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The P/C Perspective: Insights from 2025 and a 2026 Outlook

Coming February 17: A comprehensive look at the P/C insurance industry starting with a review of 2025 and moving into a data-driven analysis of anticipated 2026 market conditions.

MPL Association Names David Kinard SVP of Membership and Business Development

The Association is pleased to announce that David Kinard has been named Senior Vice President of Membership and Business Development.

Politics Are Key Factor in Policy Progress

As we approach the culmination of the biannual event known as “the most important election of our lifetime,” it is an opportune moment to assess what this election has in store with regard to the medical professional liability community.

2014-2023
Severity of Injury in MPL Claims

The MPL Association’s Data Sharing Project (DSP) is a closed claims database designed to support the medical professional liability industry. Participating member companies voluntarily submit claims data, which include claims resulting with or without indemnity payments, allowing for a more comprehensive analysis of claim trends, severity, and outcomes. This collaborative effort enhances industry insights and supports informed decision making for marketing, underwriting, claims management, risk management, and governmental affairs.

This highlight examines closed MPL claims from 2014 to 2023 using injury severity classifications based on NAIC severity injury codes, combined into four severity categories (mild, moderate, severe, and death) as outlined in Table 1. The data shows that closed with payment (CWP) ratios generally increase with injury severity, with severe injuries reporting the highest CWP ratio at 36% compared to 28% for the overall dataset. While mild and moderate injuries account for 55.3% of total closed claim counts, higher severity injuries are associated with higher indemnity payments with average indemnity 58% higher than the dataset average. Defense costs are incurred across all severities, including claims that do not result in indemnity payments. Severe injuries were also associated with higher defense costs, 44% higher than the overall average. The last figure illustrates MPL costs by claim resolution and highlights the five most common resulting medical conditions (outcomes) among paid claims for each claim severity classification.

Average Indemnity by Injury Severity Over Time
  • Average indemnity payments have increased across all severity categories at a rate that exceeds general U.S. inflation over the same periods.
  • Average indemnity for severe injury claims is much higher than that of death-related claims.
  • Mild and moderate severities show the largest amount of growth over time (nearly 3x), with average indemnity rising from $43K to $147K for mild injuries and from $114K to $300K for moderate injuries.

 

 

Table 1. MPL Claim Payment Summary (2014-2023)

 

 

Contact for more information:
Kwon Miller, Research and Analytics Manager kmiller@MPLassociation.org

 

 
  1. Cardiac arrest (24%, $377K, $106K)
  2. Pulmonary embolism (31%, $480K, $82K)
  3. Acute myocardial infarction (33%, $442K, $71K)
  4. Other brain disorders (32%, $409K, $96K)
  5. Complications of procedures, NEC (35%, $356K, $79K)
Among the claims involving a death severity, the five most common resulting medical conditions made up 25% of paid claims, with a CWP ratio of 27%, average indemnity of $402K, and average defense costs of $95K.
  1. Paraplegia and quadriplegia (37%, $712K, $130K)
  2. Cerebral infarction (35%, $541K, $100K)
  3. Complications of procedures, NEC (41%, $445K, $103K)
  4. Intraoperative and postprocedural complications and disorders of nervous system, NEC (44%, $622K, $110K)
  5. Breast cancer (40%, $426K, $66K)
Among the claims involving a severe severity, the five most common resulting medical conditions made up 16% of paid claims, with a CWP ratio of 39%, average indemnity of $558K, and average defense costs of $104K.
  1. Complications of procedures, NEC (28%, $170K, $52K)
  2. Accidental puncture or laceration during procedure, NEC (29%, $294K, $77K)
  3. Other joint disorder, NEC (61%, $83K, $24K)
  4. Breast cancer (37%, $555K, $50K)
  5. Complications of internal orthopedic prosthetic devices, implants, and grafts (28%, $225K, $62K)
Among the claims involving moderate injury severity, the five most common resulting medical conditions made up 22% of paid claims, with a CWP ratio of 32%, average indemnity of $242K, and average defense costs of $54K.
  1. Complication of procedures, NEC (22%, $85K, $40K)
  2. Other joint disorder, NEC (63%, $68K, $18K)
  3. Emotional distress only (17%, $154K, $46K)
  4. Complications of other internal prosthetic devices, implants, and grafts (41%, $60K, $12K)
  5. Other anxiety disorders (20%, $164K, $58K)
Among the claims involving mild injury severity, the five most common resulting medical conditions made up 30% of paid claims, with a CWP ratio of 26%, average indemnity of $100K, and average defense costs of $34K.