FAQ
What does ProAssurance offer?
ProAssurance’s medical professional liability (MPL) division provides malpractice insurance coverage options for healthcare providers of all sizes and types. ProAssurance MPL is part of ProAssurance Group, a family of specialty insurance companies, each specializing in a unique line of business.At ProAssurance, you will experience superior malpractice claims handling and effective risk management resources.
Who does ProAssurance insure?
ProAssurance has coverage options for the full spectrum of healthcare professionals, including physicians and medical groups; hospitals and healthcare systems; senior care/long term care facilities; miscellaneous medical facilities; and allied healthcare professionals.ProAssurance offers a variety of medical liability options from first dollar coverage to specialty insurance solutions for multi-state and national healthcare providers.
ProAssurance Group also offers additional coverage options through different lines of business including PICA Group, offering coverage for specialized medical professionals such as podiatrists and chiropractors; Medmarc, offering coverage for medical technology and life sciences products; and Eastern Alliance, offering workers’ compensation options.
Where can I learn about ProAssurance’s company structure?
Visit ProAssurance Group to learn more about the Company’s structure and subsidiaries.What is ProAssurance’s strength?
ProAssurance MPL has more than 24,000 MPL policies; $5.5B in corporate assets; $4.2B in Liabilities as of June 2025. ProAssurance has an AM Best “A” (Excellent) rate. This is the third highest of 16 rating levels. Best’s financial strength rating is assigned to companies that have, in their opinion, an excellent ability to meet their ongoing insurance obligations.Does ProAssurance provide coverage in all 50 states and the District of Columbia?
Yes, ProAssurance provides coverage in all 50 states and the District of Columbia.Where is ProAssurance ranked in the top three writers of MPL as of May 2025?
AlabamaAlaska
California
Delaware
Indiana
Kentucky
Maine
Michigan
Missouri
Nevada
New Hampshire
Washington D.C.
Wisconsin
Where is ProAssurance ranked in the top 10 writers of MPL?
ArizonaColorado
Connecticut
Florida
Georgia
Idaho
Illinois
Iowa
Kansas
Maryland
Mississippi
Montana
Nebraska
New Jersey
New Mexico
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Virginia
West Virginia
Wyoming
Who is ProAssurance’s MPL Leadership?
Rob Francis, President of Medical Professional LiabilityShep Tapasak, Senior Vice President & Chief Underwriting Officer
Mike Severyn, Senior Vice President of Claims
Mike Rosenthal, Senior Vice President of Business Development
Steve Dapkus, Senior Vice President of Marketing & Risk Management
Pam Robertson, Senior Vice President of Business Operations, Logistics, & Technology
Margaret Christian, President of PICA Group
Wade Willard, President of PPM
Sokol Berisha, Senior Vice President & Chief Actuarial Officer
Dennis Meisel, Senior Vice President of Finance
Craig Musgrave, Senior Vice President of Information Technology
Where does ProAssurance have endorsements and/or sponsorships?
Alabama – Healthcare Leaders Association of AlabamaAlabama – Medical Association of the State of Alabama
Delaware – Medical Society of Delaware
Indiana – Indiana State Medical Association
Pennsylvania – Pennsylvania Medical Society
Wisconsin – Wisconsin Medical Society
Wisconsin – Wisconsin Hospital Association
Wisconsin – Healthcare Leaders Association of Wisconsin
Who does ProAssurance have an annual sponsorship agreement with?
Healthcare Leaders Association – Birmingham ChapterMadison County Medical Society
Medical Society of Mobile County
Fresno Madera Medical Society
Kern County Medical Society
Los Angeles County Medical Association
Riverside County Medical Association
San Bernardino County Medical Society
San Joaquin County Medical Society
Broward County Medical Association
Travis County Medical Society
Is ProAssurance part of Podiatric Medical Associations?
Yes. PICA, part of ProAssurance Group, is the nation's leading provider of medical professional liability insurance for podiatric physicians in the United States. PICA is endorsed by the American Podiatric Medical Association (APMA) and the American College of Foot and Ankle Surgeons (ACFAS), the American College of Foot and Ankle Orthopedics and Medicine (ACFAOM) and other state podiatric medical associations.
Can ProAssurance insureds pay online?
ProAssurance insureds have options for premium payments for medical professional liability insurance policy.- Online payments made before 12:00 p.m. CT on regular business days are sent to the bank on the same day.
- Online payments after 12:00 p.m. CT or on weekends are sent the next business day.
Payments are posted to insureds’ ProAssurance accounts no later than the next business day. Balance and activity are viewable on the Portal's Billing Account Summary page.
How can insureds pay online?
To pay online, sign into the portal and select “Payments” menu option. The online payment option is available 24/7.Can insureds make a one-time, online payment?
Yes, insureds can make a one-time payment via bank transfer (ACH) or credit card. https://www.invoicecloud.com/portal/(S(lavbc5zzqortzin4oyldcrp0))/2/Site.aspx?G=1b66fc19-84c0-4f29-ad91-65ba79dc7923&__hstc=&__hssc=&hsCtaTracking=96fc229e-2207-46fc-a23d-6e3259f493a2%7Cc2f3f82e-9ce9-4d95-82e7-e0ad5fa064ccDoes ProAssurance have a phone payment option?
Yes. To make payment by phone, call the ProAssurance service center at 800-282-6242. The phone payment option is available during regular business hours.Phone payments made before 12:00 p.m. CT on regular business days are sent to the bank on the same day. Phone payments after 12:00 p.m. CT or on weekends are sent the next business day.
Does ProAssurance have a pay by mail option?
Yes. ProAssurance has a premium payment regular mail address for ProAssurance Indemnity Company, Inc. P.O. Box 74831 Cleveland, OH 44194-0914 and a mailing address for NORCAL Insurance Company P.O. Box 74738 Cleveland, OH 44194-0821.
ProAssurance has an overnight mailing address: Key Bank- Lockbox Ops
Attn: LB (Company Name: Indemnity or NORCAL)
4910 Tiedeman Road
Cleveland, OH 44144
Can a ProAssurance insured pay a tail policy payment online or by phone?
Yes, ProAssurance has an online payment option for tail payments at www.ProAssurance.com/Pay and selecting the appropriate line of business. ProAssurance’s Billing department can also take ACH tail payments over the phone by calling 800-282-6242 and selecting “option 1”.Does ProAssurance retain banking information?
ProAssurance does not store bank account information that you provide when you pay online or by phone; this practice helps protect your banking information.Can a ProAssurance insured make a payment to instantly reinstate a policy canceled due to non-payment?
If your policy has been canceled, please contact your agent or a ProAssurance policy specialist at 800-282-6242 to discuss policy reinstatement. You may make a payment online at www.ProAssurance.com/Pay or over the phone via ACH by calling the Billing department at 800-282-6242 “option 1”. These payments are subject to underwriting rules and regulations, though it does not guarantee policy reinstatement.Can a ProAssurance insured pay by phone if they do not have an email address?
No. Banking regulations require ProAssurance to send email confirmation of the transaction to the person making the payment. As such, an email address is required.Does ProAssurance have a fee for phone payment?
If you pay using ACH either online or over the phone there is no fee associated with that payment. If you would like to pay online or using our automated phone payment system using a credit card there is a 2.95% processing fee associated with that payment.Does ProAssurance accept payment via credit card?
ProAssurance recently partnered with InvoiceCloud to accept credit card payments. These can be made by logging into your ProAssurance Portal and selecting “Pay Invoice(s)”, using our one-time pay site www.ProAssurance.com/Pay, or using the automated phone payment system by calling 800-282-6242 “option 1” and “option 1” again.
Who are ProAssurance’s Agency Partners?
Acrisure – Great LakesAlera Group
Alliant Insurance Services – Chicago and Houston
Amwins
Aspen
Brown & Brown Insurance
CRC Insurance Services, Inc.
Cunningham Group
Don Powers Agency, Gallagher Healthcare
Gallagher Healthcare
Grady Professional Services
Healthsure Insurance Services
HUB International
LP Insurance Services
Lone Star Insurance Services
Marsh & McLennan Agency
Presidio NFP
Prevail Insurance Management Services
Professional Casualty Corporation
Professional Risk Associates
Risk Strategies
Risk Strategies/Danna-Gracey
R-T Specialty
Shepherd Insurance
Somerset Insurance
The Keane Insurance Group
USI Insurance Services
USI Affinity
Western Summit, LLC
Willis
WisMed Assure
World Insurance Associates
How do ProAssurance insureds submit a claim?
To ensure a thorough first notice of incident, claim, or suit, please report using one of the following methods:- Email: Submit the Incident Reporting Form via email to ReportClaim@ProAssurance.com.
- Fax: Submit the Incident Reporting Form by fax to 615-324-9177.
- Phone: Call 877-778-2524 (Be prepared to relay Incident Reporting Form information.)
Provide all relevant documents (including any demand, notice of intent to sue, complaint, or other documentation received that relates to the incident or claim).
Please do not forward medical records right away.
Does ProAssurance have Cyber Claims Support?
Cyber liability protection with CyberAssurance Plus is included in certain medical professional liability policies, and expanded cyber coverage is offered through ProSecure. Both are underwritten by Tokio Marine HCC, formerly NAS Insurance Services, LLC.In addition to the ProAssurance Claims Intake System, cyber claims can be reported directly to Tokio Marine.
Call 818-382-2030 8:00 a.m. - 5:00 p.m. PT.
Call 888-627-8995 after regular business hours, on weekends, or holidays.
What does a ProAssurance insured need when reporting a claim?
Have the following information and documents to help save time:Patient or claimant name and date of birth
Documents outlining the allegations, dates of alleged negligence, and/or request for appearance.
Date you received the documents, along with how they were received.
A copy of the patient’s medical records, if available
A copy of the incident report completed by you, if available
The name and address of the contact person at your practice
The best time to reach the contact person at your practice.
When should a ProAssurance insured report a claim?
Contact us immediately if:
- You or your practice receive legal papers naming you, your practice, or any of your practice employees as a defendant.
- A patient or patient’s relative demands compensation for medical services you or your practice provided.
- A patient or patient’s relative delivers a verbal or written threat to pursue legal action because of treatment you or your practice provided.
- An attorney contacts you about the care and treatment given to a patient.
- You receive a request for a patient’s medical records for reasons other than transfer of care.
- An adverse event occurs that you think could become a claim.
- You receive a licensure or board complaint.
What are some potential claim warning signs?
The sooner we are aware of medical incidents that could potentially lead to legal proceedings or patient complaints, the better. Situations which may lead to a claim include:- A patient experiences a significant, unexpected adverse outcome.
- You suspect an error or omission occurred in providing medical treatment.
- A patient expresses dissatisfaction with the treatment you provided.
- Another healthcare provider is involved in legal action with one of your current or previous patients.
- A member of your staff informs you of a potential patient incident.
What happens after a claim is reported?
ProAssurance will assign a claims specialist to work closely with you and your assigned defense counsel. They will maintain ongoing communications and attend interviews, depositions, mediations, and trials to help ensure the best defense of your claim.ProAssurance will choose your legal defense team from a select group of defense attorneys experienced in medical professional liability litigation with a track record and expertise in the specific type of malpractice related to your case. ProAssurance claims specialists have extensive knowledge of local claims, legal, and professional liability environments to help prepare an optimal defense.
Your claims specialist will assist you with every aspect of the claims process. For additional information, review our list of claims dos and don'ts.
Who has access to ProAssurance resources?
Insureds and ProAssurance-appointed agents may access our library of medical professional liability insurance applications for physicians, allied healthcare professionals, hospitals, facilities, and other healthcare providers.How do you find a ProAssurance-appointed agent?
Visit https://proassurance.com/our-elite-agency-partners or call 800-282-6242Where do I send Ob-Gyn Risk Alliance applications?
Applications for the Ob-Gyn Risk Alliance (OBRA) are posted to https://obgynriskalliance.com/?__hstc=67605518.ce982af142194161eba42aa82cecbf24.1703016153413.1758300779792.1758304745258.156&__hssc=67605518.4.1758304745258&__hsfp=3967631246 and select the "How to Apply" menu item and then find your state in the drop box.Where do I send dental professional applications?
Dental professional liability applications are on http://www.proassurancedentistcare.com/ and select the "How to Apply" menu item and then find your state in the drop box.How are applications submitted?
Completed applications can be submitted via email. For more information, please call 800-282-6242.Where do you send new business applications?
You send them to Submissions@ProAssurance.com.Where do you send Renewal applications?
You send them to RenewalApps@ProAssurance.comWhat is specialty new business?
Route new business submissions to the appropriate Specialty Underwriting team when you encounter: Multi-state exposures in three or more states; multi-state exposures in two or more Standard Underwriting regions; Accounts generating $1M or more of gross primary premium; or Accounts on E&S lines.Where do I send physicians and physician group specialty applications?
Physicians and physician group specialty applications are sent to CustomPhys@ProAssurance.com.Where do I send hospital specialty applications?
Hospital specialty applications are sent to Hospitals@ProAssurance.com.Where do I send Miscellaneous medical specialty applications?
Miscellaneous medical specialty applications are sent to MiscMedSubs@ProAssurance.com.Where do I send senior care specialty applications?
Senior care specialty applications are sent to SeniorCare@ProAssurance.com.Does an agency need access to E&S placements?
E&S products must be accessed through an authorized wholesaler. Agencies without an E&S license may benefit from working with the ProAssurance Agency on E&S placements and/or in the event of agent contract limitations. ProAssurance Agency serves appointed agents and brokers nationwide. Call 844-331-6298 or email PRAAgency@ProAssurance.com.
What is the ProAssurance Malpractice Insurance Knowledge Center?
The Knowledge Center is a growing collection of articles educational materials on topics that impact the medical professional liability industry and those we serve. Topics include insurance education, significant product or Company updates, government entity updates (Joint Commission, CDC, etc.), legislation, and more.Where can someone find the ProAssurance Malpractice Insurance Knowledge Center?
The knowledge center can be found at https://proassurance.com/knowledge-center.Where can I find ProAssurance news and/or updates?
The latest activity and/or announcements from ProAssurance can be found at https://proassurance.com/news.What are ProAssurance’s coverage options for physicians?
ProAssurance has malpractice insurance solutions for large regional or national physician healthcare organizations and hospital/health systems. No matter the size of the medical liability risk, ProAssurance can work with you and your agency/broker to create a customized insurance solution.Does ProAssurance have different physician divisions and/or programs?
Yes, ProAssurance offers a variety of products and programs for specific specialties and providers. Ask your appointed agent or underwriter if one of our programs could be the right fit for your practice.What is Preferred Physicians Group (PPM)
Preferred Physicians Medical Risk Retention Group, a Mutual Insurance Company (PPM), is the only company of its kind in America. It is an anesthesia focused medical professional liability insurance provider. Established in 1987, PPM was founded as a mutual company, owned by its policyholder members. It pioneered the concept of a specialty-specific insurance company. PPM has a record of sound financial results and stable management.What is Ob-Gyn Alliance or OBRA?
The Ob-Gyn Risk Alliance (OBRA) is the first medical professional liability insurance program established exclusively for obstetrician-gynecologists. OBRA serves these specialists’ specific needs and provides a patient safety program. Members are eligible for a profit-sharing premium renewal credit, if the program experiences favorable loss ratios.What is the Customs Physicians option?
You can expect innovative liability solutions for emerging healthcare classes of risks with diverse needs: Think telemedicine, virtual medicine, locum tenens, emergency medicine, multistate, multispecialty, risk sharing, and more. The Excess & Surplus (E&S) division provides single-source solutions for your physician and healthcare clients seeking alternatives to the standard market medical professional liability coverage.Physicians, physician groups, and medical facilities are considered based on unique attributes and requirements. The E&S lines division works with approved wholesale and national retail brokers to find customized coverage options. Solutions may include varying levels and structures of coverage to suit clients’ needs. These include consent to settle, tail coverage, defense costs, self-insured retentions and deductibles, incident reporting, and more.
Does ProAssurance have a reentry option for physicians?
Insureds who wish to enter the standard medical professional liability market can apply for the reentry program through PRA Services Corporation. The program includes a review of your practice of medicine. Participation is based on a program fee, personal interview, written documentation, and other factors.Your participation and satisfactory compliance with ProAssurance’s recommendations enable us to consider you for the standard market but do not guarantee placement in the market.
If ProAssurance determines you have satisfactorily completed the program, the appropriate ProAssurance company will offer coverage. Any offer of insurance coverage is subject to filed and approved rates, rules, and forms for admitted carriers or application regulations for E&S carriers.
Does ProAssurance physicians and physician group policies have risk sharing programs?
Yes, large group options present the opportunity to share risk and rewards for good outcomes according to the level of risk you assume.Does ProAssurance have loss portfolio transfers for large group options?
Yes, ProAssurance has the option to transfer your liabilities via a loss portfolio transfer (LPT). ProAssurance offers the option to transfer both known claims and IBNR, or only the IBNR depending on your needs. Premium levels and limits are set based on the approach you are seeking.Does ProAssurance have prior acts reporting coverage for large group options?
Large healthcare organizations purchasing physician practices may wish to transfer the associated tail exposures. ProAssurance offers annual reporting policies or prior acts reporting policies for this purpose.Your coverage will be tailored to meet the needs associated with your specific situation.
Does ProAssurance have loss sensitive programs for large group options?
Large organizations may benefit from addressing risk via a loss sensitive program—including large deductible plans, retrospective rating, or profit share options. There is no "one size fits all" option. Each option can be customized to help your organization meet its goals.Does ProAssurance have alternative risk programs for large group options?
Very large physician groups may want to consider a turnkey captive solution through our Inova® program or other alternative risk transfer options. Learn more about your alternative risk options with ProAssurance.Does ProAssurance offer coverage options for dentists, chiropractors, and podiatrists?
Yes, Our Podiatric Physicians Medical Professional Liability Insurance Program is underwritten by ProAssurance Insurance Company of America (PICA) the nation's leading podiatric liability insurer. Founded by podiatrists for podiatrists, PICA is committed to helping protect and support podiatric physicians in every aspect of their practice.
Yes, The OUM Chiropractor Program has provided medical professional liability insurance protection to chiropractors since 1983. We are committed to diligently protecting and defending our policyholders against malpractice claims while providing unparalleled client service.
Yes, DentistCare is a professional liability insurance program for dentists, oral surgeons, and other dental specialists and has been helping dental professionals for more than 25 years. Dental professional liability insurance takes many different approaches, depending on your group’s size and other important factors.
Does ProAssurance offer coverage for hospitals?
Yes, ProAssurance is committed to helping access a single-source solution for your organization. There is a spectrum of solutions from simple to sophisticated, backed by over 30 years of experience in insuring hospitals and healthcare systems.Choose a strong insurance solution from a variety of traditional approaches, risk sharing programs, and alternative risk programs. ProAssurance can also tailor a custom program to fit your needs.
Does ProAssurance have options for smaller hospitals and healthcare systems?
Yes. Smaller hospitals and healthcare systems often favor first dollar coverage or deductible options. Some may require excess and surplus lines coverage. Traditional approaches provide you with a variety of choices. Contact your agency partner or Business Development representative for further information.Does ProAssurance have Alternative Risk Options?
Large hospitals and healthcare systems may want to share risk and rewards for good outcomes according to the level of risk your organization wants to assume. No matter the size of your hospital and healthcare system professional liability risk, ProAssurance can help find a solution to address your organization’s unique needs. These include:- Loss portfolio transfers
- Prior acts reporting coverage.
- Loss sensitive programs
- Captive solutions
ProAssurance can help you solve your most complex and unconventional risk valuation and financing needs.
Is there available information for brokers?
Yes. There is a hospital flyer available.
What is ProAssurance’s miscellaneous medical coverage?
The Miscellaneous Medical team underwrites medical professional liability insurance on an excess and surplus lines basis to ensure fit and reliable coverage. The ProAssurance Miscellaneous Medical team has decades of underwriting and claims experience specific to the miscellaneous medical market.Does ProAssurance have preferred business?
Yes. Preferred classes are under regular review for reconsideration. The application process for each class is tailored specifically to each exposure.What are ProAssurance’s preferred businesses?
- Advanced Practice Provider
- Allied Medical and Nursing Schools
- Therapy Services–Physical, Occupational, Speech, and Behavioral
- Dialysis Centers
- Home Health
- Hospice
- Imaging Centers
- Laboratories
- Medical Clinics
- Medical Directors
- Non-physician Healthcare Staffing
- Specialty Pharmacies
- Surgery Centers
Is there available information for brokers?
Yes. Miscellaneous Medical Fact Sheet and Miscellaneous Medical Success Stories.
Does ProAssurance offer Senior Care MPL Insurance?
The ProAssurance Senior Care team is dedicated to the sector and offers stock and custom insurance solutions. We are willing to write the full spectrum of senior care, from independent living to skilled nursing. Our appetite is flexible, and each account is underwritten based on its own merits. We work with you to tailor solutions that meet your specific risk tolerance and objectives. Our aim is to provide sustainable solutions over the long term. We offer quick turnarounds and a forward-thinking underwriting team that listens to your needs.Does ProAssurance have preferred business?
Yes, ProAssurance’s preferred businesses are the following: continuing care retirement communities, skilled nursing and rehabilitation facilities, assisted living and memory care, and independent living care/senior apartments.Does ProAssurance have preferred characteristics for senior care MPL insureds?
Yes, ProAssurance’s preferred characteristics are as follows: established operators with stable ownership, exposure, and claims history; run by non-profit operators; and operating in favorable legal jurisdictions.Does ProAssurance have a team for senior care MPL claims?
Yes. ProAssurance Senior Care claims are managed through a carefully established Senior Care claims team. This team is composed of senior care professionals working with national counsel to offer insight and strategies learned managing senior care claims of all types and sizes.Does ProAssurance have Senior Care Risk Management Resources?
Senior Care insureds receive risk management support at no additional charge, including access to:- Risk management consultants available for consultation.
- Risk management publications covering exposure trends, articles, data, and Senior Care claim studies.
- Onsite or virtual risk management assessments
View our Senior Care Risk Management resource bundle, specifically designed for healthcare professionals working in senior care facilities.
Does ProAssurance have a captive solution for risk sharing?
Yes, ProAssurance Inova. Inova provides a smart alternative to traditional insurance for large entities that desire a more customized risk financing approach. As an established Segregated Portfolio Company (SPC), Inova offers a fully bundled captive solution.You may consider an Inova program if you are interested in assuming meaningful risk and meet the following criteria:
- Your current premiums exceed $1.5 million (primary coverage).
- You seek an alternative insurance solution for complex healthcare professional liability and/or workers’ compensation risks.
- You have an established risk management program and a single insurance “buying decision.”
- While you are interested in taking on risks, you desire a risk partner that can help support a sustainable program.
- Inova’s alternative insurance solution—commonly referred to as captives, or “protected cells”—is part of an SPC structure. Assets and liabilities reside securely within your own cell, providing you with better control over insurance costs and outcomes. However, the broader SPC also enjoys economies of scale that can be leveraged more holistically.
Inova’s “soup to nuts” approach makes it easy to create, participate, and benefit from your own program:
- Fully bundled offering: Inova is vertically integrated, providing specialized expertise in program formation, underwriting, risk management, and claims administration.
- Strategic partnerships: Inova has structured, solid partnerships with globally respected reinsurance partners, as well as highly respected financial, investment, and audit firms.
- Alternative insurance expertise: Inova’s affiliate, Eastern Re was the first SPC to be authorized by the Cayman Islands Monetary Authority. It also was the first SPC to be assigned a financial strength rating by AM Best Company.
Does ProAssurance have alternative risk options?
Yes. ProAssurance has several options to handle alternative risk options: Inova, loss portfolio transfers, prior acts reporting coverage, and loss sensitive programs.What are ProAssurance’s Captive Solutions?
If you are seeking greater control over your insurance program, consider the smart alternative to traditional insurance—Inova® alternative insurance. Inova offers agencies, large entities, and associations all the expertise needed for a true single-source captive solution.- Inova provides a secure, stable insurance environment through its Segregated Portfolio Company (SPC) structure. An SPC is a single legal entity comprised of individual “protected cells.” Your assets and liabilities would reside securely within your own cell, providing better control over insurance costs and outcomes.
- Inova’s vertically integrated, fully bundled, specialty carrier approach makes creating, participating, and benefiting from a program as easy as possible. A true leader in alternative insurance, Inova’s affiliate Eastern Re was the first SPC to be authorized by the Cayman Islands Monetary Authority. Inova has structured, solid partnerships with globally respected reinsurance partners, as well as highly respected financial, investment, and audit firms.
- You can be confident knowing that Inova’s SPC structure can help to mitigate the fluctuations of traditional insurance pricing cycles—providing you with greater peace of mind.
Does ProAssurance have other risk financing options?
Yes, beyond Inova SPC, ProAssurance offers other creative risk financing vehicles and products. We have worked with both large hospital operations and large physician groups, customizing the approach to best meet their needs.What are ProAssurance portfolio transfers?
When large healthcare operations acquire or divest some of their exposures, there is sometimes an interest in transferring liabilities through a loss portfolio transfer (LPT). There is no single template for an LPT. Some involve shifting both known claims and IBNR to an experienced carrier, while others may seek only to transfer the IBNR. In all cases, the “seller” would pay a premium for a specific limit of insurance. In general, the larger the limits being assumed by the carrier, the higher the premium.What is ProAssurance’s prior acts reporting coverage?
Large healthcare organizations purchasing physician practices may be taking on considerable tail exposure that they wish to transfer. ProAssurance can provide coverage through an annual reporting policy or a prior acts reporting policy. The organization would receive coverage for this exposure through a ProAssurance claims-made policy that excludes future exposures and covers only those from the past. This coverage option can be tailored to meet your unique needs.What is ProAssurance’s Loss-Sensitive Program?
Large healthcare organizations may realize savings and cash flow advantages by addressing some of their risk via a loss sensitive insurance program through ProAssurance. Some organizations may utilize such a program as a “steppingstone” toward an Inova captive solution. Loss-sensitive program options can include large deductibles, retrospective rating, or profit sharing. These options are different and there is no “one size fits all.” ProAssurance works to help you craft an approach consistent with your organization’s risk philosophy, goals, and needs. ProAssurance’s underwriting, claims and risk management expertise with healthcare-related exposures compliments and dovetails with loss-sensitive rating plans.
Does ProAssurance have an online portal?
Yes. The ProAssurance portal provides our medical professional liability (MPL) insurance customers with online access to important resources. If you already have an account, please sign in; those needing one may create an account.
Services for our MPL customers within the portal vary.
What do all ProAssurance professional liability insureds have access to on the ProAssurance portal?
All professional liability policyholders can create a certificate of insurance (COI) and view past live and online seminar activities.What do authorized representatives for group policies have access to on the ProAssurance portal?
The authorized representative for group policies (policyholders) have access to the following: creating a certificate of insurance (COI), view past live and online seminar activities, policy documents and invoices, making individual payments or set up for autopay, creating COIs for any insured on the policy, view billing account information including past payments and future installments due, and view seminar activity for all insureds on the policy.What do agents have access to on the ProAssurance Portal?
Agents have access to the following: creating a certificate of insurance (COI), view past live and online seminar activities, policy documents and invoices, making individual payments or set up for autopay, create COIs for any insured on the policy, view billing account information including past payments and future installments due, view seminar activity for all insureds on the policy, documents, billing summaries or create COIs for all agents’ clients’ policies, view seminar activity for all clients, view completed renewal applications, and request policy changes.How do I create a ProAssurance Portal account?
To create an account, select “Sign In” at the upper right corner of any page. On the following page select “Create an account”- If you’ve previously registered, simply select “Sign In” and enter your information.
- For questions about the portal or assistance in creating your account, please contact web support at Portal@ProAssurance.com.
- You can discuss your risk-related questions and concerns with one of our Risk Management Consultants Monday through Friday, 8:00 a.m. to 5:00 p.m., at 844-223-9648 or RiskAdvisor@ProAssurance.com.
- Note: Our other divisions and programs maintain portals for the benefit of their customers. Please visit the Medmarc, PICA, OUM Chiropractor, or Eastern Alliance websites to sign in or to learn what services are offered.
What is ProAssurance’s online security for portal users?
Multi-factor authentication (MFA) is the responsible approach for insurance and financial organizations that provide online account services given the current cyber and regulatory environment. ProAssurance is committed to providing a safe and secure sign-in process to our portal. ProAssurance will require MFA re-authentication every 30 days to safeguard the integrity of our information systems and help protect your online security.How do ProAssurance Portal users set up multi-factor authentication?
The first time you sign in to the portal ProAssurance requires you to establish multi-factor authentication (MFA). After correctly entering your current password, you will be directed to the MFA options screen to choose from.What are the ProAssurance multi-factor authentication options?
Text message: Enter your mobile phone number to receive a unique six-digit access code then enter the code to sign in to the portal.
Automated voice call: Instead of a text, answer an automated voice call to receive a five-digit access code. This option allows you to use your office or home phone number. Enter this code to sign in.
Google Authenticator mobile phone application: Download the Google Authenticator mobile application to your mobile phone. Use the application to receive a six-digit access code and enter this code to sign in.Does ProAssurance require users to have multi-factor authentication for the portal?
Yes, all users must establish and use MFA as part of our sign in process.How often do ProAssurance Portal users have to complete MFA?
You will have to complete MFA each time you sign in to your account on a new device or use a new web browser unless you check the box labelled “recognize me on this device” during sign in.
By checking the box, you will be able to defer MFA re-authentication for a period on future visits. If you do not check the box, you will need to provide your password and work through your chosen MFA option every time.
For users who check “remember me,” ProAssurance will require MFA re-authentication every 30 days to safeguard the integrity of our information systems and help protect your online security.How do ProAssurance Portal Users recover their password?
If you forget your password, contact Web Support at WebSupport@ProAssurance.com. You may also use the “Forgot Password” link on the Sign In page.How do ProAssurance Portal Users change their name, email address, or password?
If you change your name, email address, or password in “Account Preferences,” you will receive an email confirmation. If you receive a confirmation email and do not request a change to your account, follow the link provided to lock your account.Can ProAssurance Portal Users lock their accounts?
Yes, you can lock your account if you receive an email about changes made to your “Account Preferences” (name, email address, password) that you did not authorize. You will follow the instructions in the confirmation email to lock your account. Contact Web Support immediately if you suspect anything out of the ordinary with your ProAssurance account.
To successfully unlock your account, contact the Portal team at Portal@ProAssurance.com.
Who do ProAssurance Portal Users contact if help is needed?
If you have questions, contact the Portal team at Portal@ProAssurance.com.Does ProAssurance have forms available for medical professional liability insurance applications?
Yes. Visitors seeking medical professional liability insurance applications can find them on the new business applications page or the renewal applications page. If you have a suggestion for a form to be added to this page, please email AskMarketing@ProAssurance.com.
The available forms include the following:
- Submissions Cover Sheet
- Affidavit of Retirement and/or Cessation of the Practice of Medicine Form
- Information Regarding Business Associate Agreements and Health Information Privacy Statement
- Claims History Request Form
- Loss Run Request Form
- Locum Tenens Coverage Request Form
- Authorization Agreement for Direct Deposits of Disbursements
Does ProAssurance attend MPL tradeshows and events?
ProAssurance regularly attends national and local tradeshows and events to demonstrate our commitment to the healthcare industry. We sponsor and support our partners in organized medicine. Visit us at any of these trade shows or events to learn about how we can help you protect your important professional identity.
If you are attending a conference and would like to request a meeting with a ProAssurance representative, email AskMarketing@ProAssurance.com.
What happened to NORCAL?
ProAssurance Corporation (NYSE: PRA) announced that its acquisition of NORCAL Mutual (“NORCAL”) was completed May 5, 2021. NORCAL’s members overwhelmingly approved the transaction at a special meeting on April 26, 2021. [Full Press Release]Does ProAssurance have the financial consideration information regarding the NORCAL transaction?
Yes.- Consideration Distribution FAQ (updated 7/11/2025)
- August 2024 Update - Contingent PRA Consideration Communication
- February 2022 Update - NORCAL Policyholder Contribution Certificate Communication
- Reverse Stock Split for Holders of Conversion Shares - August 2021
- Important Information About Your NORCAL Financial Consideration - August 2021
Does ProAssurance have tax information regarding the NORCAL transaction?
Yes.Does ProAssurance have transaction documents from the NORCAL transaction?
Yes.Does ProAssurance have cybersecurity insurance for MPL insureds?
Yes, your medical professional liability policy provides you with CyberAssurance® Plus coverage at no additional charge in most states. This coverage helps give you more control and lessen daily uncertainties.What does CyberAssurance Plus provide for physicians, hospitals, and facilities?
Your CyberAssurance Plus coverage provides protection against risks associated with cyber threats. These critical coverage enhancements are included in physician, hospital, and facility policies:
- Multimedia Liability—for claims alleging copyright/trademark infringement, libel and slander, plagiarism, and personal injury resulting from the dissemination of media material.
- Security and Privacy Liability—for losses and defense costs associated with a wrongful act resulting in a breach.
- Privacy Regulatory Defense and Penalties—for regulatory fines and penalties and/or a regulatory compensatory award, and defense costs from security or privacy breaches.
- Network Asset Protection—for loss of digital assets through damage, alteration, corruption, distortion, theft, misuse, or destruction. Plus, failure of the computer system and nonphysical business interruption and extra expenses.
- Cyber Extortion—for expenses incurred and monies paid for a threat.
- Cyber Terrorism—for income loss, business interruption expenses, and special expenses incurred from a total or partial interruption of the computer system.
- Payment Card Industry Data Security Standard (PCI DSS) Assessment—for claim expenses, assessments, and fines imposed by banks and credit card companies from noncompliance or payment card company rules.
- BrandGuard®—for lost revenue because of an adverse media report, or customer notification of security or privacy breaches.
- Proactive Privacy Breach Response Costs—for public relations expenses incurred from a breach before an incident occurs. This can avert or mitigate the potential impact an adverse media report can have on your reputation.
- Voluntary Notification Expenses—for expenses incurred to notify affected parties of a privacy breach.
What is ProSecure for Physicians?
You want to protect your identity and personal information from the threat of cybercrime. Individual physicians can apply for ProSecure, ProAssurance’s suite of products underwritten by Tokio Marine HCC – Cyber & Professional Lines Group. ProSecure's higher limits and additional coverages pick up where your policy’s CyberAssurance Plus protection ends. This enhanced coverage includes:
- System failure coverage
- Cybercrime—$100,000 sublimit, $2,500 retention
- Coverage for loss of money or securities incurred due to financial fraud, including:
- Wire transfer fraud
- Charges incurred for unauthorized calls resulting from the fraudulent use of the insured’s telephone system.
- Expenses incurred to notify customers of phishing schemes, or emails that impersonate the insured or the insured’s brands, products, or services.
- Reimbursement costs for loss sustained from phishing schemes.
What is ProSecure?
ProSecure is our brand name for the following suite of products, all of which are underwritten by Tokio Marine HCC – Cyber & Professional Lines Group:
- Regulatory Risk Protection
- Cyber Liability
What is the advantage of ProSecure?
ProSecure provides you and your clients with additional product options, including coverage that complements CyberAssurance Plus, which is provided in our medical professional liability policy.How are ProSecure products provided?
These products are sold, issued, and serviced by Tokio Marine HCC – Cyber & Professional Lines Group. ProSecure policies are separate from the CyberAssurance Plus coverage included in your medical professional liability policy.Who handles underwriting and claims?
Tokio Marine HCC – Cyber & Professional Lines Group handles underwriting and claims for all ProSecure products.Is ProSecure available to all ProAssurance insureds?
ProSecure is available to all physicians whose medical professional liability policy is written by ProAssurance. Contact your ProAssurance agent for specific rates, coverages, and qualifications.How can I apply for ProSecure?
Contact your ProAssurance agent for more information, or visit Our Agency Partners page to find a ProAssurance-appointed agent.Does ProAssurance have informational flyers on ProSecure or CyberAssurance Plus?
Yes, there is a CyberAssurance Plus flyer and a ProSecure flyer.
Does ProAssurance offer tail coverage?
Yes. You can benefit from tail coverage, an extended reporting endorsement, to protect your important identity as a physician. Tail coverage permits an insured to report claims that are made after the policy has expired or canceled, if the alleged wrongful act took place during the expired or canceled policy period.In certain instances, tail coverage may be provided at no additional charge. In the event this is not the case, consider the long-term benefits of purchasing tail coverage. It may be helpful for:
- Leaving the practice of medicine
- Retirement
- Moving to a hospital or facility
If you do not renew a claims-made policy, tail coverage may be necessary to protect against claims submitted after the last policy expires or is canceled.
What is claims-made coverage?
Coverage with a claims-made policy is determined by when a claim is reported, and coverage with an occurrence policy is determined by when the incident occurred.
A claims-made policy offers:
Protection for claims reported when the policy is in effect, provided the incident happens on or after the claims-made retroactive date (usually, the date of the first claims-made policy).
A “clean slate” of limits at policy renewal, significantly reducing the chance of exhausting the total aggregate limits when compared with occurrence coverage.
*When you purchase a policy, you receive a set of limits—both per claim and per policy period. So, with $1 million/$3 million limits, you have $1 million maximum coverage per claim and up to $3 million coverage per policy period (usually one year) in the event of multiple claims.
What is occurrence coverage?
An occurrence policy offers:
Protection for claims arising during a policy period.
Coverage under the policy limits in effect at the time of the incident—even from several years prior—no matter when a claim is reported. As such, these limits may not reflect the risk faced at the time of the claim.
Coverage of claims reported after the policy term expires. You cannot adjust the aggregate limit for future claims to address changing protection needs.
Claims-made coverage eliminates some of the uncertainty created by the long-tail nature of medical professional liability claims (i.e., how long it takes a claim to be resolved as measured from the date of the originating incident). It may offer you more flexibility and enables ProAssurance to provide coverage rates that more accurately reflect your healthcare environment and potential losses.What is the coverage features for ProAssurance claims-made policies?
Your ProAssurance claims-made policy provides automatic tail coverage for death or disability. Insureds also receive tail coverage upon full retirement when continuously covered by ProAssurance on a claims-made basis for a minimum of five years. *
For large healthcare organizations, ProAssurance offers tail coverage on both an admitted and excess basis. Your policy is updated annually through one policy and invoice to reflect changes, including physicians leaving your practice. You can choose from a variety of personalized coverage options, including a deductible subject to underwriting approval.
Do I need tail coverage?
Tail coverage is necessary upon retirement or otherwise ceasing the practice of medicine if you had a claims-made policy. If you are moving coverage from an occurrence policy, tail coverage is not necessary. If you are moving coverage from another insurer’s claims-made policy, this coverage may be handled under the prior acts coverage of the new claims-made policy.
With a ProAssurance policy, tail coverage is available—whether for a premium charge or at no additional cost.
If you have questions, please call your ProAssurance agent, account executive, or Business Development representative.What is ProAssurance Agency?
You can protect your practice through ProAssurance Agency and its various business and multiline department coverages. ProAssurance Agency serves appointed agents and brokers nationwide, and direct customers. Physicians looking for malpractice insurance solutions from ProAssurance may contact us at PRAAgency@ProAssurance.com.
We offer business owners and professionals Total Practice Solutions for business assets, cyber and regulatory risks, management liability, professional and personal coverages, and workers’ compensation.
Does ProAssurance have multiline department coverage?
Yes, ProAssurance offers a multiline department for various business insurance offerings.What is included in ProAssurance’s professional liability coverage?
Dental professional liability is offered to customers in Alabama. Coverage is also available through DentistCare.
Applications:
Dentist New Business Application
Dental Corporation New Business Application
Agencies without an excess & surplus (E&S) license may benefit from ProAssurance Agency for E&S placement. ProAssurance Agency’s E&S division for Total Practice Solutions includes:
ProAssurance Specialty Insurance Company, direct or wholesale, for physicians, hospitals, entity-only, and CRNAs
Allied professional liability wholesale broker
Medmarc Insurance Group, including ProAssurance Specialty Insurance Company, direct wholesaler for products liability/clinical trials.
Miscellaneous errors and omissions (E&O) coverage for chiropractors, lawyers, medical directors, surgery centers, and other medical specialty groups
Easy access to a single-source solution is a priority at ProAssurance Agency.
Does ProAssurance have package policy or business owners’ policy (BOP)?
Yes. You can obtain both your property and liability coverage for your business’ building, property, and replacement costs through a package policy.
General liability coverage, through a BOP, helps protect against claims for damages from bodily injury, or property damage costs resulting from your business operations. General liability also includes coverage for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for various healthcare professionals who use medical equipment to provide patient care to your patients. *
*Medicare will provide you with a letter if you are required to carry a bond for this purpose.
Does ProAssurance have cyber liability coverage?
You can prepare for unexpected privacy breaches that may occur from the use of electronic equipment with a cyber liability policy. Privacy breaches can lead to identity theft. Third-party (cyber liability) coverage includes disclosure, content, and reputational injuries. First-party (cybercrime expense) coverage includes privacy notification expenses, crisis management, e-business interruption, and communication loss.
CyberAssurance® Plus is included in ProAssurance medical professional liability policies, except in New York or for dental clients. It provides physicians and hospitals in certain states with protection against cyber threats. ProSecure® is an extension of CyberAssurance Plus, providing physicians with higher cyber liability limits, plus coverage for errors and omissions and regulatory risk protection.
Learn more about our cybersecurity coverages.Does ProAssurance have regulatory risk protection or medefense plus?
Yes. Regulatory Risk Protection or MEDEFENSE® Plus coverage for Recovery Audit Contractor (RAC) audit findings options include:
Attorney and audit costs
Payment for potential fines and penalties
Defense costs
Civil fines
Penalty coverages:
- Health Insurance Portability and Accountability (HIPAA)
- Stark Law
- Emergency Medical Treatment and Labor Act (EMTALA)
Does ProAssurance have management liability coverage?
Yes. Fiduciary Liability—Business owners or employers may use this policy to protect their employee benefit plan assets.
Employment Practices Liability (EPL). You can purchase coverage for alleged wrongful acts arising from employment-related claims. This management liability policy is for claims including wrongful termination, discrimination based on sex, race, age, disability, or sexual harassment.
Directors and Officers Liability (D&O)—Directors or officers of an organization or company may want indemnification for losses. This may include defense costs from an alleged wrongful act in a criminal or regulatory investigation or trial during your role as director or officer.Can ProAssurance Agency secure bonds?
Yes. Pension and Profit-Sharing Plans (401k)—Protect employee-sponsored retirement plans against administration errors or breaches of duty under the Employee Retirement Income Security Act of 1974 (ERISA) with this coverage.
Crime and Fidelity—You can protect your commercial business from losses resulting from potentially fraudulent acts, theft, dishonesty, or other criminal acts of a specific employee.
Can I call ProAssurance Agency about coverage options?
Yes, if you have questions about ProAssurance Agency’s coverage offerings or are interested in a no-obligation quote, call 844-331-6298.
Does ProAssurance have an Overdose Prevention Program for Insureds?
- Partnering with Sure Med Compliance for responsible prescribing
The Sure Med program is available to ProAssurance insureds at no additional cost.
Sure Med recognized a point-of-care problem: To initiate or continue controlled substance therapy legally, a physician must determine and document up to 26 data points in a 5- to 10-minute office visit. This may not be feasible for busy doctors, so it may not get done. The unintended consequences may lead to poor outcomes and provider liability.
With Sure Med’s digital health platform, the patient is evaluated electronically, and the results are delivered immediately to their Electronic Health Record. This eliminates 80% of the time needed to determine and document the necessary data points to initiate or continue controlled substance therapy.
Through our exclusive affiliation with Sure Med, ProAssurance is at the forefront of helping physicians to prescribe more responsibly, leading to better outcomes for patients. We want to encourage our insureds who regularly prescribe opioids, especially those who prescribe for chronic pain, to learn how Sure Med can help them develop and maintain safe and responsible prescribing practices, which in turn, should lead to better outcomes for their patients.
