Slide 1: Forward Looking Statements and Non-GAAP Measures
This presentation contains Forward Looking Statements and other information designed to convey our projections and expectations regarding future results. There are a number of factors which could cause our actual results to vary materially from those projected in this presentation. The principal ris
Slide 2: YTD 2013 Highlights
YTD 2013 Highlights Solid profitability with ROE of 11.1%% Book Value per share now $37.79 2.6% increase since year-end 2012 Mark-to-market effect $(0.40)/share in Q2 Book Value per Share has grown each year since Recent transactions contributing to our results with integration proceeding as planned
Slide 3: ProAssurance Corporate Profile
ProAssurance Corporate Profile Specialty liability insurance writer Healthcare Professional Liability (HCPL) Only public company writing predominately HCPL Life sciences and medical devices Attorney’s professional liability Market Cap: ~$3.0 billion Shareholders’ Equity: $2.4 billion Total Assets: $
Slide 4: ProAssurance Business Profile
Q2 2013 Policyholders: ~64,600 Q2 2013 Premium: $286 mln Distribution Channels HCPL LPL Life Sciences Agent / Broker 67% 77% 100% Direct 33% 23% -- ProAssurance Business Profile June 30, 2013 Includes Acquisitions Tail Premium Allocated by Line
Slide 5: National Footprint
National Footprint ProAssurance Geographic Profile Broad geographic diversification Locally-based decision-making differentiates ProAssurance by addressing each state’s unique medical/legal challenges (Birmingham) Corporate Headquarters Corporate Headquarters Claims Offices Claims Offices Claims / U
Slide 6: Seeking Increased Yield But Balancing Risk
$4.2 Billion Portfolio Fixed Income: 85% Short Term: 2% Equity and Equity Substitutes: 12% BOLI: 1% Seeking Increased Yield But Balancing Risk We continue to focus on maintaining a high quality, well diversified fixed income portfolio We have made incremental changes to obtain higher yields in blue
Slide 7: Consistent Approach to Reserves
Consistent Approach to Reserves Recognizing loss trends as they appear No change in long-term results but potential volatility quarter-to-quarter No change in reserving philosophy or process $ in millions
Slide 8: Management Team
W. Stancil Starnes, JD Chairman & Chief Executive Officer Company Tenure: 6 Years Prior MPL Experience: 29 Years Total Industry & Related Experience: 35 Years Formerly in the private practice of law in MPL defense and complex corporate litigation Jeffrey L. Bowlby, ARM Sr. Vice-President & Chief Mar
Slide 9: Our Commitment to Treated Fairly
Our Commitment to Treated Fairly Steadfast dedication to in-depth underwriting and adequate pricing Unquestioned financial strength consistently delivering value for insureds and shareholders An unsurpassed level of customer service Unwavering dedication to the defense of non-meritorious lawsuits Al
Slide 10: Current Prices Reflect the Solid Value of ProAssurance
Current Prices Reflect the Solid Value of ProAssurance Current Price to Q2 2013 Book: 1.3x Average Since Inception: 1.4x Driven to Excel / Focused on Shareholder Value Maintaining profitability Continuing growth in book value per share Producing sustainable shareholder value Focusing on long-term—re
Slide 11: Strategies for Future Success
Strategies for Future Success Our successful experience and deep expertise uniquely qualify ProAssurance to insure the widest range of healthcare risks
Slide 12: Building a Bridge to the Future
Building a Bridge to the Future We are uniquely positioned to succeed by serving both the emerging, complex healthcare market and the legacy business that will remain Smaller competitors with less experience and capacity have decisions to make about their future in this new healthcare environment Le
Slide 13: Building a Bridge to the Future
Building a Bridge to the Future Larger risks demand sophisticated coverages that span the continuum of healthcare Broad healthcare liability experience is our foundation Added capacity & capability through M&A Medmarc, PICA and Mid-Continent Home Healthcare Non-Traditional Delivery Settings Multi-Sp
Slide 14: ProAssurance Will Grow Prudently
ProAssurance Will Grow Prudently We are building the platform that will allow us to serve the broad spectrum of healthcare Prudent leverage of our success and experience with the addition of specialized expertise Healthcare-related coverages that compliment our MPL line ProAssurance is a demonstrate
Slide 15: ProAssurance's Successful M&A History
ProAssurance’s Successful M&A History Original Companies Purchased Company Demutualization OHIC HOSPITALS ONLY Renewal Rights Assumed Business † SERTA
Slide 16: Strategy for an Evolving Market
Strategy for an Evolving Market Shaped by a healthcare landscape that will change—with or without federal healthcare reform Expanding our capabilities and commitment across the continuum of healthcare Building on two decades of hospital experience Recent expansion into products liability for life sc
Slide 17: Positioned to Succeed
Positioned to Succeed ProAssurance has the right combination of geographic scope, broad experience, and financial strength for success in the new world of healthcare liability SNL 2012 Statutory Data, MPL Writers with Direct Written Premiums >$80 million
Slide 18: Strategy for an Evolving Market
Strategy for an Evolving Market Leverage our reach, expertise and financial strength with larger accounts Largest non-profit healthcare system in the US Now in Michigan, Florida, Illinois, Indiana and Texas Insuring Ascension-affiliated physicians through coordinated, jointly insured programs Financ
Slide 19: Strategy for an Evolving Market
Strategy for an Evolving Market Joint physician/hospital insurance products to address the unique risk tolerance and claims- handling expectation of each insured Partnerships with existing physician-focused companies to leverage hospital expertise Recently announced California venture with CAP-MPT:
Slide 20: Healthcare Reform
Healthcare Reform Known: More customers for us May accelerate the growth of hospital-owned practices and consolidation into larger groups Provides an opportunity for us due to our geographic reach, long-term experience in hospitals and our financial strength We have enhanced our ability to write new
Slide 21: Sound Strategy = Consistent Profitability
Sound Strategy = Consistent Profitability
Slide 22: The Payoff: Consistent Book Value Growth
Captures our focus on long-term excellence Increased every year we have been public The Payoff: Consistent Book Value Growth Inception to 6/30/13 CAGR: 16% Cumulative: 2,171% 10 Year Summary (2003 -2012) CAGR: 16% Cumulative: 360% Historical Book Value Per Share Split Adjusted Dividends Shown in the
Slide 23: The Payoff: Steady Share Price Increase
Share price reflects investor confidence in our business decisions and long-term strategy The Payoff: Steady Share Price Increase Historical Share Price Reflects all stock splits 2012 excludes $2.50/share special dividend Inception to 8/15/13 CAGR: 14% Cumulative: 1,761% 10 Year Summary (2003-2012)
Slide 24: Historical Financial Performance
Net Income 1 Operating Income 2 Historical Financial Performance Our disciplined, long-term approach drives consistent profitability $ in millions 1 Includes a gain of $35.5 million in the first quarter of 2013 in connection with our acquisition of Medmarc as a result of the value of the net assets
Slide 25: YTD 2013 Income Statement Highlights
June 30, Y-OVER-Y Change 2013 2012 Gross Premiums Written $ 286 $ 273 +5% Net Investment Result $ 62 $ 64 -3% Total Revenues $ 366 $ 344 +6% Total Expenses (Includes Loss Costs) $ 201 $ 190 +6% Net Income (Includes Realized Investment Gains & Losses and gain on acquisition) $ 163 $ 114 +43% Operatin
Slide 26: Q2 2013 Income Statement Highlights
June 30, Y-OVER-Y Change 2013 2012 Gross Premiums Written $ 123 $ 102 +21% Net Investment Result $ 30 $ 32 -6% Total Revenues $ 171 $ 164 +4% Total Expenses (Includes Loss Costs) $ 106 $ 84 +26% Net Income (Includes Realized Investment Gains & Losses and gain on acquisition) $ 50 $ 58 -14% Operating
Slide 27: Five Year Premium History
Five Year Premium History Disciplined Underwriting Consistently writing profitable business to ensure long- term success Premium driven by competition, physician consolidation Loss trends remains favorable Gross Premiums Written Net Premiums Earned
Slide 28: YTD 2013 Balance Sheet Highlights
Shareholders’ Equity YTD 2013 Balance Sheet Highlights Split adjusted, in billions, except Book Value per share Shareholders’ Equity $ 2.3 $ 2.3 +3% Total Investments 4.2 3.9 +6% Total Assets 5.1 4.9 +5% Policy Liabilities 2.5 2.3 +7% 6/30/13 12/31/12 CHANGE 64% increase since 2008 Book Value per Sh
Slide 29: Long-Term Financial Strength
Total Assets Long-Term Financial Strength Our balance sheet is our top financial priority Financial strength differentiates us in the market The claims defense philosophy that differentiates us in the market leverages our financial strength
Slide 30: Returning Capital to Shareholders
Returning Capital to Shareholders Capital Management Priorities Balancing our future needs vs. expectations from rating agencies and investors Preferred use is to support growth through M&A or new business Regular dividend is $1.00/share ~2% yield based on current share price Prudent share repurchas
Slide 31: Excess Capital vs. Excess Capacity
Excess Capital vs. Excess Capacity Premiums to Surplus Strong capital position us for a firming market We recognize the effect on ROE The manner in which capital is used has an effect on financial ratings Capital Management Priorities Conceptual Model of Projected A. M. Best BCAR Scores if 6/30/13 P
Slide 32: Debt to Equity
Debt to Equity Capital Management Priorities No long-term debt Fully secured by investments with higher yields than the cost of borrowing No Debt Prior to 2001
Slide 33: ProAssurance Treated Fairly
PROASSURANCE. “Treated Faily
Slide 34: Capital Growth: 2008-Q2 2013
Capital Growth: 2008-Q2 2013 in $000’s except total equity (000,000’s) * Includes economic cost of holding treasury shares
Slide 35: Inside ProAssurance's Balance Sheet
Inside ProAssurance’s Balance Sheet 6/30/13
Slide 36: Inside ProAssurance's Income Statement
Inside ProAssurance’s Income Statement 6/30/13 $35.5 Non-Taxable Gain on Acquisition
Slide 37: Book Value per Share and Unrealized Gain
$40.00 - $35.00 $30.00 — $25.00 Unrealized gain decreased $1.01 per 20.00 + share from 3/31/13 to 6/30/13 $15.00 — $10.00 a @ a a a @ oo a a @ @ a ag @ @ a a @ 2009 2009 2009 2009 2010 2010 2010 2010 2011 2011 2011 2011 2012 2012 2012 2012 2013 2013 —Book Value per Share ——Tangible Book Value per Sh
Slide 38: Components of Return on Equity
Components of Return on Equity (in millions) Steady Return in an Unfavorable Environment L ong-term ROE target: 12% -14%
Slide 39: Long-Term ROE Target and The Yield Trap
Long-Term ROE Target is 12%-14% The Yield Trap The choice: chase yield or extend duration We are maintaining duration, looking for opportunities Pricing discipline becomes even more critical in a low interest rate environment Lack of investment yield may be a hard market catalyst Return on Equity an
Slide 40: ProAssurance Operational Review
ProAssurance Operational Review ProAssurance delivers an unparalleled level of service and financial stability that truly differentiates our coverage and our Company in an evolving, competitive market
Slide 41: Underwriting for Profitability Not Market Share
Underwriting for Profitability Not Market Share Underwriting process driven by individual risk selection and assessment of loss history, areas of practice, and location Rates contemplate specific ROE expectations Frequent rate/loss reviews ensure adequate prices Rate filings consider the results of
Slide 42: MD/DO Rate Change History
MD/DO Rate Change History ProAssurance Pricing History Peak pricing was in 2006 Improved frequency trends are reflected in recent rate declines Improvement in frequency has outweighed the steady, manageable rise in severity Loss trends have improved in states with and without tort reforms Rate chang
Slide 43: ProAssurance Retention Remains High
ProAssurance Retention Remains High Continued underwriting vigilance is being used today to ensure future success Market share is important, but NOT as important as profitability Retention remains in line with recent quarters
Slide 44: Key State Rate Comparison
Key State Rate Comparison Annual Premium for a $1M / $3M Policy Filed or Approved at 1/01/13
Slide 45: Understanding Recent Loss Trends
Understanding Recent Loss Trends Frequency stable after historic declines Lawyers are the gatekeepers Must weigh the cost of a trial vs. chances of success Likelihood of success is affected by many factors Societal perceptions of lawsuits against physicians Effects of the overall Tort Reform debate
Slide 46: Claims Trends Remain Favorable
New Claims Opened Each Year ProAssurance Claims Tried to a Verdict Claims Trends Remain Favorable Fewer cases to try following significant decline in frequency Severity trends steady and manageable No observed effect from the economic downturn Trends are much the same in states with or without Tort
Slide 47: Differentiate Through Claims Defense
ProAssurance: 78% No Paid Losses Industry: 72% No Paid Losses Differentiate Through Claims Defense We leverage our financial strength to give our insureds the opportunity for an uncompromising defense of each claim Differentiates our product Provides long-term financial and marketing advantages Reta
Slide 48: The Ohio Example: 2005-2011 Data
More Claims Closed With No Indemnity More Claims Defended in Court Lower Average Indemnity Payment per Closed Claim The Ohio Example: 2005 - 2011 Data Comprehensive, reliable data provided by the Ohio Department of Insurance Broad range of competitors and business approaches www.insurance.ohio.gov/L
Slide 49: The Bottom Line Benefits of Strong Defense
Loss Payments as a Percentage of Total Loss Ratio 19% 21% 32% 48% 42% 44% The Bottom Line Benefits of Strong Defense Our ability and willingness to defend claims allows us to achieve better results Source: Statutory Basis, A.M. Best Aggregates & Averages Some totals may not agree due to rounding Pro
Slide 50: ProAssurance vs. Industry Loss Ratios
Source: 1991-2011 A.M. Best Aggregates and Averages, Medical Malpractice Lines of Business 2012: Preliminary A. M. Best industry data from special report issued 5/6/13 Five Years: ProAssurance Average: 58.7% / Industry Average: 84.4% Ten Years: ProAssurance Average: 77.8% / Industry Average: 94.7% 1
Slide 51: ProAssurance Outperforms the Industry
ProAssurance Outperforms the Industry 2004-2011 A.M. Best Aggregates and Averages, Medical Malpractice Lines of Business 2012: Preliminary SNL Data Weighted Average High/Low Industry Average
Slide 52: Today's Healthcare Professional Liability Market
Today’s Healthcare Professional Liability Market ProAssurance delivers an unparalleled level of service and financial stability that truly differentiates our coverage and our Company in an evolving, competitive market
Slide 53: HCPL Stands Apart in Insurance
HCPL Stands Apart in Insurance HCPL claims may not be filed for years after an incident and may take years to resolve: Long-tail Personal lines are short tail Introduces long periods of uncertainty Loss trends may change expected severity from time of initial pricing Can be mitigated by the use of t
Slide 54: The HCPL Market Today
The HCPL Market Today Prolonged period of “benign profitability” Premiums levels remain well above levels of 2000 Significant policyholder retention by all companies despite fierce competition No large commercial carriers have entered the market in a meaningful manner Significant barriers to entry i
Slide 55: Market Cycle Factors
Factor Frequency Severity Investment Returns Capital Cash Flow Reserves Reinsurance Status Stabilized Some Upward Indications Moderate Low Excess Capacity Becoming Strained Modestly Redundant Sufficient Capacity Cycle Impact Neutral — Harden Neutral Harden Soften Neutral — Harden Soften Neutral
Slide 56: The HCPL Market Today
The HCPL Market Today Changes in healthcare delivery are changing the underlying dynamics Physicians are combining into larger groups Physician practices are being brought into hospitals through purchase or affiliation Hospitals are combining into large networks requiring greater insurance expertise
Slide 57: The HCPL Market Today
The HCPL Market Today Market remains fragmented even after two decades of consolidation More than 100 writers Largest market share is ~8% 87% of top 100 companies have <2% 76% of top 100 companies have <1%
Slide 58: ProAssurance's Standing in HCPL
ProAssurance’s Standing in HCPL ProAssurance is the largest independent publicly-traded writer of HCPL insurance Fourth largest overall writer DPW: SNL Data 2012
Slide 59: Investment Portfolio Detail
Investment Portfolio Detail ProAssurance remains conservatively invested, to ensure our ability to keep our long-term promise of insurance protection
Slide 60: ProAssurance: Investment Profile
$4.2 Billion Overall Portfolio $3.5 Billion Fixed Income Portfolio ProAssurance: Investment Profile Average duration: 4.0 years Average tax-equivalent income yield: Q2 13: 4.3% / Q2 12: 4.5% Investment grade: 93% Weighted average: A+ 06/30/13 Tax credit portfolio not reflected in investment income—p
Slide 61: Portfolio Detail: Asset Backed
Asset Backed: $464 Million ProAssurance Portfolio Detail: Asset Backed 06/30/13 Subject to Rounding Weighted Average Rating: “AA+”
Slide 62: Portfolio Detail: Corporates
Corporates: $1.5 Billion ProAssurance Portfolio Detail: Corporate Weighted Average Rating: A- 6/30/13
Slide 63: Portfolio Detail: Municipals
Municipals: $1.3 Billion / Average Rating is AA ProAssurance Portfolio Detail: Municipals Investment policy has always required investment grade rating prior to applying the effect of insurance Weighted Average Rating: AA 06/30/13
Slide 64: Portfolio Detail: Equities & Other
Equities & Other: $482 Million ProAssurance Portfolio Detail: Equities & Other 06/30/13 5.4% TE Book Yield 13% TE IRR
Slide 65: Portfolio Detail: Various
Treasury / GSE: $271 Million Short Term: $87 Million BOLI: $53 Million ProAssurance Portfolio Detail: Various Rated A1/P1 or better Money Markets: Moody’s: Aaa S&P: AAA Weighted average rating Moody’s: AA3 S&P: AA- A. M. Best: A+ 06/3013
Slide 66: ProAssurance Transaction Discussion
ProAssurance Transaction Discussion Medmarc is broadening our product offerings and capabilities in protecting the delivery of healthcare With the acquisition of Independent Nevada Doctors Insurance Exchange (IND), ProAssurance becomes the leading medical professional liability writer in Nevada
Slide 67: Medmarc Transaction Update
Medmarc Transaction Update A leading products liability writer in medical technology and life sciences Meaningful legal professional liability book Acquisition completed effective January 1, 2013 Functioning as an operationally independent subsidiary Broad acceptance in Medmarc’s target markets Coor
Slide 68: IND Transaction Update
IND Transaction Update Leading MPL writer in Nevada Acquisition completed in late November 2012 Integration well underway and proceeding smoothly New business opportunities evolving as agents understand the scope and capability of the combined organizations