The June 2026 edition of the report, “Medical Professional Liability Industry Overview & Analysis,” shows that the MPL insurance industry’s combined ratio increased from 103.4% in 2024 to 107.4% in 2025, marking the 12th consecutive year the line has recorded an underwriting loss.
However, there were factors external to the industry that have to be considered in order to paint the entire picture of the MPL industry’s performance.
According to Bill Burns, MPL Association Senior Vice President of Research and Analytics, lead author of the report, “Although prices continue to rise, the industry again recorded a combined ratio in excess of 100%. While written premiums were up for all sectors, most notably in ‘other facilities’ where premiums grew 10.0%, the industry appears to have exhausted its supply of loss reserve redundancies. As such, any improvements in the industry’s combined ratio will likely have to come from lower accident-year loss ratios.”
In addition to assessing underwriting results, the report examines growth in direct premiums written across physicians, hospitals, other healthcare professionals, and other facilities. The report further examines expense ratios, dividends paid to policyholders, and more.
The report is available for download on the Association’s website.