsurance;

4

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

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

allegation of bad faith which may arise from our handling of any particular claim, including failure to settle;

loss  or consolidation of  independent agents, agencies, brokers or brokerage firms;

changes in our organization, compensation and benefit plans;

changes in the business or competitive environment may limit the effectiveness of our business strategy and impact 
our revenues;

our ability to retain and recruit senior management;

the availability, integrity and security of our technology infrastructure;

the impact of a catastrophic event, as it relates to both our operations and our insured risks;

the impact of acts of terrorism and acts of war;

the effects of terrorism related insurance legislation and laws;

assessments from guaranty funds;

our ability to achieve continued growth through expansion into other states or through acquisitions or business 
combinations;

changes to the ratings assigned by rating agencies to our insurance subsidiaries, individually or as a group;

provisions in our charter documents, Delaware law and state insurance law may impede attempts to replace or remove 
management or may impede a takeover;

state insurance restrictions may prohibit assets held by our insurance subsidiaries, including cash and investment 
securities, from being used for general corporate purposes;

taxing authorities can take exception to our tax positions and cause us to incur significant amounts of legal and 
accounting costs and, if our defense is not successful, additional tax costs, including interest and penalties; and 

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, employees and key agents; increased operating costs or 
inability to achieve cost savings; and assumption of greater than expected liabilities, among other reasons.

Additional risks that could adversely affect the integration of Medmarc Mutual Insurance Company, now Medmarc 

Casualty Insurance Company (Medmarc), and Eastern Insurance Holdings, Inc. (Eastern) into ProAssurance, include but are 
not limited to the following:

• 

• 

• 

• 

the outcome of  claims that may be asserted by either the policyholders or shareholders of any of these acquired 
entities relating to payments or other issues associated with the acquisition of the entities and subsequent mergers into 
ProAssurance;

the operations of ProAssurance and Medmarc or ProAssurance and Eastern may not be integrated successfully, or such 
integration may take longer to accomplish than expected;

cost savings from the transactions may not be fully realized or may take longer to realize than expected; and

operating costs, customer loss and business disruption following one or both transactions, including adverse effects on 
relationships with employees, may be greater than expected.

Additional risks that could arise from our membership in the Lloyd's of London market (Lloyd's) and our participation in 

Lloyd's Syndicate 1729 (Syndicate 1729) include but are not limited to the following:

•  members of Lloyd's are subject to levies by the Council of Lloyd's based on a percentage of the member's 

underwriting capacity, currently a maximum of 3%; 

• 

syndicate operating results can be affected by decisions made by the Council of Lloyd's over which the management 
of Syndicate 1729 has little ability to control, such as a decision to not approve our annual business plan, or a decision 
to increase the capital required to continued operations, and by our obligation to pay levies to Lloyd's;

•  Lloyd's insurance and reinsurance relationships and distributions channels could be disrupted or Lloyd's trading 
licenses could be revoked making it more difficult for Syndicate 1729 to distribute and market its products; and

• 

 rating agencies could downgrade their ratings of Lloyd's as a whole.

Our results may differ materially from those we expect and discuss in any forward-looking statements. The principal risk 
factors that may cause these differences are described in “Item 1A, Risk Factors” in this report. We caution readers not to place 

5

undue reliance on any such forward-looking statements, which are based upon conditions existing only as of the date made, and 
advise readers that these factors 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

ITEM 1. BUSINESS

Overview

PART I

ProAssurance Corporation is a holding company for property and casualty insurance companies. For the year ended 

December 31, 2013, our net premiums written totaled $525.2 million, and at December 31, 2013 we had total assets of $5.2 
billion and $2.4 billion of shareholders' equity. We provide professional liability insurance for healthcare professionals and 
facilities, professional liability insurance for attorneys, liability insurance for medical technology and life sciences risks, and, 
effective January 1, 2014, workers' compensation insurance. During 2013, through a wholly owned subsidiary, we became a 
corporate member of Lloyd's of London and provided a majority of the capital for Syndicate 1729. Syndicate 1729 began 
writing a range of property and casualty insurance and reinsurance lines effective January 1, 2014.

 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 NYSE under the symbol “PRA.” Our website is www.ProAssurance.com and we 
maintain a dedicated Investor Relations section on that website (www.ProAssurance.com/InvestorRelations) to provide 
specialized resources for investors and others seeking to learn more about us.

As part of our disclosure through the Investor Relations section of our website, we publish our annual report on Form 

10K, our quarterly reports on Form 10Q, and our current reports on Form 8K and all other public SEC filings as soon as 
reasonably practical after filing with the SEC on its EDGAR system. These SEC filings can be found on our website at 
www.proassurance.com/InvestorRelations/reports_filings.aspx. This section also includes information regarding stock trading 
by corporate insiders by providing access to SEC Forms 3, 4 and 5 when they are filed with the SEC. In addition to federal 
filings on our website, we make available other documents that provide important additional information about our financial 
condition and operations. Documents available on our website include 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. The Governance section of our website provides copies of the charters 
for our governing committees and many of our governing policies. 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.

Our History

We were incorporated in Delaware in 2001 as the successor to Medical Assurance, Inc. in conjunction with its merger 

with Professionals Group, Inc. ProAssurance has a history of growth through acquisitions. Significant acquisitions completed 
in the most recent five years include: 

•  Podiatry Insurance Company of America and subsidiaries, (PICA), acquired April 1, 2009,
•  American Physicians Service Group, Inc. and subsidiaries, (APS), acquired  November 30, 2010,
• 
•  Medmarc Mutual Insurance Company and subsidiaries, (Medmarc), acquired January 1, 2013, and
•  Eastern Insurance Holdings, Inc., (Eastern), which was completed January 1, 2014.

Independent Nevada Doctors Insurance Exchange, (IND), acquired November 30, 2012,

Our Strategy

Our business objectives are to generate attractive returns on equity and book value per share growth for our 

shareholders. We believe we achieve these objectives by executing the following strategies:

•  Pursue profitable underwriting opportunities. We pursue a strategy that emphasizes profitability, not market share. 
Key elements of this strategy are prudent risk selection, appropriate pricing and adjusting our business mix as 
appropriate to effectively utilize capital and achieve market synergies. We seek to help customers confront 
uncertainty through innovative loss transfer and loss mitigation solutions for liability risks, with an emphasis on 
healthcare. Our healthcare focus considers the risk management needs of a broad spectrum of the healthcare 
provider market. Often, we utilize mergers or acquisitions to expand the products we offer or the types of 
customers we serve.

•  Exercise underwriting and risk management discipline. We believe we exercise underwriting and risk management 
discipline by adhering to underwriting guidelines across our business lines and fostering a culture that focuses on 
enterprise risk management and strong internal controls.

•  Assist insureds in reducing risk. We offer training to our insureds to assist them in the use of risk reduction tools 

and techniques.

7

 
•  Manage claims effectively. Our experienced claims teams have industry and insurance expertise that, with our 
extensive local knowledge, allows us to resolve claims in the most effective manner possible, considering the 
circumstances of each claim. When practical, we utilize formalized claims management processes and protocols as 
a means of reducing claim costs.

•  Provide superior customer service. Our mission statement, We Exist to Protect Others, goes hand-in-hand with our 
corporate motto, "Treated Fairly." Both statements speak to our desire to be a strong and trusted partner that helps 
customers confront uncertainty through innovative loss transfer and loss mitigation solutions for liability risks, 
with an emphasis on healthcare. Our employees are committed to core values of integrity, respect, involvement of 
our insureds, collaboration, communication and enthusiasm every day.

•  Maintain a conservative investment strategy. We believe that we follow a conservative investment strategy 

designed to emphasize the preservation of our capital and provide adequate liquidity for the prompt payment of 
claims. Our investment portfolio consists primarily of investment-grade, fixed-maturity securities of short-to 
medium-term duration.

•  Maintain financial stability. We are committed to maintaining claims paying ratings of "A" or better.

Organization and Segment Information

We operate through multiple insurance organizations with four areas of focus: professional liability insurance, medical 

technology and life sciences products liability insurance, and beginning January 1, 2014, workers' compensation insurance and 
international property and casualty insurance and reinsurance. We operated as a single segment in 2013, 2012 and 2011. In 
2014 we expect to report our results in four segments: specialty property and casualty, workers' compensation, Lloyd's 
syndicate and corporate. Our corporate segment includes our investing operations managed at the corporate level, non-premium 
revenues generated outside of our insurance entities, and corporate expenses. 

Gross Premiums Written 

Gross premiums written for the years ending December 31, 2013, 2012 and 2011 is provided below.

($ in thousands)

2013

2012

2011

Year Ended December 31

Gross Premiums Written
Professional liability:

Physicians (1)

Other healthcare professionals and facilities

Legal professionals

All other (2)

Medical technology and life sciences products

liability

Total

$ 414,167

69,327

27,060

22,803

73% $ 416,510
12%
71,751

5%

4%

17,146

31,024

78 %

13 %

3 %

6 %

$ 451,181

73,729

16,474

24,511

80 %

13 %

3 %

4 %

34,190

$ 567,547

6%

—
100% $ 536,431

—%

100 %

—

—%

$ 565,895

100 %

(1) Primarily comprised of one-year term policies, but includes premium related to policies with a two-year term of $25.6 

million in 2013, $13.1 million in 2012 and $22.3 million in 2011.

(2) Includes tail coverage premiums of $20.9 million in 2013, $29.4 million in 2012 and $20.9 million in 2011.

Prior to acquisition of Medmarc on January 1, 2013 we did not have any medical and life sciences products technology 

premium. As previously discussed, the operating results of our workers' compensation segment will not be included in our 
consolidated results until 2014. Additional detailed information regarding premium by individual product type is provided in 
Item 7, Management's Discussion and Analysis, Results of Operations, under the caption "Premiums Written". 

Prior to January 1, 2014 all of our premium revenues were written within the United States. As of January 1, 2014 we are 

writing premium outside of the United States due to our participation in Syndicate 1729, see segment discussion below.

8

 
 
Specialty Property and Casualty Segment

Professional Liability Insurance

Our professional liability business is focused on providing professional liability insurance to healthcare providers and 
institutions and to attorneys and their firms. Physicians are currently our core customer group, but we target the full spectrum of 
the healthcare professional liability market. For our legal professional liability product, we target smaller law practices. While 
most of our business is written in the standard market, we also offer professional liability insurance on an excess and surplus 
lines basis. We are licensed to do business in every state. For the years ended December 31, 2013, 2012 and 2011 physician 
coverages represented 73%, 78% and 80%, respectively, of the consolidated gross premiums written.

We utilize independent agencies and brokers as well as an internal sales force to write our healthcare professional liability 

(HCPL) business. Our legal professional liability business is written almost exclusively through agents and brokers. For the 
year ended December 31, 2013 approximately 66% of our professional liability gross premiums written were produced through 
independent insurance agencies or brokers. The agencies and brokerages we use typically sell through professional liability 
insurance specialists who are able to convey the factors that differentiate our professional liability insurance products. No 
single agent, broker, brokerage or agency accounts for more than 10% of our total professional liability premiums.

In marketing our professional liability products we emphasize that we offer:

financial strength,
liability coverages tailored to meet evolving needs of our insureds,

• 
• 
•  excellent claims and underwriting services,
• 
• 
•  support of legislation that will have a positive effect on healthcare and legal liability issues, and
• 

risk management consultation, loss prevention seminars and other educational programs,
regular newsletters discussing matters of interest to our insureds, including updates on legislative developments,

involvement in and support for local professional societies and related organizations.

These communications and services demonstrate our understanding of the professional liability insurance needs of our 
insureds, promote a commonality of interest between us and our insureds and provide opportunities for targeted interactions 
with potential insureds. We maintain regional underwriting and claims processing centers which permit us to consistently 
provide a high level of customer service to both small and large accounts. 

We maintain internal claims personnel that investigate and monitor the processing of our professional liability claims, and 

engage experienced, independent litigation attorneys in each venue to assist with the claims process as we believe this practice 
aids us in providing defense that is aggressive, effective and cost-efficient. We evaluate the merit of each claim and determine 
the appropriate strategy for resolution of the claim, either seeking a reasonable good faith settlement appropriate for the 
circumstance of the claim or aggressively defending the claim. As part of the evaluation and preparation process for healthcare 
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. 

Medical Technology and Life Sciences Insurance

Our Medical Technology and Life Sciences business, acquired January 1, 2013 through the acquisition of Medmarc, 

offers products liability insurance for medical technology and life sciences companies that manufacture or distribute products 
that are almost all regulated by the United States Food and Drug Administration. Products insured include imaging and non-
invasive diagnostic medical devices, orthopedic implants, pharmaceuticals, clinical lab instruments, medical instruments, dental 
products, and animal pharmaceuticals and medical devices. We also provide coverage for clinical trials and contract 
manufacturers. 

In underwriting our products liability business, we consider the type of risk, the amount of coverage being sought, the 
expertise and experience of the applicant, and the expected volume of product sales in making our underwriting decision. Close 
to 100% of our products liability business is written through independent brokers with our top ten producers generating 
approximately $16 million of our 2013 gross premiums written. We do not appoint agents for our products liability business.

Our products liability claims are centrally processed in Chantilly, Virginia. We strongly defend these claims, with a 

negotiated settlement being the most frequent means of resolution.

Competition

For our HCPL business, we compete in a fragmented market comprised of many insurers, ranging from single state 
mono-line insurers to large national carriers offering multiple product lines. According to 2012 industry gross premiums written 
data, the top five HCPL writers hold a combined market share of approximately 32% and we are the fourth largest HCPL writer 
in the United States. Competitive distinctions vary from state-to-state and within areas of healthcare delivery (e.g., individual 
physicians vs. hospitals and facilities) and include pricing, size, name recognition, service quality, market commitment, market 

9

conditions, breadth and flexibility of coverage, method of sale, financial stability, ratings assigned by rating agencies and 
regulatory conditions. Our competitors range from large national insurers whose financial strength and resources may be 
greater than ours to smaller insurance entities that concentrate on a single state and as a result have an extensive knowledge of 
the local markets. 

We are widely recognized in our HCPL markets for our heritage as a policyholder founded company with a long-term 

focus on the industry and for strong and effective claims management. Historically, we have principally insured physicians in a 
solo or small group practice, but in recent years we have increased our focus on offering unique, joint or cooperative insurance 
programs that are attractive to hospitals or other large groups. Often, these large groups and hospitals choose to manage their 
HCPL risks through alternative insurance mechanisms such as risk retention groups or self-insurance entities, and we offer 
insurance programs designed to compete with these mechanisms. In recent years there has been a substantial increase in the 
number of physicians employed full time by hospitals or large group practices, which industry-wide has reduced the number of 
physicians insured on an individual or small-group basis. Additionally, many believe that healthcare services in the United 
States will increasingly be provided by professionals other than physicians and outside of hospital settings. We have addressed 
these issues by refining our existing hospital/physician insurance programs, developing new insurance mechanisms to meet the 
needs of hospitals and large practice groups, expanding our coverage of healthcare providers other than physician or hospitals, 
and by enhancing our customer service capabilities, particularly with regard to larger accounts. We believe that our size, 
reputation for effective claims management, unique customer service focus, multi-state presence, and experience with a broad 
spectrum of healthcare professionals will provide us with competitive advantages as the HCPL marketplace changes.

 We recognize the importance of providing our products at competitive rates. We base our rates on current loss 
projections, and targeted new business and renewal retention programs where we consider appropriate based on the risks 
assumed.

Competition in the legal professional liability market is also varied, with coverage offered by both large national property 

and casualty providers and smaller specialty providers, including mutual companies affiliated with one or more state legal 
professional association. 

Competition in the products liability market is among national property and casualty insurers, some of which are 

significantly larger than ProAssurance.

Workers' Compensation Segment

Effective January 1, 2014 ProAssurance acquired Eastern, which offers workers' compensation products in the Mid-
Atlantic (primarily in Pennsylvania), Southeast, and Midwest regions of the continental United States. The operating results of 
Eastern will be included in our consolidated results beginning January 1, 2014. 

Our workers' compensation business consists of two major business activities:

•  Workers' compensation insurance coverages provided to employers, generally those with 1,000 employees or less. 
Types of policies offered include guaranteed cost policies, policyholder dividend policies, retrospectively-rated 
policies, deductible policies, and alternative market products.

•  Alternative market workers’ compensation solutions provided to individual companies, groups and associations 
(referred to hereafter as “cell participants”) whereby policies written are 100% reinsured by related segregated 
portfolio cells of our subsidiary domiciled in the Cayman Islands. The pool of assets and associated liabilities of 
each segregated portfolio cell are solely for the benefit of the cell participants, and the pool of assets of one 
segregated portfolio cell are statutorily protected from the creditors of the others. The underwriting results and 
investment income of the segregated portfolio cells are shared with the cell participants in accordance with the 
terms of the cell agreements. We principally receive fee revenue from the cells, and for cells in which we are a cell 
participant, a percentage of the profit or loss of the cell.

Both groups of workers' compensation products are distributed through a group of appointed independent agents.

We utilize an individual account underwriting strategy for our workers' compensation business that is focused on selecting 

quality accounts. The goal of our workers’ compensation underwriters is to select a diverse book of business with respect to 
risk classification, hazard level and geographic location. We target accounts with strong return to work and safety programs in 
low to middle hazard levels such as clerical office, light manufacturing, healthcare, auto dealers and service industries and 
maintain a strong risk management unit in order to better serve our customers' needs. 

We actively seek to reduce our workers' compensation loss costs by placing an emphasis on early intervention and 
aggressive disability management, utilizing in-house and third-party specialists for case management, including medical cost 
management. Strategic vendor relationships have been established to reduce claim costs associated with legal representation 
and medical costs such as physician and hospital charges, physical therapy services and prescription drugs. 

10

Competition

As with our professional and product liability business, there is substantial competition for our workers' compensation 

business. Workers’ compensation insurance is subject to significant price competition. In addition to price, competition in the 
workers’ compensation insurance line of business is based on quality of the products, quality and delivery of service, financial 
strength, ratings, distribution systems and technical expertise. Competitors include both regional specialized providers and 
large national insurance entities offering a full spectrum of business liability products. 

Lloyd's Syndicate Segment

Late in 2013, we completed the process of becoming a corporate member of Lloyd's of London, an internationally 
recognized specialist insurance market. We are the majority (58%) capital provider to Syndicate 1729, which began writing 
business as of January 1, 2014. The remaining capital for Syndicate 1729 is provided by unrelated third parties, including 
private names and other corporate members. We have committed £47.3 million ($78.3 million*) of capital for the first year of 
Syndicate 1729 operations and have a total capital commitment through 2019 of up to $200 million. Syndicate 1729 will cover 
a range of property and casualty insurance and reinsurance lines, and has a maximum underwriting capacity of £75 million 
($124.2 million*) for the 2014 underwriting year, of which £43.2 million ($71.5 million*) is our allocated underwriting 
capacity as a corporate member.

Syndicate 1729 faces significant competition from other Lloyd's syndicates, U.S. insurers operating internationally, and 

international and domestic insurers offering similar coverages. Competition is based on price, types and quality of product 
offered, and service quality. Syndicate 1729 is led by an experienced Lloyd's insurance and reinsurance underwriter, which we 
believe provides a competitive advantage.

*$ amounts estimated using the GBP exchange rate as of December 31, 2013.

Corporate Segment

We manage our investments at the corporate level and we apply a consistent management strategy to the entire portfolio. 
Accordingly, we report our investment results and net realized investment gains and losses within our corporate segment. Our 
corporate segment also includes certain revenues and expenses which management does not consider in evaluating the financial 
results of our other operating segments, interest expense and taxes. 

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 classes 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 of 
the Notes to Consolidated Financial Statements for more information on our investments.

Rating Agencies

Our claims paying ability is regularly evaluated and rated by three major rating agencies, A. M. Best, Fitch and Moody’s. 

In developing their claims paying ratings, these agencies make an independent evaluation of an insurer’s ability to meet its 
obligations to policyholders. See "Risk Factors" for a table presenting the claims paying ratings of our principal insurance 
operations.

Four rating agencies evaluate and rate our ability to service current debt and potential debt. These financial strength 

ratings reflect each agency’s independent evaluation of our ability to meet our obligation to holders of our debt, if any. While 
financial strength ratings may be of greater interest to investors than our claims paying ratings, these ratings are not evaluations 
of our equity securities nor a recommendation to buy, hold or sell our equity securities.

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 active insurance subsidiaries and other states in which our insurance subsidiaries do 
business. Our primary active insurance subsidiaries are domiciled in the United States. Our states of domicile include Alabama, 
Illinois, Michigan, Pennsylvania, and Vermont. We have reinsurance operations based in the Cayman Islands and, through our 
Lloyd's Syndicate segment, we have insurance operations based in the United Kingdom.

United States

Our insurance subsidiaries are required to file detailed annual statements 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 
11

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. Such regulations may 
hamper our ability to meet operating or profitability goals, including preventing us from establishing premium rates for some 
classes of insureds that adequately reflects the level of risk assumed for those classes. 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 companies are also subject to 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.

Insurance Regulation Concerning Change or Acquisition of Control

The insurance regulatory codes in each of the domiciliary states of our operating subsidiaries 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. Because of these regulatory requirements, any party seeking to acquire control of 
ProAssurance or any other domestic insurance company, whether directly or indirectly, would usually be required to obtain 
such approvals.

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

Statutory Accounting and Reporting

Insurance companies are required to file detailed quarterly and annual reports with the state insurance regulators in each 

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

In late 2010, the National Association of Insurance Commissioners (the NAIC) adopted the Model Insurance and Holding 

Company System Regulatory Act and Regulation (“Model Law”). The Model Law, as compared to previous NAIC guidance, 
increases regulatory oversight of and reporting by insurance holding companies, including reporting related to non-insurance 
entities, and requires reporting of risks affecting the holding company group. Additionally, in 2012 the NAIC adopted the Risk 
Management and Own Risk and Solvency Assessment Model Act (ORSA), which requires insurers to maintain a framework 
for identifying, assessing, monitoring, managing and reporting on the “material and relevant risks” associated with the insurer's 
(or insurance group's) current and future business plans. ORSA will also require insurers to file an internal assessment of 
solvency with insurance regulators annually beginning in 2015. Although no specific capital adequacy standard is currently 
articulated in ORSA, it is possible that such standard will be developed over time. The Model Law and ORSA will be binding 
only if adopted by state legislatures and/or state insurance regulatory authorities and actual regulations adopted by any state 
may differ from the Model Law. None of the states in which we are domiciled have adopted the Model Law or ORSA.

Regulation of Dividends and Other Payments from Our Operating Subsidiaries

Our operating subsidiaries are subject to various state statutory and regulatory restrictions that limit the amount of 
dividends or distributions an insurance company may pay to its shareholders, including our insurance holding company, 
without prior regulatory approval. Generally, dividends may be paid only out of unassigned 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 deem a dividend as 
extraordinary if the combined dividends and distributions to the parent holding company in any twelve-month period exceed 
prescribed thresholds. Such thresholds are statutorily prescribed by the state of domicile and currently are based on either net 

12

income for the prior fiscal year (reduced by realized capital gains in certain domiciliary states) or a percentage of unassigned 
surplus at the end of the prior fiscal year, depending upon the wording of the statute.

If insurance regulators determine that payment of a dividend or any other payments within a holding company group, 

(such as payments under a tax-sharing agreement or payments for employee or other services) would, because of the financial 
condition of the paying insurance company or otherwise, be a detriment to such insurance company’s policyholders, the 
regulators may prohibit such payments that would otherwise be permitted.

Risk-Based Capital

In order to enhance the regulation of insurer solvency, the NAIC specifies risk-based capital requirements for property 

and casualty insurance companies. At December 31, 2013, all of ProAssurance’s insurance subsidiaries substantially exceeded 
the minimum required risk-based capital 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 of investments. We monitor the practices used by our operating subsidiaries for 
compliance with applicable state investment regulations and take corrective measures when deficiencies are identified.

Guaranty Funds

Admitted insurance companies are required to be members of guaranty associations which administer state guaranty 

funds. To fund the payment of claims (up to prescribed limits) against insurance companies that become insolvent, these 
associations levy assessments 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 state 
regulations may permit larger assessments if insolvency losses reach specified levels. 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. In recent years, participation in guaranty funds has not had a 
material effect on our results of operations.

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

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 
Florida, Georgia, 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 legal climate for liability defendants, we have 
experienced an increase in competition.

The Missouri tort reform statutes were overturned in 2012, the Illinois and Georgia statutes were overturned in 2010, and 

challenges to tort reform are underway in most states where tort reforms have been enacted. Other state reforms may also be 
overturned, although we cannot predict with any certainty how appellate courts will rule. We monitor developments 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.

The Healthcare Reform Act was passed and signed into law in March 2010. Some of the more significant provisions of 
the Act have not yet become effective, and effects from enacted provisions may gradually increase. We do not expect that the 

13

provisions thus far enacted will have a significant direct effect on our business, but specific regulations to implement the law 
are still being written.

The Healthcare Reform Act is expected to have a significant impact on the practice of medicine in future years and could 

have unanticipated or indirect effects on our business or alter the risk and cost environments in which we and our insureds 
operate. These risks include: reduced operating margins that may cause physicians and hospitals to join in larger groupings 
which are more likely to utilize self-insured solutions for HCPL insurance products; use of electronic medical records may lead 
to additional medical malpractice litigation or increase the cost of litigation; patient dissatisfaction may increase due to greater 
strain on the patient-physician relationship; there may be an overall increase in healthcare costs which would increase loss costs 
for claims involving bodily injury; and additional health conditions may be identified as work-related which could increase the 
number of workers' compensation claims. Conversely, it is anticipated that there will be growth in the number of ancillary 
healthcare providers that will become customers for HCPL products. We are unable to predict with any certainty the effect that 
the Healthcare Reform Act or future related legislation will have on our insureds or our business.

The Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) was passed in July 2010. Although 

provisions of the Act do not appear to materially affect our business, the Act establishes new regulatory oversight of financial 
institutions. As detailed regulations are developed to implement the provisions of the Dodd-Frank Act, there may be changes in 
the regulatory environment that affect the way we conduct our operations or the cost of compliance, or both. 

One of the federal government bodies created by the Dodd-Frank Act was the Federal Insurance Office (FIO) which, in 

December 2013, released a proposal on insurance modernization and improvement of the system of insurance regulation in the 
United States. Although the FIO is prohibited from directly regulating the business of insurance, it has authority to represent the 
United States in international insurance matters and has limited power to preempt certain types of state insurance laws. The 
recent proposal advocates significantly greater federal involvement in insurance regulation and identifies necessary reforms by 
the states to preclude further consideration of direct federal regulation. While the proposal does not necessarily imply that the 
federal government will displace state regulation completely, it does recommend more of a hybrid approach to insurance 
regulation. We cannot predict whether the proposals will be adopted or what impact, if any, such proposals or, if enacted, such 
laws may have on our business, financial condition or results of operations.

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.

Terrorism Risk Insurance Act

The Federal Terrorism Risk Insurance Act (TRIA) was initially enacted in 2002 to ensure the availability of insurance 

coverage for certain acts of terrorism, as defined in the TRIA. The Terrorism Risk Insurance Program Reauthorization Act of 
2007 (Reauthorization Act) extended the program through December 31, 2014. The Reauthorization Act revised the definition 
of “Act of Terrorism” to remove the requirement that the act of terrorism be committed by an individual acting on behalf of any 
foreign person or foreign interest in order to be certified under the Reauthorization Act. The Reauthorization Act requires a 
$100 million loss event to trigger coverage. The Federal government will reimburse 85% of an insurer’s losses in excess of the 
insurer’s deductible, up to the maximum annual Federal liability of $100 billion.

Under the Reauthorization Act, we are required to offer terrorism coverage to our commercial policyholders in our 
workers' compensation line of business, for which we may, when warranted, charge an additional premium. The policyholders 
may or may not accept such coverage.

International

Workers' Compensation

Our segregated portfolio cell business is reinsured through our subsidiary, Eastern Re Ltd., SPC (Eastern Re), which is 

organized and licensed as a Cayman Islands unrestricted Class B insurance company. Eastern Re is subject to regulation by the 
Cayman Islands Monetary Authority (CIMA). Applicable laws and regulations govern the types of policies that the Company 
can insure or reinsure, the amount of capital that it must maintain and the way it can be invested, and the payment of dividends 
without approval by the CIMA. Eastern Re is required to maintain minimum capital of approximately $120,000 and must 
receive approval from the CIMA before it can pay any dividends. 

Lloyd's Syndicate 1729

Syndicate 1729 is regulated in the United Kingdom by the Prudential Regulation Authority and the Financial Conduct 

Authority. All Lloyd's syndicates must also comply with the bylaws and regulations established by the Council of Lloyd's 
including submission and approval of an annual business plan and maintenance of stipulated capital levels. Also, the Council of 
14

Lloyd's may call or assess a percentage of a member's underwriting capacity (currently a maximum of 3%) as a contribution to 
Lloyd's Central Fund, which, similar to state guaranty funds in the United States, meets policyholder obligations if a Lloyd's 
member is otherwise unable to do so. 

The European Union's executive body, the European Commission, is implementing new capital adequacy and risk 
management regulations called Solvency II that would apply to businesses within the European Union. Solvency II is currently 
required to be implemented on January 1, 2016, and certain interim transition measures are required for 2014 and 2015. We 
expect to comply with the requirements in accordance with the timetable set out by the Council of Lloyd's. 

Enterprise Risk Management

As a large property and casualty insurance provider, we are exposed to many risks. These risks, whether taken 

intentionally or unintentionally, are a function of the environment within which we operate. Since certain risks can be 
correlated with other risks, an event or a series of events can impact multiple areas of the Company simultaneously and have a 
material effect on the Company's results of operations, financial position and/or liquidity. In response to these exposures we 
have implemented an Enterprise Risk Management (ERM) program. Our ERM program consists of numerous processes and 
controls that have been designed by our senior management, with oversight by our Board of Directors, and have been 
implemented across our organization. We utilize ERM to identify potential risks from all aspects of our operations and to 
evaluate these risks in manner that is both prudent and balanced. Our primary objective is to develop a risk appetite that creates 
and preserves value for all of our stakeholders.

Employees

At January 1, 2014, upon completion of our merger with Eastern, we had 962 employees, none of whom were 

represented by a labor union. We consider our employee relations to be good. 

ITEM 1A.  RISK FACTORS.

There are a number of factors, many beyond our control, which may cause results to differ significantly from our 

expectations. Some of these factors are described below. Any factor described in this report could by itself, or together with one 
or more other 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.

Insurance market conditions may alter the effectiveness of our current business strategy and impact our revenues.

The property and casualty insurance business is highly competitive. We compete in a fragmented market comprised of 

many insurers, ranging from smaller single state mono-line insurers who have an extensive knowledge of local markets to large 
national insurers who offer multiple product lines and whose financial strength and resources may be greater than ours. In many 
instances, coverage we offer is also available through mutual entities whose return on equity objectives may be lower than ours. 
Also, there are many opportunities for self-insurance and for participation in an alternative risk transfer mechanism, such as 
captive insurers or risk retention groups.

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. Actions of competitors 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.

Because we are a property and casualty insurer, our business may suffer as a result of unforeseen catastrophe losses.

As a property and casualty insurer we are exposed to claims arising out of catastrophes, primarily through our workers' 
compensation and Syndicate 1729 operations. Catastrophes can be caused by various events, including hurricanes, tsunamis, 
tornadoes, windstorms, earthquakes, hailstorms, explosions, flooding, severe winter weather and fires and may include man-
made events, such as terrorist attacks or a wide-spread financial crisis. The incidence, frequency and severity of catastrophes 
are inherently unpredictable. While we use historical data and modeling tools to assess our potential exposure to catastrophic 
losses under various conditions and probability scenarios, such assessments do not necessarily accurately predict future losses 
or accurately measure our potential exposure. The extent of losses from a catastrophe is a function of both the total amount of 
insured exposure in the area affected by the event and the severity of the event.

Insurance companies are not permitted to reserve for a catastrophe until it has occurred. Although we purchase 
reinsurance protection for risks we believe bear a significant level of catastrophe exposure, actual losses resulting from a 

15

catastrophic event or events may exceed our reinsurance protection. It is therefore possible that a catastrophic event or multiple 
catastrophic events could have a material adverse effect on our financial position, results of operations and liquidity.

Our results of operations and financial condition may be affected if actual insured losses differ from our loss reserves or if 
actual amounts recoverable under reinsurance agreements differ from our estimated recoverables.

We establish reserves as balance sheet liabilities representing our estimates of amounts needed to resolve reported and 

unreported losses and pay related loss adjustment expenses. 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 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, 
including whether or not the claim is an individual or a mass tort 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 claims involving bodily injury, the trend of healthcare 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;
trend of healthcare costs for claims involving bodily injury;
inflation and levels of employment; and
changes in the regulatory legal and political environment.

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. We 
evaluate our reserves each period and increase or decrease reserves as necessary based on our estimate of future claims 
payments. An increase to reserves has a negative effect on our results of operations in the period of increase; a reduction to 
reserves has a positive effect on our results of operations in the period of reduction.

Our loss reserves also may be affected by court decisions that expand liability of 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, any case that is 
litigated to a jury verdict has the potential to incur a loss that has a material adverse effect on our results of operations.

We purchase reinsurance to mitigate the effect of large losses. 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 and conditions 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, changes to our estimate of the amount of 
reinsurance that is due to us could have a material effect on our results of operations in the period for which the change is 
made.

16

We are exposed to and may face adverse developments involving mass tort products liability claims arising from allegedly 
defective medical products, including medical devices, biotechnology and diagnostic products, prescription and non-
prescription pharmaceuticals, personal care products or animal healthcare products.

Establishing claim and claim adjustment expense reserves for mass tort claims is subject to uncertainties due to many 

factors, including expanded theories of liability, geographical location and jurisdiction of the lawsuits and the number of 
manufacturers and/or distributors involved. Moreover, it is difficult to estimate our ultimate liability for such claims due to 
evolving judicial interpretations of various tort theories of liability and defense theories, such as federal preemption and joint 
and several liability, as well as the application of insurance coverage to these claims.

If market conditions cause reinsurance to be more costly or unavailable, we may be required to bear increased risk 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. 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 need to reduce the amount of our underwritten risk.

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

We transfer part 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, our liability to 
our policyholders remains our responsibility. Reinsurers may periodically dispute our demand for reimbursement from them 
based upon their interpretation of the terms of our agreements or may fail to pay us for financial or other reasons. If reinsurers 
refuse or fail to pay us or fail to pay on a timely basis, our financial results and/or cash flows would be adversely affected and 
could have a material effect on our results of operations in the period in which uncollectible amounts are identified.

 At December 31, 2013 our Receivable from reinsurers on unpaid losses is $247.5 million and our Receivable from 

reinsurers on paid losses is $3.2 million. As of December 31, 2013 the estimated net amount due from four of our reinsurers 
exceeded $20 million, on an individual basis, with the largest estimated amount due from an individual reinsurer being $26.0 
million. A table listing significant reinsurers is provided in Item 7. Management's Discussion and Analysis, as a part of the 
Liquidity section, under the caption "Reinsurance".

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

We have been, from time to time, sued for allegedly acting in bad faith during our handling of a claim. The damages 

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

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

The Healthcare Reform Act was passed and signed into law in March 2010. While the primary provisions of the 
Healthcare Reform Act do not appear to directly affect our business, specific regulations to implement the law are still being 
written.

The Healthcare Reform Act is expected to have a significant impact on the practice of medicine in future years and could 

have unanticipated or indirect effects on our business or alter the risk and cost environments in which we and our insureds 
operate. These risks include: reduced operating margins that may cause physicians and hospitals to join in larger groupings 
which are more likely to utilize self-insured solutions for HCPL insurance products; use of electronic medical records may lead 
to additional medical malpractice litigation or increase the cost of litigation; patient dissatisfaction may increase due to greater 
strain on the patient-physician relationship; there may be an overall increase in healthcare costs which would increase loss costs 
for claims involving bodily injury; and additional health conditions may be identified as work-related which could increase the 
number of workers' compensation claims. Conversely, it is anticipated that there will be growth in the number of ancillary 
healthcare providers that will become customers for HCPL products. We are unable to predict with any certainty the effect that 
the Healthcare Reform Act or future related legislation will have on our insureds or our business.

17

Changes due to financial reform legislation could have a material effect on our operations.

The Dodd-Frank Act was passed and signed into law in July 2010. The provisions of the bill do not appear to materially 

affect our operations; however, the bill establishes new regulatory oversight of financial institutions and regulations to 
implement the Act remain in the process of development. As detailed regulations are developed to implement the provisions of 
the bill, there may be changes in the regulatory environment that affect the way we conduct our operations or the cost of 
regulatory compliance, or both. We are unable to predict with any certainty the effect that the Dodd-Frank Act will have on our 
business.

One of the federal government bodies created by the Dodd-Frank Act was the Federal Insurance Office (FIO) which, in 

December 2013, released a proposal on insurance modernization and improvement of the system of insurance regulation in the 
United States. Although the FIO is prohibited from directly regulating the business of insurance, it has authority to represent the 
United States in international insurance matters and has limited powered to preempt certain types of state insurance laws. The 
recent proposal advocates significantly greater federal involvement in insurance regulation and identifies necessary reforms by 
the states to preclude further consideration of direct federal regulation. While the proposal does not necessarily imply that the 
federal government will displace state regulation completely, it does recommend more of a hybrid approach to insurance 
regulation. We cannot predict whether the proposals will be adopted or what impact, if any, such proposals or, if enacted, such 
laws may have on our business, financial condition or results of operations.

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 
Florida, Georgia, 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. 

Challenges to tort reform are underway in most states where tort reforms have been enacted. The statutes in Missouri 
were overturned in 2012; those in Georgia and Illinois were overturned in 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 insurance entities that could remove our potential insureds from the private insurance market.

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

18

Our performance is dependent on the business, economic, regulatory and legislative conditions of states where we have a 
significant amount of business.

Our top five states, Alabama, Ohio, Texas, Florida and Michigan, represented 43% of our gross premiums written for the 
year ended December 31, 2013. Moreover, on a combined basis, Alabama, Ohio and Texas accounted for 30%, 32%, and 33% 
of our gross premiums written for the years ended December 31, 2013, 2012 and 2011, respectively. Additionally, although 
Eastern will not be a part of our consolidated results until January 1, 2014, a significant portion of Eastern's total gross 
premium written for the year ended December 31, 2013 was in the state of Pennsylvania. 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 sporadic, 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. State 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 or that such approvals will not be 
conditioned in a manner that materially and adversely affects the aggregate economic value and business benefits expected to 
be obtained and cause us to not complete the acquisition.

The Company performs thorough due diligence before agreeing to a merger or acquisition, however there is no guarantee 
that the procedures we perform will adequately identify all potential weaknesses or liabilities of the target company or potential 
risks to the consolidated entity.

There is also no guarantee that our recent acquisitions of Medmarc and Eastern, or acquisitions or businesses acquired in 
the future will be successfully integrated. Ineffective integration of our businesses and processes may result in substantial costs 
or delays and adversely affect our ability to compete. The process of integrating an acquired company or business can be 
complex and costly, and may create unforeseen operating difficulties and expenditures. Potential problems that may arise 
include, 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, 
assumption of greater than expected liabilities, or inability to achieve cost savings. Furthermore, claims may be asserted by 
either the policyholders or shareholders of any acquired entity related to payments or other issues associated with the 
acquisition and merger into the consolidated entity. Such claims may prove costly or difficult to resolve or may have 
unanticipated consequences. 

If we are unable to maintain favorable financial strength ratings, 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 and the financial strength 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 and debt obligations and are not directed toward the 
protection of equity investors. 

Our principal operating subsidiaries hold favorable claims paying ratings with A.M. Best, Fitch and Moody’s. Claims 

paying 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, which includes both our investment in Syndicate 1729 as of January 1, 2014 and subsidiaries 
acquired January 1, 2014, presents the claims paying ratings of our core insurance subsidiaries as of February 12, 2014. 

ProAssurance Indemnity Company, Inc.
ProAssurance Casualty Company
ProAssurance Specialty Insurance Company, Inc.
Podiatry Insurance Company of America
PACO Assurance Company, Inc.
Noetic Specialty Insurance Company
Medmarc Casualty Insurance Company
Lloyd's Syndicate 1729 (2)
Eastern Alliance Insurance Company
Allied Eastern Indemnity Company
Eastern Advantage Assurance Company
Eastern Re Ltd., SPC

A.M. Best
(www.ambest.com)
A+ (Superior)
A+ (Superior)
A+ (Superior)
A (Excellent)
A- (Excellent)
A (Excellent)
A (Excellent)
A (Excellent)
A (Excellent)
A (Excellent)
A (Excellent)
A (Excellent)

Rating Agency (1)

Fitch
(www.fitchratings.com)
A (Strong)
A (Strong)
A (Strong)
A (Strong)
A (Strong)
A (Strong)
A (Strong)
A+ (Strong)
NR
NR
NR
NR

Moody’s
(www.moodys.com)
A2
A2
NR
A2
NR
NR
NR
A+ (Strong)
NR
NR
NR
NR

(1) NR indicates that the subsidiary has not been rated by the listed rating agency.
(2) Rating provided is the rating applicable to all Lloyd's syndicates.

Four rating agencies evaluate and rate our ability to service current debt and potential debt. These financial strength 

ratings reflect each agency’s independent evaluation of our ability to meet our obligation to holders of our debt, if any. While 
these ratings may be of greater interest to investors than our claims paying ratings, these are not ratings of our equity securities 
nor a recommendation to buy, hold or sell our equity securities.

Our business could be adversely affected by the loss or consolidation of independent agents, agencies,  or brokers or brokerage 
firms.

We depend in part on the services of independent agents and brokers in the marketing of our insurance products. We face 

competition from other insurance companies for their services and allegiance. These agents and brokers may choose to direct 
business to competing insurance companies.

Our success is dependent upon our ability to effectively design and execute our business strategy and to adequately and 
appropriately serve our customers.

The Company depends upon the skill and work product of our officers and employees in executing our business strategy. 

While management and the Board of Directors ("the Board" or "our Board") monitor the strategic direction of the Company, 
strategic changes could be made that are not supportable by our capital base. In addition, our business could potentially be 
impacted if we are unable to align our strategy with the expectations of our stakeholders. The operations of the Company are 
also heavily dependent upon the delivery of superior customer service across a broad customer base, by which negative 
feedback from agents, insureds or internal staff could result in a loss of revenue for the Company.

Our business could be affected by the loss of one or more of our senior executives.

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 regularly reviews succession planning relating to our Chief Executive Officer as well as other senior officers. 

Mr. Starnes, our Chief Executive Officer and President, has indicated to the Board that he has no immediate plans for 
retirement.

20

 
 
Provisions in our charter documents, Delaware law and state insurance law may impede attempts to replace or remove 
management or may 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. We currently have no preferred stock outstanding, and no present intention to 
issue any shares of preferred stock. In addition, our Corporate Governance Principles provide that the Board, subject to its 
fiduciary duties, will not issue any series of preferred stock for any defense or anti-takeover purpose, for the purpose of 
implementing any stockholders rights plan, or with features intended to make any acquisition more difficult or costly without 
obtaining stockholder approval. However, because the rights and preferences of any series of preferred stock may be set by the 
Board 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 in connection with a transaction. 
However, certain of these provisions may discourage our future acquisition, including an acquisition in which stockholders 
might otherwise receive a premium for their shares. As a result, stockholders who might desire to participate in such a 
transaction may not have the opportunity to do so.

In addition, state insurance laws provide that no person or entity may directly or indirectly acquire control of an insurance 

company unless that person or entity has received approval from the insurance regulator. An acquisition of control of 
ProAssurance 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.

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, meet other holding company financial obligations, or pay dividends to 
shareholders. The payment of dividends by these operating subsidiaries is subject to restrictions set forth in the insurance laws 
and regulations of their respective states of domicile, as discussed under the caption "Insurance Regulatory Matters".

Regulatory requirements or changes to 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 desire to 
take in order to enhance our results of operations. 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.

Also, certain states sponsor insurance entities which affect the amount and type of liability coverages purchased in the 

sponsoring state. Changes to the number of state sponsored entities of this type could result in a large number of insureds 
changing the amount and type of coverage purchased from private insurance entities such as ProAssurance.

As a result of our acquisition of Eastern, we own a subsidiary domiciled in the Cayman Islands and subject to the laws of 

the Cayman Islands and regulations promulgated by the CIMA. Failure to comply with these laws, regulations and 
requirements could result in consequences ranging from a regulatory examination to a regulatory takeover of our Cayman 
subsidiary, which could potentially impact profitability of the workers' compensation alternative market solutions offered 
through this subsidiary.  

Syndicate 1729 is regulated in the United Kingdom by the Prudential Regulation Authority and the Financial Conduct 

Authority. All Lloyd's syndicates must also comply with the bylaws and regulations established by the Council of Lloyd's. 
Failure to comply with bylaws and regulations could affect our ability to underwrite as a Lloyd's Syndicate in the future and 
therefore affect our profitability. Changes in bylaws and regulations could also affect the profitability of the operations.

21

The European Union's executive body, the European Commission, is implementing new capital adequacy and risk 
management regulations called Solvency II that would apply to businesses within the European Union. Solvency II is currently 
required to be implemented on January 1, 2016, and certain interim transition measures are required for 2014 and 2015. We are 
unable to predict with any certainty the effect that such regulations will have on the profitability of Lloyd's or Syndicate 1729. 

As a member of the Lloyd's market and a capital provider to Lloyd's Syndicate 1729 we are subject to certain risks which could 
materially and adversely affect us.

As a member of the Lloyd's market we are obligated to contribute to the Lloyd's Central Fund and to pay levies to Lloyd's 

as well as our ongoing exposure to levies and charges in order to underwrite at Lloyd's. Whenever a member of Lloyd's is 
unable to pay its policyholder obligations, such obligations may be payable by the Lloyd's Central Fund. If Lloyd's determines 
that the Central Fund needs to be increased, it has the power to assess premiums levies on current Lloyd's members up to 3% of 
a member's underwriting capacity in any one year. We do not believe that any assessment is likely in the foreseeable future and 
have not provided an allowance for such an assessment. However, based on our 2014 estimated underwriting capacity at 
Lloyd's of £43.2 million ($71.5 million), the December 31, 2013 exchange rate of 1.6557 dollars per GBP and assuming the 
maximum 3% assessment, we could be assessed up to $2.1 million in 2014.

As a participant in Lloyd's of London, Syndicate 1729 is subject to certain risks and uncertainties, including the 

following: 
• 
• 
• 

its reliance on insurance and reinsurance brokers and distribution channels to distribute and market its products;
its obligation to pay levies to Lloyds;
its obligations to maintain funds to support its underwriting activities; its risk-based capital requirement being assessed 
periodically by Lloyd's and being subject to variation;
its reliance on ongoing approvals from Lloyd's and various regulators to conduct its business, including a requirement 
that its Annual Business Plan be approved by Lloyd's before the start of underwriting for each account year;
its financial strength rating is derived from the rating assigned to Lloyd's, although it has limited ability to directly 
affect the overall Lloyd's rating; and
its reliance on Lloyd's trading licenses in order to underwrite business outside the United Kingdom.

• 

• 

• 

The guaranty fund assessments that we are required to pay to state guaranty associations may increase or our 

participation in mandatory risk retention pools could be expanded and our 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 insurance companies that have become insolvent. 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 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. In 2013 and 2012, net guaranty fund 
assessments totaled less than $0.1 million and approximately $0.3 million, respectively. Our practice is to accrue for insurance 
insolvencies when notified of assessments. We are not able to reasonably estimate assessments or develop a meaningful range 
of possible assessments prior to notice because the guaranty funds do not provide sufficient information for development of 
such estimates or ranges.

Certain states have established risk pooling mechanisms that offer insurance coverage to individuals or entities who are 

otherwise unable to purchase coverage from private insurers. Authorized property and casualty insurers in these states are 
generally required to share in the underwriting results of these pooled risks, which are typically adverse. Should our mandatory 
participation in such pools be increased or if the assessments from such pools increased, our results of operations and financial 
condition would be negatively affected, although that was not the case in 2013, 2012 or 2011. 

22

Our investment results will fluctuate as interest rates change.

Our investment portfolio is primarily comprised of interest-earning assets, marked to market each period. Thus, 

prevailing economic conditions, particularly changes in market interest rates, may significantly affect our results of operations. 
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, prepayment risk and other risks.

A significant portion of our total assets ($3.9 billion or 77%) at December 31, 2013 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.

At December 31, 2013 approximately 10% of our investment portfolio is invested in mortgage and asset-backed 
securities. We utilize ratings determined by Nationally Recognized Statistical Rating Organizations (NRSROs) (Moody’s, 
Standard & Poor’s, and Fitch) as an element of our evaluation of 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.

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 proceeds at lower yields than the retired security. 
Conversely, as rates increase, and motivations for prepayments lessen, the period of time we hold our asset-backed securities 
may lengthen, causing us to not reinvest cash flows at the higher available yields.

At December 31, 2013 the fair value of our state/municipal portfolio was $1.2 billion (amortized cost basis of $1.1 

billion). While our state/municipal portfolio had a high 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 which would cause fair values to decline. The economic 
downturn in preceding years lessened tax receipts and other revenues in many states and their municipalities and the frequency 
of credit downgrades of these entities has increased.

Our tax credit partnership interests are subject to risks related to the potential forfeiture of the tax credits and all or a 

portion of the previously claimed tax credits. Loss of the tax credits might occur if the property owner fails to meet the 
specified requirements of planning, constructing and operating the property or if the property fails to generate the projected tax 
credits. At December 31, 2013 the carrying value of our tax credit partnership interests was approximately $142.2 million.

U.S. Government debt rating.

U.S Government securities are no longer rated with the highest possible rating by one of the major rating agencies, and 

there is potential for a further downgrade or for additional rating agencies to also downgrade U. S. Government securities. The 
rating agencies have also indicated that debt instruments of issuers dependent upon federal support and distributions, including 
state and local municipalities, may also be downgraded, but this has not yet occurred to any widespread extent except with 
respect to U.S. Agency debt or U.S. Agency guaranteed debt. If ratings downgrades occur, the average credit rating of our 
investment portfolio will be reduced. Due to the unpredictable nature of this situation, we are unable to provide a reliable 
estimate regarding the extent to which our portfolio might be affected. As of December 31, 2013 debt securities represented 
79% of our total investments and included U.S. Government debt, U.S. Agency debt, and U.S. Agency guaranteed debt having 
a combined fair value of $462 million and state and municipal securities having a combined fair value of $1.2 billion.

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 94% of our investments at fair value and the remaining 6% at cost, equity, 

or cash surrender value. See Notes 1, 3 and 4 of the Notes to Consolidated Financial Statements for additional information.

23

We determine the fair value of our investments using quoted exchange or over-the-counter (OTC) prices, when available. 

At December 31, 2013, we valued approximately 13% of our investments in this manner. When exchange or OTC quotes are 
not available, we estimate fair values 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. At December 31, 2013 
approximately 81% of our investments were valued in this manner. When markets exhibit significant 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.

Our Board may decide that our financial condition does not allow the continued payment of a quarterly cash dividend, or 
requires that we reduce the amount of our quarterly cash dividend.

Our Board approved a cash dividend policy in September 2011, most recently paid at $0.30 per share for the three months 

ended December 31, 2013. However, any decision to pay future cash dividends is subject to the Board’s final determination 
after a comprehensive review of the Company’s financial performance, future expectations and other factors deemed relevant 
by the Board.

Our ability to issue additional debt or letters of credit or other types of indebtedness on terms consistent with current debt is 
subject to market conditions, economic conditions at the time of proposed issuance, and the results of ratings reviews. Also, our 
current credit agreement requires that our debt to capital ratio be 0.35 to 1.0 or less, and the issuance of debt by one of our 
insurance subsidiaries requires regulatory approval, both of which may limit or prohibit the issuance of additional debt.

During 2013 we were able to issue $250 million of unsecured Senior Notes Payable due in 2023 at a 5.3% interest rate, 

and we obtained a secured letter of credit for £41.9 million (approximately $69.3 million at December 31, 2013 at a rate of 
prime plus 400 basis points. There is no guarantee that additional debt could be issued on similar terms in the future as rates 
available to us may change due to changes in the economic climate or shifts in the yield curve may occur or an increase in our 
level of debt may result in rating agencies lowering our debt rating. Also, our insurance subsidiaries must obtain regulatory 
approval before incurring additional debt. A further restriction is that our credit facility agreement requires that our 
consolidated debt to capital ratio (0.10 to 1.0 at December 31, 2013) be 0.35 to 1.0 or less. 

Resolution of uncertain tax matters and changes in tax laws or taxing authority interpretations of tax laws could result in 
actual tax benefits or deductions that are different than we have estimated, both with regard to amounts recognized and the 
timing of recognition. Such differences could affect our results of operations or cash flows.

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 
sources of future taxable income. We believe our tax positions are supportable under tax laws and that our estimates are 
prepared in accordance with GAAP. 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. The reinsurance portion of our workers' 
compensation business is domiciled in the Cayman Islands. Changes in Cayman Island tax laws could result in the loss of 
profitability of that business.

We are subject to U.S. federal and various state income taxes. 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 positions could be considerable. Our estimate of our potential liability for known uncertain tax 
positions is reflected in our financial statements and considers the Notice of Proposed Adjustment (NOPA) received in 2012, as 
discussed in the following paragraph. As of December 31, 2013 we had a federal income tax receivable of approximately $27 
million. We also had a liability for unrecognized current tax benefits of $4.8 million, and we had net deferred tax assets of 
approximately $1.8 million. Unrecognized tax benefits at December 31, 2013, if recognized, would not affect the effective tax 
rate but would accelerate the payment of tax.

 In December 2012 we received a Notice of Proposed Adjustment (NOPA) from the IRS which disallows a substantial 

portion of the loss and loss adjustment expense deductions taken for the 2009 and 2010 fiscal years and would thereby increase 
our current tax liability by approximately $130 million. In January 2013 we submitted a comprehensive written protest of the 
NOPA to the IRS Office of Appeals regarding certain issues within the NOPA, all of which related to the timing of deductions. 
During the fourth quarter of 2013, we reached a tentative settlement of all contested Federal income tax issues for the related 

24

tax years which will result in no additional tax liability for us. Other non-contested issues addressed by the NOPA are expected 
to result in a net federal income tax refund, exclusive of statutory interest, of approximately $9.6 million. We believe that our 
tentative terms of settlement with the IRS will be documented and finalized during 2014. In January 2013 we made a $20.6 
million protective tax payment to the IRS in order to reduce potential interest assessments. We expect the protective payment to 
also be refunded once the settlement is finalized.

New or changes in existing accounting standards, practices and/or policies, as well as subjective assumptions, estimates and 
judgments by management related to complex accounting matters could significantly affect our financial results or our ability 
to maintain investor confidence and shareholder value.

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 Notes to Consolidated Financial Statements for a 
description of our significant accounting policies.

ProAssurance is primarily a holding company of insurance subsidiaries which are required to comply with statutory 
accounting principles (SAP). SAP and its components are subject to review by the 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 permit a competitor or competitors to use a more favorable accounting policy.

It is uncertain whether or how SAP might be revised or whether any revisions will have a positive or negative effect. It is 

also uncertain whether any changes to SAP or its components or any permitted non-SAP accounting practices granted to our 
competitors will negatively affect our financial results or operations. See the Insurance Regulatory Matters section in Item 1 for 
the full discussion on regulatory matters.

Our interpretation, integration and/or compliance with new or changes to existing pronouncements by GAAP or SAP 

could materially impact us as a publicly traded company as it relates to investor confidence and shareholder value.

We are subject to numerous NYSE and SEC regulations including insider trading regulations, Regulation FD, and regulations 
requiring timely and accurate reporting of our operating results as well as certain events and transactions. Non-compliance 
with these regulations could subject us to enforcement actions by the NYSE or the SEC, and could affect the value of our shares 
and our ability to raise additional capital.

The Company carefully adheres to NYSE and SEC requirements as the loss of trading privileges on the NYSE or an SEC 

enforcement action could have a significant financial impact on the Company. Failure to comply with various SEC reporting 
and record keeping requirements could result in a decline in the value of our stock or a decline in investor confidence which 
could directly impact our ability to efficiently raise capital. Failure to adhere to NYSE requirements could result in fines, 
trading restriction or delisting.

The operations of the Company are heavily reliant upon the Company's reputation as an ethical business organization 
providing needed services to its customers.

The Company's positive reputation is critical to its role as an insurance provider and as a publicly traded company. The 
Board adopted a Code of Ethics and Conduct and management is heavily focused on the integrity of our employees and third 
party suppliers, agents or brokers. Illegal, unethical or fraudulent activities perpetrated by an employee or one of our third party 
agencies or brokers for personal gain could expose the Company to a potential financial loss.

25

A natural disaster or pandemic event, or closely related series of events, could cause loss of lives or a substantial loss of 
property or operational ability at one or more of the Company's facilities.

The Company's disaster preparedness encompasses our Business Continuity Plan, Disaster Recovery Plan, Operations 

Plan, and Pandemic Response Plan. Our disaster preparedness is focused on maintaining the continuity of the Company's data 
processing and telephone capabilities as well as the use of alternate and temporary facilities in the event of a natural disaster or 
medical event. The Company's plans are reviewed during the insurance department examinations of the statutory insurance 
companies. While the Company has plans in place to respond to both short- and long-term disaster scenarios, the loss of certain 
key operating facilities or data processing capabilities could have a significant impact on Company operations.

The operations of the Company are dependent upon the availability, integrity and security of our internal technology 
infrastructure and that of certain third parties. Any significant disruption of these infrastructures could result in unauthorized 
access to Company data or reduce our ability to conduct business effectively, or both.

The Company is dependent upon its technology infrastructure and that of certain third parties to operate and report 

financial and other Company information accurately and timely. The Company has focused resources on securing and 
preserving the integrity of our data processing systems and related data. Additionally, the Company evaluates the integrity and 
security of the technology infrastructure of third parties that process or store data that the Company considers to be significant. 
However, there is no guarantee that measures taken to date will completely prevent unauthorized access to our technological 
infrastructure or that of our third party service providers or our data. Should such unauthorized access occur, our normal 
operations could be disrupted or unauthorized internal or external knowledge or misuse of confidential Company data could 
occur, all of which could be harmful to the Company from both a financial and reputational perspective.

ITEM 1B. UNRESOLVED STAFF COMMENTS.

None. 

ITEM 2.

PROPERTIES.

We own five office properties, all of which are unencumbered:

Property  Location
Birmingham, AL (*)
Franklin, TN
Okemos, MI
Madison, WI
Las Vegas, NV

(*) Corporate Headquarters

Square Footage of Properties

Occupied by
ProAssurance

Leased or Available
for Lease

Total

104,000
52,000
53,000
38,000
4,640

61,000
51,000
—
—
—

165,000
103,000
53,000
38,000
4,640

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 of the Notes to Consolidated Financial Statements included herein.

EXECUTIVE OFFICERS OF PROASSURANCE CORPORATION

The executive officers of ProAssurance Corporation (ProAssurance) serve at the pleasure of the Board. We have a 

knowledgeable and experienced management team with established track records in building and managing successful 
insurance operations.  Following is a brief description of each executive officer of ProAssurance, including their principal 
occupation, and relevant background with ProAssurance and former employers.

26

W. Stancil Starnes

Howard H. Friedman

Jeffrey P. Lisenby

Edward L. Rand, Jr.

Frank B. O’Neil

Michael L. Boguski

Mary Todd Peterson

Ross E. Taubman

Kelly B. Brewer

Mr. Starnes was appointed as Chief Executive Officer and President of ProAssurance in
2007 and has served as the Chairman of the Board since 2008. Mr. Starnes previously served
as President, Corporate Planning and Administration of Brasfield & Gorrie, Inc., a large
national commercial contractor. Prior to 2006, Mr. Starnes served as the Senior and
Managing Partner of the law firm of Starnes & Atchison, LLP, where he was extensively
involved with ProAssurance and its predecessors in the defense of healthcare professional
liability claims for over 25 years. Mr. Starnes currently serves as a director of Infinity
Property and Casualty Corporation, a public insurance holding company, where he serves on
the audit, compensation and executive committees. He formerly served as a director of
Alabama National Bancorporation. (Age 65)

Mr. Friedman was appointed as President of our Healthcare Professional Liability Group in
2014, and is also our Chief Underwriting Officer and Chief Actuary. Mr. Friedman has
previously served as a Co-President of our Professional Liability Group, Chief Financial
Officer, Corporate Secretary, and as the Senior Vice President of Corporate Development.
Mr. Friedman joined our predecessor in 1996. Mr. Friedman is an Associate of the Casualty
Actuarial Society and a member of the American Academy of Actuaries. (Age 55)

Mr. Lisenby was appointed as an Executive Vice President in 2014 and is also our General
Counsel, Corporate Secretary and head of the corporate Legal Department. Mr. Lisenby has
previously served as Senior Vice President. Prior to joining ProAssurance, Mr. Lisenby
practiced law privately in Birmingham, 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 45)

Mr. Rand was appointed as an Executive Vice President in 2014 and is also our Chief
Financial Officer. Mr. Rand previously served as our Senior Vice President of Finance upon
joining ProAssurance in 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 47)

Mr. O’Neil was appointed as our Senior Vice President and Chief Communications Officer
in 2001. Mr. O’Neil has previously served as our Senior Vice President of Corporate
Communications, having joined our predecessor in 1987. (Age  60)

Mr. Boguski is President of our Eastern subsidiary. Prior to the acquisition of Eastern, Mr.
Boguski served as President and Chief Executive Officer of Eastern, and first joined Eastern
in 1997. Mr. Boguski has 26 years of insurance industry experience. (Age 51)

Ms. Peterson is President of our Medmarc subsidiary. Prior to the acquisition of Medmarc,
Ms. Peterson served as Medmarc's President and CEO. She previously served as Medmarc's
Senior Vice President and Chief Operating Officer as well as its Senior Vice President, Chief
Financial Officer and Treasurer. Ms. Peterson has 19 years of insurance industry experience
and 18 years of public accounting experience. Ms. Peterson serves on the Board of
Governors for the Property Casualty Insurance Association of America where she chairs the
Investment Committee and serves on the Executive and Finance Committees. Ms. Peterson
also serves on the Board of Directors of The Community Financial Corporation where she
chairs the Audit Committee. (Age 59)

Dr. Taubman is President and Chief Medical Officer of our PICA subsidiary. Prior to joining
PICA Dr. Taubman practiced podiatry for 26 years. During that time, Dr. Taubman served as
Treasurer, Vice-President and President of the Maryland Podiatric Medical Association. Dr.
Taubman is a diplomate in the American Board of Podiatric Surgery. (Age 56)

Ms. Brewer was appointed as our Chief Accounting Officer in 2014 and has served as our
Vice President of Finance since joining ProAssurance in 2008. Prior to joining ProAssurance
Ms. Brewer was a Senior Manager for PricewaterhouseCoopers for four years. Prior to that
time Ms. Brewer served financial services clients in audit and forensic accounting
engagements for five years. Ms. Brewer is a Certified Public Accountant. (Age 38)

27

  
We have adopted a Code of Ethics and Conduct that applies to our directors and executive officers, including but not 
limited to 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. Both our Code of Ethics and Conduct and our Share Ownership Guidelines are available on the 
Governance section of our website. 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.

ITEM 4. MINE SAFETY DISCLOSURES.

Not applicable. 

PART II

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND 
ISSUER PURCHASES OF EQUITY SECURITIES.

At February 12, 2014, ProAssurance Corporation (PRA) had 2,973 stockholders of record and 60,486,816 shares of 

common stock outstanding. ProAssurance’s common stock currently trades on the NYSE under the symbol “PRA”.

Quarter
First
Second
Third
Fourth

Quarter
First
Second
Third
Fourth*

$

$

2013

2012

High

Low

High

Low

$

47.92
52.73
55.28
49.38

$

43.06
47.11
45.06
42.70

$

45.00
45.06
46.29
46.49

39.35
41.94
43.80
42.17

Dividends Declared
2013
2012

Dividends Paid

2013

2012

$

0.250
0.250
0.250
0.300

0.125
0.125
0.125
2.750

$

— $

0.250
0.250
0.250

0.125
0.125
0.125
2.875

* Includes a special dividend of $2.50 per common share in 2012.

 The Board initiated a regular quarterly dividend in September 2011 and on December 5, 2012 declared a special 
dividend of $2.50 per common share that was paid December 27, 2012. Any decision to pay regular or special cash dividends 
in the future is subject to the Board’s final determination after a comprehensive review of financial performance, future 
expectations and other factors deemed relevant by the Board. 

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 of this 10-K.

28

  
Securities Authorized for Issuance Under Equity Compensation Plans

The following table provides information regarding ProAssurance’s equity compensation plans as of December 31, 2013.

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

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

(a)

(b)

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

828,328

$

23.00 * 

2,960,052

—

—   

—

*Applicable only to approximately 18,000 outstanding options. Other outstanding share units have no exercise price.

Issuer Purchases of Equity Securities

Period

October 1 - 31, 2013

November 1 - 30, 2013

December 1 - 31, 2013

Total

Total Number of
Shares
Purchased

Average
Price Paid
per Share

—

—

507,192

507,192

—

—

48.26

48.26

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 *
 (in thousands)

—

—

507,192

507,192

127,119

127,119

202,629

* Under its current plan begun in November 2010, the ProAssurance Board of Directors has authorized $300 million for 
the repurchase of common shares or the retirement of outstanding debt, including $100 million authorized in December 2013. 
This is ProAssurance's only plan for the repurchase of common shares, and the plan has no expiration date.

29

 
 
 
ITEM 6. SELECTED FINANCIAL DATA.

Year Ended December 31

Selected Financial Data (1)
Gross premiums written
Net premiums earned
Net investment income
Equity in earnings (loss) of unconsolidated

subsidiaries

Net realized investment gains (losses)
Other revenues

Total revenues

Net losses and loss adjustment expenses
Net income (2)
Net income per share (3):

Basic
Diluted

Weighted average shares outstanding (3):

Basic
Diluted

Balance Sheet Data (as of December 31)
Total investments
Total assets
Reserve for losses and loss adjustment

expenses

Long-term debt
Total liabilities
Total capital
Total capital per share of common stock

outstanding (3)

$

$

$
$

2013

567,547
527,919
129,265

7,539
67,904
7,551
740,178
224,761
297,523

4.82
4.80

61,761
62,020

$

$

$
$

2012

2011
(In thousands except per share data)

2010

$

536,431
550,664
136,094

$

565,895
565,415
140,956

(6,873)
28,863
7,106
715,854
179,913
275,470

4.49
4.46

61,342
61,833

$

$
$

(9,147)
5,994
13,566
716,784
162,287
287,096

4.70
4.65

61,140
61,684

$

$
$

$

$

$
$

533,205
519,107
146,380

1,245
17,342
7,991
692,065
221,115
231,598

3.64
3.60

63,576
64,351

2009

553,922
497,543
150,945

1,438
12,792
9,965
672,683
231,068
222,026

3.38
3.35

65,696
66,300

$ 3,941,045
5,150,891

$ 3,926,902
4,876,578

$ 4,090,541
4,998,878

$ 3,990,431
4,875,056

$ 3,838,222
4,647,414

2,072,822
250,000
2,756,477
$ 2,394,414

2,054,994
125,000
2,605,998
$ 2,270,580

2,247,772
49,687
2,834,425
$ 2,164,453

2,414,100
51,104
3,019,193
$ 1,855,863

2,422,230
50,203
2,942,819
$ 1,704,595

Common stock outstanding, period end (3)

61,197

61,624

61,107

61,506

$

39.13

$

36.85

$

35.42

$

30.17

$

26.30

64,824

(1)  Includes acquired entities since date of acquisition only.

(2)  Includes a loss on extinguishment of debt of $2.2 million and $2.8 million for the years ended December 31, 2012 and 

2009, respectively.

(3)  For all periods presented, share and per share amounts reflect the effect of the two-for-one stock split effected in the 

form of a stock dividend that was effective December 27, 2012.

30

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

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

ProAssurance Overview

We are an insurance holding company and our operating results are primarily derived from the operations of our 
insurance subsidiaries, which provide professional liability insurance for healthcare professionals and facilities, professional 
liability insurance for attorneys, liability insurance for medical technology and life sciences risks, and, effective January 1, 
2014, workers' compensation insurance. We are also a 58% capital provider to Syndicate 1729, which began underwriting and 
reinsuring a range of property and casualty insurance lines effective January 1, 2014.

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 

The largest component of our liabilities is our reserve for losses and loss adjustment expenses ("reserve for losses" or 

"reserve"), and the largest component of expense for our operations is incurred losses and loss adjustment expenses (also 
referred to as “loss and loss adjustment expenses”, “incurred losses”, “losses incurred”, and “losses”). Incurred losses reported 
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. 

As of December 31, 2013 our reserves are almost entirely comprised of long-tail risk exposures. The estimation of long-

tailed insurance losses is inherently difficult and is subject to significant judgment on the part of management. 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, including whether or not the claim is an individual or a mass tort claim, the personal situation of the 
claimant or the claimant's family, the outcome of jury trials, the legislative and judicial climate where any potential litigation 
may occur, general economic conditions and, for claims involving bodily injury, the trend of healthcare costs. Long-tailed 
insurance is characterized by the extended period of time typically required to resolve claims, 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 significant 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 and consulting actuaries. 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. Both our internal and consulting actuaries perform an in-depth review 
of our reserve for losses on at least a semi-annual basis using the loss and exposure data of our insurance subsidiaries. We 
partition 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 partition 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 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. 

31

At a high level our reserving process can be broadly grouped into two areas: the establishment of initial or current 
accident year reserves and the re-estimation of reserves for prior accident years. A summary of the activity in our net reserve 
for losses during 2013, 2012 and 2011 is provided in the Liquidity and Capital Resources and Financial Condition section that 
follows.

Initial Reserve Estimates-Current Accident Year 

Considerable judgment is required in establishing our initial reserves for any current accident year period, as there is 
limited open or closed claims data available for a current accident year period at the time reserves for that period are estimated. 
Accordingly, in establishing our initial reserves for an accident year, in general we rely heavily on the loss assumptions that 
were used to price business during the accident year, as our pricing reflects our analysis of loss costs that we expect to incur 
relative to the business being priced. For our HCPL business (89% of our gross written premiums in 2013, 96% in 2012 and 
97% in 2011) we set initial reserves at the average loss ratio used in our pricing, plus an additional margin in consideration of 
the historical loss volatility we and others in the industry have experienced. For our HCPL business our target loss ratio during 
recent accident years has approximated 75% and the margin for loss volatility has ranged from 8 to 10 percentage points, 
producing an overall average initial loss ratio for our HCPL business of approximately 85%. We believe use of a margin for 
volatility considers inherent risks associated with our rate development process and the historic volatility of professional 
liability losses (the industry has experienced accident year loss ratios as high as 163% and as low as 53% over the past 30 
years) and produces a reasonable best estimate of the reserves required to cover actual ultimate unpaid losses. A similar practice 
is followed for our professional legal liability business. Our medical technology and life sciences products liability business is 
more varied, and policies are individually priced based on the risk characteristics of the policy. Therefore, for this business we 
establish initial reserves using our most recently developed actuarial estimates of losses expected to be incurred based on 
factors which include: results from prior analysis of similar business, industry indications, observed trends and judgment. The 
products liability line of business exhibits similar volatility to HCPL, and the actuarial estimate includes a provision for 
volatility. 

Severity is defined as the average cost of resolving claims and the severity trend is the increase or decrease in severity 

from period to period. Although we remain uncertain regarding the ultimate severity trend to project into the future due to the 
long-tailed nature of our business, we have given consideration to observed loss costs in setting our rates. For our HCPL 
business this practice has resulted in rate reductions in recent years. For example, on average, excluding our podiatry business 
acquired in 2009, we have gradually reduced the premium rates we charge on our standard physician renewal business (our 
largest HCPL line) by approximately 17% from the beginning of 2006 to December 31, 2013. Loss ratios for the current 
accident years have thus remained fairly constant because expected loss reductions have been reflected in our rates. 

Re-estimation of Prior Years' Loss Reserves

Process

The foundation of our reserve re-estimation process is an actuarial analysis that is performed by both our internal and 

consulting actuaries. The very detailed analysis projects ultimate losses on a line of business, geographic, coverage layer and 
accident year basis. The procedure is intended to balance the use of the most representative data for each partition, capturing its 
unique patterns of development and trends. In all there are over 140 different partitions of our business for purposes of this 
analysis. We believe that the use of consulting actuaries provides an independent view of our loss data as well as a broader 
perspective on industry loss trends. 

The analysis performed by the consulting actuaries analyzes each partition of our business in a variety of ways and uses 

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 Development Method

•  The Adjusted Reported and the Adjusted Paid Methods 

A brief description of each method follows. 

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 

32

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 expected 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 develop 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 of 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 claims payment 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 following period. Starting from the most mature period, after which all of 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. 

The Adjusted Reported and the Adjusted Paid Methods. These methods are based on the premise that the relative change 
in a given accident year's adjusted reported loss estimates (Adjusted Reported Method) or adjusted paid losses (Adjusted Paid 
Method) from one evaluation point to the next is similar to changes observed for earlier accident years at the same evaluation 
points. In the Adjusted Reported Method reported loss estimates are adjusted to reflect a common case reserve adequacy basis. 
In the Adjusted Paid Method, the historical paid loss experience is adjusted to reflect a common claim settlement rate basis.  We 
principally use these methods to evaluate reserves for our legal liability coverages.

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. These methods emphasize different aspects of loss reserve estimation and provide a variety of perspectives 
for our decisions. 

Certain of the methodologies utilized to estimate the ultimate losses for each partition of our reserves consider the actual 

amounts paid. Paid data is particularly influential when a large portion of known claims have been closed, as is the case for 
older accident years. In selecting a point estimate for each partition, management considers the extent to which trends are 
emerging consistently for all partitions and known industry trends. Thus, actual, rather than estimated severity trends are given 
consideration. When actual severity trends are lower than those estimated at the time that reserves were previously established, 
the recognition of favorable development is indicated. This is particularly true for older accident years where our actuarial 
methodologies give more weight to actual loss costs (severity).

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 when establishing 
our reserves. 

We utilize the selected point estimates of ultimate losses to develop estimates of ultimate losses recoverable from 
reinsurers, based on the terms and conditions of our reinsurance agreements. An overall estimate of the amount receivable from 
reinsurers is determined by combining the individual estimates. Our net reserve estimate is the gross reserve point estimate less 
the estimated reinsurance recovery.

Use of Judgment

Even though the actuarial process is highly technical, it is also highly judgmental, both as to the selection of the data used 

in the various actuarial methodologies (e.g., initial expected loss ratios and loss development factors) and in the interpretation 
of the output of the various methods used. Each actuarial method generally returns a different value and for the more recent 
accident years the variations among the various methodologies can be significant. For each partition of our reserves, the results 
of the various methods, along with the supplementary statistical data regarding such factors as closed with and without 

33

indemnity ratios, claim severity trends, the expected duration of such trends, changes in the legal and legislative environment 
and 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 is based upon the judgment of management taking into consideration the 
actuarial methods and other environmental factors discussed previously. For each partition of our reserves, we select a point 
estimate with due regard for the age, characteristics and volatility of the subset of the business, the volume of data available for 
review and past experience with respect to the accuracy of estimates. The series of selected point estimates is then combined to 
produce an overall point estimate for ultimate losses. 

Given the potential for unanticipated volatility for long-tailed lines of business, we are cautious in giving full credibility 

to emerging trends that, when more fully mature, may lead to the recognition of either favorable or adverse development of our 
losses. There may be trends, both positive and negative, reflected in the numerical data both within our own information and in 
the broader marketplace that mitigate or reverse as time progresses and additional data becomes available. This is particularly 
true for our HCPL business which has historically exhibited significant volatility as previously discussed.

Over the past several years the most influential factor affecting our analysis of reserves and the development recognized 

has been the change, or lack thereof, in the severity of claims, particularly for our HCPL claims. Severity is defined as the 
average cost of resolving claims. The severity trend assumption is a key assumption for both pricing models and actuarial 
estimation of reserves. The severity trend is an explicit component of our pricing models, whereas in our reserving process the 
severity trend's impact is implicit. Our estimate of this trend and our expectations about changes in this trend impact a variety 
of factors, from the selection of expected loss ratios to the ultimate point estimates established by management.

Because of the implicit and wide-ranging nature of severity trend assumptions on the loss reserving process it is not 

practical to specifically isolate the impact of changing severity trends. However, because severity is an explicit component of 
our HCPL pricing process we can better isolate the impact that changing severity can have on our loss costs and loss ratios as 
regards our pricing models for this business component. Our current HCPL pricing model assumes a severity trend of 2% to 
3% in most states and lines of business. If the severity trend were to be higher by 1 percentage point, the impact would be an 
increase in our expected loss ratio of 3.2 percentage points. An increase in the severity trend of 3 percentage points would result 
in a 10.1 percentage point increase in our expected loss ratio. Due to the long tailed nature of our claims and the previously 
discussed historical volatility of loss costs, selection of a severity trend assumption is a subjective process that is inherently 
likely to prove inaccurate over time. Given this long-tail and the previously discussed historical volatility of loss costs, we are 
generally cautious in making changes to the severity assumptions within our pricing models. Also of note is that all open claims 
and accident years are generally impacted by a change in the severity trend, which compounds the effect of such a change.

From 2004 to 2009 both our internal and consulting actuaries observed an unprecedented reduction in the frequency of 

HCPL claims (or number of claims per exposure unit) that cannot be attributed to any single factor, which has complicated the 
selection of an appropriate severity trend for our pricing models for these lines. It has also made it more challenging to factor 
severity into the various actuarial methodologies discussed above. We believe that much of the reduction in claim frequency is 
the result of a decline in the filing of frivolous lawsuits that have historically been dismissed or otherwise result in no payment 
of indemnity on the part of our insureds. With fewer frivolous claims being filed we expect that the claims that are filed have 
the potential for greater average losses, or greater severity. As a result, we cannot be certain as to the impact this decline will 
ultimately have on the average cost of claims. Based on a weighted average of payments, only 85% are resolved after eight 
years for a given accident year. Due to this long tail, we continue to be uncertain of the full impact of the observed decline in 
frequency and whether there is a related increase in severity. 

Loss Development

We recognized net favorable development related to prior accident years of $222.7 million for the year ended 
December 31, 2013 (including favorable development of $6.9 million related to reserves acquired in the January 1, 2013 
Medmarc acquisition), $272.0 million for the year ended December 31, 2012, and $325.9 million for the year ended 
December 31, 2011. 

In support of our concern that the decline in frequency will result in a higher severity trend, we saw our closed-with-
indemnity-payment ratio (i.e., the number of claims closed with an indemnity or loss payment as compared to the total number 
of closed claims) for our claims increase from 7% in 2005 to 15% in 2013 (percentages exclude Medmarc claims). While this 
trend has been in keeping with our expectations, the anticipated increase in severity incorporated into our loss assumptions has 
not occurred. Rather, we have experienced lower than expected severity which has been the primary driver of the favorable 
development recognized in recent years. 

34

The following tables present additional information about our loss development, excluding the development recognized 

with respect to Medmarc reserves acquired in 2013:

Estimated Ultimate Losses, Net of Reinsurance ("established ultimates"): 

(In thousands)
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
Prior to 2004

2013
$427,562
464,395
478,227
453,890
410,915
373,742
357,682
327,193
357,405
347,694
5,545,412

2012
N/A
$459,567
489,892
481,342
455,980
412,373
391,768
348,970
371,637
355,275
5,565,624

2011*
N/A
N/A
$494,781
494,954
480,358
468,032
442,815
387,678
396,598
374,192
5,605,492

*Amounts shown for 2011 have been adjusted to include ultimates associated with

the reserves assumed in 2012 due to a business combination.

Reserve Development, (favorable) unfavorable:

(In thousands)
2012
2011
2010
2009
2008
2007
2006
2005
2004
Prior to 2004

2013
$4,828
(11,665)
(27,452)
(45,065)
(38,631)
(34,086)
(21,777)
(14,232)
(7,581)
(20,212)

2012
N/A
$(4,889)
(13,612)
(24,378)
(55,659)
(51,047)
(38,708)
(24,961)
(18,917)
(39,868)

2011
N/A
N/A
$(3,293)
(22,090)
(51,562)
(61,663)
(58,795)
(36,100)
(39,288)
(53,074)

An extended period of time is required to get a clear estimate of the loss cost for a given accident year. As an example, 

looking at the 2008 accident year, we had resolved 83.1% of the known claims by the end of 2011, 90.3% of the known claims 
by the end of 2012, and 94.6% of the known claims by the end of 2013. These statistics are based on the number of reported 
claims; since many non-meritorious claims are resolved early, percentages of ultimate loss payments known at the same points 
in time are considerably lower. A similar pattern can be seen in each open accident year as demonstrated in the table below. 

Historically we have resolved more than 85% of our physician and hospital professional liability claims with no 
indemnity payment and generally these claims are the first to be resolved. As an accident year matures, the number of claims 
resolved with indemnity payments progressively increases. In a similar fashion, we typically expend more in loss adjustment 
expenses (legal fees) as claims mature. 

35

The following table represents the percentage of known HCPL claims closed: 

Accident Year
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004

2013
18.7%
46.6%
69.5%
82.4%
89.0%
94.6%
97.2%
98.5%
99.0%
99.4%

December 31

2012
N/A
13.5%
45.0%
68.8%
80.6%
90.3%
93.9%
97.1%
98.4%
99.1%

2011
N/A
N/A
13.2%
45.3%
67.7%
83.1%
89.5%
94.7%
96.9%
98.3%

Based upon the additional claims closed during 2013, 2012 and 2011, as shown above, and the continuation of better than 
expected severity trends, management reduced its expected ultimate losses in each of these years resulting in the recognition of 
corresponding amounts of favorable development in the income statements of those periods. At December 31, 2012 and 2011 
management reserve estimates for the three most recent prior accident years (which have closed claim percentages below 85%) 
were influenced by the initial reserves estimates set for these years, moderated to reflect consideration of better than anticipated 
claims experience observed during the periods. Estimates for older accident years with higher percentages of closed claims 
were more heavily influenced by the more moderate severity trend observed during the periods, particularly with regard to 
claims closed during the periods. Management continued to reflect approximately the same level of consideration of the 
moderated trend in its estimate of the reserve required at December 31, 2013; however, the effect was not as pronounced as that 
recorded in 2012 and 2011.

This can be seen in looking at both the absolute amount of favorable reserve development recognized for the less 

developed accident years as well as the size of such development when compared to established ultimates for those same 
accident years at the end of the preceding calendar year. The following table provides this information for years ended 
December 31, 2013, 2012 and 2011 with respect to the three then most recent prior accident years:

($ in millions)

Prior accident years

2013
2010-2012

2012

2009-2011

2011

2008-2010

Net favorable development recognized for the

specified years

Development as a % of established ultimates,

prior calendar year end

$34.3

2.4%

$42.9

2.9%

$76.9

5.1%

We recognized $6.9 million of development related to the reserves acquired from Medmarc, representing a 2.0% 
reduction to the ultimates for accident years 2004 to 2012 as of January 1, 2013, the date of acquisition. The development 
recognized related primarily to product liability reserves established for 2005 to 2010 accident years, and reflects improved 
claims experience during 2013 as compared that anticipated by the actuarial methodologies used to established ultimates as of 
January 1, 2013.  

36

Variability of Loss Reserves

As previously noted, the number of data points and variables considered and the subjective process followed in 

establishing our loss reserve makes it impractical to isolate individual variables and demonstrate their impact on our estimate of 
loss reserves. However, to provide a better understanding of the potential variability in our reserves, we have modeled implied 
reserve ranges around our single point net 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

Carried Net Reserve

High End Point

$1.407 billion

$1.520 billion

$1.825 billion

$1.825 billion

$2.300 billion

$2.105 billion

Any change in our estimate of net ultimate losses for prior years is reflected in net income in the period in which such 
changes are made. Over the past several years such changes have been to reduce our estimate of net ultimate losses, resulting in 
a reduction of reported losses for the period and a corresponding increase in income. 

Due to the size of our reserve for losses and the large number of claims outstanding at any point in time, even a small 
percentage adjustment to our total reserve estimate could have a material effect on our results of operations for the period in 
which the adjustment is made.

Acquired Reserves

The acquisition of Medmarc increased our loss reserves by $201.1 million, which represented the fair value of Medmarc's 

loss reserves at the time of the acquisition. The estimated fair value was calculated as the present value of the expected 
underlying net cash flows, including a 5% profit margin and a 5% risk premium. Expected net cash flows were derived from 
the expected loss payment patterns included in an actuarial analysis of Medmarc reserves performed as of December 31, 2012.  
Approximately 85% of the reserves assumed in the Medmarc acquisition are products liability reserves and approximately 15% 
are professional liability reserves.

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 make a determination of the amount of insurance risk we choose to retain based 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. We purchase reinsurance from a 
number of companies to mitigate concentrations of credit risk. We utilize a reinsurance broker to assist us in the placement of 
our reinsurance programs and in the analysis of the credit quality of our reinsurers. The determination of which reinsurers we 
choose to do business with is based upon an evaluation of their then-current financial strength, rating and stability.

We evaluate each of our ceded reinsurance contracts at inception to confirm that there is sufficient risk transfer to allow 
the contract to be accounted for as reinsurance under current accounting guidance. At December 31, 2013, all ceded contracts 
were 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 and conditions 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.

Given the uncertainty inherent in our estimates of losses and related amounts recoverable from reinsurers, these estimates 

may vary significantly from the ultimate outcome.

37

Under the terms of certain of our reinsurance agreements, the amount of premium that we cede to our reinsurers is based 

in part on the losses we recover under the agreements. Therefore we make an estimate of premiums ceded under these 
reinsurance agreements subject to certain maximums and minimums. Any adjustments to our estimates of losses recoverable 
under our reinsurance agreements or the premiums owed under our agreements 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.

  The financial strength of our reinsurers and their 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 as of December 31, 2013; however, reinsurers may periodically dispute our demand for reimbursement from them 
based upon their interpretation of the terms of our agreements. 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 material 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.

Investment Valuations

We record the majority of our investments at fair value as shown in the table below. The distribution of our investments 

based on GAAP fair value hierarchies (levels) was as follows:

Distribution by GAAP Fair Value Hierarchy

December 31, 2013

Investments recorded at:
    Fair value
    Other valuations

Total Investments

Level 1

Level 2

Level 3

13%

78%

3%

Total
Investments

94%
6%
100%

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. All of our fixed maturity and equity security investments are 
carried at fair value. Our short-term securities are carried at amortized cost, which approximates fair value.

Because of the number of securities we own and the complexity and cost of developing accurate fair values, we utilize 

multiple independent pricing services to assist us in establishing the fair value of individual securities. The pricing services 
provide fair values based on exchange traded prices, if available. If an exchange traded price is not available, the pricing 
services, if possible, provide a fair value that is based on multiple broker/dealer quotes or that has been developed using pricing 
models. Pricing models vary by asset class and utilize currently available market data for securities comparable to ours to 
estimate the fair value for our security. The pricing services scrutinize market data for consistency with other relevant market 
information before including the data in the pricing models. The pricing services disclose the types of pricing models used and 
the inputs used for each asset class. Determining fair values using these pricing models requires the use of judgment to identify 
appropriate comparable securities and to choose a valuation methodology that is appropriate for the asset class and available 
data.

The pricing services provide a single value per instrument quoted. We review the values provided for reasonableness each 
quarter by comparing market yields generated by the supplied value versus market yields observed in the market place. We also 
compare yields indicated by the provided values to appropriate benchmark yields and review for values that are unchanged or 
that reflect an unanticipated variation as compared to prior period values. In addition, we compare provided information for 
consistency with our other pricing services, known market data and information from our own trades, considering both values 
and valuation trends. We also review weekly trades versus the prices supplied by the services. If a supplied value appears 
unreasonable, we discuss the valuation in question with the pricing service and make adjustments if deemed necessary. To date, 
our review has not resulted in any changes to the values supplied by the pricing services.

The pricing services do not provide a fair value unless an exchange traded price or multiple observable inputs are 
available. As a result, the pricing services may provide a fair value for a security in some periods but not others, depending 
upon the level of recent market activity for the security or comparable securities.

38

 
 
Level 1 Investments

Fair values for our equity and a portion of our short-term securities are determined using exchange traded prices. 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.

Level 2 Investments

Most fixed income securities do not trade daily, and thus exchange traded prices are generally not available for these 
securities. However, market information (often referred to as observable inputs or market data, including but not limited to, 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) is available for 
most of our fixed income securities. We determine fair value for a large portion of our fixed income securities using available 
market information. In accordance with GAAP, for disclosure purposes we classify securities valued based on multiple market 
observable inputs as Level 2 securities.

Level 3 Investments

When a pricing service does not provide a value for one of our fixed maturity securities, 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. For disclosure purposes we classify fixed maturity securities valued using limited observable inputs as 
Level 3 securities.

We also classify as Level 3 our investment interests that are carried at fair value based on a fund-provided net asset value 

(NAV) for our interest. All investments valued in this manner are LP or LLC interests that hold debt and equity securities. At 
December 31, 2013 interests valued using a fund-provided NAV totaled $72.1 million, or 2% of total investments, and were 
classified as part of our Investment in Unconsolidated Subsidiaries.

Investments - Other Valuation Methodologies

Certain of our investments, in accordance with GAAP for the type of investment, are measured using methodologies 

other than fair value. At December 31, 2013 these investments had a carrying value of approximately $248.8 million, which 
represented approximately 6% of total investments, as shown in the following table. Additional information about these 
investments is provided in Notes 3 and 4 of the Notes to Consolidated Financial Statements.

(In millions)

Carrying Value

GAAP Measurement
Method

Other investments:

Investments in LPs, at cost
Federal Home Loan Bank (FHLB) capital stock
Other
Total other investments

Investment in unconsolidated subsidiaries:
Investments in tax credit partnerships

Business owned life insurance

Total investments - Other valuation methodologies

$

$

$

$

$

Cost
Cost
Amortized cost

47.3
3.4
1.5
52.2

142.2

Equity

54.4 Cash surrender value

248.8

Investment Impairments

We evaluate our investments on at least a quarterly basis for declines in fair value that represent other than temporary 

impairment (OTTI). We consider an impairment to be an OTTI 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, as discussed below.

For debt securities, we consider whether 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;

39

• 

• 

• 

• 

• 

• 

• 

the extent to which the decline in fair value is attributable to credit risk specifically associated with the security or its 
issuer;

our internal assessments and those of our external portfolio managers regarding specific circumstances surrounding a 
security, which can cause us to believe the security is more or less likely to recover its value than other securities 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 intent to sell and whether it is more likely than not we will be required to sell the security before the recovery of its 
amortized cost basis.

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 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 cost method interests in LPs/LLCs for OTTI by considering whether there has been a decline in fair 

value below the recorded value, which involves assumptions and estimates. We receive a report from each of the LPs/LLCs at 
least quarterly which provides us a NAV for our interest. The NAV is based on the fair values of securities held by the LP/LLC 
as determined by the LP/LLC manager. We consider the most recent NAV provided, the performance of the LP/LLC relative to 
the market, the stated objectives of the LP/LLC, the cash flows expected from the LP/LLC and audited financial statements of 
the entity, if available, in considering whether an OTTI exists.

Our investments in tax credit partnerships are evaluated for OTTI by considering both qualitative and quantitative factors 
which include: whether cash flows currently expected from the investment, primarily tax benefits, equal or exceed the carrying 
value of the investment, whether currently expected cash flows are less than those expected at the time the investment was 
acquired, and our ability and intent to hold the investment until the recovery of its carrying value.

We also evaluate our holdings of 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 FHLB’s most recently reported 
operating results.

Deferred Policy Acquisition Costs

Policy acquisition costs (primarily commissions, premium taxes and underwriting salaries) which are directly related to 

the successful 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. As of 
December 31, 2013 we have not determined that any amounts are unrecoverable. Prior to our adoption of the new Financial 
Accounting Standards Board (FASB) guidance on January 1, 2012, we capitalized all internal selling agent and underwriter 
salary and benefit costs, including costs associated with unsuccessful contract efforts. Adoption of the new guidance had no 
material effect on our results of operations or financial position.

Deferred Taxes

Deferred federal income taxes arise from the recognition of temporary differences between the bases of assets and 
liabilities determined for financial reporting purposes and the bases determined for income tax purposes. Our temporary 
differences principally relate to loss reserves, unearned premiums, deferred policy acquisition costs, and unrealized investment 
gains (losses). 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. We did not have any significant valuation allowances as of December 31, 2013.

40

Unrecognized Tax Benefits

We evaluate tax positions taken on tax returns and recognize positions in our financial statements when it is more likely 
than not that we will sustain the position upon resolution with a taxing authority. If recognized, the benefit is measured as the 
largest amount of benefit that has a greater than fifty percent probability of being realized. We review uncertain tax positions 
each period, considering changes in facts and circumstances, such as changes in tax law, interactions with taxing authorities and 
developments in case law, and make adjustments as we consider necessary. Adjustments to our unrecognized tax benefits may 
affect our income tax expense, and settlement of uncertain tax positions may require the use of cash. At December 31, 2013, 
our liability for unrecognized tax benefits approximated $4.8 million, and related accrued interest approximated $1.3 million.

Goodwill

Management evaluates the carrying value of goodwill annually during the fourth quarter. If, at any time during the year, 
events occur or circumstances change that would more likely than not reduce the fair value below the carrying value, we also 
evaluate goodwill at that time. We evaluate goodwill as one reporting unit because we operate as a single operating segment 
and our segment components are economically similar. We estimate the fair value of our reporting unit on the evaluation date 
based on market capitalization and an expected premium that would be paid to acquire control of our Company (a control 
premium). We then perform a sensitivity analysis using a range of historical stock prices and control premiums. We concluded 
as of our last evaluation date, October 1, 2013, that the fair value of our reporting unit exceeded the carrying value and no 
adjustment to impair goodwill was necessary.

Goodwill is recognized in conjunction with acquisitions as the excess of the purchase consideration for the acquisition 

over the fair value of identifiable assets acquired and liabilities assumed. The fair value of identifiable assets and liabilities, and 
thus goodwill, is subject to redetermination within a measurement period of up to one year following completion of an 
acquisition. During 2013 goodwill was reduced by $1.9 million primarily related to the after tax effect of the re-determination 
of the fair value of the reserve for losses associated with a business combination completed in late 2012.

Accounting Changes

We did not adopt any accounting changes during 2013 that had a material effect on our results of operations nor are we 
aware of any accounting changes not yet adopted as of December 31, 2013 that would have a material effect on our results of 
operations or financial position. Note 1 of the Notes to Consolidated Financial Statements provides additional detail regarding 
accounting changes.

Key Performance Measures

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 to 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 consider a number of performance measures, including the following:

•  The net loss ratio is calculated as net losses incurred divided by net premiums earned and is a component of 

underwriting profitability.

•  The underwriting expense ratio is calculated as underwriting, policy acquisition and operating expenses incurred 

divided by net premiums earned and is a component of underwriting profitability.

•  The combined ratio is the sum of the underwriting expense ratio and the net loss ratio and measures underwriting 

profitability.

•  The investment income ratio is calculated as net investment income divided by net premiums earned and measures the 

contribution investment earnings provides to our overall profitability.

•  The operating ratio is the combined ratio, less the investment income ratio. This ratio provides the combined effect of 

investment income and underwriting profitability.

•  The tax ratio is calculated as total income tax expense divided by income (loss) before income taxes and measures our 

effective tax rate.

•  Return on equity (ROE) is calculated as net income for the period divided by the average of beginning and ending 

shareholders’ equity. This ratio measures our overall after-tax profitability and shows how efficiently invested capital 
is being used.

•  Growth in book value. Book value per share is calculated as total shareholders’ equity at the balance sheet date divided 

by the total number of common shares outstanding. This ratio measures the net worth of the company to shareholders 
on a per-share basis. Growth in book value per share is an indicator of overall profitability.

41

We particularly focus on our combined ratio and investment returns, both of which directly affect our ROE and growth of 

our book value. Historically we targeted a long-term average ROE of 12% to 14%. Given the persistent low interest rate 
environment which prevails in the United States and the soft pricing environment for our products, the realization of this long-
term ROE target in the next few years will likely prove difficult.

Our emphasis on rate adequacy, selective underwriting, effective claims management and prudent investments is a key 

factor in our achievement of our ROE target. We closely monitor premium revenues, losses and loss adjustment costs, and 
underwriting and policy acquisition expenses. Our overall investment strategy is to focus on maximizing current income from 
our investment portfolio while maintaining safety, liquidity, duration and portfolio diversification. While we engage in 
activities that generate other income, such activities, principally insurance 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 and through the 
acquisition of other specialty insurance companies or books of business. Growth through acquisition is often opportunistic and 
cannot be predicted.

We operate in very competitive markets and face strong competition from other insurance companies for all of our 
insurance products. Healthcare professional liability insurance represents a substantial portion of our gross premiums written 
(89% in 2013) and the healthcare market has been trending toward the formation of larger medical practice groups, and the 
employment of physicians by hospitals. Large medical groups and facilities frequently manage their health care professional 
liability exposure outside of the traditional insurance marketplace using self-insured mechanisms and other risk sharing 
arrangements. In response to these trends, we offer products designed to provide greater risk sharing options to hospitals and 
large physician groups.

We believe our emphasis on fair treatment of our insureds and other important stakeholders through our commitment to 
“Treated Fairly” has enhanced our market position and differentiated us from other insurers. We will continue to practice the 
values of “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.

We have expanded our lines of business in new directions by acquiring Medmarc, an underwriter of products liability 

insurance for medical technology and life sciences companies, on January 1, 2013, and Eastern, a provider of workers' 
compensation insurance, on January 1, 2014. We have also been a consistent acquirer of other physician insurers, most recently 
IND in 2012, APS in 2010 and PICA in 2009. Other 2009 acquisitions included an insurer focused on the legal professional 
liability market and an agency largely focused on the professional liability needs of allied healthcare providers. 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. Had Eastern been a part of ProAssurance during 2013, the composition of our gross 
premiums written, excluding Eastern segregated portfolio cell premiums, would have been as follows: 69% healthcare 
professional liability, 22% workers' compensation, 5% products liability and 4% legal professional liability. Eastern's 
segregated portfolio cells business primarily generated earnings from fee revenues, which totaled $7.2 million for 2013.

Eastern is a holding company specializing in workers' compensation insurance products and services, including its 
segregated portfolio cell business. Eastern profits from the segregated portfolio cell business are principally from service fees. 
Eastern's consolidated net assets totaled $136.8 million at December 31, 2013.

Late in 2013, we completed the process of becoming a corporate member of Lloyd's of London, an internationally 

recognized specialist insurance market. We are the majority (58%) capital provider to Syndicate 1729, which began 
underwriting and reinsuring business as of January 1, 2014. The remaining capital for Syndicate 1729 is provided by unrelated 
third parties, including private names and other corporate members. We have committed £47.3 million ($78.3 million at 
December 31, 2013) of capital for the first year of Syndicate 1729 operations and have a total capital commitment through 
2019 of up to $200 million. Syndicate 1729 will cover a range of property and casualty insurance and reinsurance lines, and has 
a maximum underwriting capacity of £75 million ($124.2 million at December 31, 2013) for the 2014 underwriting year, of 
which £43.2 million ($71.5 million at December 31, 2013) is our allocated underwriting capacity as a corporate member.

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 
the holding company has no other business operations, dividends from its operating subsidiaries represent a significant source 
of funds for its obligations, including debt service and shareholder dividends. At December 31, 2013, we held cash and liquid 
investments of approximately $400.2 million outside our insurance subsidiaries that were available for use without regulatory 
approval. Our holding company also has $150 million available under a revolving credit agreement, as discussed in this section 

42

under the heading "Debt." During 2013, our insurance subsidiaries paid dividends of $298 million, including extraordinary 
dividends of $5 million. Our insurance subsidiaries, in aggregate, are permitted to pay dividends of approximately $243 million 
over the course of 2014 without the prior approval of state insurance regulators. 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. 

Operating Activities and Related Cash Flows

The principal components of our operating cash flows are the excess of premiums collected and net investment income 
over 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. Our operating activities 
provided positive cash flows of approximately $38.6 million, $91.3 million, and $159.4 million for the years ended 
December 31, 2013, 2012 and 2011, respectively. 

Operating cash flows for 2013 and 2012 compare as follows:

Cash provided by operating activities for the year ended December 31, 2012

(In millions)

Increase (decrease) in operating cash flows:
Decrease in premium receipts (1)
Decrease in payments to reinsurers (2)
Increase in losses paid, net of reinsurance recoveries (3)
Decrease in cash received from investments
Increase in Federal and state income tax payments (4)
Net cash provided (used) by acquisitions (5)
Cash paid for start-up expenses related to Syndicate 1729 (6)
Other amounts not individually significant, net

Cash provided by operating activities for the year ended December 31, 2013

Operating
Cash Flow

91

(33)
3
(3)
(9)
(3)
(6)
(3)
2

39

$

$

(1)  The reduction in premium receipts reflected lower premium volume in 2013 exclusive of acquisitions as well as the 

effect of the timing of premium receipts on several large policies.

(2)  Reinsurance contracts are generally for premiums written in a specific annual period, but, absent a commutation 
agreement, remain in effect until all claims under the contract have been resolved. Some contracts require annual 
settlements while others require settlement only after a number of years have elapsed, thus the amounts paid can vary 
widely from period to period.

(3)  The timing of our net 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.

(4)  The net increase in tax payments during 2013 was attributable to:

• 

• 
• 
• 

A $20.6 million protective tax payment made in 2013 related to a dispute with the Internal Revenue Service 
(IRS), as discussed in further detail in this section under the heading "Taxes."
An $8.3 million decrease in the final tax payments made during 2013 for the prior fiscal year.
A $3.4 million decrease in estimated tax payments during 2013 for current fiscal year.
GAAP requires that excess tax benefits recognized when shares are issued under stock compensation plans be 
reflected as a reduction to operating cash flows and as an increase to financing cash flows in the period the shares 
are issued. Such excess tax benefits were $4.9 million lower in 2013 as compared to 2012.

(5)  Net cash used by acquisitions reflected the payments of transaction costs, loss payments made by the acquired 

companies related to prior accident years, and normal expense payments of the acquired companies for which the 
timing of the payment differs from the recognition of the expense.

(6)  Cash paid for expenses related to the start-up of Syndicate 1729, which were principally professional fees.

43

Operating cash flows for 2012 and 2011 compare as follows:

Cash provided by operating activities for the year ended December 31, 2011

(In millions)

Increase (decrease) in operating cash flows:
Decrease in premium receipts (1)
Increase in payments to reinsurers (2)
Increase in losses paid, net of reinsurance recoveries (3)
Decrease in cash received from investments
Decrease in cash paid for other expenses (4)
Increase in Federal and state income tax payments (5)

Operating
Cash Flow

$

159

(12)
(8)
(35)
(8)
13
(18)
91

Cash provided by operating activities for the year ended December 31, 2012

$

(1)  The reduction in premium receipts reflected lower premium volume in 2012, exclusive of a volume decline related to 
twenty-four month term policies and a volume increase related to tail policies. The premium from two-year term 
policies is included in gross written premium in the period in which the policy is written, but has little effect on timing 
of premium receipts since half of the written amount is billed in the second term. Tail policies are typically collected in 
the period written.

(2)  Reinsurance contracts are generally for premiums written in a specific annual period, but, absent a commutation 
agreement, remain in effect until all claims under the contract have been resolved. Some contracts require annual 
settlements while others require settlement only after a number of years have elapsed, thus the amounts paid can vary 
widely from period to period.

(3)  The timing of our net 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. The increase in loss payments 
for 2012 primarily reflected a greater number of claims resolved with large indemnity payments, a portion of which was 
recovered under existing reinsurance agreements. The additional loss payments were not isolated to any one state or to 
any specific risk groups. Loss payments made during 2012 were included in the data considered by our actuaries and by 
our Management in determining their best estimate of losses incurred during 2012.

(4)  The decrease in cash paid for other expenses was principally attributable to non-recurring payments of APS integration 

costs, primarily compensation-related, during 2011.

(5)  The net increase in tax payments during 2012 was attributable to:

• 

• 
• 

• 

A $7.4 million increase in the final payments for the prior fiscal year, partially offset by a $4.8 million decrease in 
estimated tax payments for the current year.
There were no Federal tax refunds in 2012. In 2011 refunds approximated $17.3 million. 
GAAP requires that excess tax benefits recognized when shares are issued under stock compensation plans be 
reflected as a reduction to operating cash flows and an increase to financing cash flows in the period the shares 
are issued. Such excess tax benefits were $5.3 million greater in 2012 as compared to 2011.
The above increases to tax related outflows were offset by:

• 

• 

Payments of $5.9 million made in 2011 for the 2008 and 2007 tax years as a result of Federal tax return 
audits conducted by the Internal Revenue Service. The payments reduced tax liabilities recognized prior 
to January 1, 2011 and did not increase or decrease 2011 tax expense.
A reduction in state and other tax payments of $1.8 million. 

44

Operating cash flows for 2011 and 2010 compare as follows:

Cash provided by operating activities for the year ended December 31, 2010

(In millions)

Increase (decrease) in operating cash flows during 2011:
Decrease in premium receipts, exclusive of APS (1)
Increase in payments to reinsurers, exclusive of APS (2)
Decrease in losses paid, net of reinsurance recoveries, exclusive of APS (3)
Increase in Federal and state income tax payments (4)
Cash flows attributable to operations acquired from APS (exclusive of tax payments or refunds)
Other amounts not individually significant, net

Operating
Cash Flow

$

139

(22)
(3)
27
(6)
25
(1)
159  

Cash provided by operating activities for the year ended December 31, 2011

$

(1)  The decline in premium receipts is primarily attributable to reduced premium volume. Exclusive of twenty-four month 

term policies and the business acquired from APS, gross written premiums were lower in 2011.

(2)  Reinsurance contracts are generally for premiums written in a specific annual period, but, absent a commutation 
agreement, remain in effect until all claims under the contract have been resolved. Some contracts require annual 
settlements while others require settlement only after a number of years have elapsed, thus the amounts paid can vary 
widely from period to period.

(3)  The timing of our net 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. Net loss payments are also 
subject to reinsurance recoveries under existing reinsurance agreements.

(4)  The increase in tax payments primarily reflects:

• 
• 

• 

An increase in estimated tax payments of $16.1 million during 2011 as compared to 2010.
Payments of $5.9 million made in 2011 for the 2008 and 2007 tax years as a result of Federal tax return audits 
conducted by the Internal Revenue Service. The payments reduced tax liabilities recognized prior to January 1, 
2011 and did not increase or decrease 2011 tax expense.
The above increases to tax payments were partially offset by greater Federal tax refunds in 2011 of $15.9 million. 
Principally, refunds from capital loss carry backs were higher in 2011 than in 2010 and a refund associated with 
the APS 2010 pre-acquisition period was received in 2011.

45

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. 
As noted in the table, ProAssurance has completed various acquisitions over the ten year period which have affected original 
and re-estimated gross and net reserve balances as well as loss payments.

The table includes losses on both a direct and an assumed basis and is net of anticipated 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 the remaining net  
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.

46

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m

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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:

•  The HCPL legal environment deteriorated in the late 1990’s and severity began to increase at a greater pace than 

anticipated in our rates and reserve estimates. We addressed the adverse severity trends through increased rates, stricter 
underwriting and modifications to claims handling procedures. The expectation of increased claim severity was also 
considered in establishing our initial reserves for subsequent years. 

•  These adverse severity trends later moderated with that moderation becoming more pronounced beginning in 2009.  

We have been cautious in giving full recognition to indications that the pace of severity increase has slowed, but have 
given measured recognition of the improving trends in our reserve estimates, as discussed more fully under “Critical 
Accounting Estimates—Reserve for Losses and Loss Adjustment Expenses (reserve for losses or reserve).” The 
favorable development was most pronounced for years 2004 to 2008, as the initial reserves for these accident years 
were established prior to substantial indication that severity trends were moderating. We give stronger recognition to a 
lower severity trend as time elapses and the percentage of closed claims increases.

•  A general decline in claim frequency has also been a contributor to favorable loss development. A significant portion 

of our policies through 2003 were issued on an occurrence basis, and a smaller portion of our ongoing business results 
from the issuance of extended reporting endorsements which have occurrence-like exposure. As claim frequency 
declined, the number of reported claims related to these coverages was less than originally expected.

Activity in our net reserve for losses during 2013, 2012 and 2011 is summarized below:

(In thousands)

Balance, beginning of year
Less reinsurance recoverables on unpaid losses and loss

$

adjustment expenses

Net balance, beginning of year
Reserves acquired from acquisitions (1)
Incurred related to:
Current year
Favorable development of reserves established in

prior years, net

Total incurred
Paid related to:

Current year
Prior years (2)

Total paid
Net balance, end of year
Plus reinsurance recoverables on unpaid losses and loss

adjustment expenses

Balance, end of year

Year Ended December 31

2013
2,054,994

$

2012
2,247,772

$

2011
2,414,100

191,645
1,863,349
126,007

247,658
2,000,114
22,464

277,436
2,136,664
—

447,510

451,951

488,152

(222,749)
224,761

(43,616)
(345,197)
(388,813)
1,825,304

(272,038)
179,913

(38,439)
(300,703)
(339,142)
1,863,349

(325,865)
162,287

(34,240)
(264,597)
(298,837)
2,000,114

247,518
2,072,822

$

191,645
2,054,994

$

247,658
2,247,772

$

(1) Includes a net reserve reduction of $3.3 million for 2013 due to the re-estimation of reserves acquired in a 2012 

business combination.

(2) Includes prior year paid losses of 33.4 million for 2013 attributable to reserves acquired in a business combination 

completed in 2013.

At December 31, 2013 our gross reserve for losses included case reserves of approximately $1.1 billion and IBNR 
reserves of approximately $0.9 billion. Our consolidated gross reserve for losses on a GAAP basis exceeds the combined gross 
reserves of our insurance subsidiaries on a statutory basis by approximately $0.1 billion, 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 who meets certain qualifications.

48

 
Reinsurance

We use insurance and reinsurance (collectively, “reinsurance”) to provide capacity to write larger limits of liability, to 
provide reimbursement for losses incurred under the higher limit coverages we offer, and to provide protection against losses in 
excess of policy limits. 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 have a number of reinsurance arrangements in place. We generally reinsure professional liability risks under annual 

treaties (our primary reinsurance arrangements) 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. 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. Large 
professional liability risks that are above the limits of our basic reinsurance treaties are reinsured on a facultative basis, 
whereby the reinsurer agrees to insure a particular risk up to a designated limit. We also have in place a number of fronting and 
quota share arrangements that apply to certain groups of HCPL policies, generally those associated with a group of affiliated 
insureds or with a large practice group or facility. Gross and net written premium associated with such arrangements 
approximated $37.5 million and $20.2 million, respectively, during the year ended December 31, 2013. Medical technology and 
life sciences products coverages are separately reinsured, generally with 100% retention on the first $1 million of coverage and 
between 5% and 33% of coverage exceeding those levels, with additional loss participation if specified limits are exceeded. 
When we complete an acquisition, the acquired company's existing reinsurance agreements continue until the expiration date of 
the agreement, typically less than a one year period, and reimbursement under the agreements continues until all of the claims 
covered by the agreements are resolved. The structure of these pre-existing arrangements typically reflects a lower retention 
level than our primary arrangements.  

Our primary reinsurance agreements are negotiated and renewed annually at October 1. There was no significant change 

in the cost or structure of the agreements renewed on October 1, 2013. 

We make a determination of the amount of insurance risk we choose to retain based 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. We purchase reinsurance from a 
number of companies to mitigate concentrations of credit risk. We utilize a reinsurance broker to assist us in the placement of 
our reinsurance program and in the analysis of the credit quality of our reinsurers. The determination of which reinsurers we 
choose to do business with is based upon an evaluation of their then-current financial strength, rating and stability. 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.

The following table identifies those reinsurers for which our recoverables for both paid and unpaid claims (net of 

amounts due to the reinsurer) and our prepaid balances are aggregately $20 million or more as of December 31, 2013:

Reinsurer

(In thousands)

Domiciliary
Country

A.M. Best
Company Rating

Net Amounts Due
From Reinsurer

Everest Reinsurance Company
Hannover Rueckversicherung AG
Aspen Insurance UK, Ltd.
Transatlantic Reinsurance Company

United States
Germany
United Kingdom
United States

A+
A+
A
A

$
$
$
$

25,954
24,382
20,915
20,849

Taxes

In December 2012 we received a Notice of Proposed Adjustment (NOPA) from the IRS which disallows a substantial 
portion of the loss and loss adjustment expense deductions taken for the 2009 and 2010 fiscal years and would thereby increase 
our current tax liability by approximately $130 million. In January 2013 we submitted a comprehensive written protest of the 
NOPA to the IRS Office of Appeals regarding certain issues within the NOPA, all of which related to the timing of deductions. 
During the fourth quarter of 2013, we reached a tentative settlement of all contested Federal income tax issues for the related 
tax years which will result in no additional tax liability for us. Other non-contested issues addressed by the NOPA are expected 
to result in a net federal income tax refund, exclusive of statutory interest, of approximately $9.6 million. We believe that our 
tentative terms of settlement with the IRS will be documented and finalized during 2014. In January 2013 we made a $20.6 
million protective tax payment to the IRS in order to reduce potential interest assessments. We expect the protective payment to 
also be refunded once the settlement is finalized.

49

Litigation

We are involved in various legal actions related to insurance policies and claims handling including, but not limited to, 

claims asserted against us by policyholders. These types of legal actions arise in the ordinary course of business and, in 
accordance with GAAP for insurance entities, are generally considered as a part of our loss reserving process, which is 
described in detail under “Critical Accounting Estimates – Reserve for Losses and Loss Adjustment Expenses (reserve for 
losses or reserve).” We also have other direct actions against the company unrelated to our claims activity which we evaluate 
and account for as a part of our other liabilities. For these corporate legal actions, we evaluate each case separately and 
establish what we believe is an appropriate reserve based on GAAP guidance related to contingent liabilities. As of 
December 31, 2013 there were no significant reserves established for corporate legal actions.

50

Investing Activities and Related Cash Flows

Investment Exposures

The following table provides summarized information regarding our investments as of December 31, 2013:

($ in thousands)

Fixed Maturities
Government

U.S. Treasury
U.S. Government-sponsored enterprise

$

Total government

State and Municipal Bonds

Pre-refunded
General obligation
Special revenue

Total state and municipal bonds

Corporate Debt

Financial institutions
Consumer oriented
Utilities/Energy
Industrial
Other

Total corporate debt

Securities backed by:

Agency mortgages
Non-agency mortgages
Alt -A mortgages
Agency commercial mortgages
Subprime home equity loans
Other commercial mortgages
Credit card loans
Automobile loans
Other asset loans

Total asset-backed securities
Total fixed maturities

Equities

Financial
Utilities/Energy
Industrial
Consumer oriented
All Other

Total equities

Short-Term
Business-owned life insurance (BOLI)
Investment in Unconsolidated Subsidiaries
Investment in tax credit partnerships
Investment in LPs, carried at NAV

Total investment in unconsolidated

subsidiaries

Other Investments

FHLB capital stock
Investments in LPs, carried at cost
Other

Total other investments
Total Investments

Carrying
Value

Included in Carrying Value:
Unrealized
Unrealized
Losses
Gains

Average
Rating

(1)

% Total
 Investments

$

170,714
32,768
203,482

$

6,118
2,251
8,369

(1,519)
(425)
(1,944)

 AA+
 AA+
 AA+

(2)
(2)
(2)

167,631
321,532
665,503
1,154,666

396,564
275,708
279,535
399,180
10,166
1,361,153

230,660
4,939
15
27,475
3,889
61,390
10,252
41,959
18,169
398,748
3,118,049

81,536
32,350
57,262
66,461
15,932
253,541
248,605
54,374

142,174
72,062

214,236

6,861
14,477
25,195
46,533

13,957
15,428
12,519
10,945
210
53,059

7,564
44
—
343
17
2,491
274
126
70
10,929
118,890

—
—
—
—
—
—
—
—

—
—

—

(47) AA
(1,236) AA+
(6,644) AA
(7,927) AA

(4,030) A
(4,796) BBB+
(3,193) BBB+
(1,668) BBB
(57) A
(13,744) BBB+

(2,629) AA+
(226) AA-
— AA+
(136) AA+
(237) BBB+
(167) AAA
(9) AAA
(20) AAA
(58) AA
(3,482) AAA

(27,097) A+

(2)

(2)

—
—
—
—
—
—
—
—

—
—

—

4 %
1 %
5 %

4 %
8 %
17 %
29 %

10 %
7 %
7 %
10 %
<1%
35 %

6 %
<1%
<1%
1 %
<1%
2 %
<1%
1 %
<1%
10 %
79 %

2 %
1 %
1 %
2 %
<1%
6 %
6 %
1 %

4 %
2 %

5 %

3,449
47,258
1,533
52,240
3,941,045

—
—
—
—
118,890

—
—
—
—
(27,097)

<1%
1 %
<1%
1 %
100%

$
(1)  A weighted average rating is calculated using available ratings from Standard & Poor’s, Moody’s and Fitch. The table presents the Standard & Poor’s 

$

$

rating that is equivalent to the computed average.

(2)  The rating presented is the Standard & Poor’s rating rather than the average. The Moody’s rating is Aaa and the Fitch rating is AAA.

51

A detailed listing of our investment holdings as of December 31, 2013 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. In addition to the interest and dividends we will receive, we 
anticipate that between $40 million and $60 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 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 may have an unanticipated shortfall in cash we may either liquidate securities or borrow funds under 
existing borrowing arrangements through our credit facility and the FHLB system. In December 2012 we elected to partially 
fund our acquisition of Medmarc by borrowing $125.0 million from our existing credit facility on a fully secured basis as this 
allowed us to continue to hold rather than liquidate certain higher yielding securities. We repaid the borrowing during 
September 2013. Currently, $150 million of the credit facility is available for use. Given the duration of our investments, we do 
not foresee a shortfall that would require us to meet operating cash needs through additional borrowings. Additional 
information regarding the credit facility is detailed in Note 10 of the Notes to Consolidated Financial Statements.

Our investment portfolio continues to be primarily composed of high quality fixed income securities with approximately 
93% of our fixed maturities being investment grade securities as determined by national rating agencies. The weighted average 
effective duration of our fixed maturity securities at December 31, 2013 was 3.9 years; the weighted average effective duration 
of our fixed maturity securities combined with our short-term securities was 3.6 years. Net unrealized gains related to our fixed 
income securities decreased approximately $131.9 million during 2013. As interest rates have improved, the value of our fixed 
income securities has declined.

The carrying value of our tax credit partnerships at December 31, 2013, 2012 and 2011 was approximately $142.2 

million, $87.3 million and $86.8 million, respectively. Carrying value reflects our total commitments (both funded and 
unfunded) to the partnerships, less amortization, since our initial investment. These investments are comprised of separate 
limited partner interests designed to generate investment returns by providing tax benefits to investors in the form of project 
operating losses and tax credits. The related properties are principally low income housing properties. We fund these 
investments based on funding schedules maintained by the partnerships. During 2013, 2012 and 2011 we funded approximately 
$63.5 million, $35.7 million and $29.2 million, respectively. Approximately $22.4 million, $20.5 million and $49.3 million of 
our total commitments to the tax credit partnerships had not yet been funded as of December 31, 2013, 2012 and 2011, 
respectively.

During 2013, 2012 and 2011, the total carrying value of our investment fund LPs/LLCs was approximately $119.3 
million, $58.8 million and $56.6 million, respectively, all of which has been funded. The 2013 carrying value includes $10.5 
million related to our portion of an LP's accumulated earnings that were recorded as a result of a change from the cost to equity 
method. During 2013, 2012 and 2011, we funded investment LP/LLCs, net of capital returned, in the amount of $37.8 million, 
$18.5 million, and $4.7 million, respectively. As of December 31, 2013, we had total active commitments to investment fund 
LP/LLCs of approximately $203.0 million, of which $140.9 million is unfunded. The unfunded commitments will be paid over 
a period of approximately 5 years as requested by the fund managers.

European Debt Exposure

We have no direct European sovereign debt exposure. We have indirect exposure through our investments in debt 
securities and through our reinsurance receivables. Issuers of our debt or equity securities and our reinsurers may hold 
European sovereign debt or have counterparty exposure to European banks or European corporations or may have a reliance on 
Eurocurrency denominated business. Should Europe suffer a severe recession or the Euro-zone or Eurocurrency fail, issuers 
may suffer credit or profitability losses or may experience a credit downgrade by rating agencies.

52

Our debt securities at December 31, 2013 included investments of $124.7 million (3% of our total investments) where the 

issuer is domiciled in Europe or the underlying revenue stream supporting the security is European. Of our European issuers, 
we believe those in the financial sector are most likely to suffer loss in the event of a European economic crisis. A summary of 
these debt securities by country follows (country designation is based on the underlying revenue stream of the security):

(in millions)
United Kingdom
Netherlands
France
Switzerland
Luxembourg
Sweden
Ireland
Norway
Spain
Denmark
Austria
Germany

European Debt Exposure by Country and Industry Type

Total 
Exposure

Financial
Institutions

Industrial &
Utilities

Energy &
Communication

$

$

57.4
20.6
10.8
10.0
9.5
3.6
3.3
3.2
2.2
1.8
1.3
1.0

$

124.7

$

23.5
5.0
3.6
10.0
—
3.6
0.1
1.3
—
1.8
—
—

48.9

$

$

21.6
6.8
—
—
4.3
—
1.2
1.2
—
—
1.3
1.0

37.4

$

$

12.3
8.8
7.2
—
5.2
—
2.0
0.7
2.2
—
—
—

38.4

Our reinsurers typically operate globally and have large investment portfolios which may be linked directly or indirectly 

to the European economy. As of December 31, 2013, two of our largest reinsurers were domiciled in Europe; our net 
receivables with these reinsurers totaled approximately $45 million. Net amounts due from reinsurers approximated $237.9 
million at December 31, 2013.

Business Combinations and Ventures

We paid cash of approximately $205 million to acquire Eastern on January 1, 2014 and cash of $153.7 million to acquire 

Medmarc on January 1, 2013. Funds for both transactions were deposited with a third-party agent several days prior to the 
close dates; the deposits were included in Other Assets on our Consolidated Balance Sheet at December 31, 2013 and 2012.

As a member of Lloyd's and a capital provider to Syndicate 1729 we are required to provide capital, referred to as Funds 
at Lloyd's (FAL), to support Syndicate 1729. In order to meet these FAL requirements, we provided a standby letter of credit of 
£41.9 million (approximately $69.3 million at December 31, 2013) and cash deposits of $8.7 million. The FAL deposit is 
included in Other Assets on our December 31, 2013 Consolidated Balance Sheet. We collateralized the standby letter of credit 
with cash of $78.0 million; the collateral is reflected as Restricted Cash on our December 31, 2013 Consolidated Balance 
Sheet. We also entered into a revolving credit agreement (the Credit Agreement) with Syndicate 1729 to provide operating 
funds of up to £10 million (approximately $17 million at December 31, 2013). Draws under the Credit Agreement will earn 
interest at 8.5% per annum, and be repayable on demand but no later than December 31, 2016. At December 31, 2013, £1.0 
million ($1.7 million) had been drawn under the Credit Agreement.

53

 
Financing Activities and Related Cash Flows

Treasury Shares

  Treasury share activity for 2013, 2012 and 2011 was as follows:

Treasury shares at the beginning of the period

Shares reissued in conjunction with stock split

(in thousands)

Shares reacquired, at cost of $32 million, $0 million and $21 million, respectively

Shares reissued to the ProAssurance 2011 Employee Stock Ownership Plan, fair

value of $1 million, $1 million and $0.7 million, respectively

Treasury shares at the end of the period

Year Ended December 31

2013

2012

2011

244

—

681

(25)
900

7,996
(7,729)
—

(23)
244

7,332

—

682

(18)
7,996

In December of 2013 our Board increased its authorization for the repurchase of common shares or the retirement of 

outstanding debt by $100 million. 

As of February 12, we had reacquired an additional 710,000 common shares during 2014 at a cost of approximately $33 
million, which reduced our Board authorizations for the repayment of debt or repurchase of common shares to approximately 
$169.8 million.

Shareholder Dividends

Our Board of Directors has declared cash dividends quarterly since the third quarter of 2011. Initially, dividends were 
$0.125 per share but were increased to $0.25 in the fourth quarter of 2012 and increased to $0.30 per share in the fourth quarter 
of 2013. With the exception of our fourth quarter 2012 dividend that was accelerated and paid in December 2012, each 
quarterly dividend was paid in the month following the end of the quarter. Our Board also declared and paid a special dividend 
of $2.50 per share during December 2012. Any decision to pay future cash dividends is subject to the Board’s final 
determination after a comprehensive review of financial performance, future expectations and other factors deemed relevant by 
the Board.

Debt

On November 21, 2013, we issued $250 million of unsecured senior notes, which will be used for general purposes, 

including contributions to the capital of insurance subsidiaries, repayment of debt and other capital management activity. The 
notes bear interest at 5.3% annually and are due in 2023 although they may be redeemed in whole or part prior to maturity. 
There are no financial covenants associated with these notes.

We have a revolving credit agreement (the "Agreement") that allows us to borrow up to $150 million for general 

corporate purposes, including, but not limited to, short-term working capital, share repurchases as authorized by the Board, and 
support for other activities we enter into in the normal course of business. The Agreement expires in April 2016. We had an 
outstanding borrowing under the Agreement of $125 million from November 2012 to September 2013. We are in compliance 
with the financial covenants of the Agreement. 

During 2012, we repaid all then-outstanding long-term debt totaling $57.7 million, including a note payable that was 

carried at fair value. We recognized a loss on the repayment of the note payable of $2.2 million.

Additional information regarding our debt is provided in Note 10 of the Notes to Consolidated Financial Statements.

We are a member of a number of FHLBs. Through membership, we have access to secured cash advances which can be 

used for liquidity purposes or other operational needs. To date, we have not established a FHLB line of credit or materially 
utilized our membership.

Off-Balance Sheet Arrangements/Guarantees

We have a standby letter of credit (the LOC) in the amount of £41.9 million ($69.3 million at December 31, 2013) that 

guarantees the performance of Syndicate 1729. The LOC expires four years from the date it is terminated. We also have a 
revolving credit agreement with Syndicate 1729 to provide operating funds of up to £10.0 million ($17.0 million at 
December 31, 2013), of which £9.0 million ($14.9 million) had not yet been funded as of December 31, 2013. The revolving 
credit agreement expires on December 31, 2016. See Note 9 of the Notes to Consolidated Financial Statement for more 

54

information on these arrangements. We have no other significant off-balance sheet arrangements or guarantees and do not 
expect these arrangements to have a material effect on our financial position.

Contractual Obligations

A schedule of our non-cancellable contractual obligations at December 31, 2013 follows:

(In thousands)

Loss and loss adjustment expenses
Eastern acquisition

Long-term debt obligations including interest

Revolving credit agreement fees

Operating lease obligations
Funding commitments primarily related to non-

public investment entities

Total

Payments due by period

Total
$ 2,072,822
205,000

Less than
1 year
557,769
205,000

$

$

382,316

591
19,911

14,722

263
3,039

1-3 years

3-5 years

$

688,077
—

26,500

328
5,303

410,891
—

26,500

—
4,553

$

More than
5 years
416,085
—

314,594

—
7,016

164,182
$ 2,844,822

$

49,604
830,397

$

68,940
789,148

$

26,838
468,782

$

18,800
756,495

We believe that our operating cash flow and funds from our investment portfolio are adequate to meet our contractual 

obligations.

The above table presumes no borrowings under our revolving credit agreement and standby letter of credit through 
expiration of the agreements, though borrowings could occur. For more information regarding these agreements see Note 10 of 
the Notes to Consolidated Financial Statements.

The anticipated payout of loss and loss adjustment expenses is based upon our historical payout patterns. Both the timing 

and amount of these payments may vary from the payments indicated. Our operating lease obligations are primarily for the 
rental of office space and office equipment.

55

 
Overview of Results–Years Ended December 31, 2013 and 2012

Net income and Operating income

(In millions, except per share data)

Net income

Operating income

Net income per diluted share

Operating income per diluted share

Year Ended December 31

2013

2012

$

$

$

$

297.5

221.1

4.80

3.56

$

$

$

$

275.5

257.2

4.46

4.16

The increase in Net income in 2013 reflects a non-taxable gain on our acquisition of Medmarc of $32.3 million and a 
$39.0 million increase in net realized investment gains, partially offset by lower operating profits due to lower earned premium, 
lower prior year favorable loss reserve development and a smaller reduction to ceded premium for prior accident years. 
Operating income, which is a non-GAAP financial measure, decreased as it does not include net realized investment gains or 
the acquisition gain. A reconciliation of Operating income to Net income follows under the heading "Non-GAAP Financial 
Measures".

Results for the years ended December 31, 2013 and 2012 compare as follows:

Revenues

Net premiums earned decreased during 2013 by approximately $22.7 million or 4.1%. Our acquisitions of Medmarc and 

IND contributed $38.1 million of additional net premiums earned during 2013. In addition, reductions to ceded premium 
attributable to the favorable emergence of losses ceded to our reinsurers under the variable components of our reinsurance 
arrangements were approximately $17.9 million lower for 2013. Excluding acquired entities, losses of premium attributable to 
non-renewals were greater than premium gains from new business in 2013 and there was a reduced amount of premium from 
tail policies.

Our net investment result (which includes both net investment income and earnings from unconsolidated subsidiaries) 

increased $7.6 million or 5.9%. Net investment income decreased during 2013, primarily due to reduced earnings on our fixed 
income portfolio, partially offset by increased earnings from our equities portfolio and distributions received from a cost 
method investment LP in 2013. Earnings from unconsolidated subsidiaries increased $14.4 million in 2013. Earnings from 
unconsolidated subsidiaries principally reflects earnings recognized as a result of a change of an LP from the cost method to the 
equity method in the fourth quarter of 2013 as well as higher earnings from a private equity LP, slightly offset by higher tax 
credit partnership amortization.

Net realized investment gains in 2013 were approximately $39.0 million higher than in 2012. The improvement was 
principally attributable to an increase in our average equity trading portfolio investment and improved stock market yields. 
Impairments were nominal for 2013 and were $1.8 million for 2012.

Expenses

The calendar year net loss ratio for 2013 was 42.6%, a 9.9 percentage point increase as compared to 2012. The increase 
was principally attributable to lower favorable loss development in 2013 as compared to 2012 by $49.3 million. Our current 
accident year net loss ratio increased by 2.7 percentage points for 2013 primarily due to a reduced effect from prior accident 
year   ceded premiums. 

Our underwriting expense ratio increased 3.4 percentage points for 2013. The expense ratio is impacted by a number of 

factors that potentially distort a run rate expense ratio. In particular, start-up expenses associated with Syndicate 1729 and 
transaction expenses associated with our acquisitions increased our ratio in 2013. Also, ceded premiums related to prior 
accident years decreased our ratio in both 2013 and 2012, but had a greater effect on the 2012 ratio. 

Operating Ratio and Return on Equity

Our operating ratio (calculated as our combined ratio, less our investment income ratio) increased by 13.5 percentage 

points in 2013. The increase primarily reflected both a higher net loss ratio and a higher underwriting expense ratio.

Return on equity was 11.4% in 2013, and 12.4% in 2012. Our calculation of return on equity for 2013 excluded the effect 

of the $32.3 million gain on acquisition.

56

 
Book Value per Share

Our book value per share at December 31, 2013 as compared to December 31, 2012 is shown in the following table. The 

past growth rates of our book value per share do not necessarily predict similar future results.

Book Value Per Share at December 31, 2012

Increase (decrease) to book value per share during the year ended

December 31, 2013 attributable to:

Net income

Decline in accumulated other comprehensive income

Dividends declared

Other

Book Value Per Share at December 31, 2013

$

Book Value
Per Share

$

36.85

4.82
(1.40)
(1.05)
(0.09)
39.13

Non-GAAP Financial Measures

Operating income is a non-GAAP financial measure that is widely used to evaluate performance within the insurance 

sector. In calculating operating income, we have excluded the after-tax effects of net realized investment gains or losses, 
guaranty fund assessments or recoupments, loss on extinguishment of debt, gain on acquisition and the effect of confidential 
settlements that do not reflect normal operating results. 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 assessments (recoupments)

Gain on acquisition

Effect of confidential settlements, net

Pre-tax effect of exclusions

Year Ended December 31

2013
297,523

$

2012

$

275,470

—
(67,904)
40
(32,314)
—
(100,178)

2,163
(28,863)
345

—
(1,694)
(28,049)

Tax effect, at 35%, exclusive of non-taxable gain on acquisition

23,752

9,817

Operating income
Per diluted common share:

Net income
Effect of exclusions

Operating income per diluted common share

$

$

$

221,097

4.80
(1.24)
3.56

$

$

$

257,238

4.46
(0.30)
4.16

57

Results of Operations–Year Ended December 31, 2013 Compared to Year Ended December 31, 2012 

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

($ in thousands, except per share data)

2013

2012

Change

Year Ended December 31

Revenues:

Net premiums earned

Net investment income
Equity in earnings (loss) of unconsolidated subsidiaries

Net investment result

Net realized investment gains (losses)

Other income

Total revenues

Expenses:

Losses and loss adjustment expenses

Reinsurance recoveries
Net losses and loss adjustment expenses
Underwriting, policy acquisition and operating expenses
Interest expense
Loss on extinguishment of debt

Total expenses

Gain on acquisition
Income before income taxes

Income taxes

Net income

Earnings per share:

Basic
Diluted

Net loss ratio
Underwriting expense ratio
Combined ratio
Operating ratio
Effective tax rate
Return on equity*

$ 527,919

$ 550,664

$

129,265
7,539

136,804

67,904

7,551

740,178

243,015

(18,254)
224,761
147,817
2,755
—

375,333

32,314
397,159

136,094
(6,873)
129,221

28,863

7,106

715,854

161,726

18,187
179,913
135,631
2,181
2,163

319,888

—
395,966

(22,745)
(6,829)
14,412

7,583

39,041

445

24,324

81,289
(36,441)
44,848
12,186
574
(2,163)
55,445

32,314
1,193

99,636

120,496

(20,860)

$ 297,523

$ 275,470

$

22,053

$
$

4.82
4.80

$
$

4.49
4.46

$
$

42.6%
28.0%
70.6%
46.1%
25.1%
11.4%

32.7%
24.6%
57.3%
32.6%
30.4%
12.4%

0.33
0.34

9.9
3.4
13.3
13.5
(5.3)
(1.0)

* Gain on acquisition is excluded from the calculation of return on equity.

In all tables that follow, the abbreviation “nm” indicates that the percentage change is not meaningful.

58

Premiums Written

Changes in our premium volume are driven by four primary factors: (1) the amount of new business generated both as a 

result of acquisitions and through our existing books of business, (2) our retention of existing business, (3) the premium 
charged for business that is renewed, which is affected by rates charged and by the amount and type of coverage an insured 
chooses to purchase, and (4) the timing of premium written through multi-period policies. In addition, premium volume may 
periodically be affected by shifts in the timing of renewals between periods. The healthcare professional liability market 
remains competitive as physicians continue joining hospitals or larger group practices and thus no longer purchasing insurance 
in the standard market. In addition, some competitors have chosen to compete primarily on price; both factors impact our 
ability to write new business and retain existing business.

Gross, ceded and net premiums written were as follows:

($ in thousands)

Gross premiums written

Ceded premiums written
Net premiums written

Year Ended December 31

2013
$ 567,547

2012
$ 536,431

(42,365)
$ 525,182

(8,133)
$ 528,298

Change

$

$

31,116
(34,232)
(3,116)

5.8%
>100%

(0.6%)

Gross Premiums Written

Gross premiums written by component were as follows:

($ in thousands)

2013

2012

Change

Year Ended December 31

Professional liability

Physicians:

Twelve month term
Twenty-four month term
Total Physicians

Other healthcare providers

Healthcare facilities

Legal professionals
Tail coverages

Total professional liability

Medical technology and life sciences products liability
Other

Total

$ 388,583
25,584
414,167

$ 403,429
13,081
416,510

43,125

26,202

27,060
20,920

43,492

28,259

17,146
29,394

531,474

534,801

34,190
1,883
$ 567,547

—
1,630
$ 536,431

$ (14,846)
12,503
(2,343)
(367)
(2,057)
9,914
(8,474)
(3,327)
34,190
253
$ 31,116

(3.7%)
95.6%

(0.6%)

(0.8%)

(7.3%)
57.8%

(28.8%)

(0.6%)
nm
15.5%
5.8%

The above table includes gross written premium for 2013 that was attributable to IND and Medmarc, as shown in the 

following table. Neither acquisition contributed premium in 2012.  

($ in thousands)

2013

Year Ended December 31

Gross premiums written:

Professional liability

Physicians, twelve month term

Other healthcare providers

Legal professionals

Total professional liability

Medical technology and life sciences products

liability

Total

$

$

10,474

280

9,418
20,172

34,190

54,362

Our retention rate for our standard physician business was approximately 89% for 2013, as compared to 90% for 2012. 

We calculate our retention rate as retained premium divided by all premium subject to renewal. Retention rates are affected by a 
59

number of factors. We may lose insureds to competitors or to alternative insurance mechanisms such as risk retention groups or 
self-insurance entities (often when physicians join hospitals or large group practices) or due to pricing or other issues. We may 
choose not to renew an insured as a result of our underwriting evaluation. Insureds may also terminate coverage because they 
have left the practice of medicine for various reasons, principally for retirement but also for personal reasons or due to 
disability or death.

The pricing of our renewed physician business remained relatively flat with expiring premiums during 2013. The pricing 
of our business includes the effects of filed rates, surcharges and discounts. We continue to base our pricing on expected losses, 
as indicated by our historical loss data and available industry loss data. We are committed to a rate structure that will allow us 
to fulfill our obligations to our insureds, while generating competitive returns for our shareholders.

Physician policies were our greatest source of premium revenues in both 2013 and 2012. In addition to the effects of 
retention and renewal pricing discussed above, our 2013 twelve month term physician premium volume reflected the following:

•  The acquisition of IND contributed approximately $10.5 million of physician premium to 2013.

•  In addition to premium contributed by IND, we wrote new physician business of approximately $18 million in 2013.

We offer twenty-four month term policies to our physician insureds in one selected jurisdiction. The premium associated 

with both years is included in written premium in the period the policy is written; comparison of gross written premium 
between successive years reflects volume differences that have no effect on earned premium. Thus, twenty-four month term 
policies subject to renewal in 2013 were previously written in 2011 rather than in 2012, as is the case for our twelve-month 
term policies. There was no significant volume change associated with twenty-four month policies during 2013.

Our other healthcare providers are primarily dentists, chiropractors and allied health professionals. The decline in 

premium volume for these coverages during 2013 was primarily attributable to the 2012 discontinuation of a program that 
offered coverage to optometrists.

Our healthcare facilities premium (which includes hospitals, surgery centers and other facilities) declined in 2013, 
principally due to retention losses. The competitive pressures that affect our physician business also affect our facilities 
business.

The increase in legal professionals premium for 2013 is principally attributable to our acquisition of Medmarc. Our legal 

professionals policies are offered throughout the United States, principally through agent and brokerage arrangements.  

We offer extended reporting endorsement or “tail” coverage to insureds who discontinue their claims-made coverage with 

us, and we also periodically offer “tail” coverage through custom policies. The amount of tail coverage premium written can 
vary widely from period to period. The decrease in tail premium for 2013 was principally due to a large single custom policy 
issued in the first quarter of 2012 for which there was no counterpart in 2013.

All medical technology and life sciences products liability premium is attributable to our acquisition of Medmarc. Our 
medical technology and life sciences products liability (products liability) business is marketed throughout the United States; 
coverage is offered on a primary basis, within specified limits, to manufacturers and distributors of medical technology and life 
sciences products.

Ceded Premiums Written

Ceded premiums written compare as follows:

($ in thousands)

Primary reinsurance arrangements (1)
Secondary reinsurance arrangements (2)
Reduction in premiums owed under reinsurance agreements, prior

accident years, net (3)

Premiums ceded associated with acquired entities
Other ceded premiums written

Total ceded premiums written

2013
$ 16,177
17,279

Year Ended December 31

2012

Change

$ 21,997
9,116

$ (5,820)
8,163

(26.5%)
89.5%

(16,403)
14,308
11,004

(34,328)
—
11,348

$ 42,365

$

8,133

17,925
14,308
(344)
$ 34,232

(52.2%)
nm
(3.0%)

>100%

Ceded premiums represent the amounts owed to our reinsurers for their assumption of a portion of our losses. In general 

we retain the first $1 million in risk insured by us and cede any coverages in excess of this amount. We pay our reinsurers a 
ceding premium in exchange for their accepting the risk, the ultimate amount of which is determined by the loss experience of 
the business ceded, subject to certain minimum and maximum amounts.

60

 Ceded premiums for 2013 and 2012 compare as follows:

(1)  As discussed previously, the premium that we cede under our reinsurance arrangements is determined, in part, by the 
losses ceded under these arrangements. Ceded premiums decreased due to lower premiums in 2013, and beginning 
with the second quarter of 2012, we projected (estimated) lower losses for our ceded coverages and reduced our 
estimate of the associated ceded premium for the current accident year. The year ended December 31, 2013 reflected 
those lower projections for the full period in 2013 as compared to two quarters in 2012. 

(2)  We have secondary arrangements with certain large healthcare groups that include quota share, fronting and other risk 
sharing arrangements. Growth in these arrangements increased ceded premium in 2013 as compared to 2012. These 
arrangements are primarily comprised of the following:

•  We share risk of loss for policies written or renewed under the Ascension Health (Ascension) Certitude program 

with an Ascension affiliate under a quota share arrangement. 

•  We have entered into fronting arrangements with certain large healthcare groups. Under the arrangements we 

provide specified underwriting, claims and risk management services but cede a large portion of the risk of the 
coverages provided back to the group or affiliates of the group. Volume under such arrangements can vary 
between periods.

•  During 2013, we entered into quota share arrangements under which we share the risk of loss with captive 

insurers affiliated with one of our agents.

(3)  Given the length of time that it takes to resolve our claims, many years may elapse before all losses recoverable under 
a reinsurance agreement are known. As a part of the process of estimating our loss reserves we also make estimates 
regarding the amounts recoverable under our reinsurance agreements. As previously discussed, the amounts ultimately 
owed under our reinsurance agreements are subject to the losses ceded under the agreements. In both 2013 and 2012, 
on a net basis, we reduced our estimate of expected losses and associated recoveries for prior year ceded losses, as 
well as our estimate of ceded premiums owed to reinsurers. The reductions were substantially less in 2013 than in 
2012. The net reduction for 2013 includes an offsetting increase of $1.6 million that was attributable to loss reserves 
acquired in business combinations. In 2012 we also revised the expected amount receivable under certain older 
reinsurance agreements for which there were limited remaining open items. Changes to estimates of premiums ceded 
related to prior accident years are fully earned in the period the change in estimates occur.

Ceded Premiums Ratio

As shown in the table below, our ceded premium ratio was significantly affected in both 2013 and 2012 by revisions to 

our estimate of premiums owed to reinsurers related to coverages provided in prior accident years. 

Ceded premiums ratio, as reported

Less the effect of reduction in premiums owed under reinsurance
agreements, prior accident years (as previously discussed)*

Ratio, current accident year

Year Ended December 31

2013
7.5%

2012

1.5%

Change
6.0

(2.9%)
10.4%

(6.4%)
7.9%

3.5

2.5

* Effect shown for 2013 is net of an increase to the ratio of approximately 0.3 percentage points attributable to 

business combinations.

The increase in the ceded premium ratio, current accident year, for 2013 as compared to 2012 is attributable to the 

following:

Effect on ceded premium ratio, current accident year:

Secondary reinsurance arrangements, increased volume
Acquisitions
Other

Net increase in ratio

Increase (decrease)
2013 versus 2012

1.3
1.6
(0.4)
2.5

61

 
 
Net Premiums Earned

Net premiums earned were as follows:

($ in thousands)

Gross premiums earned

Premiums ceded
Net premiums earned

Year Ended December 31

2013
$ 569,433

2012
$ 558,316

(41,514)
$ 527,919

(7,652)
$ 550,664

Change

$ 11,117
(33,862)
$ (22,745)

2.0%
>100%

(4.1%)

Net premiums earned consist of gross premiums earned less the portion of earned premiums that we cede to our 

reinsurers for their assumption of a portion of our losses. 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, we renew certain policies with a twenty-four month term, and certain of our medical technology and 
life sciences products liability policies carry a multi-year term. Tail coverage premiums are generally 100% earned in the period 
written because the policies insure only incidents that occurred in prior periods and are not cancellable. Additionally, ceded 
premium changes due to changes to estimates of premiums owed under reinsurance agreements are fully earned in the period of 
change.

Gross premiums earned in 2013 reflected additional premiums contributed by acquisitions of approximately $53.9 
million offset by the pro-rata effect of lower physician premiums written by our other subsidiaries during the preceding twelve 
months, and a decline in tail premium of $8.9 million. Our 2013 gross premiums earned includes approximately $25.1 million 
in gross premiums earned associated with Medmarc and IND policies written prior to our acquisition of these operations. We 
expect Medmarc and IND policies written pre-acquisition to contribute gross premiums earned of approximately $3.0 million 
in 2014 and beyond.

The increase in premiums ceded during 2013 reflected ceded premium reductions related to prior accident years, 
exclusive of acquisitions, that were $16.3 million lower in 2013 than in 2012, as previously discussed, and contributions from 
our acquisitions of approximately $15.8 million.

62

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

Net Investment Income

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

income from our short-term and cash equivalent investments, dividend income from equity securities, earnings from other 
investments and increases in the cash surrender value of business owned life insurance contracts. Investment fees and expenses 
are deducted from investment income. 

Net investment income by investment category was as follows:

($ in thousands)

Fixed maturities

Equities

Short-term investments and Other

invested assets

Business owned life insurance
Investment fees and expenses
Net investment income

Year Ended December 31

2013
$ 122,065

2012

$ 133,088

9,454

6,947

Change

$ (11,023)
2,507

(8.3%)

36.1%

2,584

660

1,960
(6,798)
$ 129,265

2,008
(6,609)
$ 136,094

1,924
(48)
(189)
$ (6,829)

>100%
(2.4%)
2.9%
(5.0%)  

Fixed Maturities

The decrease in our income from fixed maturity securities was primarily due to both lower average yields and average 

investment balances (exclusive of acquisitions) as compared to 2012. Although we added fixed securities valued at $314 
million to our portfolio in 2013 as a result of the Medmarc and IND mergers, we reduced the size of our fixed portfolio in 2013 
in order to repay debt, pay dividends and invest in other asset classes. On an overall basis our average investment in fixed 
securities was approximately 3% lower in 2013 as compared to 2012.  

Average yields for our fixed maturity portfolio were generally lower in 2013, as shown in the table below. 

Average income yield

Average tax equivalent income yield

Year Ended December 31

2013
3.7%

4.3%

2012
3.9%

4.5%

Yields on fixed maturity securities acquired in the Medmarc and IND transactions were lower than our average yield in 

2012, which reduced our 2013 average consolidated tax equivalent yield by approximately 15 basis points. Yields for 2013 also 
reflected lower income from Treasury Inflation-Protected Securities of $1.0 million. The remaining decline in yield is primarily 
attributable to market conditions. Throughout 2012 and to a declining degree in 2013, in order to maintain the quality and 
duration of our portfolio, we have reinvested maturities, paydowns and proceeds from sales in our fixed income portfolio at 
yields that were lower than the average yield on our portfolio.  

Equities

Income from our equity portfolio increased in 2013 as compared to 2012 due to average investment balances that were 

approximately 59% higher in 2013. Given the challenge in finding compelling returns in the fixed income portfolio as 
discussed above and the sensitivity of the value of the fixed income portfolio to rising interest rates, we have increased our 
allocation to dividend yielding equities and other non-fixed income investments.

Short-term Investments and Other Invested Assets

The increased income from our short-term investments and other invested assets in 2013 principally reflected 

distributions received from an interest in an LP that we account for using the cost method. No distributions were received from 
this investment in 2012.

63

 
Equity in Earnings (Loss) of Unconsolidated Subsidiaries

Equity in earnings (loss) of unconsolidated subsidiaries is derived from our investment interests accounted for under the 

equity method. Results were as follows:

(In thousands)

Investment LPs

Business LLC interest

$

Tax credit partnerships
Equity in earnings (loss) of unconsolidated subsidiaries $

Year Ended December 31

2013
17,673

—
(10,134)
7,539

$

$

2012

Change

$

278
(728)
(6,423)
(6,873) $

17,395

728
(3,711)
14,412

We hold interests in certain LPs that generate earnings from trading portfolios, secured debt, and private equity 
investments. The improved results for 2013 principally reflect earnings recognized as a result of a change of an LP from the 
cost method to the equity method as well as higher earnings from a private equity LP. When there is a change from the cost to 
the equity method, GAAP requires retroactive recording of accumulated earnings since the origination of the investment. As the 
amounts are not material in the current period or any of the prior periods affected, prior period financial statements have not 
been restated. Earnings included our portion of the LP’s accumulated earnings from the date of initial investment, which totaled 
$10.5 million, $8.4 million of which was related to prior periods.

Our business LLC interest was a non-controlling interest in a startup entity, which produced operating losses in 2012. We 

dissolved our interest in the entity during 2013.

Our tax credit investments are designed to generate returns by providing tax benefits in the form of tax credits and tax-

deductible project operating losses. We account for our tax credit investments on the equity method and record amortization of 
our investment each period based on our allocable portion of the projected operating losses of the underlying properties. 
Amortization is adjusted periodically as actual operating results of the underlying properties become available. The increase in 
tax credit partnership amortization during 2013 reflects an overall increase in our investment in these partnerships, the 
increasing maturity of the underlying projects, and reductions to amortization during 2012 that were attributable to the re-
estimation of inception-to-date amortization of certain partnership interests.

The tax benefits received from our tax credit partnerships, which are not reflected in our investment results above, 

reduced our tax expenses in 2013 and 2012 as follows:

(In thousands)

Tax credits recognized during the period
Deferred tax benefit of amortization

Year Ended December 31

2013
$ 17,888
3,547
$

2012
$ 10,005
2,248
$

64

Non-GAAP Financial Measure – Tax Equivalent Investment Result

We believe that to fully understand our investment returns it is important to consider the current tax benefits associated 

with certain investments as the tax benefit received represents a portion of the return provided by our tax-exempt bonds, BOLI, 
common and preferred stocks, and tax credit partnership investments (our tax-preferred investments). We impute a pro-forma 
tax-equivalent result by estimating the amount of fully-taxable income needed to achieve the same after-tax result as is 
currently provided by our tax-preferred investments. We believe this better reflects the economics behind our decision to invest 
in certain asset classes that are either taxed at lower rates and/or result in reductions to our current federal income tax expense. 
Our pro forma tax-equivalent investment result is shown in the table that follows as is a reconciliation of our tax equivalent 
result to our GAAP net investment result.

(In thousands)

GAAP net investment result:

Net investment income

Equity in earnings (loss) of unconsolidated subsidiaries

GAAP net investment result

Year Ended December 31

2013

2012

$ 129,265

7,539

$ 136,804

$ 136,094
(6,873)
$ 129,221

Pro forma tax-equivalent investment results

$ 184,628

$ 165,632

Reconciliation of pro forma and GAAP tax-equivalent

investment results:

Pro forma tax-equivalent investment results

$ 184,628

$ 165,632

Taxable equivalent adjustments, calculated using the 35%

federal statutory tax rate:

State and municipal bonds

BOLI

Dividends received

Tax credit partnerships

GAAP net investment result

(17,590)
(1,056)
(1,674)
(27,504)
$ 136,804

(18,482)
(1,081)
(1,456)
(15,392)
$ 129,221

65

Net Realized Investment Gains (Losses)

The following table provides detailed information regarding our net realized investment gains (losses).

(In thousands)

Other-than-temporary impairment losses, total:

State and municipal bonds

Residential mortgage-backed securities

Corporate debt

Other investments

Portion recognized in (reclassified from) Other Comprehensive Income:

Residential mortgage-backed securities

Net impairment losses recognized in earnings

Gross realized gains, available-for-sale securities

Gross realized (losses), available-for-sale securities

Net realized gains (losses), trading securities

Change in unrealized holding gains (losses), trading securities
Decrease (increase) in the fair value of liabilities carried at fair value

Other

Net realized investment gains (losses)

Year Ended December 31

2013

2012

$

(71) $
—

—

—

—
(71)
18,130
(7,031)
20,444

35,507
—

925

—
(557)
(878)
(131)

(201)
(1,767)
18,645
(2,076)
1,485

12,673
(1,245)
1,148

$

67,904

$

28,863

All impairments of debt securities recognized during 2013 and 2012 were credit-related.

The impairment recognized as part of Other investments related to an interest in an LLC which converted to a public fund 

during 2012.

Realized losses on sales of available-for-sale securities in 2013 and 2012 related to securities which we carried either at 

no loss or a small loss, relative to the amortized cost basis of the security, at the end of the prior reporting period. Further, at the 
end of the prior reporting period, we had no intent to sell the securities nor did we expect to be required to sell the securities 
prior to recovery of their amortized cost basis. Approximately $5.3 million of the 2013 realized loss related to securities sold in 
the third quarter of 2013 to meet cash needs for the purchase of Eastern, terms of which were agreed upon late in the third 
quarter. Unrealized losses on these securities at the end of the second quarter were less than 3% of their amortized cost basis.  

We substantially increased the size of our equity trading portfolio during the first quarter of 2013 and last three quarters 

of 2012. Unrealized trading portfolio gains in 2013 reflected both higher average balances and improved stock market 
valuations in 2013 as compared to 2012.

Gains (losses) from changes in the fair value of liabilities in 2012 were entirely attributable to our note payable due 2019 

and related interest rate swap, both of which we repaid in July 2012.

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 claims-

made policies, which represent over 90% of the Company’s business, the insured event generally becomes a liability when the 
event is first reported to the insurer. For occurrence policies the insured event becomes a liability when the event takes place. 
We believe that measuring losses on an accident year basis is the best 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.

66

The following table summarizes calendar year net loss ratios by separating losses between the current accident year and 

all prior accident years. Additionally, the table shows our current accident year net loss ratio was significantly affected by 
revisions to our estimate of premiums owed to reinsurers related to coverages provided in prior accident years. Our current 
accident year net loss ratios for December 31, 2013 and 2012 compare as follows:

Net Loss Ratios (1)

Year Ended December 31

Calendar year net loss ratio

Less prior accident year net loss ratio
Current accident year net loss ratio, as reported

Less estimated ratio increase (decrease) attributable to:

2013
42.6%
(42.2%)
84.8 %

2012

Change

32.7%

(49.4%)

82.1 %

Ceded premium reductions, prior accident years, net (2)

(2.7%)

(5.4%)

Current accident year net loss ratio, less ceded premium

effect above (3)

87.5 %

87.5 %

9.9

7.2

2.7

2.7

—

(1)  Net losses as specified divided by net premiums earned.

(2)  Reductions to premiums owed under reinsurance agreements for prior accident years increased net earned 

premiums (the denominator of the current accident year ratio) in both 2013 and 2012. The net increase to the 
ratio in 2013 reflects an offset of 0.3 percentage points that is attributable to loss reserves acquired in 
business combinations. See the discussion under the heading “Ceded Premiums Written” for additional 
information. 

(3)  In addition to the effect of ceded premiums associated with prior accident years, the loss ratio for the current 
period reflects an increase due to higher unallocated loss adjustment expenses in 2013, the effect of which 
was offset by decreases to the ratio attributable to a lower amount of tail premium in 2013, a greater benefit 
from current accident year reinsurance in 2013, and lower average loss ratios for the business acquired from 
Medmarc and IND. The amount of tail premium affects the average ratio because we generally expect higher 
losses from tail coverages.

We recognized favorable loss development related to previously established reserves, on a gross basis, of $248.5 million 

in 2013 and $321.5 million in 2012. On a net basis, we recognized favorable development of $222.7 million in 2013 and 
$272.0 million in 2012. The net basis reflects the favorable development recognized with respect to our ceded coverage layers. 
A detailed discussion of factors influencing our recognition of loss development recognized is included in the Critical 
Accounting Estimates section of Item 7, under the caption "Reserve for Losses and Loss Adjustment Expenses." Information 
provided includes the amount of development recognized by accident year and the factors considered and judgments made to 
determine the amount of development recognized.

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, as was the case in both 2013 and 2012.

67

Underwriting, Policy Acquisition and Operating Expenses

The table below provides a comparison of 2013 and 2012 underwriting, policy acquisition and operating expenses:

($ in thousands)
Underwriting, policy acquisition

and operating expenses

Year Ended December 31

2013

2012

Change

$ 147,817

$ 135,631

$

12,186

9.0%

The following table highlights the items affecting expenses for the years ended December 31, 2013 and 2012.

Expenses of operations from acquired entities (1)

(In millions)

Higher compensation costs during 2013, principally attributable to incentive compensation

Increase in compensation costs allocated to ULAE or capitalized as deferred policy acquisition costs

during 2013

Amortization of deferred policy acquisition costs reflects a reduction in 2013 attributable to lower
premium volume and a reduction attributable to the adoption of new accounting guidance at the
beginning of 2012. The effect of lower premium volume was somewhat offset in 2013 by
underwriting compensation costs which were higher in 2013 than in 2012.

Variances attributable to discrete events of 2013 or 2012:

Eastern transaction-related costs, principally professional fees (2)

Syndicate 1729 start-up costs, principally professional fees (3)

Medmarc and IND transaction-related costs, principally professional fees and one time

compensation costs

Compensation costs associated with employee relocation and severance, principally related to the

enhancement of our customer service capabilities in 2012

Recoveries received in 2012 related to the settlement of litigation

Net change in expenses

$

$

Expense Increase
(Decrease)
2013 versus 2012

12.8

3.1

(9.1)

(2.6)

0.9

3.0

3.1

(0.7)
1.7

12.2

(1)  The impact of purchase accounting related to deferred policy acquisition costs reduced the reported expenses by 

approximately $4.4 million in 2013.

(2)  As discussed previously in ProAssurance Overview, we acquired Eastern Insurance Holding, Inc. effective January 1, 
2014. We anticipate additional expenses directly related to our merger with Eastern of approximately $3.3 million, of 
which $1.3 million is expected to be incurred during the first six months of 2014. The remainder consists of retention and 
severance costs that we expect to incur fairly evenly over the next three years.

(3)  Also, as discussed in ProAssurance Overview, we completed the process of becoming a corporate member of Lloyd's of 
London late in 2013. We do not expect to incur significant expenses in 2014 related to the start-up of Syndicate 1729; 
additional costs will primarily be incurred by Syndicate 1729.

68

Underwriting Expense Ratio (the Expense Ratio)

Our expense ratio was affected in both 2013 and 2012 by ceded premium reductions related to prior accident years, as 

discussed under the heading "Ceded Premiums Written", and by expenses associated with business expansion and discrete 
events (see table above): 

Underwriting expense ratio, as reported

Less estimated ratio increase (decrease) attributable to:

Net ceded premium reductions, prior accident years*

Syndicate 1729 start-up costs

Expenses associated with other discrete events (see table

above)

Underwriting expense ratio, less listed effects

Underwriting Expense Ratio

Year Ended December 31

2013
28.0% 24.6%

2012

Change
3.4

(0.8%)
0.6%

(1.6%)

—%

1.0%
0.1%
27.2% 26.1%

0.8

0.6

0.9
1.1  

*Effect shown for 2013 is net of an increase to the ratio of approximately 0.1 percentage 
points attributable to business combinations.

As compared to 2012, our 2013 underwriting expense ratio was also affected by the following:

Estimated ratio increase (decrease) attributable to:

Lower net earned premiums, exclusive of acquisitions

Acquisitions, see discussion below

Increased compensation costs

Increase in costs allocated to ULAE or capitalized as

deferred policy acquisition costs

Other

Net increase/(decrease) in ratio

Increase (decrease),
2013 versus 2012

1.9

0.4

0.5

(1.6)
(0.1)
1.1

The operating expenses of Medmarc and IND, exclusive of transaction costs, had a minor effect on our 2013 ratio as these 

entities also increased net premium earned. However, as previously discussed, recorded deferred policy acquisition cost 
amortization for these entities was lower in 2013 than would be considered normal due to the application of GAAP purchase 
accounting rules. Normalizing these costs increases our 2013 ratio by approximately 0.8 percentage points.

69

 
 
 
 
Interest Expense

Interest expense increased during 2013 as compared to 2012. The increase reflects higher average outstanding debt in 

2013 but lower average rates. Our weighted average outstanding debt approximated $119 million for 2013, while our average 
outstanding debt approximated $29 million for 2012.

Interest expense for 2013 and 2012 is provided in the following table:

Senior notes due 2023

(In thousands)

Revolving credit agreement (including fees and amortization)

Letter of credit fees

Other debt instruments, principally long-term debt repaid in 2012

Year Ended December 31

2013
1,502

1,187

58

8
2,755

$

$

2012

Change

$

$

— $
630

1,502

557

—

1,551
2,181

58
(1,543)
574

$

Taxes

Factors affecting our effective tax rate include the following:

Statutory rate
Tax-exempt income
Tax credits
Non-taxable gain on acquisition
Other
Effective tax rate

Year Ended December 31

2013
35.0%
(3.7%)
(4.5%)
(2.8%)
1.1%
25.1%

2012
35.0%
(3.7%)
(2.5%)
—%
1.6%
30.4%

Our effective tax rates for both 2013 and 2012 were different from the statutory Federal income tax rate primarily 
because a portion of our investment income and the 2013 gain on acquisition are not taxable and because we utilized tax credit 
benefits transferred from our tax credit partnership investments.

Tax benefits recognized, related to the tax credits, approximated $17.9 million and $10.0 million in 2013 and 2012, 

respectively.

70

 
Overview of Results–Years Ended December 31, 2012 and 2011

Net income and Operating income (a non-GAAP financial measure, see reconciliation below) were as follows:

(In millions, except per share data)

Net income

Operating income

Net income per diluted share

Operating income per diluted share

Year Ended
December 31

2012

2011

$

$

$

$

275.5

257.2

4.46

4.16

$

$

$

$

287.1

278.5

4.65

4.52

Results from the years ended December 31, 2012 and 2011 compare as follows:

Revenues

Net premiums earned decreased during 2012 by approximately $14.8 million or 2.6%. The decrease principally reflects 

the effects of a competitive market place, but also reflected a net decrease of approximately $1.9 million related to ceded 
premium owed to reinsurers for prior year coverages. 

Our net investment result (which includes both net investment income and earnings from unconsolidated subsidiaries) 

decreased $2.6 million or 2.0%. Net investment income decreased during 2012, primarily due to lower yields on our fixed 
income portfolio and lower average fixed income investment balances. Approximately $0.8 million of the decrease is due to 
increased amortization of tax credit investments in 2012.

Net realized investment gains in 2012 were approximately $22.9 million higher than in 2011. The improvement was 
principally attributable to our equity trading portfolio, but also reflected additional gains from sales of fixed maturity securities 
and lower impairment losses in 2012.

Other income decreased by $6.5 million in 2012. The decrease is primarily attributable to $4.9 million of other income in 

2011 that resulted from the confidential settlement of litigation with a service provider.

Expenses

Current accident year net losses decreased by $36.2 million or 7.4% in 2012 as compared to 2011. The decline was 

principally attributable to a reduction in the number of insured risks, but also reflected lower expected losses for our death, 
disability and retirement coverages, and the effect of a commutation recorded in 2011. We reduced net losses by $272.0 million 
and $325.9 million in 2012 and 2011, respectively, as a result of our review of our estimate of net losses incurred for prior 
accident years.

Underwriting, policy acquisition and operating expenses decreased by $0.8 million or 0.6% in 2012 as compared to 2011, 

which reflected lower costs associated with the operations we acquired from APS, offset by additional expense due to recently 
closed merger transactions, higher compensation costs and the effect of adopting new FASB guidance regarding policy 
acquisition costs.

We recognized losses of $2.2 million in 2012 related to the repayment of the 2019 Note Payable which was carried at fair 

value.

Ratios

Our current accident year net loss ratio decreased 4.2 percentage points in 2012 due to changes in the mix of insured 
risks. Our calendar year net loss ratio was 32.7% for 2012 as compared to 28.7% for 2011, with the increase reflecting the 
emergence of a smaller amount of favorable development in 2012.

Our underwriting expense ratio increased 0.6 percentage points in 2012, principally reflecting the effect of lower net 

premiums earned in 2012. 

Our operating ratio increased by 4.8 percentage points in 2012, reflecting higher net loss and expense ratios and a lower 

investment ratio in 2012.

Return on equity was 12.4% in 2012 and 14.3% in 2011.

71

 
Book Value per Share

Our book value per share at December 31, 2012 was $36.85 compared to $35.42 at December 31, 2011. The increase 
primarily reflected the effect of our 2012 comprehensive income, partially offset by dividends declared during 2012 which 
reduced our book value by $3.13 per share. Due to the size of our Shareholders’ Equity (approximately $2.3 billion at 
December 31, 2012), the growth rate of our book value per share may slow. The past growth rates of our book value per share 
do not necessarily predict similar future results.

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 net realized investment gains or losses, guaranty fund assessments, debt 
retirement gain or loss and the effect of confidential settlements that do not reflect normal operating results. 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 assessments (recoupments)

Effect of confidential settlements, net

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

2012
275,470

$

2011

$

287,096

2,163
(28,863)
345
(1,694)
(28,049)

—
(5,994)
(66)
(7,143)
(13,203)

9,817

4,621

$

$

$

257,238

4.46
(0.30)
4.16

$

$

$

278,514

4.65
(0.13)
4.52

72

Results of Operations–Year Ended December 31, 2012 Compared to Year Ended December 31, 2011

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

($ in thousands, except share data)

2012

2011

Change

Year Ended December 31

Revenues:

Net premiums earned

Net investment income
Equity in earnings (loss) of unconsolidated subsidiaries

Net investment result
Net realized investment gains (losses)

Other income

Total revenues

Expenses:

Losses and loss adjustment expenses

Reinsurance recoveries

Net losses and loss adjustment expenses
Underwriting, policy acquisition and operating expenses

Interest expense

Loss on extinguishment of debt

Total expenses

$ 550,664

$ 565,415

$

136,094
(6,873)

129,221
28,863

7,106
715,854

161,726

18,187

179,913
135,631

2,181

2,163
319,888

140,956
(9,147)
131,809
5,994

13,566
716,784

151,270

11,017

162,287
136,421

3,478

—
302,186

(14,751)
(4,862)
2,274
(2,588)
22,869
(6,460)
(930)

10,456

7,170

17,626
(790)
(1,297)
2,163
17,702

Income before income taxes

395,966

414,598

(18,632)

Income taxes

Net income

Earnings per share:

Basic
Diluted

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

120,496

127,502

(7,006)

$ 275,470

$ 287,096

$

(11,626)

$
$

4.49
4.46

$
$

4.70
4.65

$
$

(0.21)
(0.19)

32.7%
24.4%
57.1%
32.4%
30.4%
12.4%

28.7%
23.8%
52.5%
27.6%
30.8%
14.3%

4.0
0.6
4.6
4.8
(0.4)
(1.9)

In all tables that follow, the abbreviation “nm” indicates that the percentage change is not meaningful.

73

Premiums Written

Changes in our premium volume are driven by four primary factors: (1) our retention of existing business, (2) the 
premium charged for business that is renewed, which is affected by rates charged and by the amount and type of coverage an 
insured chooses to purchase, (3) the timing of premium written through multi-period policies, and (4) the amount of new 
business we generate. The professional liability market remains competitive with some competitors choosing to compete 
primarily on price.

Gross, ceded and net premiums written were as follows:

($ in thousands)

Gross premiums written

Ceded premiums written
Net premiums written

Year Ended December 31

2012
$ 536,431

2011
$ 565,895

(8,133)
$ 528,298

(7,388)
$ 558,507

Change

$ (29,464)
(745)
$ (30,209)

(5.2%)
10.1%

(5.4%)

Gross Premiums Written

Gross premiums written by component were as follows:

($ in thousands)

2012

2011

Change

Year Ended December 31

Gross premiums written:

Physician, traditional term policies
Physician, two-year term policies *

              Total Physician

Non-physician healthcare providers

Hospital and facility
Other
Non-continuing

Tail coverage premiums, all policy types

Total

$ 403,429
13,081

$ 428,928
22,253

416,510

451,181

42,864

28,259
18,778
626

45,641

28,088
17,961
2,078

29,394
$ 536,431

20,946
$ 565,895

$ (25,499)
(9,172)
(34,671)
(2,777)
171
817
(1,452)
8,448
$ (29,464)

(5.9%)

(41.2%)

(7.7%)

(6.1%)
0.6%
4.5%

(69.9%)
40.3%
(5.2%)

* We offer two- year term policies to our physician insureds in one selected jurisdiction. The premium

associated with both years is included in written premium in the period the policy is written; comparison
of gross written premium between successive years reflect volume differences that have no effect on
earned premium. A comparison to 2010 is more meaningful; gross written premium for two-year term
policies in 2010 was $10.9 million.

As compared to 2011, physician premiums declined in 2012. The expected timing differences associated with two-year 

policies accounted for more than 25% of the total physician premium decrease.

Our retention rate for our standard physician business was 90% for 2012, as compared to 89% for 2011. We calculate our 

retention rate as retained premium divided by all premium subject to renewal. Retention rates are affected by a number of 
factors. We may lose insureds to competitors or to alternative insurance mechanisms such as risk retention groups or self-
insurance entities (often when physicians join hospitals or large group practices) or due to pricing or other issues. We may 
choose not to renew an insured as a result of our underwriting evaluation. Insureds may also terminate coverage because they 
have left the practice of medicine for various reasons, principally for retirement but also for personal reasons or due to 
disability or death.

Charged rates for our renewed physician business averaged 1% higher than the expiring premiums during 2012. Our 
charged rates include the effects of filed rates, surcharges and discounts. Despite competitive pressures, we continue to base our 
rates on expected losses, as indicated by our historical loss data and available industry loss data. We are committed to a rate 
structure that will allow us to fulfill our obligations to our insureds, while generating competitive returns for our shareholders.

New physician business written in 2012 was approximately $9 million.

Our non-physician healthcare providers are primarily dentists, chiropractors and allied health professionals. The 2012 

decline in premium volume for these coverages was primarily attributable to allied health professionals.

Our hospital and facility premiums remained relatively flat in 2012.

74

Our “other” premiums are primarily legal professional liability premiums which increased in 2012 due to a greater 

number of insureds.

Our non-continuing premiums consist of premiums derived from optometry coverages discontinued in early 2012 and 

certain miscellaneous liability coverages which were discontinued in 2010 but that continued to produce small amounts of 
written premium in 2011 and 2012.

We offer extended reporting endorsement or “tail” coverage to insureds that are discontinuing their claims-made coverage 

with us, and we also periodically offer “tail” coverage through custom policies. The amount of tail coverage premium written 
can vary widely from period to period. A large portion of the increase in tail premium in 2012 was attributable to a single 
custom policy issued to a hospital that terminated its self insurance arrangement.

Ceded Premiums Written

Ceded premiums written compared as follows:

($ in thousands)

Primary reinsurance agreement, current accident year

Reduction in premiums owed under reinsurance agreements
Ascension Health Certitude program

Commutation
Other premiums ceded

Total ceded premiums written

Year  Ended December 31

2012
$ 23,213
(34,328)
7,308

—
11,940

2011

$ 25,479
(30,584)
5,027
(5,634)
13,100

$

8,133

$

7,388

$

Change

$ (2,266)
(3,744)
2,281

5,634
(1,160)
745

(8.9%)
12.2%

45.4%

nm

(8.9%)
10.1%

Ceded premiums represent the amounts owed to our reinsurers for their assumption of a portion of our losses. The 
ultimate amount owed under certain of our reinsurance agreements is variable and is determined by the loss experience of the 
business ceded, subject to minimums and maximums. Losses incurred for our higher limit coverages are almost fully reinsured 
and were estimated to be lower for the 2012 accident year than for the 2011 accident year. As a result, our estimate of ceded 
premium owed under our primary reinsurance agreements for the current accident year was lower in 2012.

 Many years may elapse before all losses recoverable under a reinsurance agreement are known. In the intervening 

periods, amounts owed are estimated. Premiums ceded for the current period includes both our estimate of premiums owed 
under reinsurance agreements of the current period and changes to our previous estimate of premiums owed under reinsurance 
agreements of prior periods. In both 2012 and 2011, 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.

We share the risk of loss for policies written or renewed under the Ascension Health (Ascension) Certitude program with 
an Ascension affiliate under a quota share agreement. Growth in the program increased ceded premium in 2012 as compared to 
2011.

During 2011, we commuted (terminated) certain of our reinsurance agreements with Colisee Re (formerly AXA 
Reassurance S.A.) in return for approximately $4.3 million in cash. The commutation reduced Ceded Premium, on both a 
written and an earned basis, by $5.6 million and reduced Reinsurance Recoveries by approximately $4.0 million.

We reinsure most of our MPL coverages under a single reinsurance agreement that is renewed annually (referred to as our 
primary reinsurance agreement). Professional liability offered to dentists, allied health professionals, certain smaller facilities as 
well as higher limit MPL coverages were reinsured under separately negotiated contracts until October 1, 2012, but thereafter 
are covered by our primary reinsurance agreement. Amounts due to reinsurers under these separate contracts are included along 
with legal professional liability in the preceding table as "Other premiums ceded."

75

Ceded Premiums Ratio

The principal components of the change in our ceded premiums ratio (ceded premiums written as a percentage of gross 

premiums written) are shown in the following table:

Ceded premiums ratio, as reported

Less estimated ratio increase (decrease) attributable to:

Reduction in premiums owed under reinsurance agreements
Ascension Certitude program

Commutation

Ceded premiums ratio, excluding other listed factors

Year Ended December 31

2012
1.5%

2011

Change

1.3%

0.2

(6.6%)
1.4%

—%

6.7%

(6.1%)
1.0%

(1.1%)

7.5%

(0.5)
0.4

1.1
(1.0)

Net Premiums Earned

Net premiums earned were as follows:

($ in thousands)

Premiums earned
Premiums ceded

Net premiums earned

Year Ended December 31

2012
$ 558,316
(7,652)

2011
$ 571,045
(5,630)

$ 550,664

$ 565,415

Change

$ (12,729)
(2,022)
$ (14,751)

(2.2%)

35.9%
(2.6%)

Net premiums earned consist of gross premiums earned less the portion of earned premiums that we cede to our 

reinsurers for their assumption of a portion of our losses. 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, we renew certain policies with a two-year term. Tail coverage premiums are generally 100% earned in 
the period written because the policies insure only incidents that occurred in prior periods and are not cancellable. Additionally, 
ceded premium changes due to commutations or changes to estimates of premiums owed under reinsurance agreements are 
fully earned in the period of change.

Premiums earned were lower in 2012, as compared to 2011, principally due to the pro-rata effect of lower non-tail 
physician premiums written during the preceding twelve months, partially offset by higher tail premiums written and earned in 
2012. 

Components of the change in premiums ceded earned during 2012 are detailed in the following table:

($ in thousands)

Primary reinsurance agreement, current accident year*

Reduction in premiums owed under reinsurance agreements*

Ascension Health Certitude program*

Commutation*

All other factors

Net increase (decrease)

* See discussions under “Ceded Premiums Written” for further information.

Ceded Premiums Earned
Increase (Decrease)
2012 versus 2011

Year Ended
December 31

$

$

(2,576)
(3,744)
3,063

5,634
(355)
2,022

76

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

Net Investment Income

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

income from our short-term and cash equivalent investments, dividend income from equity securities, earnings from other 
investments and increases in the cash surrender value of business owned life insurance contracts. Investment fees and expenses 
are deducted from investment income. 

Net investment income by investment category was as follows:

($ in thousands)

Fixed maturities

Equities

Short-term investments

Other invested assets
Business owned life insurance
Investment fees and expenses
Net investment income

Year Ended December 31

2012
$ 133,088

2011

$ 140,897

6,947

132

1,808

100

528
2,008
(6,609)
$ 136,094

2,712
2,017
(6,578)
$ 140,956

Change

$ (7,809)
5,139

32
(2,184)
(9)
(31)
$ (4,862)

(5.5%)

>100%

32.0%
(80.5%)
(0.4%)
0.5%
(3.4%)  

Fixed Maturities

As compared to 2011, earnings from fixed maturity investments declined in 2012. Our average investment in fixed 
maturities decreased by approximately 3% in 2012. In 2012 a portion of the proceeds from sales and maturities of our fixed 
maturities were not reinvested but instead were utilized for other corporate purposes which included payment of shareholder 
dividends, repayment of debt and partial funding of acquisitions. Yields for our fixed maturity portfolio were generally lower in 
2012. As securities matured, were paid down or sold, in order to maintain the asset quality and duration of our portfolio, most 
funds reinvested were at lower rates, although we did add certain higher yielding fixed maturities to our portfolio in 2012 as a 
means of improving overall yields. Yields for 2012 also reflected lower income from Treasury Inflation-Protected Securities of 
$1.0 million. Average yields for our fixed maturity securities during the years ended December 31, 2012 and 2011 were as 
follows:

Average income yield

Average tax equivalent income yield

Equities and Other Invested Assets

Year Ended December 31

2012
3.9%

4.5%

2011
4.0%

4.6%

Income from our equity portfolio increased in 2012 as compared to 2011 and primarily reflects higher average investment 
balances in 2012. A portion of the increased investment is attributable to an interest in a private investment LLC, classified as a 
part of Other investments during 2011, that was converted into publicly traded equity securities during 2012. The 2012 income 
decline for Other invested assets was principally attributable to this conversion.

77

 
Equity in Earnings (Loss) of Unconsolidated Subsidiaries

Equity in earnings (loss) of unconsolidated subsidiaries is derived from our investment interests accounted for under the 

equity method. Results were as follows:

(In thousands)

2012

2011

Change

Year Ended December 31

Investment LPs

Business LLC interest

$

Tax credit partnerships
Equity in earnings (loss) of unconsolidated subsidiaries $

$

278
(728)
(6,423)
(6,873) $

(1,077) $
(2,479)
(5,591)
(9,147) $

1,355

1,751
(832)
2,274

We hold interests in certain LPs that generate earnings from trading portfolios. The performance of the LPs is affected by 

the volatility of equity and credit markets.

Our business LLC interest is a non-controlling interest in an entity that began active business in 2011. We recognize 

quarterly our allocable portion of the operating results reported by the LLC. The entity was slower to produce positive 
operating returns than initially anticipated and losses recognized in 2012 have reduced the carrying amount of our interest to 
zero. 

Our tax credit investments are designed to generate investment returns by providing tax benefits to fund investors in the 
form of project operating losses and tax credits. Our tax credit partnerships reduced our tax expenses by approximately $10.0 
million during the year ended December 31, 2012, while we recognized $6.4 million of pre-tax amortization ($4.2 million after 
tax) on these investments as noted in the table above. 

Non-GAAP Financial Measure – Tax Equivalent Investment Result

We believe that to fully understand our investment returns it is important to consider the current tax benefits associated 

with certain investments; therefore, we impute a pro forma tax-equivalent investment result by adjusting the current tax benefit 
into the amount of investment income a taxable investment would need to produce to fairly compare to an investment with 
preferential tax treatment. We believe this better reflects the economics of our decision to invest in certain asset classes that are 
either taxed at lower rates and/or result in reductions to our current federal income tax expense.

Net investment income, as reported for GAAP

(In thousands)

Taxable equivalent adjustments, calculated using the 35% federal statutory tax rate:

State and municipal bonds

BOLI

Dividends received

Pro forma tax-equivalent net investment income

Year Ended December 31

2012
136,094

$

2011

$

140,956

18,482

1,081

1,456

19,949

1,086

579

157,113

162,570

Equity in earnings (loss) of unconsolidated subsidiaries, as reported for GAAP

(6,873)

(9,147)

Taxable equivalent adjustment, calculated using the 35% federal statutory tax rate:

Tax credit partnerships

Pro forma tax-equivalent equity in earnings (loss) of unconsolidated subsidiaries

Pro forma tax-equivalent investment results

15,392
8,519

$

165,632

$

8,698
(449)
162,121

78

Net Realized Investment Gains (Losses)

The following table provides detailed information regarding our net realized investment gains (losses).

Other-than-temporary impairment losses, total:

Residential mortgage-backed securities

(In thousands)

Corporate debt

Other investments

High yield asset-backed securities

Portion recognized in (reclassified from) Other Comprehensive Income:

Residential mortgage-backed securities

Net impairment losses recognized in earnings

Gross realized gains, available-for-sale securities

Gross realized (losses), available-for-sale securities

Net realized gains (losses), trading securities

Change in unrealized holding gains (losses), trading securities
Decrease (increase) in the fair value of liabilities carried at fair value

Other

Net realized investment gains (losses)

Year Ended December 31

2012

2011

$

(557) $
(878)
(131)
—

(782)
(505)
(3,827)
(75)

(201)
(1,767)
18,645
(2,076)
1,485

12,673
(1,245)
1,148

(823)
(6,012)
14,625
(1,754)
2,212
(3,188)
111

—

$

28,863

$

5,994

All impairments of debt securities recognized during 2012 were credit-related.

We recognized impairments of $0.1 million and $3.8 million during the years ended December 31, 2012 and 2011, 

respectively, related to an interest in an LLC classified as a part of Other investments which we accounted for using the cost 
method. The LLC announced in 2011 that it planned to convert to a publicly traded investment fund and we impaired the 
investment to the NAV reported by the fund. The conversion occurred during the second quarter of 2012.

We substantially increased the size of our equity trading portfolio over the previous year. Unrealized trading portfolio 

gains reflect higher average balances in our portfolio and an overall improvement in stock market yields.

Gains (losses) from changes  in the fair value of liabilities were entirely attributable to our 2019 Note Payable and related 

interest rate swap, both of which we repaid  in July 2012. For more information, see Note 3 and Note 10 of the Notes to 
Consolidated Financial Statements.

Other Income

Other Income is comprised primarily of commission and fee income from our agency operations, other fee revenues, 

rental income and other miscellaneous revenues. The revenue is not a principal source of income and often varies among 
periods. The decrease in 2012 as compared to 2011 primarily reflected other income of $4.9 million recognized in 2011 related 
to a confidential settlement of litigation with a service provider and a gain of approximately $0.8 million recognized on the sale 
of a building in 2011.

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 claims-

made policies, which represent over 90% of the Company’s business, the insured event generally becomes a liability when the 
event is first reported to the insurer. For occurrence policies the insured event becomes a liability when the event takes place. 
We believe that measuring losses on an accident year basis is the best 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.

79

The following table summarizes calendar year net losses and net loss ratios for the years ended December 31, 2012 and 

2011 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

Net Loss Ratios*

Year Ended December 31

Year Ended December 31

2012
$ 452.0
(272.0)

2011
$ 488.2
(325.9)

$ 180.0

$ 162.3

Change

$

$

(36.2)
53.9

17.7

2011

2012
82.1 % 86.3%
(49.4%)
(57.6%)
32.7 % 28.7%

Change

(4.2)
8.2

4.0

* Net losses as specified divided by net premiums earned.

Our current accident year net loss ratios for the years ended December 31, 2012 and 2011 compare as follows:

Current accident year net loss ratio, as reported
Less estimated ratio increase (decrease) attributable to:

Change in our estimate of the reserve for death,

disability and retirement

Reduction in premiums owed under reinsurance

agreements

Commutation
Tail coverages

Current accident year net loss ratio, excluding other

listed factors

Year Ended December 31

2012

2011

Change

82.1%

86.3%

(4.2)

(0.3%)

3.7%

(5.6%)
—%
1.9%

(4.9%)

(0.1%)
1.7%

(4.0)

(0.7)
0.1
0.2

86.1%

85.9%

0.2

The 2012 decrease in our current accident year net loss ratio reflects the following:

•  In 2012 we decreased our loss reserves related to death, disability and retirement (DDR) coverage endorsements 

provided to our insureds while in 2011 we increased loss reserves for this coverage. The reserve for DDR is actuarially 
estimated and is affected by changes in the number of insureds expected to benefit from the coverage endorsement.

•  Net earned premium in both 2012 and 2011 was increased by reductions to amounts owed under reinsurance 
agreements (see "Net Premiums Earned"). The reductions had a greater effect on the net loss ratio in 2012.

•  A commutation recorded in 2011 increased the 2011 net loss ratio; no commutation was recorded in 2012.

•  More of our net earned premium was from tail coverages in 2012. This increases our average net loss ratio because we 

expect higher losses for tail coverages than for our other professional liability coverages.

We recognized favorable loss development related to prior accident years of $272.0 million for the year ended 

December 31, 2012 and $325.9 million for the year ended December 31, 2011. A detailed discussion of factors influencing our 
recognition of loss development recognized is included in the Critical Accounting Estimates section of Item 7, under the 
caption “Reserve for Losses and Loss Adjustment Expenses.” Information provided includes the amount of development 
recognized by accident year and the factors considered and judgments made to determine the amount of development 
recognized.

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, as was the case in both 2012 and 2011.

Recoveries

We recognized favorable prior accident year loss development of approximately $49.4 million in 2012 and $39.9 million 
in 2011 related to our reinsured coverage layers (generally, losses exceeding $1 million) and recognized offsetting reductions to 
loss recoveries of $49.4 million in 2012 and $39.9 million in 2011. Because the reductions exceed other recoveries during each 
year, recoveries increased rather than decreased net losses for the years ended December 31, 2012 and 2011.

We similarly reduced our estimates of the premium due to reinsurers by $34.3 million and $30.6 million in 2012 and 

2011, respectively, because the premium due to reinsurers is based in part on amounts recovered.

80

 
Underwriting, Policy Acquisition and Operating Expenses

The table below provides a comparison of 2012 and 2011 underwriting, policy acquisition and operating expenses:

($ in thousands)

Insurance operation expenses

Agency expenses

Year Ended December 31

2012
$ 134,393

1,238
$ 135,631

2011
$ 134,342

2,079
$ 136,421

$

$

Change
51
(841)
(790)

nm
(40.5%)

(0.6%)

Insurance Operation Expenses

 Insurance operation expenses in 2012 as compared to 2011 primarily reflected the net effect of the following:

•  We incurred expenses related to the mergers of IND and Medmarc of approximately $1.5 million in 2012.

•  As discussed in Notes 1 and 7 of the Notes to Consolidated Financial Statements, we adopted, on a prospective 

basis, new FASB guidance related to the deferral of policy acquisition costs. The new guidance affects the timing, 
but not the amount of acquisition costs ultimately expensed, as the decrease in the expense deferral reduces 
amortization of policy acquisition costs by the same amount, recognized over the term of the associated successful 
policies. Our 2012 expenses reflect a net increase of approximately $1.9 million in 2012 due to adoption of the new 
guidance, as we expensed approximately $4.2 million of policy acquisition costs that under prior guidance would 
have been deferred to later periods but also recognized amortization expense that was approximately $2.3 million 
lower than would have been recognized under previous guidance.

•  Exclusive of the effect of the new FASB guidance, amortization of deferred policy acquisition costs was $0.3 

million lower in 2012 than in 2011. While amortization was lower in 2012 consistent with the decline in net 
premiums earned, amortization in 2011 was reduced by approximately $1.5 million related to the acquisition of APS 
in November 2010. Due to the application of GAAP purchase accounting rules, no asset for deferred policy 
acquisition costs was recognized as a part of the purchase price allocation of APS; consequently, amortization of 
deferred policy acquisition costs in 2011 was reduced.

•  On a sporadic basis our expenses are reduced by recoveries related to the settlement of litigation. Recoveries in 
2012 were approximately $0.5 million lower (and thus expenses on a net basis were higher) than in 2011.

•  Costs associated with the operations acquired from APS, primarily compensation costs, were approximately $3.7 

million lower in 2012 as compared to 2011.

•  Higher stock compensation and bonus costs in 2012 as compared to 2011 as well as additional costs incurred related 
to the enhancement of our customer service capabilities increased our 2012 expenses by approximately $5.0 million. 
We relocated a number of positions in order to create centralized customer service centers. Relocation benefits were 
provided to affected employees as well as termination benefits for employees unable to relocate. Expenses of $1.6 
million related to a deferred compensation agreement with a former senior executive increased our expenses in 
2011; there were no comparable expenses in 2012. 

•  Various other operating costs were collectively lower by approximately $3.2 million in 2012.

81

Underwriting Expense Ratio (the Expense Ratio)

Underwriting expense ratio, as reported
Less estimated ratio increase (decrease) attributable to:

Reduction in premiums owed under reinsurance agreements
Commutation

Underwriting expense ratio, excluding listed factors

Underwriting Expense Ratio *

Year Ended December 31

2012
24.4%

2011
23.8%

Change

0.6

(1.5%)
—%

25.9%

(1.4%)
(0.2%)

25.4%

(0.1)
0.2

0.5

* Our expense ratio computations exclude agency expenses as discussed below.

The increase in our consolidated underwriting expense ratio for 2012 was primarily attributable to the decline in gross 
premiums earned. Our ratio in both 2012 and 2011 was reduced due to increases in net earned premium resulting from the re-
estimation of ceded premiums for prior accident year coverages; however, the effect in both periods was comparable. A 
commutation recorded in 2011 decreased our 2011 expense ratio; no commutation was recorded in 2012.

Agency Expenses

We maintain limited agency operations that both generate premium revenues for our insurance subsidiaries and earn 
external commission and service fee revenues. Agency operations that are associated with the generation of premium revenues 
by our insurance subsidiaries are included in insurance operation expenses in the above table. Expenses of agency operations 
that are directly associated with external commission and service fee revenues are included in agency expenses in the above 
table. Agency expenses for 2011 included non-recurring expenses associated with the dissolution of certain agency operations.

Interest Expense

Interest expense declined during 2012 as compared to 2011, primarily because we repaid debt during 2012, as discussed 

in Liquidity and Capital Resources and Financial Condition. Interest expense by debt obligation is provided in the following 
table:

(In thousands)

Trust preferred securities due 2034
Surplus notes due May 2034

2019 note payable

Credit facility fees and amortization
Other

Taxes

Factors affecting our effective tax rate include the following:

Statutory rate
Tax-exempt income
Tax credits
Other
Effective tax rate

Year Ended December 31

2012

2011

Change

$

635
342

571

630
3

$

970
509

1,157

442
400

$

2,181

$

3,478

$

(335)
(167)
(586)
188
(397)
$ (1,297)

Year Ended December 31

2012
35.0%
(3.4%)
(2.5%)
1.3%
30.4%

2011
35.0%
(3.2%)
(1.4%)
0.4%
30.8%

Our effective tax rate decreased in 2012 as compared to 2011, primarily due to an increase in the expected tax benefit 

from tax credits transferred to us by our tax credit partnership investments. We recognized tax benefits of approximately $10.0 
million during 2012, related to the credits, compared to tax benefits of $5.7 million during 2011.

82

 
 
 
 
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 at December 31, 2013 and December 31, 2012. 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.

Fair Value (in millions):

U.S. Treasury obligations
U.S. Government-sponsored enterprise

obligations

State and municipal bonds
Corporate debt
Asset-backed securities

All fixed maturity securities

$

Duration:

U.S. Treasury obligations
U.S. Government-sponsored enterprise

obligations

State and municipal bonds
Corporate debt
Asset-backed securities

All fixed maturity securities

Fair Value (in millions):

U.S. Treasury obligations
U.S. Government-sponsored enterprise

obligations

State and municipal bonds

Corporate debt

Asset-backed securities

(200)

Interest Rate Shift in Basis Points
December 31, 2013
Current

100

(100)

200

$

176

$

174

$

171

$

168

$

165

34
1,220
1,453
410
3,293

$

34
1,195
1,413
406
3,222

$

33
1,155
1,361
398
3,118

$

32
1,107
1,308
385
3,000

$

3.85

2.82
3.61
4.10
2.08
3.60

3.81

3.07
3.84
4.13
2.55
3.80

3.77

3.15
4.07
4.09
3.12
3.90

3.72

3.12
4.20
4.03
3.57
4.00

December 31, 2012

30
1,061
1,257
371
2,884

3.68

3.07
4.25
3.96
3.80
4.00

$

210

$

209

$

206

$

202

$

197

58

1,269

1,533

498

58

1,258

1,521

499

57

1,220

1,471

494

55

1,170

1,409

481

All fixed maturity securities

$

3,568

$

3,545

$

3,448

$

3,317

$

Duration:

U.S. Treasury obligations

U.S. Government-sponsored enterprise

obligations

State and municipal bonds

Corporate debt

Asset-backed securities

All fixed maturity securities

2.92

2.89

3.78

4.26

1.81

3.65

83

2.89

2.90

3.91

4.27

1.82

3.70

2.84

2.98

4.06

4.27

2.35

3.81

2.77

3.08

4.17

4.22

3.06

3.93

53

1,122

1,350

466

3,188

2.70

3.08

4.26

4.15

3.66

4.01

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 the 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.

Our cash, restricted cash and short-term investment portfolio at December 31, 2013 was carried on a cost basis which 

approximates its fair value. Our portfolio lacks significant interest rate sensitivity due to its short duration.

Credit Risk

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

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

As of December 31, 2013, 93% of our fixed maturity securities were rated investment grade as determined by Nationally 

Recognized Statistical Rating Organizations (NRSROs), such as Fitch, Moody’s and Standard & Poor’s. 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 also have exposure to credit risk related to our receivables from reinsurers. Our receivables from reinsurers (with 
regard to both paid and unpaid losses) approximated $251 million at December 31, 2013 and $196 million at December 31, 
2012, with the 2013 increase primarily attributable to acquisitions. We monitor the credit risk associated with our reinsurers 
using publicly available financial and rating agency data.

Equity Price Risk

At December 31, 2013 the fair value of our investment in common stocks was $254 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 was 0.96. 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 9.6% to $278 million. Conversely, a 10% decrease 
in the S&P 500 Index would imply a decrease of 9.6% in the fair value of these securities to $229 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.

84

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

Index to Consolidated Financial Statements

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets - December 31, 2013 and December 31, 2012

Consolidated Statements of Changes in Capital - Years Ended December 31, 2013, 2012 and 2011

Consolidated Statements of Income and Comprehensive Income - Years Ended December 31, 2013, 2012 
and 2011

Consolidated Statements of Cash Flows - Years Ended December 31, 2013, 2012 and 2011

Notes to Consolidated Financial Statements

90

91

92

93

94

96

The Supplementary Financial Information required by Item 302 of Regulation S-K is included in Note 17 of the Notes to 

Consolidated Financial Statements of ProAssurance and its subsidiaries.

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

Not Applicable.

ITEM 9A. CONTROLS AND PROCEDURES.

Disclosure Controls

Under the supervision and with the participation of management, including the Chief Executive Officer and Chief 

Financial Officer, the Company has evaluated the effectiveness of the design and operation of our disclosure controls and 
procedures as of the end of the fiscal year ended December 31, 2013. 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, 2013 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, 2013 and that there was no change in the Company’s internal controls during the fiscal year then ended that has 
materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

On January 1, 2013 we completed the acquisition of Medmarc Mutual Insurance Company, now Medmarc Casualty 

Insurance Company (Medmarc). Our management excluded Medmarc's systems and processes from the scope of 
ProAssurance's assessment of internal control over financial reporting as of December 31, 2013 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 September 2004 (and revised on 
October 6, 2004). We are excluding Medmarc from that scope because we expect substantially all of its significant systems and 
processes to be converted to those of ProAssurance during 2014. At December 31, 2013 Medmarc represented $413.3 million 
or 8.0% of total assets, and $46.5 million or 6.3% 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, 2013 as stated in their report which is included elsewhere herein.

ITEM 9B. OTHER INFORMATION

None.

85

 
Report of Independent Registered Public Accounting Firm

The Board of Directors and Shareholders of ProAssurance Corporation

We have audited ProAssurance Corporation and subsidiaries’ internal control over financial reporting as of December 31, 

2013, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring 
Organizations of the Treadway Commission (1992 framework) (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 Medmarc Mutual Insurance Company, now Medmarc Casualty Insurance Company (Medmarc), which is included 
in the 2013 consolidated financial statements of ProAssurance Corporation and subsidiaries and constituted 8.0% total assets as 
of December 31, 2013 and 6.3% of total revenues 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 Medmarc.

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

over financial reporting as of December 31, 2013, based on the COSO criteria.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United 
States), the consolidated balance sheets as of December 31, 2013 and 2012, and the related consolidated statements of changes 
in capital, income and comprehensive income and cash flows for each of the three years in the period ended December 31, 
2013, of ProAssurance Corporation and subsidiaries and our report dated February 20, 2014 expressed an unqualified opinion 
thereon.   

/s/ Ernst & Young LLP

Birmingham, Alabama
February 20, 2014 

86

 
 
PART III

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE OF THE REGISTRANT.

The information required by this Item regarding executive officers is included in Part I of the Form 10K 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 2014 Annual Meeting of its Stockholders to be filed 
with the Securities and Exchange Commission pursuant to Regulation 14A on or about April 16, 2014.

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 2014 Annual Meeting of its Stockholders to be filed with the Securities 
and Exchange Commission pursuant to Regulation 14A on or about April 16, 2014.

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 2014 Annual Meeting of its Stockholders to be filed with the Securities 
and Exchange Commission pursuant to Regulation 14A on or about April 16, 2014.

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

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 2014 Annual Meeting of its Stockholders to be filed with the Securities 
and Exchange Commission pursuant to Regulation 14A on or about April 16, 2014.

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 2014 Annual Meeting of its Stockholders to be filed with the Securities 
and Exchange Commission pursuant to Regulation 14A on or about April 16, 2014.

87

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, 2013 and 2012

Consolidated Statements of Changes in Capital – years ended December 31, 2013, 2012 and 2011 

Consolidated Statements of Income and Comprehensive Income – years ended December 31, 2013, 2012 and 2011 

Consolidated Statements of Cash Flows – years ended December 31, 2013, 2012 and 2011

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.

88

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 20th day of February 2014.

SIGNATURES

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, J.D.        

W. Stancil Starnes, J.D.

  Chairman of the Board, Chief Executive Officer
  (Principal Executive Officer) and President

February 20, 2014

/S/    EDWARD L. RAND, JR.        

  Chief Financial Officer

February 20, 2014

Edward L. Rand, Jr.

/S/    KELLY B. BREWER        

  Chief Accounting Officer

February 20, 2014

Kelly B. Brewer

/S/    LUCIAN F. BLOODWORTH        

  Director

Lucian F. Bloodworth

/S/    SAMUEL A. DI PIAZZA, JR.        

  Director

Samuel A. Di Piazza, Jr.

/S/    ROBERT E. FLOWERS, M.D.        

  Director

Robert E. Flowers, M.D.

/S/    M. JAMES GORRIE        

  Director

M. James Gorrie

/S/    WILLIAM J. LISTWAN, M.D.        

  Director

William J. Listwan, M.D.

/S/    JOHN J. MCMAHON        

  Director

John J. McMahon

/S/    DRAYTON NABERS, JR., J.D.        

  Director

Drayton Nabers, Jr., J.D.

/S/    ANN F. PUTALLAZ, PH.D.        

  Director

Ann F. Putallaz, Ph.D.

/S/    FRANK A. SPINOSA, D.P.M.        

  Director

Frank A. Spinosa, D.P.M.

/S/    ANTHONY R. TERSIGNI, ED.D., FACHE        

  Director

Anthony R. Tersigni, Ed.D., FACHE

/S/    THOMAS A. S. WILSON, JR., M.D.          Director

Thomas A. S. Wilson, Jr., M.D.

89

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

February 20, 2014

  
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
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, 2013 and 2012, and the related consolidated statements of income and comprehensive income, changes in 
capital, and cash flows for each of the three years in the period ended December 31, 2013. 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, 2013 and 2012, and the consolidated results of their 
operations and their cash flows for each of the three years in the period ended December 31, 2013, in conformity with U.S. 
generally accepted accounting principles. Also, in our opinion, the related financial statement schedules, when considered in 
related to the basic financial statements taken as a whole, present fairly in all material respects the information set forth therein.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United 

States), ProAssurance Corporation’s internal control over financial reporting as of December 31, 2013, based on criteria 
established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway 
Commission (1992 framework) and our report dated February 20, 2014 expressed an unqualified opinion thereon.

/s/ Ernst & Young, LLP

Birmingham, Alabama
February 20, 2014

90

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

Assets
Investments

Fixed maturities, available for sale, at fair value; amortized cost, $3,026,256 and

$3,224,332, respectively

Equity securities, trading, at fair value; cost, $203,308 and $187,891, respectively
Short-term investments
Business owned life insurance
Investment in unconsolidated subsidiaries
Other investments

Total Investments
Cash and cash equivalents
Restricted Cash
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 tax asset
Real estate, net
Intangible assets
Goodwill
Other assets

Total Assets

Liabilities and Shareholders’ Equity
Liabilities
Policy liabilities and accruals

Reserve for losses and loss adjustment expenses
Unearned premiums
Reinsurance premiums payable
Total Policy Liabilities

Deferred tax liability
Other liabilities
Long-term debt, at amortized cost
Total Liabilities

Shareholders’ Equity
Common shares, par value $0.01 per share, 100,000,000 shares authorized, 62,096,787 and

61,867,034 shares issued, respectively

Additional paid-in capital
Accumulated other comprehensive income (loss), net of deferred tax expense (benefit) of

$32,127 and $78,284, respectively

Retained earnings

Treasury shares, at cost, 900,281 shares and 243,530 shares, respectively

Total Shareholders’ Equity
Total Liabilities and Shareholders’ Equity

See accompanying notes.

91

December 31,
2013

December 31,
2012

$ 3,118,049
253,541
248,605
54,374
214,236
52,240
3,941,045
129,383
78,000
115,403
3,231
247,518
21,449
28,999
1,757
41,010
52,002
161,115
329,979
$ 5,150,891

$ 3,447,999
202,618
71,737
52,414
121,049
31,085
3,926,902
118,551
—
106,312
4,517
191,645
13,404
23,179
—
41,502
53,225
163,055
234,286
$ 4,876,578

$ 2,072,822
256,255
34,321
2,363,398
—
143,079

250,000
2,756,477

$ 2,054,994
233,861
45,591
2,334,446
14,585
131,967
125,000
2,605,998

621
349,894

619
341,780

59,661
2,015,603
2,425,779
(31,365)
2,394,414
$ 5,150,891

145,380
1,782,857
2,270,636
(56)
2,270,580
$ 4,876,578

ProAssurance Corporation and Subsidiaries
Consolidated Statements of Changes in Capital
(In thousands)

Common
Stock

Additional
Paid-in
Capital

Accumulated
Other
Comprehensive
Income (Loss)

Retained
Earnings

Treasury
Stock

Total

$(183,844) $ 1,855,863
(21,005)

(21,005)

$

344

$ 532,213

$

79,124

$1,428,026

—

—

—

2

—

—

—

—

2,433

7,119

(3,140)
—

—

—

—

—

—

—

—

50,913

—

—

—

—
(15,269)
—

—

287,096

346

538,625

130,037

1,699,853

441

—

—

—

—

—
(204,408)

—

—

2

—

271

—

—

619
—

—

—

2

—

—

—

3,041

8,639

(4,455)
—

(204,070)
—

—

341,780
—

2,940

9,242

(4,068)
—

—

—

—

—

—

—

—
—
— (192,466)

553

—

—

—

—

15,343

— 203,799

—

—

—
(56)
(32,454)

—

275,470

145,380
—

1,782,857
—

—

—

—

—
(85,719)
—

—

—

1,145

—

4,085

9,242

—
(64,777)
—

297,523

—

—

(4,066)
(64,777)
(85,719)
297,523
$ (31,365) $ 2,394,414

—

—

2,874

7,119

(3,138)
(15,269)
50,913

287,096

2,164,453

3,594

8,639

(4,453)
(192,466)

—

15,343

275,470

2,270,580
(32,454)

Balance at January 1, 2011

Common shares reacquired

Common shares issued for compensation and
effect of shares reissued to stock purchase
plan

Share-based compensation

Net effect of restricted and performance shares

issued and stock options exercised

Dividends to shareholders

Other comprehensive income (loss)

Net income
Balance at December 31, 2011

Common shares issued for compensation and
effect of shares reissued to stock purchase
plan

Share-based compensation

Net effect of restricted and performance shares

issued and stock options exercised

Dividends to shareholders

Two-for-one stock split effected in the form of

a stock dividend

Other comprehensive income (loss)

Net income

Balance at December 31, 2012
Common shares reacquired
Common shares issued for compensation
and effect of shares reissued to stock
purchase plan

Share-based compensation

Net effect of restricted and performance

shares issued and stock options exercised

Dividends to shareholders

Other comprehensive income (loss)

Net income

Balance at December 31, 2013

$

621

$ 349,894

$

59,661

$2,015,603

See accompanying notes.

92

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

Revenues

Net premiums earned

Net investment income

Equity in earnings (loss) of unconsolidated subsidiaries

Net realized investment gains (losses):

Year Ended December 31

2013

2012

2011

$

527,919

$

550,664

$

565,415

129,265

7,539

136,094
(6,873)

140,956
(9,147)

Other-than-temporary impairment (OTTI) losses

(71)

(1,566)

(5,189)

Portion of OTTI losses recognized in (reclassified from) other

comprehensive income before taxes

Net impairment losses recognized in earnings

Other net realized investment gains (losses)

Total net realized investment gains (losses)

Other income

Total revenues

Expenses

Losses and loss adjustment expenses

Reinsurance recoveries

Net losses and loss adjustment expenses

Underwriting, policy acquisition and operating expenses

Interest expense

Loss on extinguishment of debt

Total expenses

Gain on acquisition

Income before income taxes

Provision for income taxes

Current expense (benefit)

Deferred expense (benefit)
Total income tax expense (benefit)

Net income

Other comprehensive income (loss), after tax, net of reclassification

adjustments

Comprehensive income

Earnings per share:

Basic
Diluted

Weighted average number of common shares outstanding:

Basic

Diluted

Cash dividends declared per common share

See accompanying notes.

93

—
(71)
67,975

67,904

7,551

(201)
(1,767)
30,630

28,863

7,106

(823)
(6,012)
12,006

5,994

13,566

740,178

715,854

716,784

243,015
(18,254)
224,761

147,817

2,755

—

375,333

32,314

397,159

74,977

24,659
99,636

297,523

161,726

18,187

179,913

135,631

2,181

2,163

151,270

11,017

162,287

136,421

3,478

—

319,888

302,186

—

—

395,966

414,598

82,752

37,744
120,496

275,470

128,553
(1,051)
127,502

287,096

(85,719)

15,343

50,913

211,804

$

290,813

$

338,009

4.82
4.80

$
$

4.49
4.46

$
$

4.70
4.65

61,761

62,020

61,342

61,833

61,140

61,684

1.05

$

3.13

$

0.25

$

$
$

$

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

Year Ended December 31

2013

2012

2011

$

297,523

$

275,470

$

287,096

41,429
4,538
—
(32,314)

(1,960)
(67,904)
9,242
24,659
(5,820)

(17,376)
(3,014)

32,832
4,741
2,163
—

(2,008)
(28,863)
8,639
37,744
3,448

450
(2,957)

30,740
4,949
—
—

(2,070)
(5,994)
7,119
(1,051)
655

3,757
(866)

(6,105)
2,601

15,625
(849)
9,582
(179,677)
(1,740)
(13,269)
(36,569)
38,602

$

16,494
(342)

58,870
(482)
(11,231)
(218,100)
(21,919)
(36,583)
(27,116)
91,250

$

730
407

29,778
(1,545)
613
(166,328)
(4,895)
(29,642)
5,911
159,364

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
Gain on acquisition

(Increase) decrease in cash surrender value of business owned life

insurance

Net realized investment gains
Share-based compensation
Deferred income taxes
Policy acquisition costs, net amortization (net deferral)
Equity in earnings of unconsolidated subsidiaries, excluding distributions

received and tax credit partnership amortization

Other
Other changes in assets and liabilities, excluding effect of business

combinations:

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
Other assets
Reserve for losses and loss adjustment expenses
Unearned premiums
Reinsurance premiums payable
Other liabilities

Net cash provided (used) by operating activities

$

Continued on following page.

94

 
Year Ended December 31

2013

2012

2011

$

(519,161) $
(87,604)
(34,699)
(63,489)
(3,261)

(646,198) $
(120,555)
(9,977)
(35,745)
(9,621)

(782,555)
(117,208)
(4,671)
(29,213)
—

970,708
—
123,645
2,352
(176,092)
22,780
(205,244)
205
(8,699)
(11,244)
(78,000)
(67,803)

250,000
(127,183)
(29,089)
2,128
(46,375)
(9,448)
40,033

10,832
118,551
129,383

117,107
913

$

$
$

926,221
—
54,670
1,180
48,565
(28,439)
(153,700)
4,852
—
(4,410)
—
26,843

125,000
(57,660)
—
7,022
(200,118)
(4,186)
(129,942)

(11,849)
130,400
118,551

110,278
2,342

$

$
$

789,709
3,921
50,386
773
49,011
—
—
7
—
(9,771)
—
(49,611)

—
(325)
(21,005)
1,711
(7,617)
(2,968)
(30,204)

79,549
50,851
130,400

98,141
3,182

153,700

$
— $

— $
$

15,742

—
—

$

$
$

$
$

Investing Activities
Purchases of:

Fixed maturities, available for sale
Equity securities, trading
Other investments

Funding of tax credit limited partnerships
(Investment in) distributions from unconsolidated subsidiaries, net
Proceeds from sales or maturities of:

Fixed maturities, available for sale
Equity securities, available for sale
Equity securities, trading
Other investments

Net sales or maturities (purchases) of short-term investments

Cash received from (paid for) acquisitions
Deposit made for future acquisition
Unsettled security transactions, net
Funding for Syndicate 1729
Cash received (paid) for other assets
(Increase) decrease in restricted cash
Net cash provided (used) by investing activities

Financing Activities
Proceeds from long-term debt
Repayment of long-term debt
Repurchase of common stock
Excess tax benefit from share-based payment arrangements
Dividends to shareholders
Other
Net cash provided (used) by financing activities

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

Supplemental Disclosure of Cash Flow Information
Net cash paid during the year for income taxes
Cash paid during the year for interest

Significant non-cash transactions

Deposit transferred as consideration for acquisition
Other investment interest converted to equity securities

See accompanying notes.

95

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

1. Accounting Policies

Organization and Nature of Business

ProAssurance Corporation (ProAssurance, PRA or the Company), a Delaware corporation, is an insurance holding 
company for wholly owned specialty property and casualty insurance companies that principally provide professional liability 
insurance for healthcare professionals and facilities, professional liability insurance for attorneys, liability insurance for medical 
technology and life sciences risks and, effective January 1, 2014, workers' compensation insurance.  ProAssurance is also the 
majority capital provider for Syndicate 1729 at Lloyd's of London (Syndicate 1729) which began writing a range of property 
and casualty insurance and reinsurance lines effective January 1, 2014. During the years ended December 31, 2013, 2012 and 
2011 ProAssurance primarily operated 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 U.S. generally accepted accounting principles (GAAP) 
requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, revenues and 
expenses, and disclosures related to these amounts at the date of the financial statements. Actual results could differ from those 
estimates.

Stock Split

In 2012, the Board of Directors of ProAssurance Corporation (the Board) declared a two-for-one split of ProAssurance 
common shares which was effected December 27, 2012 in the form of a stock dividend. All share and per share information 
provided in this report reflects the effect of the split for all periods presented.

Gain on Acquisition

The year-end deferred tax review resulted in a $3.7 million reduction of the Gain on acquisition recorded for our 
acquisition of Medmarc. Certain deferred tax liabilities relating to unrealized gains on investments held by Medmarc were not 
established as a part of the assets acquired and liabilities assumed for Medmarc and as a result the value of the net assets 
acquired in the transaction were overstated. An adjustment was made to the Gain on acquisition in the fourth quarter of 2013 
reducing the gain from $36.0 million to $32.3 million. The adjustment was not quantitatively or qualitatively material to the 
prior or current period presented.

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.

Recognition of Revenues

Insurance premiums are recognized as revenues pro rata over the terms of the policies, which are principally one year in 

duration.

96

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

At December 31, 2013 and 2012 ProAssurance had established allowances for credit losses related to premium and 

agency receivables (classified as a part of Other Assets) as follows:

(in thousands)

Allowance for credit losses:
Balance at December 31, 2011
Estimated credit losses
Account write offs, net of recoveries

Balance at December 31, 2012
Estimated credit losses
Account write offs, net of recoveries

Balance at December 31, 2013

Premium
Receivables

Agency
Receivables

$

$

990
157
(147)
1,000
236
(246)
990

$

$

332
—
(46)
286
—
(236)
50

Losses and Loss Adjustment Expenses

ProAssurance establishes its reserve for losses and loss adjustment expenses ("reserve for losses" or "reserve") based on 

estimates of the future amounts necessary to pay claims and expenses 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 
consulting 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 consulting actuaries to review subsidiary loss and 
exposure data and provide reports to Management regarding the adequacy of reserves.

Estimating casualty insurance reserves, and particularly long-tailed insurance reserves, is a complex process. Long-tailed 

insurance is characterized by the extended period of time between collecting the premium for insuring a risk and the ultimate 
payment of losses. For ProAssurance the period of time required to resolve claims is often five years or more, and claims may 
be subject to litigation. Estimating losses for long-tailed insurance 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 was the case in 2013, 2012 and 2011.

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.

Reinsurance Receivables

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 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 
97

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

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.

Investments

Fair Values

Fair values of investment securities are primarily provided by independent pricing services. The pricing services provide 

an exchange traded price, if available, or provide an estimated price determined using multiple observable inputs, including 
exchange traded prices for similar assets. Management reviews valuations of securities obtained from the pricing services 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, including municipal 
bonds and corporate debt not actively traded, and investments in limited partnerships/limited liability companies (LPs/LLCs). 
Management values these municipal bonds and corporate debt either using a single non-binding broker quote or pricing models 
that utilize market based assumptions that have limited observable inputs. Management values investments in LPs/LLCs 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, determined as described above, and unrealized gains and losses on 

such available-for-sale securities are included, net of related tax effects, in Shareholders’ Equity as a component of 
Accumulated Other Comprehensive Income (Loss).

Investment income includes amortization of premium and accretion of discount related to available-for-sale 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, determined 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

Investments in LPs/LLCs where ProAssurance has virtually no 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.

Investment in Unconsolidated Subsidiaries

Investments in LPs/LLCs where ProAssurance is deemed to have influence because it holds a greater than a 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. Investments in unconsolidated subsidiaries include 
tax credit partnerships accounted for using the equity method, whereby ProAssurance’s proportionate share of income or loss is 
included in investment income. Tax credits received from the partnerships are recognized in the period received as a reduction 
to current tax expenses.

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.

98

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Realized Gains and Losses

Realized investment gains and losses are recognized on the specific identification basis.

Other-than-temporary Impairments

ProAssurance evaluates its available-for-sale investment securities on at least a quarterly basis for the purpose of 
determining whether declines in fair value below recorded cost basis represent other-than-temporary declines. 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.

If there is intent to sell the security or if it is 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;

For debt securities, an evaluation is made as to whether the decline in fair value 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 recovery 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 considers the most recently available six month averages of the levels of 
delinquencies, defaults, severities, and prepayments for the collateral (loans) underlying the securitization or, if 
historical data is not available, sector based assumptions, to estimate expected future cash flows of these securities.

Investments in LPs/LLCs are evaluated for impairment by comparing ProAssurance’s carrying value to net asset value 

(NAV) of ProAssurance’s interest in the fund as reported by the fund manager. Additionally, Management considers the 
performance of the fund relative to the market, the stated objectives of the fund, and cash flows expected from the fund and 
fund audit reports, if available.

Investments in tax credit partnerships are evaluated for OTTI by considering both qualitative and quantitative factors 
which include: whether cash flows currently expected from the investment, primarily tax benefits, equal or exceed the carrying 
value of the investment, whether currently expected cash flows are less than those expected at the time the investment was 
acquired, and ProAssurance's ability and intent to hold the investment until the recovery of its carrying value.

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 

99

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

securities that are not evaluated as being due to credit loss, not considered to be other-than-temporary are recognized in other 
comprehensive income.

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 then used to recognize income on the investment balance for subsequent accounting periods.

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.

Restricted Cash

Restricted cash represents cash balances which are not available for immediate or general use. At December 31, 2013 
ProAssurance's Restricted cash was comprised entirely of a deposit collateralizing a standby letter of credit entered into as a 
part of our funding at Lloyd's.

Deferred Policy Acquisition Costs

Costs that vary with and are directly related to the successful 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.

Income Taxes/Deferred Taxes

ProAssurance files a consolidated federal income tax return. Tax-related interest and penalties are recognized as 

components of tax expense. 

ProAssurance evaluates tax positions taken on tax returns and recognizes positions in the financial statements when it is 

more likely than not that the position will be sustained upon resolution with a taxing authority. If recognized, the benefit is 
measured as the largest amount of benefit that has a greater than fifty percent probability of being realized. Uncertain tax 
positions are reviewed each period by considering changes in facts and circumstances, such as changes in tax law, interactions 
with taxing authorities and developments in case law, and adjustments are made as considered necessary. Adjustments to 
unrecognized tax benefits may affect income tax expense and the settlement of uncertain tax positions may require the use of 
cash.

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. ProAssurance’s 
temporary differences principally relate to loss reserves, unearned premium, deferred policy acquisition costs, unrealized 
investment gains (losses), basis differentials for investments, compensation accruals, and intangibles. 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.

Changes in tax laws and rates could also affect recorded deferred tax assets and liabilities in the future. Management is 

not aware of any such changes that would have a material effect on the Company’s results of operations, cash flows or financial 
position.

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 principally consists of properties in use as corporate offices. 
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, policy acquisition and operating expenses.

100

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Real estate accumulated depreciation was approximately $21.6 million and $20.2 million at December 31, 2013 and 
2012, respectively. Real estate depreciation expense for the years ended December 31, 2013, 2012 and 2011 was $1.5 million, 
$1.4 million and $1.7 million, respectively.

Intangible Assets

Intangible assets with definite lives are amortized over the estimated useful life of the asset. Amortizable intangible assets 

primarily consist of renewal rights and agency relationships and had a carrying value of $51.7 million and $50.2 million at 
December 31, 2013 and 2012, respectively. Intangible assets with an indefinite life, primarily state licenses, are not amortized 
and had carrying values of $16.8 million and $14.3 million at December 31, 2013 and 2012, respectively. Increases in both 
amortizable and non-amortizable intangible assets during 2013 were attributable to intangible assets recognized related to 2013 
business combinations. Intangible assets are evaluated for impairment on an annual basis.

Accumulated amortization of intangible assets was $16.5 million and $11.2 million at December 31, 2013 and 2012, 
respectively. Amortization expense for intangible assets for the three years ended December 31, 2013, 2012 and 2011 was $5.3 
million, $4.5 million and $4.7 million, respectively. Aggregate amortization expense for intangible assets, excluding 
amortizable intangible assets recorded through our acquisition of Eastern, is estimated to be $5.1 million for 2014, $3.1 million 
for 2015, $2.8 million for 2016, $2.8 million for 2017 and $2.4 million for 2018. 

Goodwill

ProAssurance makes at least an annual assessment as to whether the value of its goodwill assets are impaired. 

Management evaluates the carrying value of goodwill annually on October 1 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. Because ProAssurance 
operates in a single operating segment and all components within the segment are economically similar, ProAssurance is 
considered a single reporting unit for the purposes of the impairment evaluation. In assessing goodwill, Management estimates 
the fair value of the reporting unit on the evaluation date based on the Company’s market capitalization and an expected 
premium that would be paid to acquire control of the Company (a control premium) and performs a sensitivity analysis using a 
range of historical stock prices and control premiums. Management concluded in 2013, 2012 and 2011 that the fair value of the 
Company’s reporting unit exceeded the carrying value and no adjustment to impair goodwill was necessary.

Goodwill is recognized in conjunction with acquisitions as the excess of the purchase consideration for the acquisition 

over the fair value of identifiable assets acquired and liabilities assumed. The fair value of identifiable assets and liabilities, and 
thus goodwill, is subject to redetermination within a measurement period of up to one year following completion of an 
acquisition. During 2013 goodwill was reduced by $1.9 million primarily related to the after-tax effect of the re-determination 
of the fair value of the reserve for losses associated with a business combination completed in late 2012.

Other Assets

At December 31, 2013 and 2012, Other assets was principally comprised of deposits with third-party agents of $205 

million and $153.7 million, respectively, related to the completion of pending business combination transactions. See Note 2.

Treasury Stock

Treasury shares are reported at cost, and are reflected on the balance sheets as an unallocated reduction of total equity.

Share-Based Payments

ProAssurance recognizes compensation cost for share-based payments (including stock options, performance share units, 

restricted share units, and purchase match units) using the modified prospective method whereby the methodology for 
recognizing compensation expense differs depending upon the grant date of each share-based payment award. Compensation 
cost for awards 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.

101

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Subsequent Events

In connection with its preparation of the Consolidated Financial Statements, ProAssurance has evaluated events that 

occurred subsequent to December 31, 2013, for recognition or disclosure in its financial statements and notes to the financial 
statements.

Accounting Changes Adopted

Intangibles-Goodwill and Other

Effective for fiscal years beginning after September 15, 2012, the Financial Accounting Standards Board (FASB) revised 

guidance related to impairment testing of indefinite-lived intangible assets. The new guidance permits an entity to assess 
qualitative factors to determine whether the existence of events and circumstances indicates that it is more likely than not that 
an indefinite-lived intangible asset is impaired. Quantitative impairment testing is required only if the assessment of qualitative 
factors indicates it is more likely than not that impairment exists. ProAssurance adopted the guidance on January 1, 2013. 
Adoption of this guidance had no material effect on ProAssurance's results of operations or financial position.

Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income

Effective for interim and annual reporting periods beginning after December 15, 2012, the FASB revised guidance related 

to the disclosure of amounts reclassified out of accumulated other comprehensive income. The most significant provisions of 
the new guidance require entities to present additional disclosure, either on the face of the income statement or in the notes, 
regarding significant amounts reclassified, in their entirety, from accumulated other comprehensive income to net income. 
ProAssurance adopted the guidance on January 1, 2013. Adoption of this guidance had no material effect on ProAssurance’s 
results of operations or financial position as it impacts disclosures only.

Disclosures About Offsetting Assets and Liabilities

Effective for fiscal years beginning on or after January 1, 2013, the FASB revised guidance related to disclosures about 
certain assets and liabilities in an entity’s financial statements. The guidance requires disclosures related to the net and gross 
positions of certain financial instruments and transactions that are either eligible for offset in accordance with existing GAAP 
guidance or subject to an agreement that requires such offset. The guidance must be applied retrospectively for all prior periods 
presented. ProAssurance adopted the guidance on January 1, 2013. Adoption of this guidance had no material effect on 
ProAssurance’s results of operations or financial position as it impacts disclosures only.

Accounting for Costs Associated with Acquiring or Renewing Insurance Contracts

Effective for fiscal years beginning after December 15, 2011, the FASB revised guidance regarding the interpretation of 

which costs relating to the acquisition of new or renewal insurance contracts qualify for deferral. The guidance permits deferral 
of qualifying costs only when associated with successful contract acquisitions. Internal selling agent and underwriter salary and 
benefit costs allocated to unsuccessful contracts, as well as advertising costs, are excluded. The guidance permitted but did not 
require retrospective application. ProAssurance prospectively adopted the guidance on January 1, 2012. Adoption of this 
guidance had no material effect on ProAssurance’s results of operations or financial position.

102

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Accounting Changes Not Yet Adopted

Investments-Equity Method and Joint Ventures-Accounting for Investments in Qualified Affordable Housing Projects

Effective for fiscal years beginning after December 15, 2014, the FASB issued guidance which permits qualified reporting 
entities to use a new accounting method, the proportional amortization method, for investments in qualified affordable housing 
projects. Under the new method the initial cost of an investment is amortized in proportion to the tax benefits received, and 
investment performance is recognized as a component of income tax expense (benefit) rather than as a component of 
investment income. ProAssurance is in the process of evaluating the effect that the use of the new method would have on its 
results of operations and financial position and whether it meets the qualification requirements for using the new method. 
ProAssurance plans to adopt the guidance beginning January 1, 2015.

Liabilities-Obligations Resulting from Joint and Several Liability Arrangements

Effective for fiscal years beginning after December 15, 2013, the FASB revised guidance related to obligations resulting 

from joint and several liability arrangements. The new guidance requires an entity to recognize, measure and disclose 
obligations resulting from joint and several liability arrangements for which the total amount of the obligation is fixed at the 
reporting date, except for obligations already addressed within existing GAAP guidance, with retrospective application required 
for such arrangements existing at the beginning of the fiscal year of adoption. ProAssurance plans to adopt the guidance 
beginning January 1, 2014. Adoption of this guidance is expected to have no effect on ProAssurance's results of operations or 
financial position.

Income Taxes-Presentation of Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a 
Tax Credit Carryforward Exists

Effective for fiscal years beginning after December 15, 2013, the FASB issued guidance related to the financial statement 

presentation of unrecognized tax benefits. The new guidance requires an entity to present unrecognized tax benefits as a 
reduction to a deferred tax asset resulting from a net operating loss carryforward, a similar tax loss, or tax credit carryforward 
except in circumstances where the relevant taxing authority does not permit offset or does not require offset and the entity does 
not intend to use the deferred tax asset for offset. The guidance requires prospective application for all unrecognized tax 
benefits that exist as of the effective date, but may be applied retrospectively. ProAssurance plans to adopt the guidance 
prospectively beginning January 1, 2014. Adoption of this guidance is expected to have no effect on ProAssurance's results of 
operations or financial position.

103

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

2. Business Combinations

All entities acquired in 2013 and 2012 were accounted for in accordance with GAAP relating to business combinations. 

No entities were acquired in 2011.

On January 1, 2013, ProAssurance completed the acquisition of Medmarc Mutual Insurance Company, now Medmarc 
Casualty Insurance Company (Medmarc), through a sponsored demutualization. Medmarc is based in Chantilly, Virginia and 
provides products liability insurance for medical technology and life sciences companies and also provides legal professional 
liability insurance. ProAssurance acquired Medmarc for cash of $153.7 million, including the funding of future policy credits 
for eligible members of $7.5 million. ProAssurance transferred all of the cash required to complete the transaction to a third-
party agent for the benefit of Medmarc eligible members on December 27, 2012; the deposit was classified as a part of Other 
Assets at December 31, 2012. ProAssurance incurred expenses related to the purchase of approximately $2.6 million during the 
year ended December 31, 2013 and approximately $1.0 million during the year ended December 31, 2012. These expenses 
were included as a part of operating expenses in the periods incurred.

The purchase consideration for Medmarc was allocated to the assets acquired and liabilities assumed based on their 

estimated fair values on the acquisition date, as shown in the table below. The purchase consideration was less than the 
estimated fair value of the net assets acquired resulting in a gain on the acquisition of $32.3 million, which reflects a reduction 
of $3.7 million recorded in the fourth quarter of 2013, as discussed in Note 1. ProAssurance believes it was able to acquire 
Medmarc for less than the fair value of its net assets due to Medmarc's declining premium base and its small capital position 
relative to other insurers in the medical technology and life sciences products liability insurance market.

(In thousands)

Fixed maturities, available for sale
Equity securities, trading
Cash and short-term investments
Other investments
Premiums receivable
Receivable from reinsurers on paid and unpaid losses and LAE
Intangible assets
Other assets
Reserve for losses and loss adjustment expenses
Unearned premiums
Deferred tax liabilities
Other liabilities
Fair value of net assets acquired
Gain on Acquisition
Total purchase consideration

$

$

$

269,529
30,976
24,008
5,340
2,986
73,107
3,630
14,614
(201,072)
(16,937)
(4,934)
(15,233)
186,014
(32,314)
153,700

Intangible assets acquired principally consist of non-compete agreements, which are amortizable over their useful life of 

two years, and insurance licenses, which have an indefinite useful life and are not amortized.

ProAssurance believes that all contractual cash flows related to acquired receivables will be collected. 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 5% profit margin and a 5% risk premium, and were determined to 
be materially the same as the recorded cost basis acquired.

104

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

The following table provides Pro Forma Consolidated Results for the years ended December 31, 2013 and 2012 as if the 

Medmarc transaction had occurred on January 1, 2012. Pro Forma Consolidated Results reflect ProAssurance Actual 
Consolidated Results adjusted by the following, net of related tax effects:

• 

For the year ended December 31, 2012, the ProAssurance 2012 Actual Consolidated Results did not include Medmarc, 
and have been adjusted to include Medmarc's 2012 operating results. ProAssurance Actual Consolidated Results for 
the year ended December 31, 2013 included Medmarc operating results (Revenue of $46.5 million and Net Income of 
$15.7 million).

•  Certain costs included in ProAssurance Actual Consolidated Results for the year ended December 31, 2013 have been 
reported in the Pro Forma Consolidated Results as if the costs had been incurred for the year ended December 31, 
2012. Such costs include direct transaction costs and certain compensation costs directly related to the integration of 
Medmarc operations.

• 

Prior to the acquisition date, Medmarc reported on a statutory basis and expensed policy acquisition costs associated 
with successful contracts as incurred. After the acquisition date, in accordance with GAAP, Medmarc policy 
acquisition costs associated with successful contracts were capitalized and amortized to expense as the related 
premium revenues were earned, but no amortization was recognized for Medmarc policies written prior to the 
acquisition date. The Pro Forma Consolidated Results for both 2013 and 2012 have been adjusted to reflect policy 
acquisition costs as if Medmarc had followed GAAP guidance for these costs in pre-acquisition periods.

•  Earnings for the year ended December 31, 2012 were reduced to reflect amortization of intangible assets and debt 

security premiums and discounts recorded as a part of the Medmarc purchase price allocation.

•  The non-taxable gain on the acquisition of $32.3 million that was included in ProAssurance Actual Consolidated 
Results for the year ended December 31, 2013 has been reported in the Pro Forma Consolidated Results as being 
recognized during the year ended December 31, 2012.

Year Ended December 31, 2013

Year Ended December 31, 2012

ProAssurance
Pro Forma
Consolidated
Results
$740,178
$263,820

ProAssurance
Actual
Consolidated
Results
$740,178
$297,523

ProAssurance
Pro Forma
Consolidated
Results
$757,240
$317,097

ProAssurance
Actual
Consolidated
Results
$715,854
$275,470

(In thousands)

Revenue
Net Income

During 2012, ProAssurance also completed an acquisition of a reciprocal exchange that converted to a stock insurance 

company upon acquisition. The acquisition was not material to ProAssurance. 

On January 1, 2014, ProAssurance completed the acquisition of Eastern Insurance Holdings, Inc. (Eastern) (NASDAQ: 

EIHI) by purchasing 100% of its outstanding common shares for cash of $205 million. Eastern is based in Lancaster, 
Pennsylvania and specializes in workers' compensation insurance and reinsurance products and services, including a segregated 
portfolio cell reinsurance business. Allocation of the Eastern purchase consideration to the assets acquired and liabilities 
assumed was not complete as of the date of this report. ProAssurance transferred all of the cash required to complete the 
transaction to a third-party agent for the benefit of Eastern eligible shareholders on December 27, 2013; the deposit was 
classified as a part of Other Assets at December 31, 2013.

105

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

3. 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:

Level 2:

Level 3:

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.

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 or liabilities, and results from pricing models that use observable inputs such as
interest rates and yield curves that are generally available at commonly quoted intervals.

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 for which some or all of the
inputs are not observable, discounted cash flow methodologies, single non-binding broker quotes and
adjustments to externally quoted prices that are based on management judgment or estimation.

Fair values of assets measured at fair value on a recurring basis as of December 31, 2013 and December 31, 2012, 
including financial instruments for which ProAssurance has elected fair value, are shown in the following tables. The tables 
also indicate the fair value hierarchy of the valuation techniques utilized to determine those fair values. 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. Assessments of the significance of a 
particular input to the fair value measurement requires judgment and consideration of factors specific to the assets being 
valued.

106

 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

(In thousands)

Level 1

Level 2

Level 3

Fair Value

December 31, 2013

Fair Value Measurements Using

Total

Assets:
Fixed maturities, available for sale
U.S. Treasury obligations
U.S. Government-sponsored enterprise obligations
State and municipal bonds
Corporate debt, multiple observable inputs
Corporate debt, limited observable inputs:

Other corporate debt, NRSRO ratings available
Other corporate debt, NRSRO ratings not available

Residential mortgage-backed securities
Agency commercial mortgage-backed securities
Other commercial mortgage-backed securities
Other asset-backed securities

Equity securities
Financial
Utilities/Energy
Consumer oriented
Industrial
All other

Short-term investments
Financial instruments carried at fair value, classified as a part of:

$

$

170,714
— $
—
32,768
— 1,147,328
— 1,346,977

— $
—
7,338

170,714
32,768
1,154,666
— 1,346,977

—
—
—
—
—
—

—
—
235,614
27,475
61,390
67,455

81,536
32,350
66,461
57,262
15,932
248,605

—
—
—
—
—
—

11,449
2,727
—
—
—
6,814

—
—
—
—
—
—

11,449
2,727
235,614
27,475
61,390
74,269

81,536
32,350
66,461
57,262
15,932
248,605

Investment in unconsolidated subsidiaries

Total assets

—
$ 502,146

—
$ 3,089,721

72,062
$ 100,390

72,062
$ 3,692,257

107

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

(In thousands)

Assets:
Fixed maturities, available for sale
U.S. Treasury obligations
U.S. Government-sponsored enterprise obligations
State and municipal bonds
Corporate debt, multiple observable inputs
Corporate debt, limited observable inputs:

Private placement senior notes
Other corporate debt, NRSRO ratings available

Other corporate debt, NRSRO ratings not available

Residential mortgage-backed securities
Agency commercial mortgage-backed securities
Other commercial mortgage-backed securities
Other asset-backed securities

Equity securities
Financial
Utilities/Energy
Consumer oriented
Industrial
All other

Short-term investments
Financial instruments carried at fair value, classified as a part of:

December 31, 2012

Fair Value Measurements Using

Total

Level 1

Level 2

Level 3

Fair Value

$

$

205,857
— $
—
56,947
— 1,212,804
— 1,455,333

— $
—
7,175

205,857
56,947
1,219,979
— 1,455,333

—
—

—
—
—
—
—

70,900
31,383
51,100
29,695
19,540
59,761

—
—

—
289,850
59,464
74,106
67,237

—
—
—
—
—
11,976

346
13,835

1,010
—
—
—
4,035

—
—
—
—
—
—

346
13,835

1,010
289,850
59,464
74,106
71,272

70,900
31,383
51,100
29,695
19,540
71,737

Investment in unconsolidated subsidiaries

Total assets

—
262,379

—
$ 3,433,574

$

$

33,739
60,140

33,739
$ 3,756,093

The fair values for securities included in the Level 2 category, with the few exceptions described below, have been 
developed by one of several third party, nationally recognized pricing services, including services that price only certain types 
of securities. Each service uses complex methodologies to determine values for securities and subject the values they develop 
to quality control reviews. Management has selected a primary source for each type of security in the portfolio, and reviews the 
values provided for reasonableness by comparing data to alternate pricing services and to available market and trade data. 
Values that appear inconsistent are further reviewed for appropriateness. If a value does not appear reasonable, the valuation is 
discussed with the service that provided the value and would be adjusted, if necessary. No such adjustments were necessary in 
2013 or 2012.

Level 2 Valuations

Below is a summary description of the valuation methodologies primarily used by the pricing services for securities in 

the Level 2 category, by security type:

U.S. Treasury obligations are valued based on quoted prices for identical assets, or, in markets that are not active, quotes 

for similar assets, taking into consideration adjustments for variations in contractual cash flows and yields to maturity.

U.S. Government-sponsored enterprise obligations are valued using pricing models that consider current and historical 

market data, normal trading conventions, credit ratings, and the particular structure and characteristics of the security being 
valued, such as yield to maturity, redemption options, and contractual cash flows. Adjustments to model inputs or model results 
are included in the valuation process when necessary to reflect recent regulatory, government or corporate actions or significant 
economic, industry or geographic events that would affect the security’s fair value. 

State and municipal bonds are valued using a series of matrices that consider credit ratings, the structure of the security, 

the sector in which the security falls, yields, and contractual cash flows. Valuations are further adjusted, when necessary, to 
reflect recent significant economic or geographic events or ratings changes that would affect the security’s fair value.

108

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Corporate debt with multiple observable inputs consists primarily of corporate bonds, but also includes a small number 

of bank loans. The methodology used to value Level 2 corporate bonds is the same as the methodology previously described for 
U.S. Government-sponsored enterprise obligations. Bank loans are valued by an outside vendor based upon a widely 
distributed, loan-specific listing of average bid and ask prices published daily by an investment industry group. The publisher 
of the listing derives the averages from data received from multiple market-makers for bank loans.

Residential and commercial mortgage backed securities. Agency pass-through securities are valued using a matrix, 
considering the issuer type, coupon rate and longest cash flows outstanding. The matrix is developed daily based on available 
market information. Agency and non-agency collateralized mortgage obligations are both valued using models that consider the 
structure of the security, current and historical information regarding prepayment speeds, ratings and ratings updates, and 
current and historical interest rate and interest rate spread data. Valuations of Alt-A mortgages include a review of collateral 
performance data, which is generally updated monthly.

Other asset-backed securities are valued using models that consider the structure of the security, monthly payment 
information, current and historical information regarding prepayment speeds, ratings and ratings updates, and current and 
historical interest rate and interest rate spread data. Spreads and prepayment speeds consider collateral type. Valuations of 
subprime home equity loans use the same valuation methodology as previously described for Alt-A mortgages.

Short-term investments are securities maturing within one year, carried at cost which approximates the fair value of the 

security due to the short term to maturity.

 Level 3 Valuations

Below is a summary description of the valuation processes and methodologies used as well as quantitative information 

regarding securities in the Level 3 category.

Level 3 Valuation Processes

•  Level 3 securities are priced by the Vice President of Investments for our subsidiaries, who reports to the Chief 

Financial Officer.

•  Level 3 valuations are computed quarterly. Prices are evaluated quarterly against prior period prices and the expected 

change in price.

•  Exclusive of Investments in unconsolidated subsidiaries, which are valued at net asset value (NAV), the securities 

noted in the disclosure are primarily NRSRO rated corporate debt instruments for which comparable market inputs are 
commonly available for evaluating the securities in question. Valuation of these corporate debt instruments is not 
overly sensitive to changes in the unobservable inputs used.

109

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Level 3 Valuation Methodologies

State and municipal bonds consists of auction rate municipal bonds valued internally using either published quotes for 
similar securities or values produced by discounted cash flow models using yields currently available on fixed rate securities 
with a similar term and collateral, adjusted to consider the effect of a floating rate and a premium for illiquidity. At 
December 31, 2013, 99% of the securities were rated; the average rating was A.

Corporate debt with limited observable inputs consists of corporate bonds and, at December 31, 2012, private placement 

senior notes guaranteed by large regional banks. Valuations are determined using dealer quotes for similar securities or 
discounted cash flow models using yields currently available for similar securities. Similar securities are defined as securities 
having like terms and payment features that are of comparable credit quality. Assessments of credit quality are based on 
NRSRO ratings, if available, or are subjectively determined by management if not available. At December 31, 2013, the 
average rating of rated securities was A-.

Other asset-backed securities consists of securitizations of receivables valued using dealer quotes for similar securities or 

discounted cash flow models using yields currently available for similar securities.

Investment in unconsolidated subsidiaries consist of limited partnership (LP) and limited liability company (LLC) 

interests valued using the NAV provided by the LP/LLC, which approximates the fair value of the interest.

Such interests include the following:

(In thousands)

Investments in LPs/LLCs:
Secured debt fund (1)
Long equity fund (2)
Long/Short equity funds (3)
Non-public equity funds (4)

Unfunded
Commitments

December 31,
2013

$27,000
None
None
87,603

Fair Value

December 31,
2013

December 31,
2012

$

$

13,233
6,574
28,385
23,870
72,062

$

$

—
—
17,115
16,624
33,739

(1)  The LP is structured to provide income and capital appreciation primarily through investments in senior secured 

debt. Redemptions are not allowed. Income and capital are to be periodically distributed at the discretion of the LP 
over an anticipated time frame that spans from 7 to 9 years.

(2)  The LP holds long equities of public international companies. Redemptions are allowed at the end of any calendar 
month with a prior notice requirement of 15 days and are paid within 10 days of the end of the calendar month of 
the redemption request.

(3)  Comprised of interests in two unrelated LP funds, each holds primarily 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. One LP allows redemption with a notice requirement of up to 45 days with the redemption payable 
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 LP’s annual 
audit. The other LP generally allows redemption of substantially all the capital semi-annually with 30 days notice.

(4)  Comprised of interests in three unrelated LP funds, each structured to provide capital appreciation through 

diversified investments in private equity, which can include investments in buyout, venture capital, mezzanine debt, 
distressed debt and other private equity-oriented LPs. One LP allows redemption by special consent; the others do 
not permit redemption. Income and capital are to be periodically distributed at the discretion of the LP over time 
frames that are anticipated to span from 4 to 12 years.

110

 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Quantitative Information Regarding Level 3 Valuations

Quantitative Information about Level 3 Fair Value Measurements

Fair Value at

(In millions)

December 31,
2013

December 31,
2012

Valuation Technique

Unobservable
Input

Range
(Weighted Average)

Assets:

State and municipal bonds

$7.3

$7.2

Corporate debt with limited

$14.2

$15.2

observable inputs

Other asset-backed

securities

$6.8

$4.0

Market Comparable
Securities

Discounted Cash Flows

Market Comparable
Securities

Discounted Cash Flows

Market Comparable
Securities

Discounted Cash Flows

Comparability 
Adjustment

Comparability 
Adjustment

Comparability 
Adjustment

Comparability 
Adjustment

Comparability 
Adjustment

Comparability 
Adjustment

0% - 10% (5%)

0% - 10% (5%)

0% - 5% (2.5%)

0% - 5% (2.5%)

0% - 5% (2.5%)

0% - 5% (2.5%)

The significant unobservable inputs used in the fair value measurement of the entity’s corporate bonds are the valuations 

of comparable securities with similar issuer, credit quality and maturity. Changes in the availability of comparable securities 
could result in changes in the fair value measurements.

111

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Fair Value Measurements - Level 3 Assets

The following tables (the Level 3 Tables) present summary information regarding changes in the fair value of assets 

measured at fair value using Level 3 inputs.

December 31, 2013

Level 3 Fair Value Measurements – Assets

(In thousands)

Balance December 31, 2012
Total gains (losses) realized and unrealized:

Included in earnings, as a part of:

Net investment income
Equity in earnings of unconsolidated

subsidiaries

Net realized investment gains (losses)
Included in other comprehensive income

Purchases
Sales
Transfers in
Transfers out
Balance December 31, 2013
Change in unrealized gains (losses) included in
earnings for the above period for Level 3
assets held at period-end

$

$

(In thousands)

Balance December 31, 2011

Total gains (losses) realized and unrealized:

Included in earnings, as a part of:

Net investment income

Equity in earnings of unconsolidated

subsidiaries

Net realized investment gains (losses)

Included in other comprehensive income

Purchases

Sales

Transfers in

Transfers out

State and
Municipal
Bonds

$

7,175

Corporate
Debt
$ 15,191

Asset-
backed
Securities
4,035
$

Investment in
Unconsolidated
Subsidiaries

$

33,739

Other
Investments
$

Total

— $ 60,140

—

(103)

(17)

—

—

(120)

—
(44)
1
—
(2,106)
2,312

—
(69)
(725)
9,470
(1,629)
2,114
— (10,073)
$ 14,176

7,338

—
—
(61)
1,356
(18)
3,800
(2,281)
6,814

$

$

6,877
—
—
24,567
(14,632)
21,511
—
72,062

$

6,877
—
(113)
—
(785)
—
35,393
—
— (18,385)
—
29,737
— (12,354)
— $ 100,390

— $

— $

— $

6,877

$

— $

6,877

December 31, 2012

Level 3 Fair Value Measurements – Assets

State and
Municipal
Bonds

Corporate
Debt

Asset-
backed
Securities

Investment in
Unconsolidated
Subsidiaries

Other
Investments

Total

$

7,200

$

8,082

$

— $

23,841

$ 15,873

$ 54,996

—

—

—

—

—

(25)

—

—

14

—

10

611

—

—

—

35

3,136
(1,951)
9,220
(3,931)
$ 15,191

$

6,734
(1,118)
—
(1,616)
4,035

—

278

—

—

11,008
(1,388)
—

—

$

33,739

$

—

14

—
(131)
—

278
(121)
646

—

—

20,878
(4,482)
9,220
(21,289)
— $ 60,140

—
(15,742)

Balance December 31, 2012

$

7,175

Change in unrealized gains (losses) included in

earnings for the above period for Level 3 assets
held at period-end

$

— $

— $

— $

278

$

(131) $

147

112

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Transfers

There were no transfers between the Level 1 and Level 2 categories during 2012. Short-term investments of $7.2 million 

were transferred from Level 2 to Level 1 as of the end of 2013.

Transfers shown in the preceding Level 3 Tables were as of the end of the period and were to or from Level 2, unless 

otherwise noted.

The transfer in for Investment in unconsolidated subsidiaries reported in the Level 3 Tables for 2013 reflected an interest 

in an LP previously accounted for using the cost method and thus not carried at fair value. During 2013, the interest began to be 
accounted for using the equity method which approximates fair value.

Transfers of Other investments reported in the Level 3 Tables for 2012 related to an interest in an LLC. The LLC 

converted into a publicly traded investment fund during 2012 and the interest was valued using Level 1 inputs at December 31, 
2012.

All remaining transfers during 2013 and 2012 related to securities held for which the level of market activity for identical 

or nearly identical securities varies from period to period. The securities were valued using multiple observable inputs when 
those inputs were available; otherwise the securities were valued using limited observable inputs. 

Fair Value Measurements - Level 3 Liabilities

The following table presents information for the year ended December 31, 2012 regarding liabilities for which 

ProAssurance had elected fair value treatment at December 31, 2011 and during 2012.

(In thousands)

Balance December 31, 2011

Total (gains) losses realized and unrealized:

Included in earnings as a part of:

Net realized investment (gains) losses

Loss on extinguishment of debt

Settlements

Balance December 31, 2012

Change in unrealized (gains) losses included in earnings for the
above period for Level 3 liabilities outstanding at period-end

December 31, 2012

Level 3 Fair Value Measurements - Liabilities

2019 Note
Payable

Interest
rate swap
agreement

Total

$

14,180

$

4,659

$

18,839

769

2,163
(17,112)

$

$

— $

— $

476
—
(5,135)

— $

— $

1,245

2,163
(22,247)
—

—

At December 31, 2011 ProAssurance held a note payable, the 2019 Note Payable, and a related interest rate swap 
agreement (the Swap), both of which were measured at fair value on a recurring basis, with changes in fair value recorded in 
net realized investment gains (losses). ProAssurance assumed both liabilities as part of a previous acquisition. The fair value 
option was elected for each because valuation at fair value better reflected the economics of the related liabilities and 
eliminated the inconsistency that would have otherwise resulted from carrying the 2019 Note Payable on an amortized cost 
basis and the Swap at fair value. Both liabilities were repaid in July 2012. The fair values of these liabilities were determined 
using the present value of the expected underlying cash flows of each instrument, discounted at rates available on the valuation 
date for similar instruments issued by entities with a similar credit standing to ProAssurance.

113

 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Financial Instruments - Methodologies Other Than Fair Value

The following table provides the estimated fair value of our financial instruments that, in accordance with GAAP for the 
type of investment, are measured using a methodology other than fair value. All fair values provided fall within the Level 3 fair 
value category.

(In thousands)

Financial assets:
BOLI
Investment in unconsolidated subsidiaries

Other investments
Other assets

Financial liabilities:

Senior notes due 2023
Revolving credit agreement
Other liabilities

December 31, 2013

December 31, 2012

Carrying
Value

Fair
Value

Carrying
Value

Fair
Value

$

54,374

$

54,374

$

142,174
52,240
17,940

139,548
51,833
17,940

$

31,085
87,310
52,414
11,400

38,656
91,528
52,414
11,385

$

$

250,000
—
13,303

262,500
—
13,303

$

— $

125,000
12,130

—
125,000
12,085

The fair value of the BOLI was equal to the cash surrender value associated with the policies on the valuation date.

Investment in unconsolidated subsidiaries consisted of investments in tax credit partnerships, accounted for using the 

equity method with the carrying value approximating ProAssurance’s initial investment commitment to the partnership less a 
pro rata portion of partnership operating losses over the period the investment has been held. The estimated fair value of the 
partnership is based on the net present value of the expected cash flows from the partnership and considers the timing of tax 
benefits expected to be received, the funding schedule for the partnership, and current rates for investments with similar risk 
structures and repayment periods. 

Other investments listed in the table above include interests in certain investment fund LPs/LLCs accounted for using the 

cost method, investments in Federal Home Loan Bank (FHLB) common stock carried at cost, and an annuity investment 
carried at amortized cost. The estimated fair value of the LP/LLC interests was based on the NAVs provided by the LP/LLC 
managers. The estimated fair value of the FHLB common stock was based on the amount ProAssurance would receive if its 
membership were canceled, as the membership cannot be sold. The fair value of the annuity was the present value of the 
expected future cash flows discounted using a rate available in active markets for similarly structured instruments. Other assets 
and Other liabilities primarily consisted of related investment assets and liabilities associated with funded deferred 
compensation agreements. Fair values of the funded deferred compensation assets and liabilities were based on the NAVs of the 
underlying securities. Other assets also included a secured note receivable and an unsecured receivable under a revolving credit 
agreement. Fair value of these receivables was based on the present value of expected cash flows from the receivables, 
discounted at market rates on the valuation date for receivables with similar credit standings and similar payment structures. At 
December 31, 2012, Other liabilities also included certain contractual liabilities related to prior business combinations. The fair 
values of the business combination liabilities were based on the present value of the expected future cash outflows, discounted 
at ProAssurance’s assumed incremental borrowing rate on the valuation date for unsecured liabilities with similar repayment 
structures.

The fair values of the long-term debt and revolving credit agreement were estimated based on the present value of 

expected future cash outflows, discounted at rates available on the valuation date for similar debt issued by entities with a 
similar credit standing to ProAssurance.

114

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

4. Investments

Available-for-sale securities at December 31, 2013 and December 31, 2012 included the following:

Fixed maturities

(In thousands)

U.S. Treasury obligations
U.S. Government-sponsored enterprise obligations
State and municipal bonds
Corporate debt
Residential mortgage-backed securities
Agency commercial mortgage-backed securities
Other commercial mortgage-backed securities
Other asset-backed securities

Fixed maturities

(In thousands)

U.S. Treasury obligations
U.S. Government-sponsored enterprise obligations
State and municipal bonds
Corporate debt
Residential mortgage-backed securities
Agency commercial mortgage-backed securities
Other commercial mortgage-backed securities
Other asset-backed securities

Amortized
Cost

$

166,115
30,942
1,116,060
1,321,838
230,861
27,268
59,066
74,106
$ 3,026,256

$

Amortized
Cost

191,642
52,110
1,134,744
1,375,880
272,990
57,234
69,062
70,670
3,224,332

$

$

$

December 31, 2013

Gross
Unrealized
Gains

Gross
Unrealized
Losses

6,118
2,251
46,533
53,059
7,608
343
2,491
487
118,890

$

$

(1,519)
(425)
(7,927)
(13,744)
(2,855)
(136)
(167)
(324)
(27,097)

December 31, 2012

Gross
Unrealized
Gains

Gross
Unrealized
Losses

$

14,266
4,837
85,329
96,187
17,070
2,255
5,049
1,203
226,196

(51)
—
(94)
(1,543)
(210)
(25)
(5)
(601)
(2,529)

Estimated Fair
Value

$

170,714
32,768
1,154,666
1,361,153
235,614
27,475
61,390
74,269
$ 3,118,049

Estimated Fair
Value

$

205,857
56,947
1,219,979
1,470,524
289,850
59,464
74,106
71,272
3,447,999  

115

 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

The recorded amortized cost basis and estimated fair value of available-for-sale fixed maturities at December 31, 2013, 

by contractual maturity, are shown below. Actual maturities may differ from contractual maturities because borrowers may have 
the right to call or prepay obligations with or without call or prepayment penalties. 

(In thousands)

Fixed maturities, available for sale
U.S. Treasury obligations
U.S. Government-sponsored

enterprise obligations
State and municipal bonds
Corporate debt
Residential mortgage-backed

securities

Agency commercial mortgage-

backed securities

Other commercial mortgage-

backed securities

Other asset-backed securities

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

$ 166,115

$

15,501

$ 107,433

$

44,102

$

3,678

$ 170,714

30,942
1,116,060
1,321,838

230,861

27,268

59,066
74,106
$ 3,026,256

3,226
57,081
124,080

21,564
406,444
578,894

7,759
467,219
627,496

219
223,922
30,683

32,768
1,154,666
1,361,153

235,614

27,475

61,390
74,269
$ 3,118,049

Excluding investments in bonds and notes of the U.S. Government and U.S. Government-sponsored enterprise 
obligations, no investment in any entity or its affiliates exceeded 10% of shareholders’ equity at December 31, 2013.

Cash and securities with a carrying value of $36.3 million at December 31, 2013 were on deposit with various state 

insurance departments to meet regulatory requirements.

BOLI

ProAssurance holds BOLI policies on management employees that are carried at the current cash surrender value of the 
policies (original cost $33 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.

Other Investments

Other Investments at December 31, 2013 and December 31, 2012 was comprised as follows:

(In thousands)

Investments in LPs/LLCs, at cost
FHLB capital stock, at cost
Other, principally an annuity, at amortized cost

December 31,
2013

December 31,
2012

$

$

47,258
3,449
1,533
52,240

$

$

25,092
4,278
1,715
31,085

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.

116

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Unconsolidated Subsidiaries

ProAssurance holds investments in unconsolidated subsidiaries, accounted for under the equity method. The investments 

include the following:

(In thousands)

Investment in LPs/LLCs:

December 31, 2013

Carrying Value

Unfunded
Commitments*

Percentage
Ownership

December 31,
2013

December 31,
2012

Tax credit partnerships
Secured debt fund
Long equity fund
Long/Short equity funds
Non-public equity funds

$

22,441
27,000
None
None
87,603

See below
< 20%
< 20%
< 25%
< 20%

$

$

142,174
13,233
6,574
28,385
23,870
214,236

$

$

87,310
—
—
17,115
16,624
121,049

*  Unfunded commitments are included in the carrying value of tax credit partnerships, only.

Tax credit partnership interests held by ProAssurance generate investment returns by providing tax benefits to fund 
investors in the form of project operating losses and tax credits. The related properties are principally low income housing 
projects. ProAssurance's ownership percentage relative to two of the tax credit partnership interests was almost 100%; these 
interests had a carrying value of $62.4 million at December 31, 2013. ProAssurance's ownership percentage relative to the 
remaining tax credit partnership interests was less than 20%; these interests had a carrying value of $79.8 million at 
December 31, 2013. All are accounted for under the equity method as ProAssurance does not have the ability to exert control 
over the partnerships.

The Secured debt fund is structured to provide interest distributions and capital appreciation primarily through 

investments in senior secured debt.

The Long equity fund targets long-term total returns through holdings in public international companies.

The Long/Short equity funds target absolute returns using strategies designed to take advantage of event-driven market 

opportunities. ProAssurance’s interest in one investment LP increased as other investors liquidated their holdings, and 
ProAssurance therefore determined it appropriate to begin applying the equity method of accounting instead of the previously 
applied cost method. When there is a change from the cost to the equity method, GAAP requires retroactive recording of 
accumulated earnings since the origination of the investment. As the amounts are not material in the current period or any of the 
prior periods affected, prior period financial statements have not been restated. Accordingly, Equity in earnings (loss) of 
unconsolidated subsidiaries for 2013 included our portion of the LP’s accumulated earnings from the date of initial investment, 
which totaled $10.5 million, $8.4 million of which was related to prior periods.

The Non-public equity funds hold diversified private equities and are structured to provide capital appreciation.

Investments Held in a Loss Position

The following tables provide summarized information with respect to investments held in an unrealized loss position at 

December 31, 2013 and December 31, 2012, including the length of time the investment had been held in a continuous 
unrealized loss position.

117

 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

(In thousands)

Fixed maturities, available for sale
U.S. Treasury obligations
U.S. Government-sponsored

enterprise obligations

State and municipal bonds
Corporate debt
Residential mortgage-backed

securities

Agency commercial mortgage-

backed securities

Other commercial mortgage-

backed securities

Other asset-backed securities

Other investments

Investments in LPs/LLCs carried

at cost

Total

December 31, 2013

Less than 12 months

Fair

Value

Unrealized

Loss

Fair

Value

Unrealized

Loss

12 months or longer

Fair

Value

Unrealized

Loss

$

47,668

$

(1,519) $

44,304

$

(1,182) $

3,364

$

(337)

6,640
203,970
349,277

(425)
(7,927)
(13,744)

5,752
184,401
324,510

(321)
(6,640)
(12,061)

888
19,569
24,767

93,608

(2,855)

84,045

(2,393)

9,563

11,658

(136)

11,082

(116)

576

(104)
(1,287)
(1,683)

(462)

(20)

11,153
25,539
$ 749,513

$

(167)
(324)

10,215
21,804
(27,097) $ 686,113

$

(159)
(77)
(22,949) $

938
3,735
63,400

$

(8)
(247)
(4,148)

$

14,752

$

(1,059) $

13,166

$

(1,018) $

1,586

$

(41)

(In thousands)

Fixed maturities, available for sale
U.S. Treasury obligations
State and municipal bonds
Corporate debt
Residential mortgage-backed

securities

Agency commercial mortgage-

backed securities

Other commercial mortgage-backed

securities

Other asset-backed securities

Other investments

Investments in LPs/LLCs carried at

cost

Total

December 31, 2012

Less than 12 months

Fair

Value

Unrealized

Loss

Fair

Value

Unrealized

Loss

12 months or longer

Fair

Value

Unrealized

Loss

$

4,073
11,234
90,154

10,721

$

(51) $
(94)
(1,543)

$

4,073
9,232
81,878

(51) $
(65)
(1,377)

(210)

10,029

(205)

— $

2,002
8,276

692

1,643

(25)

498

(2)

1,145

2,100
10,746
$ 130,671

$

(5)
(601)

1,103
7,707
(2,529) $ 114,520

$

(1)
(20)
(1,721) $

997
3,039
16,151

$

—
(29)
(166)

(5)

(23)

(4)
(581)
(808)

$

9,474

$

(851) $

8,697

$

(688) $

777

$

(163)

As of December 31, 2013, excluding government backed securities, there were 714 debt securities (26.3% of all 

available-for-sale fixed maturity securities held) in an unrealized loss position representing 516 issuers. Both the single greatest 
and second greatest unrealized loss positions among those securities was approximately $0.4 million. The securities were 
evaluated for impairment as of December 31, 2013.

As of December 31, 2012, excluding government backed securities, there were 110 debt securities (4.4% of all available-
for-sale fixed maturity securities held) in an unrealized loss position representing 93 issuers. The single greatest unrealized loss 
position among those securities approximated $0.6 million; the second greatest unrealized loss position approximated $0.2 
million. The securities were evaluated for impairment as of December 31, 2012.

118

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Each quarter, ProAssurance performs a detailed analysis for the purpose of assessing whether any of the securities it holds 

in an unrealized loss position have suffered an other-than-temporary impairment in value. A detailed discussion of the factors 
considered in the assessment is included in Note 1.

Fixed maturity securities held in an unrealized loss position at December 31, 2013, excluding asset-backed securities, 
have paid all scheduled contractual payments and are expected to continue doing so. Expected future cash flows of asset-backed 
securities held in an unrealized loss position were estimated as part of the December 31, 2013 impairment evaluation using the 
most recently available six-month historical performance data for the collateral (loans) underlying the security or, if historical 
data was not available, sector based assumptions, and equaled or exceeded the current amortized cost basis of the security. 

Net Investment Income

Net investment income by investment category was as follows:

(In thousands)

2013

2012

2011

Year Ended December 31

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

$

$

122,065
9,454
2,584
1,960
(6,798)
129,265

$

$

133,088 $
6,947
660
2,008
(6,609)
136,094 $

140,897
1,808
2,812
2,017
(6,578)
140,956  

Net Realized Investment Gains (Losses)

The following table provides detailed information regarding net realized investment gains (losses):

(In thousands)

Total other-than-temporary impairment losses:

State and municipal bonds

Residential mortgage-backed securities

Corporate debt

Other investments

High yield asset-backed securities

Portion recognized in (reclassified from) Other Comprehensive Income:

Residential mortgage-backed securities

Net impairment losses recognized in earnings

Gross realized gains, available-for-sale securities
Gross realized (losses), available-for-sale securities

Net realized gains (losses), trading securities
Change in unrealized holding gains (losses), trading securities
Decrease (increase) in the fair value of liabilities carried at fair value

Other
Net realized investment gains (losses)

Year Ended December 31

2013

2012

2011

$

(71) $
—

—

—

—

—
(71)
18,130
(7,031)
20,444
35,507
—

925
67,904

$

$

— $

(557)
(878)
(131)
—

(201)
(1,767)
18,645
(2,076)
1,485
12,673
(1,245)
1,148
28,863

$

—
(782)
(505)
(3,827)
(75)

(823)
(6,012)
14,625
(1,754)
2,212
(3,188)
111
—
5,994

No significant impairment losses were recognized during 2013. Significant impairment losses recognized during 2012 and 

2011 were as follows:

• 

ProAssurance recognized impairment losses related to certain residential mortgage-backed securities in 2012 and 2011 
because carrying values for those securities were greater than the future cash flows expected to be received from the 
securities. 

119

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

• 

• 

ProAssurance recognized impairments related to corporate debt securities in 2012 and 2011 because the credit standing 
of the issuers had deteriorated.

ProAssurance recognized impairments in 2012 and 2011 related to an interest in an LLC, accounted for using the cost 
method, that was classified as a part of Other Investments. In 2011, the LLC announced a plan to convert to a publicly 
traded investment fund, and OTTI was recognized in subsequent periods in order to carry the interest at the NAV 
reported by the fund. The conversion occurred in 2012.

The following table presents a roll forward of cumulative credit losses recorded in earnings related to impaired debt 

securities for which a portion of the other-than-temporary impairment was recorded in Other Comprehensive Income.

(In thousands)

Balance January 1
Additional credit losses recognized during the period, related to

2013

2012

2011

$

3,301

$

5,870 $

4,446

securities for which:

OTTI has been previously recognized

Reductions due to:

Securities sold during the period (realized)

Balance December 31

—

268

1,424

(3,218)
83

$

(2,837)
3,301 $

$

—
5,870

Other information regarding sales and purchases of available-for-sale securities is as follows:

Proceeds from sales (exclusive of maturities and paydowns)

(In millions)

Purchases

5. Reinsurance

Year Ended December 31

2013

2012

2011

$
$

593.3
519.2

$
$

500.2 $
646.2 $

424.8
782.6

ProAssurance has various excess of loss, quota share, and cession reinsurance agreements in place, with each agreement 
relating to the policies written during a specified coverage period, typically one year. Historically, the professional liability per 
claim retention level has varied between 90% and 100% of the first $1 million and up to 5% of claims exceeding those levels 
depending on the coverage year and the state in which business was written. Also, there are various fronting and quota share 
arrangements that apply to certain healthcare professional policies, generally those associated with a group of affiliated 
insureds or an insured with a large number of risk exposures. Gross and net written premium associated with such arrangements 
approximated $37.5 million and $20.2 million, respectively, during the year ended December 31, 2013. Medical technology and 
life sciences products coverages are separately reinsured, generally with 100% retention on the first $1 million of coverage and 
between 5% and 33% of coverage exceeding those levels, with additional loss participation if specified limits are exceeded. 
ProAssurance also insures professional and product 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 was as follows (in thousands):

Direct
Assumed
Ceded
Net premiums

2013 Premiums

2012 Premiums

2011 Premiums

Written
566,745
802
(42,365)
525,182

$

$

Earned
568,629
804
(41,514)
527,919

$

$

Written
536,318
113
(8,133)
528,298

$

$

Earned
558,200
116
(7,652)
550,664

$

$

Written
565,746
149
(7,388)
558,507

$

$

$

$

Earned
570,891
154
(5,630)
565,415

The receivable from reinsurers on unpaid losses and loss adjustment expenses represents Management’s estimate of 
amounts that will be recoverable under ProAssurance reinsurance agreements. Most Company reinsurance agreements base the 
amount of premium that is due to the reinsurer in part on losses reimbursed or to be reimbursed under the agreement, and may 
also reflect maximum and minimum amounts of ceded premium. Ceded premium amounts are estimated based on 
Management’s expectation of ultimate losses and the portion of those losses that are allocable to reinsurers according to the 
terms of the agreements, including any minimums or maximums. Given the uncertainty of the ultimate amounts of losses, 

120

 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Management’s estimates of losses and related amounts recoverable may vary significantly from the eventual outcome. During 
the years ended December 31, 2013,  2012 and 2011 ProAssurance reduced premiums ceded by $16.4 million, $34.3 million 
and $30.6 million, respectively, due to changes in Management’s estimates of amounts due to reinsurers related to prior 
accident year loss recoveries.

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, 2013, $92.1 million of the total amounts due from reinsurers of $237.9 million (including receivables 

related to paid and unpaid losses and LAE and prepaid reinsurance premiums, less reinsurance premiums payable) was due 
from four reinsurers which had an individual balance which exceeded $20 million. Each of these reinsurers had an A.M. Best 
credit rating of A or above.

At December 31, 2013 and 2012 ProAssurance had no allowance for credit losses related to its reinsurance receivables. 

During the years ended December 31, 2013, 2012 and 2011 no reinsurance balances were written off for credit reasons.

At December 31, 2013, all reinsurance recoverables were considered collectible. Reinsurance recoverables totaling 

approximately $25 million were collateralized by letters of credit or funds withheld. At December 31, 2013 no amounts due 
from individual reinsurers exceeded 5% of shareholders’ equity.

There were no significant reinsurance commutations in 2013 or 2012. During 2011, ProAssurance commuted 

(terminated) various outstanding reinsurance agreements for approximately $4.3 million in cash. The commutations reduced 
Receivable from Reinsurers on Paid Losses and Receivable from Reinsurers on Unpaid Losses, combined, by approximately 
$4.0 million (net of cash received) and reduced Reinsurance Premiums Payable by approximately $5.6 million.

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 were as follows:

(In thousands)

2013

2012

Deferred tax assets

Unpaid loss discount
Unearned premium adjustment
Compensation related
Intangibles

Total deferred tax assets
Deferred tax liabilities

Deferred acquisition costs
Unrealized gains on investments, net
Fixed assets
Basis differentials–investments
Intangibles
Other

Total deferred tax liabilities

$

$

51,879
21,861
18,172
2,074
93,986

10,150
32,127
4,166
31,247
13,238
1,301
92,229

57,811
20,497
14,634
2,214
95,156

8,112
78,284
5,630
3,029
14,311
375
109,741

Net deferred tax assets (liabilities)

$

1,757

$

(14,585)

At December 31, 2013, ProAssurance has no available net operating loss carryforwards, capital loss carryforwards, or 

Alternative Minimum Tax credit carryforwards. ProAssurance files income tax returns in the U.S. federal jurisdiction and 
various states.

121

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

The IRS has concluded an examination of the 2009 and 2010 returns and has issued a Notice of Proposed Adjustment 
(NOPA) for these years which would increase ProAssurance's current tax liability by approximately $130 million. During 2013 
ProAssurance submitted a comprehensive written protest to the IRS Office of Appeals regarding certain issues within the 
NOPA, all of which related to the timing of deductions. ProAssurance and the IRS have since reached a tentative settlement on 
the contested issues which will result in no additional tax liability for ProAssurance. Other non-contested issues addressed by 
the NOPA are expected to result in a net Federal income tax refund of approximately $9.6 million. ProAssurance believes that 
the tentative settlement with the IRS will be finalized during 2014.

At December 31, 2013, ProAssurance had a receivable for federal income taxes of $27 million, which was carried as a 
part of Other Assets. ProAssurance had a payable for federal income taxes of $20 million at December 31, 2012, which was 
carried as a part of Other Liabilities.

Except for the 2006 tax year, the statutes of limitation are closed for all years prior to 2009. The statutes for the 2006, 

2009 and 2010 tax years have been extended until September 30, 2014.

A reconciliation of the beginning and ending amounts of unrecognized tax benefits for 2013 and 2012 was as follows:

(In thousands)

2013

2012

2011

Balance at January 1
(Decreases) for tax positions taken during the current year
Increases for tax positions taken during prior years
(Decreases) for tax positions taken during prior years
(Decreases) relating to settlements with taxing authorities
Balance at December 31

$

$

4,823
—
—
—
—
4,823

$

$

18,585
(10,206)
—
(3,556)
—
4,823

$

$

8,344
—
18,585
—
(8,344)
18,585  

ProAssurance's provision for uncertain tax positions at both December 31, 2013 and December 31, 2012 related entirely 

to the timing of deductions. Changes to the provision recognized in current taxes in 2012 were offset by the recognition of a 
like but opposite change to deferred taxes. Unrecognized tax benefits at December 31, 2013, if recognized, would not affect the 
effective tax rate but would accelerate the payment of tax. As with any uncertain tax position, there is a possibility that the 
ultimate deduction recognized could differ from the provision established by ProAssurance. As the Company's uncertain tax 
positions relate to the timing of deductions, management expects the liability to fully reverse during the next twelve months.

ProAssurance recognizes interest and/or penalties related to income tax matters in income tax expense. No interest was 

recognized in the income statement during the year ended December 31, 2013. Interest recognized during the years ended 
December 31, 2012 and 2011approximated $0.5 million and $0.8 million, respectively. The accrued liability for interest 
approximated $1.3 million and $1.4 million at December 31, 2013 and 2012, respectively.

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)

2013

2012

2011

Computed “expected” tax expense
Tax-exempt income
Tax credits
Non-taxable gain on acquisition
Other
Total

$

$

139,005
(14,509)
(17,888)
(11,310)
4,338
99,636

$

$

138,588
(14,374)
(10,005)
—
6,287
120,496

$

$

145,109
(13,793)
(5,654)
—
1,840
127,502

7. Deferred Policy Acquisition Costs

Policy acquisition costs, most significantly commissions, premium taxes, and underwriting salaries and benefits, that are 

primarily and directly related to the successful production of new and renewal insurance contracts are capitalized as policy 
acquisition costs and amortized to expense as the related premium revenues are earned.

Amortization of deferred policy acquisition costs was $59.1 million, $57.0 million and $59.6 million for the years ended 

December 31, 2013, 2012 and 2011, respectively.

122

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

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 
consulting 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 NAIC.

Activity in the reserve for losses and loss adjustment expenses is summarized as follows:

Balance, beginning of year

$

2,054,994

$

2,247,772

$

2,414,100

(In thousands)

2013

2012

2011

Less reinsurance recoverables on unpaid losses and loss

adjustment expenses

Net balance, beginning of year

Net reserves acquired from acquisitions

Net losses:

Current year

Favorable development of reserves established in

prior years, net

Total

Paid related to:

Current year

Prior years

Total paid
Net balance, end of year

191,645

1,863,349

126,007

247,658

2,000,114

22,464

277,436

2,136,664

—

447,510

451,951

488,152

(222,749)
224,761

(43,616)
(345,197)
(388,813)
1,825,304

(272,038)
179,913

(38,439)
(300,703)
(339,142)
1,863,349

(325,865)
162,287

(34,240)
(264,597)
(298,837)
2,000,114

247,658

2,247,772

Plus reinsurance recoverables on unpaid losses and loss

adjustment expenses

Balance, end of year

247,518

191,645

$

2,072,822

$

2,054,994

$

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 2013 primarily reflects a 
lower than anticipated claims severity trend for accident years 2005 through 2011. The favorable development recognized in 
2012 and 2011 was primarily due to lower than anticipated claims severity trends for accident years 2004 through 2009 and 
accident years 2004 through 2008, respectively. Actuarial evaluations of both internal and industry actual claims data in 2013, 
2012 and 2011 all indicated that claims severity (i.e. the average size of a claim) is increasing more slowly than was anticipated 
when the reserves for 2004 through 2009 were initially established.

123

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

9. Commitments and Contingencies

ProAssurance is involved in various legal actions related to insurance policies and claims handling including, but not 
limited to, claims asserted by policyholders. These types of legal actions arise in the Company’s ordinary course of business 
and, in accordance with GAAP for insurance entities, are considered as a part of the Company’s loss reserving process, which is 
described in detail under “Accounting Policies – Losses and Loss Adjustment Expenses” in Note 1.

ProAssurance has funding commitments primarily related to non-public investment entities totaling approximately $164.2 
million, expected to be paid as follows: $49.6 million in 2014, $68.9 million in 2015 and 2016 combined, $26.8 million in 2017 
and 2018 combined, and $18.9 million thereafter.

As a member of Lloyd's and a capital provider to Syndicate 1729 ProAssurance is required to provide capital, referred to 

as Funds at Lloyd's (FAL), to support Syndicate 1729. In order to meet these FAL requirements, ProAssurance, through a 
wholly owned subsidiary, provided a standby letter of credit (LOC) of £41.9 million ($69.3 million at December 31, 2013) and 
cash deposits of $8.7 million. At December 31, 2013 the LOC was fully secured by cash deposits, see Note 1. The LOC, unless 
earlier released by Lloyd's, expires four years from the date it is terminated or canceled. Any amounts advanced under the LOC 
will bear interest at prime plus 400 basis points or the highest legal rate for the borrowing. ProAssurance must pay a fee related 
to the LOC during the period it is outstanding, currently 50 basis points, which is to be re-determined annually based on 
ProAssurance’s then current credit standing and whether the LOC has been secured, with the maximum fee set at 188 basis 
points. No amounts have been drawn against the LOC at December 31, 2013.

ProAssurance has also issued an unconditional revolving credit agreement (the Credit Agreement) of up to £10 million 
($17 million at December 31, 2013) to the Premium Trust Fund of Syndicate 1729 for the purpose of providing working capital. 
Advances under the Credit Agreement bear interest at 8.5% annually, and are repayable upon demand after December 31, 2016. 
As of December 31, 2013, £1.0 million ($1.7 million) had been advanced under the agreement.

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 non-cancelable lease terms in 
excess of one year as of December 31, 2013.

2014

2015

2016

2017

Thereafter

Operating Leases

(In thousands)

$

3,039

2,750

2,553

2,394

9,175

Total minimum lease payments

$

19,911

ProAssurance incurred rent expense of $3.2 million, $2.7 million and $3.4 million in the years ended December 31, 2013, 

2012 and 2011, respectively.

124

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

10. Long-term Debt

ProAssurance’s outstanding long-term debt consisted of the following:

(In thousands)

Senior notes due 2023, unsecured, interest at 5.3% annually

Revolving credit agreement, expires in 2016

December 31,
2013
250,000

$

—

$

250,000

December 31,
2012

$

$

—

125,000

125,000

Senior Notes due 2023 (the Senior Notes)

The Senior Notes are the unsecured obligations of ProAssurance Corporation, due in full in November 2023, unless 
sooner redeemed, with interest payable semiannually. Redemptions may be made prior to maturity, in whole or part, at the 
greater of par or the sum of the present values of the outstanding principal and remaining interest payments calculated at 40 
basis points above the then-current rate for U.S. Treasury Notes with a term comparable to the remaining term of the Senior 
Notes. There are no financial covenants associated with the Senior Notes.  

Revolving Credit Agreement

ProAssurance has entered into a revolving credit agreement (the “Agreement”) with five participating lenders with an 
expiration date of April 15, 2016. The Agreement permits ProAssurance to borrow, repay and reborrow from the lenders during 
the term of the Agreement; aggregate outstanding borrowings are not permitted to exceed $150 million at any time. All 
borrowings are required to be repaid prior to the expiration date of the Agreement. ProAssurance is required to pay a 
commitment fee, ranging from 15 to 30 basis points based on ProAssurance’s credit ratings, on the average unused portion of 
the credit line during the term of the Agreement. Borrowings under the agreement may be secured or unsecured and accrue 
interest at a selected base rate, adjusted by a margin, which can vary from 0 to 188 basis points, based on ProAssurance’s credit 
rating and whether the borrowing is secured or unsecured. The base rate selected may be the current one-, three- or six-month 
LIBOR rate, with the LIBOR term selected fixing the interest period for which the rate is effective. If LIBOR is not selected, 
the base rate defaults to the highest of (1) the Prime rate (2) the Federal Funds rate plus 50 basis points or (3) the one month 
LIBOR rate plus 100 basis points, determined daily. Rates are reset each successive interest period until the borrowing is 
repaid.  

The Agreement contains customary representations, covenants and events constituting default, and remedies for default. 

Additionally, the Agreement carries the following financial covenants:

(1)  ProAssurance is not permitted to have a leverage ratio of Consolidated Funded Indebtedness (principally, obligations for 
borrowed money, obligations evidenced by instruments such as notes or acceptances, standby and commercial Letters of 
Credit, and contingent obligations) to Consolidated Total Capitalization (principally, total non-trade liabilities on a 
consolidated basis plus consolidated shareholders’ equity, exclusive of accumulated other comprehensive income) 
greater than 0.35 to 1.0, determined at the end of each fiscal quarter.

(2)  ProAssurance is required to maintain a minimum net worth of not less than the sum of 75% of Consolidated Net Worth 
(consolidated shareholders’ equity, exclusive of accumulated other comprehensive income) at December 31, 2010, plus 
50% of consolidated net income earned each fiscal quarter, if positive, beginning with the quarter ending March 31, 
2011, plus 100% of net cash proceeds resulting from the issuance of ProAssurance capital stock.

Funds borrowed under the terms of the Revolving Credit Agreement will be used for general corporate purposes, 
including, but not limited to, use as short-term working capital, funding for share repurchases as authorized by the Board, and 
for support of other activities ProAssurance enters into in the normal course of business.

Covenant Compliance

ProAssurance is currently in compliance with all covenants.

Loss on Extinguishment

ProAssurance recognized a $2.2 million loss on extinguishment of debt during the third quarter of 2012 upon repayment 

of a note payable carried at fair value.

125

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

11. Shareholders’ Equity

At December 31, 2013 and 2012, ProAssurance had 100 million shares of authorized common stock and 50 million 
shares of authorized preferred stock. The Board has the authority to determine 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. To date, the Board has not approved the issuance of preferred stock.

The Board has declared cash dividends quarterly since the third quarter of 2011. Initially, dividends were $0.125 per share 

but were increased to $0.25 per share in the fourth quarter of 2012 and increased to $0.30 per share in the fourth quarter of 
2013. With the exception of the fourth quarter 2012 dividend which was accelerated and paid in December 2012, each quarterly 
dividend was paid in the month following the end of the quarter. The liability for unpaid dividends at December 31, 2013 of 
$18.4 million was included in other liabilities. The Board also declared and paid a special dividend of $2.50 per share during 
December 2012.

ProAssurance's ability to pay dividends to its shareholders is limited by its holding company structure, to the extent of the 

net assets held by its insurance subsidiaries, as discussed in Note 16. Otherwise, there are no other regulatory restrictions on 
ProAssurance's retained earnings or net income that materially impact its ability to pay dividends. Based on Shareholders' 
Equity at December 31, 2013, total equity of $572 million was free of debt covenant restrictions regarding the payment of 
dividends. However, any decision to pay future cash dividends is subject to the Board’s final determination after a 
comprehensive review of financial performance, future expectations and other factors deemed relevant by the Board.

As of December 31, 2013 Board authorizations for the repurchase of common shares or the retirement of outstanding debt 

of $202.6 million remained available for use. 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 repurchased 0.7 million common shares during both the years ended December 31, 2013 and 2011. 
ProAssurance did not repurchase any common shares during the year ended December 31, 2012. During the years ended 
December 31, 2013, 2012 and 2011 ProAssurance reissued approximately 25,000, 23,000 and 18,000 treasury shares, 
respectively, to participant accounts of the ProAssurance Corporation 2011 Employee Stock Ownership Plan. In December, 
2012 treasury shares were reissued to provide 7.7 million of the shares needed for the two-for-one stock split effected 
December 27, 2012 in the form of a stock dividend.

ProAssurance issued approximately 41,000, 37,000 and 40,000 common shares to employees in February 2013, 2012 and 
2011, respectively, as bonus compensation, as approved by the Compensation Committee of the Board. The shares issued were 
valued at fair value (the market price of a ProAssurance common share on the date of award).

As of December 31, 2013, approximately 3.0 million of ProAssurance's authorized common shares were reserved by the 

Board for award or issuance under the incentive compensation plans described in Note 12 and an additional 0.8 million of 
authorized common shares were reserved for the issuance of currently outstanding restricted share and performance share unit 
awards and for the exercise of outstanding stock options.

126

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Other Comprehensive Income (Loss) (OCI)

For all periods presented, OCI was comprised of unrealized gains and losses arising during the period, less 

reclassification adjustments, related to available-for-sale securities, net of tax. At December 31, 2013 and 2012, accumulated 
other comprehensive income was comprised entirely of unrealized gains and losses from available-for-sale securities, including 
non-credit impairment losses previously recognized in OCI of $0.5 million and $0.9 million, respectively, net of tax. All tax 
effects were computed using a 35% rate.

Amounts reclassified from accumulated other comprehensive income to net income during the years ended December 31, 

2013, 2012 and 2011 all related to available-for-sale securities and included the following:

(In thousands)

2013

2012

2011

Reclassifications from accumulated other comprehensive
income to net income, available for sale securities:

Realized investment gains (losses)

$

11,375

$

17,350

$

13,101

Non-credit impairment losses reclassified to earnings, due
to sale of securities or reclassification as a credit loss

Total amounts reclassified, before tax effect

Tax effect (at 35%)
Net reclassification adjustments

(347)
11,028
(3,860)
7,168

$

(2,417)
14,933
(5,227)
9,706

$

(2,415)
10,686
(3,740)
6,946

$

12. Share-Based Payments

Share-based compensation costs are primarily classified as underwriting, policy acquisition and operating expenses.

Since May 2013, ProAssurance has provided share-based compensation to employees under the ProAssurance 

Corporation Amended and Restated 2014 Equity Incentive Plan. Previously, compensation was provided under the 
ProAssurance Corporation 2008 Equity Incentive Plan (2009 to May 2013), the ProAssurance Corporation 2004 Equity 
Incentive Plan (2005 to 2008) and the ProAssurance Corporation Incentive Compensation Stock Plan (prior to 2005). The 
Compensation Committee of the Board is responsible for the administration of all four plans.

ProAssurance has provided share-based compensation to employees utilizing four types of awards: stock options, 

restricted share units, performance share units and purchase match units. The following table provides a summary of 
compensation expense and compensation cost that will be charged to expense in future periods, by award type, and the total 
related tax benefit recognized during each period.

Share-Based
Compensation Expense

Year Ended December 31

Unrecognized Compensation Cost

December 31, 2013

2013

2012

2011

Amount

(In millions)

$

$
$

— $
1.6
7.1
0.5
9.2
3.2

$
$

— $
1.6
6.7
0.3
8.6
3.0

$
$

0.1
1.3
5.6
0.1
7.1
2.5

(In millions)
—
$
2.1
8.1
1.5
11.7

$

Remaining
Recognition Period

(Weighted average years)
N/A
1.7
1.7
2.2

Stock Options
Restricted Share Units
Performance Share Units
Purchase Match Units
Total share-based compensation expense
Tax benefit recognized

All awards are charged to expense as an increase to equity over the service period (generally the vesting period) 
associated with the award. Except for stock options, which are separately described below, awards vest in their entirety at the 
end of a three-year period following the grant date based on a continuous service requirement and, for performance share units, 
achievement of a performance objective. Partial vesting is permitted for retirees. A ProAssurance common share is issued for 
each restricted, performance or purchase match unit once vesting requirements are met, except that units sufficient to satisfy 
required tax withholdings are paid in cash.

On December 27, 2012 ProAssurance paid a special dividend of $2.50 per common share and effected a two-for-one split.  

Thereafter, the Compensation Committee adjusted outstanding awards and options so as to put award holders in the same 
economic position after the split and dividend as before. No compensation resulted from the adjustments because there was no 

127

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

change to the intrinsic value of the awards. The following tables reflect award activity as if the adjustments had occurred at the 
beginning of the earliest period presented.

Stock Options

ProAssurance’s stock options generally vested in five equal installments, the first installment occurring six months after 
the grant date and the other installments occurring annually thereafter. All options were granted with an exercise price equal to 
the market price of a ProAssurance common share on the date of grant, and an original term of ten years. ProAssurance option 
agreements permit cashless exercise whereby the exercise price and any required tax withholdings are allowed to be satisfied by 
the retention of shares that would otherwise be deliverable to the option holder. ProAssurance issues new shares for options 
exercised.

Activity for stock options during 2013, 2012 and 2011 is summarized below.

Outstanding, 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

2013

2012

2011

Weighted
Average
Exercise
Price

23.15
—
24.28
—
23.00
23.00

Options

$

20,302
—
(2,220)
—
18,082
18,082

Weighted
Average
Exercise
Price

22.76
—
22.75
25.67
23.15
23.15

$

Options
1,014,661
—
(994,148)
(211)
20,302
20,302

$

Options
1,430,105
—
(412,695)
(2,749)
1,014,661
959,889

18,082

23.00

20,302

23.15

1,014,064

Weighted
Average
Exercise
Price

21.85
—
19.61
25.36
22.76
22.59

22.75

All options were vested as of December 31, 2012. The aggregate grant date fair value of options vested during the years 
ended December 31, 2012 and 2011 was $0.9 million and $0.9 million, respectively. The aggregate intrinsic value of options 
exercised during 2013, 2012 and 2011 was $0.1 million, $19.8 million and $5.8 million, respectively. ProAssurance outstanding 
options had an aggregate intrinsic value of $0.5 million and a weighted average remaining contractual term of 2.93 years at 
December 31, 2013. There were no cash proceeds from options exercised during the years ended December 31, 2013, 2012 or 
2011.

Restricted Share Units

Activity for restricted share units during 2013, 2012 and 2011 is summarized below. Grant date fair values are based on 

the market value of a ProAssurance common share on the date of grant.

Beginning non-vested balance

Granted
Forfeited
Vested and released
Ending non-vested balance

2013

2012

2011

$

Weighted
Average
Grant Date
Fair Value
31.94
46.97
35.91
25.25
38.92

Units
157,212
39,400
(603)
(57,239)
138,770

Weighted
Average
Grant Date
Fair Value

25.52
42.22
35.23
22.61
31.94

$

Units
167,236
51,864
(2,823)
(59,065)
157,212

Weighted
Average
Grant Date
Fair Value

23.88
29.27
25.38
22.56
25.52

$

Units
120,478
52,256
(5,075)
(423)
167,236

The aggregate grant date fair value of restricted share units vested and released in 2013 and 2012 totaled $1.4 million and 
$1.3 million respectively. The aggregate intrinsic value of restricted share units vested and released in 2013 and 2012 (including 
units paid in cash to cover tax withholdings) totaled $2.7 million and $2.6 million, respectively. 

128

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

Performance Share Units

Performance share units vest only if minimum performance objectives are met, and the number of units earned varies 

from 75% to 125% of a base award depending upon the degree to which stated performance objectives are achieved. 
Performance share unit activity for 2013, 2012 and 2011 is summarized below. The table reflects the base number of units; 
actual awards that vest depends upon the extent to which performance objectives are achieved. Grant date fair values are based 
on the market value of a ProAssurance common share on the date of grant.

Beginning non-vested balance

Granted
Forfeited
Vested and released
Ending non-vested balance
Common shares issued due to

vesting of awards

2013

2012

2011

Weighted
Average
Grant Date
Fair Value

33.21
46.97
38.90
26.39
39.86

$

Base Units

552,417
145,580
(17,043)
(194,274)
486,680

135,044

Weighted
Average
Grant Date
Fair Value

26.36
42.22
31.44
23.13
33.21

$

Base Units

522,599
212,205
(20,492)
(161,895)
552,417

114,884

Weighted
Average
Grant Date
Fair Value

24.56
30.30
26.28
25.61
26.36

$

Base Units

493,661
196,186
(15,804)
(151,444)
522,599

112,822

The aggregate grant date fair value of performance share units (base level) vested and released in 2013, 2012 and 2011 

totaled $5.1 million, $3.7 million and $3.9 million, respectively. The aggregate intrinsic value of performance share units vested 
and released in 2013, 2012 and 2011 (including units paid in cash to cover tax withholdings) totaled $9.1 million, $7.2 million 
and $5.3 million, respectively. The vested units were issued at the maximum level (125%) based on performance levels 
achieved.

Purchase Match Units

The ProAssurance Corporation 2011 Employee Stock Ownership Plan (the 2011 Plan) began operating effective January 

1, 2011. The 2011 Plan provides a purchase match unit for each share purchased with contributions by eligible plan participants, 
limited to $5,000 annually per participant.

Purchase match unit activity during 2013, 2012 and 2011 is summarized below. Grant date fair values are based on the 

market value of a ProAssurance common share on the date of grant.

2013

2012

2011

Weighted
Average
Grant  Date
Fair Value

$

39.85
43.57
40.71
36.33
41.34

Units

40,985
25,151
(2,456)
(555)
63,125

Weighted
Average
Grant  Date
Fair Value

36.20
42.59
37.72
36.20
39.85

$

Units

18,900
23,799
(1,610)
(104)
40,985

Weighted
Average
Grant  Date
Fair Value

—
36.20
36.20
—
36.20

Units

— $

19,016
(116)
—
18,900

Beginning non-vested balance

Granted
Forfeited
Vested and released
Ending non-vested balance

13. Variable Interest Entities

ProAssurance holds passive interests in a number of entities that are considered to be Variable Interest Entities (VIEs) 
under GAAP guidance. ProAssurance's VIE interests principally consist of interests in LPs/LLCs formed for the purpose of 
achieving diversified equity and debt returns. ProAssurance VIE interests carried as a part of Other Investments totaled $27.3 
million at December 31, 2013 and $25.1 million at December 31, 2012. ProAssurance VIE interests, carried as a part of 
Investment in Unconsolidated Subsidiaries, totaled $49.5 million at December 31, 2013 and $33.7 million at December 31, 
2012.

ProAssurance has not consolidated these VIE's because it has either very limited or no power to control the activities that 

most significantly affect the economic performance of these entities and is not the primary beneficiary of any of the entities. 
ProAssurance’s involvement with each entity is limited to its direct ownership interest in the entity. ProAssurance has no 
arrangements or agreements of significance with any of the entities to provide other financial support to or on behalf of the 

129

 
 
 
 
ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

entity. At December 31, 2013, ProAssurance’s maximum loss exposure relative to these investments was limited to the carrying 
value of ProAssurance’s investment in the VIE.

14. Earnings Per Share

Diluted weighted average shares is calculated as basic weighted average shares plus the effect, calculated using the 
treasury stock method, of assuming that dilutive stock options have been exercised and that performance, restricted, and 
purchase share units have vested. All outstanding stock options, performance, restricted, and purchase share units had a dilutive 
effect for the years ended December 31, 2013, 2012 and 2011.

15. Benefit Plans

ProAssurance maintains a defined contribution savings and retirement plan (the ProAssurance Savings Plan) that is 
intended to provide retirement income to eligible employees. The plan provides for employer contributions to the plan of 
between 5% and 10% of salary for qualified employees. During 2013 and 2011, ProAssurance also maintained similar plans of 
acquired entities prior to the plans being merged into the ProAssurance Savings Plan. ProAssurance incurred expense related to 
the savings and retirement plans of $9.8 million, $5.1 million and $4.3 million during the years ended December 31, 2013, 
2012 and 2011, respectively.

ProAssurance also maintains a non-qualified deferred compensation plan (the ProAssurance Plan) that allows 
participating management employees to defer a portion of their current salary. ProAssurance incurred expense related to the 
ProAssurance Plan of $0.2 million during each of the years ended December 31, 2013, 2012 and 2011. ProAssurance deferred 
compensation liabilities totaled $13.1 million at December 31, 2013 and $11.1 million at December 31, 2012. The liabilities 
included amounts due under the ProAssurance Plan and amounts due under individual agreements with current or former 
employees.

16. 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. ProAssurance 
did not use any prescribed or permitted statutory accounting practices that differed from the National Association of Insurance 
Commissioners' statutory accounting practices at December 31, 2013, 2012 or 2011. 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 recognized under GAAP but are not recognized for statutory purposes.

The NAIC specifies risk-based capital requirements for property and casualty insurance providers. At December 31, 2013 

actual statutory capital and surplus for each of ProAssurance’s insurance subsidiaries substantially exceeded the regulatory 
requirements. Net earnings and capital and surplus of ProAssurance’s insurance subsidiaries on a statutory basis are shown in 
the following table. The table does not include Eastern, as the acquisition occurred on January 1, 2014 (see Note 18).

Statutory Net Earnings

Statutory Capital and Surplus

2013
$256

2012
$312

2011
$291

2013
$1,642

2012
$1,499

(In millions)

At December 31, 2013 $1.8 billion of ProAssurance's consolidated net assets were held at its insurance subsidiaries, of 

which approximately $243 million are permitted to be paid as dividends over the course of 2014 without prior approval of state 
insurance regulators. 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 capital and surplus of the insurance subsidiary.

130

ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2013

17. Quarterly Results of Operations (unaudited)

The following is a summary of unaudited quarterly results of operations for 2013 and 2012:

(In thousands, except per share data)

Net premiums earned
Net losses and loss adjustment expenses:

Current year
Prior year

Net income
Basic earnings per share*
Diluted earnings per share*

(In thousands, except per share data)

Net premiums earned
Net losses and loss adjustment expenses:

Current year
Prior year

Net income
Basic earnings per share*
Diluted earnings per share*

1st
134,578

$

2nd
130,352

$

3rd
133,598

$

4th
129,392

$

2013

110,726
(53,100)
112,850
1.83
1.82

109,109
(38,500)
50,451
0.82
0.81

2012

110,987
(49,350)
63,357
1.02
1.02

116,689
(81,799)
70,864
1.15
1.14

1st
136,659

$

2nd
131,266

$

3rd
127,125

$

4th
155,615

$

117,656
(47,457)
55,645
0.91
0.90

108,134
(60,050)
58,453
0.95
0.95

106,621
(50,000)
60,106
0.98
0.97

119,539
(114,531)
101,266
1.65
1.64

* 

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 respective year-to-date periods.

18. Subsequent Events

As discussed in Note 2, on January 1, 2014 ProAssurance completed the acquisition of Eastern. Funds required for the 

purchase were transferred to a third party agent on December 27, 2013 and distributed to eligible Eastern shareholders 
subsequent to the completion of the transaction.

131

 
 
ProAssurance Corporation and Subsidiaries
Schedule I – Summary of Investments – Other than Investments in Related Parties
December 31, 2013

Type of Investment

(In thousands)

Fixed Maturities
Bonds:

U.S. Government or government agencies and authorities
States, municipalities and political subdivisions
Foreign Governments
Public utilities
All other corporate bonds
Certificates of deposit
Mortgage-backed securities

Total Fixed Maturities

Equity Securities, available-for-sale

Common Stocks:

Banks, trusts and insurance companies

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
Short-term investments

Total Investments

Recorded
Cost
Basis

Fair
Value

Amount Which is
Presented
in the
Balance Sheet

$

$

197,057
1,116,060
5,141
95,943
1,220,604
150
391,301
3,026,256

—
—

5,880
68,596
128,832
203,308
320,850
248,605
3,799,019

$

$

203,482
1,154,666
5,348
98,501
1,250,311
6,993
398,748
3,118,049

—
—

7,107
81,536
164,898
253,541
317,816
248,605
3,938,011

$

$

203,482
1,154,666
5,348
98,501
1,250,311
6,993
398,748
3,118,049

—
—

7,107
81,536
164,898
253,541
320,850
248,605
3,941,045

132

 
ProAssurance Corporation and Subsidiaries
Schedule II – Condensed Financial Information of Registrant

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, trading, at fair value
Short-term investments
Cash and cash equivalents
Restricted cash
Due from subsidiaries
Other assets

Total Assets

Liabilities and Shareholders’ Equity
Liabilities:
Other liabilities
Long-term debt

Total Liabilities

Shareholders’ Equity:
Common stock
Other shareholders’ equity, including unrealized gains (losses) on securities of

subsidiaries

Total Shareholders’ Equity
Total Liabilities and Shareholders’ Equity

December 31

2013

2012

$

$

$

$

2,005,420
86,603
12,043
191,991
37,459
78,000
3,315
255,313
2,670,144

25,730
250,000
275,730

621

2,393,793
2,394,414
2,670,144

$

$

$

$

2,092,445
249,318
10,487
4,366
29,397
—
23,708
7,747
2,417,468

21,888
125,000
146,888

619

2,269,961
2,270,580
2,417,468

133

 
ProAssurance Corporation and Subsidiaries
Schedule II – Condensed Financial Information of Registrant

ProAssurance Corporation – Registrant Only
Condensed Statements of Income

(In thousands)

2013

2012

2011

Year Ended December 31

Net investment income
Equity in earnings (loss) of unconsolidated subsidiaries
Net realized investment gains (losses)
Other income (loss)

Expenses:
Interest expense
Other expenses

Income (loss) before income tax expense (benefit) and equity in net

income of consolidated subsidiaries

Income tax expense (benefit)
Income (loss) before equity in net income of consolidated

subsidiaries

Equity in net income of consolidated subsidiaries
Net income

$

$

$

5,789
—
5,334
170
11,293

2,747
13,213
15,960

(4,667)
(1,007)

$

5,281
(728)
3,230
54
7,837

1,534
8,870
10,404

(2,567)
773

(3,660)
301,183
297,523

$

(3,340)
278,810
275,470

$

1,582
(2,479)
(141)
101
(937)

1,833
7,855
9,688

(10,625)
(3,209)

(7,416)
294,512
287,096

134

 
ProAssurance Corporation and Subsidiaries
Schedule II – Condensed Financial Information of Registrant

ProAssurance Corporation – Registrant Only
Condensed Statements of Cash Flow

Net cash provided (used) by operating activities
Investing activities

(In thousands)

Purchases of equity securities trading
Proceeds from sale or maturities of:

Fixed maturities, available for sale
Equity securities trading

Net decrease (increase) in short-term investments
Dividends from subsidiaries
Contribution of capital to subsidiaries
Deposit made for future acquisition
(Increase) decrease in restricted cash
Funding for Syndicate 1729
Other

Net cash provided (used) by investing activities
Financing activities

Proceeds from long-term debt
Principal repayment of debt
Repurchase of common stock
Subsidiary payments for common shares and share-based

compensation awarded to subsidiary employees

Excess of tax benefit from share-based payment arrangements
Dividends to shareholders
Other

Net cash provided (used) by financing activities
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:

Securities transferred at fair value as dividends from subsidiaries

Year Ended December 31

2013

2012

2011

$

(26,319) $

3,601

$

(3,982)

(1,265)

(364)

(990)

224,993
1,113
(187,625)
239,484
—
(205,244)
(78,000)
(8,699)
(20)
(15,263)

250,000
(125,000)
(29,089)

6,258
2,128
(46,375)
(8,278)
49,644
8,062
29,397
37,459

$

150,192
616
58,657
59,369
(184,330)
—
—
—
(1)
84,139

125,000
(32,992)
—

7,066
7,022
(200,118)
(12,259)
(106,281)
(18,541)
47,938
29,397

$

19,398
6,887
(28,708)
90,020
(12,500)
—
—
—
(3,070)
71,037

—
—
(21,005)

6,071
1,711
(7,617)
(2,561)
(23,401)
43,654
4,284
47,938

69,011

$

241,081

$

197,224

$

$

135

 
ProAssurance Corporation and Subsidiaries
Schedule II – Condensed Financial Information of Registrant

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, 2013 and 2012, 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. Business Combinations

On January 1, 2013, ProAssurance, through a wholly owned subsidiary, completed the acquisition of Medmarc Mutual 
Insurance Company, now Medmarc Casualty Insurance Company (Medmarc), through a sponsored demutualization. A gain 
recognized on the acquisition is included in the December 31, 2013 Consolidated Statements of Income and Comprehensive 
Income.

On January 1, 2014, ProAssurance completed the acquisition of Eastern Insurance Holdings, Inc. (Eastern) (NASDAQ: 

EIHI) by purchasing 100% of its outstanding common shares. ProAssurance acquired Eastern for cash of $205 million. 
ProAssurance transferred all of the cash required to complete the transaction to a third-party agent for the benefit of Eastern 
eligible shareholders on December 27, 2013; the deposit was classified as a part of Other Assets at December 31, 2013. 

Additional information regarding business combinations is provided in Note 2 of the Notes to Consolidated Financial 

Statements.

3. Other Assets

At December 31, 2013 Other assets was principally comprised of a $205 million deposit made related to the Eastern 

transaction, discussed in Note 2 above.

4. Long-term Debt

Outstanding long-term debt, as of December 31, 2013 and 2012, consists of the following:

(In thousands)

Senior notes due 2023, unsecured, interest at 5.3% annually

Revolving credit agreement, expires in 2016

2013

2012

$

$

250,000

—

250,000

$

$

—

125,000

125,000

See Note 10 of the Notes to Consolidated Financial Statements included herein for a detailed description of the terms of 

the Senior Notes due 2023 and the Revolving Credit Agreement.

5. Related Party Transactions

PRA Parent received dividends from its subsidiaries of $308.5 million, $300.5 million and $287.2 million during the 

years ended December 31, 2013, 2012 and 2011, respectively. PRA Parent did not contribute capital to its subsidiaries during 
the year ended December 31, 2013 and contributed capital of $184.3 million and $12.5 million during the years ended 
December 31, 2012 and 2011, respectively. Capital contributed in 2012 was primarily for the purpose of funding the Medmarc 
acquisition.

6. 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.

7. Transactions with Syndicate 1729

As a member of Lloyd's and a capital provider to Syndicate 1729 ProAssurance is required to provide capital, referred to 

as Funds at Lloyd's (FAL), to support Syndicate 1729. In order to meet these FAL requirements, ProAssurance, through a 
wholly owned subsidiary, provided a standby letter of credit of £41.9 million ($69.3 million at December 31, 2013) and cash 
deposits of $8.7 million. At December 31, 2013 the LOC was fully secured by cash deposits of PRA Parent, shown separately 
on the registrant-only Condensed Balance Sheet as Restricted cash. ProAssurance also has a revolving credit agreement (the 
Credit Agreement) with Syndicate 1729 to provide operating funds of up to £10 million (approximately $17 million at 
December 31, 2013). At December 31, 2013, £1.0 million ($1.7 million) had been drawn under the Credit Agreement. Both the 
required funded capital and the funds drawn under the Credit Agreement were classified as a part of Other assets at 
December 31, 2013. See Note 9 of the Notes to Consolidated Financial Statements for more information regarding transactions 
with Syndicate 1729.

136

ProAssurance Corporation and Subsidiaries
Schedule III – Supplementary Insurance Information

(In thousands)

Deferred policy acquisition costs
Reserve for losses and loss adjustment expenses
Unearned premiums
Net premiums earned
Net investment income
Losses and loss adjustment expenses incurred related to current

year, net of reinsurance

Losses and loss adjustment expenses incurred related to prior year,

net of reinsurance

Paid losses and loss adjustment expenses, net of reinsurance
Underwriting, policy acquisition and operating expenses:
Amortization of deferred policy acquisition costs
Other underwriting, policy acquisition and operating expenses

Net premiums written

$

$

2013

28,999
2,072,822
256,255
527,919
129,265

$

2012

23,179
2,054,994
233,861
550,664
136,094

2011

26,626
2,247,772
251,155
565,415
140,956

447,510

451,951

488,152

(222,749)
388,813

(272,038)
339,142

(325,865)
298,837

59,063
88,754
525,182

57,007
78,624
528,298

59,591
76,830
558,507

Note: all amounts above are derived entirely from consolidated property and casualty entities.

137

ProAssurance Corporation and Subsidiaries
Schedule IV – Reinsurance

(In thousands)

2013

2012

2011

Property and Liability (1)
Premiums earned
Premiums ceded
Premiums assumed

Net premiums earned

Percentage of amount assumed to net

$

$

568,629
(41,514)
804
527,919

$

$

558,200
(7,652)
116
550,664

$

$

570,891
(5,630)
154
565,415

0.15%

0.02%

0.03%

(1)  All of ProAssurance’s premiums are related to property and liability coverages.

138

Exhibit
Number

2

2.1

2.2

2.3

2.4

2.5

3.1(a)

3.1(b)

3.2

4.1

4.2

10.1(a)

10.1(b)

10.1(c)

10.2(a)

10.2(b)

10.3(a)

EXHIBIT INDEX

Description

Schedules to the following documents are omitted; the contents of the schedules are generally described in
the documents; and ProAssurance will upon request furnish to the Commission supplementally a copy of
any omitted schedule

  Plan of Conversion of PICA as filed with the Illinois Director of Insurance on November 13, 2008 (1)

  Stock Purchase Agreement executed by ProAssurance Corporation and PICA dated October 28, 2008 (1)

Agreement and Plan of Merger by and among ProAssurance Corporation, CA Bridge Corporation and
American Physicians Service Group, Inc. dated August 31, 2010 (2)

Stock Purchase Agreement dated as of June 26, 2012, by and among ProAssurance Corporation, PRA
Professional Liability Group, Inc. and Medmarc Mutual Insurance Company

Agreement and Plan of Merger by and among ProAssurance Corporation, PA Merger Company and Eastern
Insurance Holdings, Inc., dated September 23, 2013 (3)

  Certificate of Incorporation of ProAssurance (4)

  Certificate of Amendment to Certificate of Incorporation of ProAssurance (5)

  Third Restatement of the Bylaws of ProAssurance (6)

Indenture, dated November 21, 2013, between ProAssurance and Wilmington Trust Company (26)

First Supplemental Indenture, dated November 21, 2013, between ProAssurance and Wilmington Trust
Company relating to the $250,000 5.30% Senior Notes due 2023 (26)

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 that has
not been registered. See also the documents related to long term indebtedness filed as material contracts
under Exhibits 10.16(a), (b), (c) and (d), and 10.20(a), (b) and (c) to this Form 10-K

Medical Assurance, Inc. Incentive Compensation Stock Plan (formerly known as the Mutual Assurance,
Inc. 1995 Stock Award Plan) (7)*

  Amendment and Assumption Agreement by and between ProAssurance and Medical Assurance, Inc. (8)*

Amendment and Assumption Agreement by and between Mutual Assurance, Inc. and MAIC Holdings, Inc.
dated April 8, 1996 (4)*

  ProAssurance Corporation 2004 Equity Incentive Plan (9)*

  First amendment to 2004 Equity Incentive Plan (10)*

Form of Release and Severance Compensation Agreement dated as of January 1, 2008 between
ProAssurance and each of the following named executive officers (11):*

Edward L. Rand, Jr.
Howard H. Friedman
Jeffrey P. Lisenby
Frank B. O’Neil

139

 
 
 
 
 
 
 
 
10.4(a)

10.4(b)

10.5

10.6

10.7

10.8

  Employment Agreement between ProAssurance and W. Stancil Starnes dated as of May 1, 2007 (12)*

Amendment to Employment Agreement with W. Stancil Starnes (May 1, 2007), effective as of January 1,
2008 (11)*

  Consulting Agreement between ProAssurance and William J. Listwan (13)*

Deferred Compensation Plan and Agreement dated December 31, 2010 between ProAssurance and Victor T.
Adamo (12)*

Form of Release and Severance Compensation Agreement dated as of September 1, 2011 between
ProAssurance and Ross E. Taubman (18)*

Form of Indemnification Agreement between ProAssurance and each of the following named executive
officers and directors of ProAssurance (18)*

Lucian F. Bloodworth
Samuel A. Di Piazza, Jr.
Robert E. Flowers
Howard H. Friedman
M. James Gorrie
Jeffrey P. Lisenby
William J. Listwan
John J. McMahon
Drayton Nabers
Frank B. O’Neil
Ann F. Putallaz
Edward L. Rand, Jr.
Frank A. Spinosa
W. Stancil Starnes
Ross E. Taubman
Anthony R. Tersigni
Adam P. Wilczek
Thomas A. S. Wilson, Jr.

10.9

10.10

ProAssurance Group Employee Benefit Plan which includes the Executive Supplemental Life Insurance
Program (Article VIII) (21)*

Amendment and Restatement of the Executive Non-Qualified Excess Plan and Trust effective January 1,
2008 (10)*

10.11(a)

  Director Deferred Compensation Plan as amended and restated December 7, 2011 (20)*

10.11(b)

10.12

10.13

10.14

Amendment No. 1 to the Amended and Restated Director Deferred Compensation Plan dated May 22, 2013
(22)*

  ProAssurance Corporation 2008 Equity Incentive Plan (15)*

  First Amendment to the 2008 Equity Incentive Plan (20)*

  ProAssurance Corporation 2008 Annual Incentive Compensation Plan (16)*

140

 
 
 
 
 
10.15

   ProAssurance Corporation 2011 Employee Stock Ownership Plan (11)*

10.16(a)

10.16(b)

Revolving Credit Agreement, dated April 15, 2011, between ProAssurance and U.S. Bank National
Association, Wells Fargo Bank, National Association, Branch Banking and Trust Company, First Tennessee
Bank, N.A., and JP Morgan Chase Bank N.A. (17)

Amendment No. 1 to Revolving Credit Agreement between ProAssurance and U.S. Bank National
Association, Wells Fargo Bank, National Association, Branch Banking and Trust Company, First Tennessee
Bank, N.A., and JP Morgan Chase Bank N.A. (19)

10.16(c)

Amendment No. 2 to Revolving Credit Agreement between ProAssurance and U.S. Bank National
Association, Wells Fargo Bank, National Association, Branch Banking and Trust Company, First Tennessee
Bank, N.A., and JP Morgan Chase Bank N.A. (25)

10.16(d)

   Pledge and Security Agreement between ProAssurance and U.S. Bank National Association (17)

10.17

10.18

10.19

10.20(a)

10.20(b)

10.20(c)

ProAssurance Corporation Amended and Restated 2014 Equity Incentive Plan (23)*

ProAssurance Corporation 2014 Annual Incentive Plan (24)*

Retention and Severance Compensation Agreement effective January 1, 2013, between ProAssurance and
Mary Todd Peterson*

Standby Letter of Credit Agreement, dated November 8, 2013, between ProAssurance and Wells Fargo
Bank, National Association (25)

Parent Guaranty, dated November 8, 2013, by ProAssurance in favor of Wells Fargo Bank, National
Association (25)

Pledge and Security Agreement dated November 8, 2013, between ProAssurance and Wells Fargo Bank,
National Association (25)

10.21

Facility Agreement between ProAssurance and the Premiums Trust Fund of Syndicate 1729

10.22

10.23

21.1

23.1

31.1

31.2

32.1

32.2

Underwriting Agreement between ProAssurance and Goldman, Sachs & Co. and Wells Fargo Securities,
LLC (26)

Retention and Severance Compensation Agreement effective January 1, 2014, between ProAssurance and
Michael L. Boguski*

   Subsidiaries of ProAssurance Corporation

   Consent of Ernst & Young LLP

   Certification of Principal Executive Officer of ProAssurance as required under SEC Rule 13a-14(a)

   Certification of Principal Financial Officer of ProAssurance as required under SEC Rule 13a-14(a)

Certification of Principal Executive Officer of ProAssurance as required under SEC Rule 13a-14(b) and
Section 1350 of Chapter 63 of Title 18 of the United States Code, as amended (18 U.S.C. 1350)

Certification of Principal Financial Officer of ProAssurance as required under SEC Rule 13a-14(b) and 18
U.S.C. 1350

101.INS

   XBRL Instance Document

101.SCH

   XBRL Taxonomy Extension Schema Document

101.CAL

   XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF

   XBRL Taxonomy Extension Definition Linkbase Document

101.LAB

   XBRL Taxonomy Extension Labels Linkbase Document

101.PRE

   XBRL Taxonomy Extension Presentation Linkbase Document

*  Denotes a management contract or compensatory plan, contract or arrangement required to be filed as an exhibit to this report.

141

  
  
  
Footnotes

(1)  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

(2)  Filed as an Exhibit to ProAssurance’s Current Report on Form 8-K for event occurring August 31, 2010 (File 

No. 001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(3)  Filed as an Exhibit to ProAssurance's Current Report on Form 8-K for event occurring September 24, 2013 (File No. 

001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(4)  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)

(5)  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

(6)  Filed as an Exhibit to ProAssurance’s Current Report on Form 8-K for the event occurring December 1, 2010 (File 

No. 001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(7)  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

(8)  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

(9)  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

(10) 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

(11) 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

(12) Filed as an Exhibit to ProAssurance’s Annual Report on Form 10-K for the year ended December 31, 2010 (File 

No. 001-16533) and incorporated herein by reference pursuant to Rule 12b-32

(13) Filed as an Exhibit to ProAssurance’s Current Report on Form 8-K for the event occurring May 12, 2007 (File 

No. 001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(14) 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

(14) Filed as an Exhibit to ProAssurance’s Annual Report on Form 10-K for the year ended December 31, 2009 (File 

No. 001-16533) and incorporated herein by this reference pursuant to SEC Rule 12b-32

(15) 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

(16) 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

(17) Filed as an Exhibit to ProAssurance’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2011 (File 

No. 001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(18) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10-Q for the quarter ended June 30, 2012 (File 

No. 001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(19) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10-Q for the quarter ended September 30, 2012 (File 

No. 001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(20) Filed as an Exhibit to ProAssurance's Annual Report on Form 10K for the year ended December 31, 2011 (File No. 

001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(21) Filed as an exhibit to ProAssurance's Annual Report on Form 10-K for the year ended December 31, 2004 (File No. 

001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(22) Filed as an exhibit to ProAssurance's Quarterly Report on Form 10-Q for the quarter ended June 30, 2013 (File No. 

001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(23) Filed as an Exhibit to ProAssurance’s Current Report on Form 8-K for event occurring May 14, 2013 (File 

No. 001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(24) Filed as an Exhibit to ProAssurance’s Definitive Proxy Statement (File No. 001-165333) filed on April 22, 2013 and 

incorporated herein by reference pursuant to SEC Rule 12b-32

142

(25) Filed as an Exhibit to ProAssurance's Current Report on Form 8-K for even occurring November 8, 2013 (File No. 

001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

(26) Filed as an Exhibit to ProAssurance's Current Report on Form 8-K for even occurring November 21, 2013 (File No. 

001-16533) and incorporated herein by reference pursuant to SEC Rule 12b-32

143

I, W. Stancil Starnes, certify that:

1. I have reviewed this report on Form 10-K of ProAssurance Corporation;

CERTIFICATION

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 20, 2014 

/s/ W. Stancil Starnes
W. Stancil Starnes
Chief Executive Officer

Exhibit 31.1

 
I, Edward L. Rand, Jr., certify that:

1. I have reviewed this report on Form 10-K of ProAssurance Corporation;

CERTIFICATION

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 20, 2014 

/s/ Edward L. Rand, Jr.
Edward L. Rand, Jr.
Chief Financial Officer

Exhibit 31.2

 
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, 2013 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 20, 2014 

/s/ W. Stancil Starnes
W. Stancil Starnes
Chief Executive Officer

Exhibit 32.1

 
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, 2013 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 20, 2014 

/s/ Edward L. Rand, Jr.
Edward L. Rand, Jr.
Chief Financial Officer

Exhibit 32.2

 
Non-GAAP Financial Measures

  Operating income is a non-GAAP financial measure that is widely used to evaluate performance within the 
insurance sector. In calculating operating income, we have excluded the after-tax net effects of loss on the 
extinguishment of debt, net realized investment gains or losses, guaranty fund assessments or recoupments, gain on 
acquisition and the effect of confidential settlements that do not reflect normal operating results. We believe 
Operating income, when considered along with Net income, presents a useful view of the performance of our 
insurance operations. 

Reconciliation of Net income to Operating income: 

(in thousands, except per share amounts)

All share and per share results reflect the
effect of a two-for-one stock split effective
December 27, 2012
Net income

Items excluded in the calculation

of operating income:

   Loss on the extinguishment of debt

   Net realized investment (gains) losses

   Guaranty fund assessments (recoupments)

   Gain on acquisition

   Effect of confidential settlements, net

Pre-tax effect of exclusions

Tax effect, at 35%, exclusive of non-taxable

gain on acquisition

Operating income

Per diluted common share:

   Net income

   Effect of exclusions

Operating income per diluted common

share

Year Ended December 31,

2013
297,523 $

$

2012

2011

2010

2009

275,470 $

287,096 $

231,598 $

222,026

—

(67,904)

40

(32,314)

—

(100,178)

2,163
(28,863)
345

—
(1,694)
(28,049)

—
(5,994)
(66)
—
(7,143)
(13,203)

—
(17,342)
(1,336)
—

—
(18,678)

2,839
(12,792)
(533)
—

—
(10,486)

23,752
221,097 $

9,817

4,621

6,537

3,670

257,238 $

278,514 $

219,457 $

215,210

4.80 $

4.46 $

4.65 $

3.60 $

(1.24)

(0.30)

(0.13)

(0.19)

3.35

(0.10)

3.56 $

4.16 $

4.52 $

3.41 $

3.25

$

$

$

  This page is not a part of ProAssurance’s Annual Report on Form 10K, and was not filed with the Securities & 
Exchange Commission.

Appendix A

I n v e s t o r   I n f o r m a t I o n

There  were  62,269,034  shares  of  ProAssurance  Corporation 
common  stock  outstanding  at  March  15,  2014.  On  that  date, 
we  had  2,923  shareholders  of  record.  Our  common  stock 
trades  on  the  New  York  Stock  Exchange  under  the  symbol 
PRA. The price of our stock is available from any website that 
provides stock quotes, including the website of the New York 
Stock Exchange, www.nyse.com; we also post the price of our 
stock on our website, www.ProAssurance.com.

Yo u r   s h a r e s
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  are  a  “registered  holder.” 
Registered  holders  may  contact  our  transfer  agent, 
Computershare, for address changes, transfer of certificates, 
and  replacement  of  share  certificates  that  have  been  lost  
or stolen.

You may reach Computershare in a variety of ways:

By Phone 

(800) 851-4218  
or  
(201) 680-6578 

By Internet

transfer,   
Information  about  your  account 
direct  deposit  of  dividends  and  your  dividend  payment  history  
https://www-us.computershare.com/investor/

including  share 

 Immediate access to tax forms  
https://www-us.computershare.com/investor/QuickTax

technical  assistance  with 

 For 
please phone (800) 942-5909

the  Computershare  website,  

By Mail

Computershare
P.O. Box 30170  
College Station, TX 77842-3170

211 Quality Circle, Suite 210 
College Station, TX 77845-4470

D I r e c t  D e p o s I t   o f   D I v I D e n D s  f o r   
r e g I s t e r e D  h o l D e r s
We encourage registered holders to have dividends deposited 
directly  into  a  designated  account  to  ensure  prompt,  secure 
delivery  of  your  funds.  You  may  arrange  for  Direct  Deposit  
by  updating  your  banking  details  with  Computershare 
(https://www-us.computershare.com/Investor/myProfile) once 
you  have  established  online  access  to  your  account  with 
Computershare.

c o r p o r a t e  g o v e r n a n c e  a n D  c o m p l I a n c e   
w I t h   r e g u l a t o r Y   a n D  n e w  Yo r k   s t o c k   
e x c h a n g e  r e q u I r e m e n t s
We  invite  you  to  visit  the  Investor  Relations  and  Corporate 
Governance sections of our website, www.ProAssurance.com. 
There 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 

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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  and  our  Internal  Audit  Charter.  Our  Corporate 
Governance  section  also  provides  information  such  as  stock 
ownership guidelines, committee composition and leadership, 
and  director  independence,  including  categorical  standards 
to assist in determining independence.

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  22,  2013.  Additionally, 
we have been timely in the filing of CEO/CFO certifications as 
required  in  Section  302  of  the  Sarbanes-Oxley  Act.  These 
 certifications are published as exhibits in our Form 10-K filed 
with the SEC on February 20, 2014.

I n v e s t o r   r e l a t I o n s
The  Investor  Relations  section  of  our  website  also  contains 
detailed financial information, a dividend payment history, SEC 
filings, the latest news releases about the Company and our latest 
presentation materials. We also maintain an archive of presen-
tation  materials,  although  you  should  realize  that  archived 
information, by its very nature, may no longer be accurate.

o b t a I n I n g   I n f o r m a t I o n   D I r e c t l Y   
f r o m  p r o a s s u r a n c e
Any of the documents mentioned above may be obtained from 
our Communications and Investor Relations Department using 
one of the contact methods below:

b Y   e - m a I l :
Investor@ProAssurance.com

b Y   u. s .   p o s t a l  s e r v I c e :
ProAssurance Corporation  
Investor Relations  
P.O. Box 590009  
Birmingham, AL 35259-0009

b Y   p h o n e  o r   f a x :
Phone: (205) 877-4400  •  (800) 282-6242  
Fax: (205) 802-4799

a n n u a l   m e e t I n g
The  2014  Annual  Meeting  is  scheduled  for  9:00  AM  CDT  on 
Wednesday,  May  28,  2014  at  the  headquar ters  of 
ProA ssurance  Cor poration,  100  Brook wood  Place, 
Birmingham, Alabama 35209.

 
 
 
 
 
 
 
 
 
 
 
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100 Brookwood Place
Birmingham, Alabama 35209
(205) 877-4400  (800) 282-6242

www.ProAssurance.com