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Directory · Wisconsin · Medical malpractice

Who writes medical malpractice in Wisconsin

Ranked by direct premium written in 2024 from the Wisconsin market share report (every company, not a top-N list).

34 companies wrote medical malpractice in Wisconsin in 2024, $73.2M in direct premium. Continental Casualty Company led with 27.4%; the top five hold 85%. 59 companies are licensed for the line.

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

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

The insurer groups that write the most medical malpractice in Wisconsin

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
1Cna Insurance Group$26.9M23.20%76%Continental Casualty Company, Continental Insurance Company, (The), American Casualty Company of Reading, Pennsylvania, National Fire Insurance Company of Hartford
2Proassurance Corporation Group$16.9M14.64%30%NORCAL Insurance Company, ProAssurance Indemnity Company, Inc., ProAssurance Insurance Company of America, Allied Eastern Indemnity Company
3Berkshire Hathaway Group$16.5M14.28%140%GEICO General Insurance Company, GEICO Texas County Mutual Insurance Company, GEICO County Mutual Insurance Company, Government Employees Insurance Company
4Curi Holdings Group$16.1M13.87%106%Medical Mutual Insurance Company of North Carolina, MMIC Insurance, Inc., Medical Security Insurance Company, UMIA Insurance, Inc.
5Liberty Mutual Group$4.7M4.08%63%Safeco Insurance Company of America, Liberty Insurance Underwriters, Inc., Liberty Mutual Fire Insurance Company, Liberty County Mutual Insurance Company
6Mag Mutual Insurance Group$4.4M3.83%49%MAG Mutual Insurance Company, Professional Security Insurance Company, MD Advantage Insurance Company of New Jersey
7Coverys Group$4.2M3.67%50%Preferred Professional Insurance Company, ProSelect Insurance Company, Coverys Specialty Insurance Company, Coverys Risk Retention Group, Inc.
8Wisconsin Health Care Liability Insurance Plan$2.6M2.20%——
9Ncmic Group$2.0M1.72%—Professional Solutions Insurance Company, NCMIC Insurance Company, NCMIC Risk Retention Group, Inc.
10Copic Group$1.7M1.45%13%COPIC Insurance Company, COPIC, a Risk Retention Group
Medical malpractice · Wisconsin

The companies

#CompanyNAICHome stateStatus herePremiumShare
1Continental Casualty Company20443ILAdmitted (licensed)$20.0M27.37%
2MMIC Insurance, Inc.16942MNAdmitted (licensed)$13.6M18.56%
3ProAssurance Indemnity Company, Inc.33391ALAdmitted (licensed)$13.5M18.40%
4Medical Protective Company (The)11843INAdmitted (licensed)$11.9M16.21%
5American Casualty Company of Reading, Pennsylvania20427PAAdmitted (licensed)$2.9M4.01%
6ProSelect Insurance Company10638NEAdmitted (licensed)$2.6M3.55%
7NCMIC Insurance Company15865IAAdmitted (licensed)$1.9M2.56%
8MAG Mutual Insurance Company42617GAAdmitted (licensed)$1.2M1.68%
9COPIC Insurance Company11860COAdmitted (licensed)$851,9331.16%
10Liberty Insurance Underwriters, Inc.19917ILAdmitted (licensed)$790,0781.08%
11ACUITY, A Mutual Insurance Company14184WIAdmitted (licensed)$610,5270.83%
12ProAssurance Insurance Company of America14460ILAdmitted (licensed)$588,9380.80%
13Aspen American Insurance Company43460TXAdmitted (licensed)$520,0370.71%
14Ace American Insurance Company22667PAAdmitted (licensed)$482,4570.66%
15Cincinnati Insurance Company (The)10677OHAdmitted (licensed)$334,3800.46%
16Great Divide Insurance Company25224NDAdmitted (licensed)$292,0560.40%
17Berkshire Hathaway Specialty Insurance Company22276NEAdmitted (licensed)$223,2210.31%
18ISMIE Mutual Insurance Company32921ILAdmitted (licensed)$199,4510.27%
19Cincinnati Indemnity Company (The)23280OHAdmitted (licensed)$152,7720.21%
20Fair American Insurance and Reinsurance Company35157NYAdmitted (licensed)$112,7350.15%
21Fortress Assurance Corporation10801ILAdmitted (licensed)$96,8510.13%
22Allied World Assurance Company (U.S.) Inc.22730NHAdmitted (licensed)$73,4460.10%
23Church Mutual Insurance Company, S. I.18767WIAdmitted (licensed)$53,9300.07%
24State Farm Fire and Casualty Company25143ILAdmitted (licensed)$52,5880.07%
25NORCAL Insurance Company33200CAAdmitted (licensed)$51,1380.07%
26Hartford Fire Insurance Company19682CTAdmitted (licensed)$35,0630.05%
27Professional Solutions Insurance Company11127IAAdmitted (licensed)$23,6620.03%
28Beazley Insurance Company, Inc.37540CTAdmitted (licensed)$20,2570.03%
29Continental Insurance Company, (The)35289PAAdmitted (licensed)$17,6210.02%
30American Home Assurance Company19380NYAdmitted (licensed)$7,8320.01%
31Cincinnati Casualty Company (The)28665OHAdmitted (licensed)$7,5760.01%
32Preferred Professional Insurance Company36234NEAdmitted (licensed)$6,4430.01%
33CAMPMED CASUALTY \u0026 INDEMNITY COMPANY, INC.12260NHAdmitted (licensed)$5390.00%
34National Union Fire Insurance Company of Pittsburgh, Pennsylvania19445PAAdmitted (licensed)$1810.00%
Turned down?

Last resort for medical malpractice in Wisconsin

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

Source: the Wisconsin insurance regulator company list, read 2026-10-18. Admitted = union of two OCI 2025 Wisconsin Insurance Report documents joined by normalized name: Table E market share (every insurer with 2025 WI premium, all 48 lines incl. life/annuity/A&H; gives NAIC code + lines) and the Directory of Licensed Insurers as of 12/31/2025 (gives domicile, company type, year commenced in WI; no NAIC; https://oci.wi.gov/Documents/AboutOCI/2025_WIR_Directory.pdf). Join stats: {'exact': 1249, 'fuzzy': 3, 'unmatched_xlsx': 2, 'directory_rows': 2281, 'table_e_naic': 1254, 'directory_unmatched': 1029}. Rows with naic '' are directory-only (licensed but no 2025 WI premium or name not matched); rows with type '' are Table E only (name not matched to the directory). Type codes: AR=Accredited Reinsurer; CR=Certified Reinsurer; RJR=Reciprocal Jurisdiction Reinsurer; DSL=Domestic Surplus Line; FR=Fraternal Benefit Society; CC=Continuing Care Organization; CMO=Care Management Organization; HMO=Health Maintenance Organization; IRO=Independent Review Organization; LAH=Life and Accident and Health Company; LSP=Life Settlement Provider; RRG=Risk Retention Group; LSHO=Limited Service Health Organization; MC=Motor Club Plan; SCP=Service Contract Provider; PC=Property and Casualty Company; TI=Title Company; TM=Town Mutual of Wisconsin; VPP=Vehicle Protection Plan; WP=Warranty Plan. Filter P&C with type in {PC, RRG, DSL, TM, TI} or lines among the P&C lines (Table E sheets 34-48: FIRE, FARMOWNERS MULTIPLE PERIL, HOMEOWNERS MULTIPLE PERIL, COMMERCIAL MULTIPLE PERIL, MEDICAL MALPRACTICE, WORKERS COMPENSATION, EXCESS WORKERS COMPENSATION, OTHER LIABILITY, PRIVATE PASSENGER AUTO, COMMERCIAL AUTO, FIDELITY, SURETY, CREDIT, MORTGAGE GUARANTY, TITLE; sheet 33 STOP LOSS/EXCESS LOSS; line strings are the sheet titles, which differ slightly from the TOC). Directory also lists non-insurers (SCP, WP, VPP, MC, LSP, IRO, CC, CMO) and reinsurers (AR, CR, RJR); foreign domiciles are blanked. 'since' = year commenced business in WI. Wisconsin publishes no eligible surplus lines list (NRRA home-state rule; NAIC IID list for aliens), so surplus_lines is empty. "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.

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