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Directory · Alabama · Medical malpractice

Who writes medical malpractice in Alabama

Top insurer groups from the NAIC market share report; the state's own licensed-company list isn't available in a form a program can read.

Proassurance Corporation Group wrote the most medical malpractice in Alabama in 2025, $64.8M and 28.7% of the state's premium; the top five groups hold 71%. Alabama doesn't publish a machine-readable list of every licensed company, so the ranking below is the NAIC's top 10 groups.

By Sam Alishahi, independent insurance broker · All lines in Alabama

Top 10 · NAIC table: 11.1, 11.2 - Medical Professional Liability

The insurer groups that write the most medical malpractice in Alabama

Top 10 insurer groups by direct premium written in 2025, from the NAIC's Market Share Reports for Property/Casualty Groups and Companies by State. A group is the parent and its insurance companies together; share is the group's part of the state total for the line; loss ratio is losses incurred over premium earned.

#Insurer groupPremium writtenShareLoss ratioMember companies here
1Proassurance Corporation Group$64.8M28.74%64%NORCAL Insurance Company, ProAssurance Indemnity Company, Inc., ProAssurance Insurance Company of America, Allied Eastern Indemnity Company
2Mag Mutual Insurance Group$35.1M15.58%97%MAG Mutual Insurance Company, Professional Security Insurance Company, MD Advantage Insurance Company of New Jersey
3Berkshire Hathaway Group$23.5M10.44%46%GEICO General Insurance Company, GEICO Texas County Mutual Insurance Company, GEICO County Mutual Insurance Company, Government Employees Insurance Company
4Liberty Mutual Group$21.5M9.54%203%Safeco Insurance Company of America, Liberty Insurance Underwriters, Inc., Liberty Mutual Fire Insurance Company, Liberty County Mutual Insurance Company
5Southwest Physicians Rrg Inc$14.7M6.53%64%—
6Centennial Casualty Company$10.6M4.72%14%—
7Cna Insurance Group$7.4M3.27%22%Continental Casualty Company, Continental Insurance Company, (The), American Casualty Company of Reading, Pennsylvania, National Fire Insurance Company of Hartford
8Inspirien Insurance Company$7.1M3.13%30%—
9Doctors Co. Group$5.1M2.26%72%Doctors' Company (The), An Interinsurance Exchange, The Doctor's Management, TDC Specialty Insurance Company, TDC National Assurance Company, Doctors Company Risk Retention Group, A Reciprocal Exchange, The
10Fairfax Financial Group$3.7M1.65%23%United States Fire Insurance Company, Zenith Insurance Company, Hudson Insurance Company, North River Insurance Company (The)
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Last resort for medical malpractice in Alabama

Last resortLinesWhereHow to get in
Surplus lines and Lloyd's open marketallall states, under each state's diligent-search rulesThrough surplus lines wholesalers; commercial property and liability have no guaranteed plan, so this is their last stepSource

Method and source

Top insurer groups from the NAIC market share report; the state's own licensed-company list isn't available in a form a program can read. "Premium" is direct premium written in the state for the year shown; "share" is that company's part of the state total for the line. A company can be licensed for a line and write none of it, and a surplus lines insurer can write a line without a state license for it.

Open to use. Cite "Alishahi Insurance insurance company directory" and link here. CSV · JSON.

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