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Inside Medical Liability: 2024 financial results—Investment gains lead the way to a healthy bottom line

15 June 2025

In the summer issue of Inside Medical Liability, a publication of the Medical Professional Liability Association, we summarize the 2024 financial results for 69 specialty writers, a composite of the largest industry operators. Using data obtained from S&P Global Market Intelligence and Milliman Datalytics-Defense, we have compiled financial metrics for the industry.

Read the full article at Inside Medical Liability.

Key findings

  • Direct written medical professional liability (MPL) premium rose 2.4% to over $5.3 billion—a record high.
  • Carriers released about $140 million in prior-year reserves, lower than in 2023.
  • Operating ratio improved by about two points, driven by a three-point gain in investment income.
  • Policyholders’ surplus increased by about $750 million, similar to 2023.
  • Policyholder dividends remained about $140 million, similar to 2023, about half the average paid between 2007 and 2018.

Read our previous analysis of 2023 MPL financial results here.


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