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Medical professional liability 101: Financial fundamentals for MPL board members

29 September 2026

What are some key concepts in MPL insurance? Board members for medical professional liability insurers often come to the role with a clinical rather than financial background. But understanding company financial statements is essential for making informed decisions. This primer article provides a practical introduction to insurance accounting, actuarial concepts, and statutory financial reporting. Using a sample claim and hypothetical insurer, it explains how premiums, losses, reserves, investments, and surplus all affect an MPL insurer's bottom line.

The article covers the following:

  • Sample claim fundamentals
  • Premium and claim timing
  • Actuarial loss estimates
  • Frequency, severity, and trends
  • Statutory financial statements
  • Profitability and investments

The paper also includes a glossary of common terms, including written premium, IBNR, and more.

Download the full paper (PDF).


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