Strong investment gains offset record expenses for medical professional liability insurers during first quarter of 2025, while direct written premium rose 4%.

If Virginia removes a cap on total damages for medical professional liability insurance, we estimate that losses could rise 10% to over 100%, depending on policy size.

The growing backlog of medical professional liability lawsuits post-pandemic has significantly increased case duration, which needs to be reflected in actuarial methods and assumptions.

The potential passage of California Assembly Bill 35, amending key provisions of the state’s Medical Injury Compensation Reform Act will have reverberations for years to come.