Proassurance Corporation · NYSE:PRA

Proassurance — Raymond James & Associates 32nd Annual Institutional Investors Conference (March 2011)

59 slides from Proassurance's conference presentation, Mar 8, 2011

  1. Slide 1: Investor Presentation

    March 8, 2011 Investor Presentation Raymond James & Associates 32nd Annual Institutional Investors Conference W. Stancil Starnes Chairman and Chief Executive Officer Edward L. Rand, Jr. Chief Financial Officer

  2. Slide 2: 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

  3. Slide 3: Consistently Successful Throughout the Insurance Cycle

    Consistently Successful Throughout the Insurance Cycle ProAssurance: Corporate Profile Specialty writer of professional liability insurance Fourth largest writer overall of Medical Professional Liability (MPL) Historical Book Value Per Share Since Inception CAGR: 16% Cumulative:1545% 10 Year Summary

  4. Slide 4: Consistently Successful Throughout the Insurance Cycle

    Consistently Successful Throughout the Insurance Cycle ProAssurance: Corporate Profile Market Cap : ~$1.9 billion Total Assets: $4.8 billion Shareholders’ Equity: $1.9 billion Historical Book Value Per Share Since Inception CAGR: 16% Cumulative:1545% 10 Year Summary CAGR: 15% Cumulative: 297% Histor

  5. Slide 5: 2010 Financial Highlights

    December 31 Y-O-Y Percentage Change 2010 2009 Gross Premiums Written $ 533,205 $ 553,922 -4% Net Premiums Earned 519,107 497,543 +4% Net Investment Income 146,380 150,945 -4% Net Income (Includes Investment Losses) 231,598 222,026 +4% Operating Income 219,457 215,210 +2% Net Income per Diluted Share

  6. Slide 6: Capital Management

    Share Repurchase History Excess Capital vs. Excess Capacity Capital Management Share repurchase $105 million spent in 2010 to buy 1.8 million shares $315 million spent to repurchase 6.0 million shares since 2005 Proven discipline in prudently deploying capital Building the company and enhancing retu

  7. Slide 7: ProAssurance: Geographic Profile

    ProAssurance Footprint Top States (2010 Premium in millions) 1 ProAssurance: Geographic Profile Writing throughout the United States 2009 market share of 5% by DPW Maintaining local knowledge and expertise Corporate Headquarters Corporate Headquarters (Birmingham) 1 Includes premium attributable to

  8. Slide 8: ProAssurance: Risk and Distribution Profile

    2010 Premium: $533 million ProAssurance: Risk and Distribution Profile We insure a broad range of healthcare risks, from home health providers to 800 bed hospitals Direct: 35% / Agents: 65% Direct: 39% / Agents: 61%

  9. Slide 9: Operations and Strategy

    March 8, 2011 Operations and Strategy W. Stancil Starnes Chairman and Chief Executive Officer

  10. Slide 10: ProAssurance Differentiates in the Marketplace

    ProAssurance Differentiates in the Marketplace Defense of claims Long-term financial strength Adaptability Treated Fairly ®

  11. Slide 11: Claims Defense Remains at Our Core

    ProAssurance: 81% Favorable Outcomes Industry: 74% Favorable Outcomes Claims Defense Remains at Our Core Our insureds increasingly value reputational defense as claims data becomes public Five Year Average 2005-2009

  12. Slide 12: The Ohio Example: 2005-2009 Data

    Fewer Claims Closed With Indemnity More Claims Defended in Court Lower Average Indemnity Payment per Closed Claim The Ohio Example: 2005 - 2009 Data Comprehensive, reliable data provided by the Ohio Department of Insurance www.insurance.ohio.gov/Legal/Reports/Documents/MedMal_Closed_Claim_2009.pdf 2

  13. Slide 13: ProAssurance Premium Retention History

    ProAssurance Premium Retention History Solid Retention of Well-Underwritten Risks

  14. Slide 14: Combined Ratio: ProAssurance Consistently Outperforms

    Combined Ratio: ProAssurance Consistently Outperforms Demonstrated Underwriting Performance ProAssurance Average: 95.3% Industry Average: 108.8% Source: A.M. Best Aggregates and Averages, Medical Malpractice Lines of Business

  15. Slide 15: The Potential Effects of Healthcare Reform

    The Potential Effects of Healthcare Reform No meaningful Tort Reform in the bill Known More customers for us We have acquired companies to expand our reach Unknown Effect on the medical / legal environment Long-term effects on the business we write and who purchases that coverage We have unique adva

  16. Slide 16: New Products for a Changing Market

    New Products for a Changing Market Insurance partnership with Ascension Health Pilot project in Michigan Joint physician / hospital insurance product: ProControl Alternative risk and self-insurance mechanisms

  17. Slide 17: Tort Reform Resurfaces

    Tort Reform Resurfaces Tort Reform has reappeared in Washington The HEALTH Act should pass the House Senate passage is far from certain State Tort Reforms Existing reforms being tested New states considering MPL tort reforms We set prices and reserve levels as if there is no tort reform, until resul

  18. Slide 18: M & A Update and Strategy

    M & A Update and Strategy Acquisition of American Physicians Services Group Modestly accretive to earnings in 2011, after one-time charges and restructuring costs We are now the second leading writer in Texas Adds to business in Arkansas and Oklahoma We are industry leaders in M & A Not all M & A op

  19. Slide 19: Performance Recognition

    Operating Ratio Combined Ratio Loss & LAE Ratio Return on Core Premium Return on Surplus Performance Recognition Leading industry operating performance in 2009 in Moody’s top 100 property & casualty insurers ProAssurance ranks 79th by premium, but outperforms in many key financial measures Fourth st

  20. Slide 20: Current Prices Present a Compelling Buying Opportunity

    Current Prices Present a Compelling Buying Opportunity Current Price to Book: ~1.0x Average Since Inception: 1.4x Driven to Excel / Focused on Shareholder Value

  21. Slide 21: Investor Meetings

    Investor Meetings Raymond James & Associates 32nd Annual Institutional Investors Conference March 8, 2011 W. Stancil Starnes Chairman and Chief Executive Officer Edward L. Rand, Jr. Chief Financial Officer Frank B. O’Neil Investor Relations Officer Investor Meetings Raymond James & Associates 32nd A

  22. Slide 22: Consistently Successful Throughout the Insurance Cycle

    Consistently Successful Throughout the Insurance Cycle Specialty writer of professional liability insurance, primarily Medical Professional Liability (MPL) Market Cap : ~$1.9 billion Total Assets: $4.9 billion Shareholders’ Equity: $1.9 billion Founded in 1975 / Demutualized to a public company in 1

  23. Slide 23: ProAssurance: Business Profile

    Company 2009 DPW (000’s) Share Comments 1 Medical Liability Mutual $ 756,844 7.0% 78% in NY, 22% in NJ 2 Medical Protective $ 727,160 6.8% Berkshire subsidiary Direct competitor 3 Doctors Company $ 601,223 5.6% Non-public Direct competitor 4 ProAssurance $ 541,031 5.0% 5 AIG $ 524,252 4.9% Not a dir

  24. Slide 24: ProAssurance Footprint

    ProAssurance Footprint ProAssurance: Geographic Profile Writing across the United States, ProAssurance has broad geographic diversification Each state presents unique medical and legal challenges Regional structure provides the local knowledge that differentiates ProAssurance Corporate Headquarters

  25. Slide 25: ProAssurance: Risk and Distribution Profile

    2010 Premium: $533 million ProAssurance: Risk and Distribution Profile We insure a broad range of healthcare risks, from home health providers to large hospitals Focus on individual physicians and physician groups Rated “A” by A.M. Best and Fitch Dual distribution in DC, Texas and parts of Missouri

  26. Slide 26: M & A Update

    M & A Update Financial Highlights Acquisition of American Physicians Services Group (APS) closed November 30, 2010 Announced September 1, 2010 Valued AMPH at $32.50/share—approximately $233 million paid to AMPH shareholders 1.3x Book Value or 11x First Call EPS estimate Insurance Highlights We are n

  27. Slide 27: We Expect to Continue Growing Through M & A

    Physicians Ins. Co. of Michigan Completed 11/30/10 We are skilled at finding M & A opportunities, conducting in-depth due diligence and integrating resulting acquisitions 2009: Consolidation of: Mid-Continent General Agency 2009: Consolidation of: Mid-Continent General Agency Georgia Lawyers Insuran

  28. Slide 28: De Novo vs. Acquisition M & A and the Insurance Cycle

    De Novo vs. Acquisition M & A and the Insurance Cycle The Case for Growing Through M & A Legal and regulatory environment must be favorable Not all M & A opportunities should be pursued The key is understanding why companies are available We don’t “bet the farm” and can acquire without “breaking the

  29. Slide 29: Strategy & Operations: Differentiation is the Key

    Strategy & Operations: Differentiation is the Key

  30. Slide 30: Current Industry Status

    Current Industry Status We are in a period of “benign profitability” Prices have been falling yet profitability remains at attractive levels We have seen no new large scale market entry from larger commercial competitors Some consolidation among “mid-decade” start-ups

  31. Slide 31: Differentiate Through Claims Defense

    ProAssurance: 82% Favorable Outcomes Industry: 73% Favorable Outcomes Differentiate Through Claims Defense Our deep expertise in claims defense has always set us apart Our financial strength gives our insureds the opportunity for an uncompromising defense of their claim Our successful approach to cl

  32. Slide 32: The Ohio Example: 2005-2009 Data

    Fewer Claims Closed With Indemnity More Claims Defended in Court Lower Average Indemnity Payment per Closed Claim The Ohio Example: 2005 - 2009 Data Comprehensive, reliable data provided by the Ohio Department of Insurance Broad range of competitors and business approaches www.insurance.ohio.gov/Leg

  33. Slide 33: Claims Trends Remain Favorable

    ProAssurance Claims Tried to a Verdict New Claims Opened Each Year Claims Trends Remain Favorable With frequency down compared to mid-decade the result is fewer cases to try Severity trends steady and manageable Trends are much the same in states with or without Tort Reform

  34. Slide 34: Loss Trends and Rate Actions

    Physician Rate Change History 1 Premium Retention History Loss Trends and Rate Actions Rates on renewing physician business down less than 14% from peak pricing in 2006 Improved frequency trends are reflected in recent rate declines Improvement in frequency has outweighed a steady, manageable rise i

  35. Slide 35: Stringent Underwriting Standards

    We enforce stringent underwriting standards to maintain rate structure and enhance profitability Underwriting process driven by individual risk selection and assessment of loss history, areas of practice, and location Rate filings consider the results of the past five to seven years to ensure a sing

  36. Slide 36: Conservative Approach to Reserves

    Net Liability Reserve Development Net Reserve per Open MPL Claim 1 Conservative Approach to Reserves No change in the historic reserving practices that have produced favorable net reserve development in each of the last eight years Conservative reserve strategy provides protection against a loss tre

  37. Slide 37: Tort Reform Resurfaces

    Tort Reform Resurfaces Federal Tort Reform has reappeared in Washington Lots of smoke, so far no fire in Washington Resurfaced during President Obama’s State of the Union Speech Republicans are pushing The HEALTH Act which previously passed the House but died in the Senate Out of Committee in the Ho

  38. Slide 38: The Potential Effects of Healthcare Reform

    The Potential Effects of Healthcare Reform No meaningful Tort Reform in the bill No immediate effect on the medical/legal climate Demonstration projects do not provide meaningful reform or immediate data Known: More customers for us We have enhanced our ability to write new classes of business throu

  39. Slide 39: New Products for a Changing Market

    New Products for a Changing Market Insurance partnership with Ascension Health Largest Catholic healthcare system in the US 38 ministry locations in 18 states Pilot partnership in Michigan to offer coverage to 1,000 affiliated physicians not employed by Ascension Insurance operations performed by Pr

  40. Slide 40: Long-Term Financial Strength Sets Us Apart

    Shareholders’ Equity Total Assets Long-Term Financial Strength Sets Us Apart Ensuring the strength of 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

  41. Slide 41: Financial Performance and Investments

    Financial Performance and Investments

  42. Slide 42: Performance Recognition

    Operating Ratio Combined Ratio Loss & LAE Ratio Return on Surplus Performance Recognition Leading industry operating performance in 2009, ranked by Moody’s top 100 property & casualty insurers ProAssurance ranks 79th by premium, but outperforms in key financial measures Fourth straight year in the W

  43. Slide 43: Operating Net Income, Investment Income, Net Premiums Written

    Consolidated Operating Net Income 1 Net Investment Income Net Premiums Written 1 Excludes the after-tax effects of net realized gains or losses and guaranty fund assessments or recoupments

  44. Slide 44: Investments Balance Risk vs. Return

    $4 Billion Overall Portfolio $3.6 Billion Fixed Income Portfolio CUSIP-level portfolio disclosure on our website: www.proassurance.com/investorrelations/supplemental.aspx Investments Balance Risk vs. Return Average duration: 4.1 years Average tax-equivalent yield: 4.8% (1) Investment grade: 97% Weig

  45. Slide 45: The Importance of Investment Income

    Trial and Appeals Life Cycle of a Typical Claim The Importance of Investment Income Investment income compounds significantly due to the long-tail nature of the MPL claims cycle Lower investment results place greater emphasis on quality underwriting to achieve a combined ratio below 100% Year Year Y

  46. Slide 46: Long-Term ROE Target is 13%

    Long-Term ROE Target is 13% The Yield Trap 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 and Investment Returns Assumes a 1:1 premium to surplus ratio for physicians professional liability clai

  47. Slide 47: Conservative Use of Debt and Low Leverage

    Debt to Equity Strong Capital Position Conservative Use of Debt and Low Leverage Low Debt to Cap Ratio No strain on cash flow No Debt Prior to 2001 Prepared for an improving market

  48. Slide 48: Capital Management

    Share Repurchase History Excess Capital vs. Excess Capacity Capital Management Dividends No current dividend to shareholders Regular evaluation by Board/Management Ongoing commitment of cash is a key consideration Share Repurchase $106 million spent in 2010 to buy 1.8 million shares $315 million spe

  49. Slide 49: ProAssurance

    PROASSURANCE. “rested Faly

  50. Slide 50: Driven to Excel / Focused on Shareholder Value

    Current Prices Present a Compelling Buying Opportunity Current Price to Book: ~1.0x Average Since Inception: 1.4x Driven to Excel / Focused on Shareholder Value Maintaining our profitability and book value growth Outstanding performance in a challenging financial market and a demanding line of insur

  51. Slide 51: Supplemental Discussion Materials

    Supplemental Discussion Materials

  52. Slide 52: Management Team

    W. Stancil Starnes, JD Chairman & Chief Executive Officer sstarnes@proassurance.com (205) 877-4400 Company Tenure: 3 Years Prior MPL Experience: 29 Years Industry & Related Experience: 32 Years Formerly in the private practice of law in MPL defense and complex corporate litigation. Victor T. Adamo,

  53. Slide 53: 2010 Financial Highlights

    December 31 2010 2009 Gross Premiums Written $ 533,205 $ 553,922 Net Premiums Earned 519,107 497,543 Net Investment Income 146,380 150,945 Net Income (Includes Investment Losses) 231,598 222,026 Operating Income 219,457 215,210 Net Income per Diluted Share $ 7.20 $ 6.70 Operating Income per Diluted

  54. Slide 54: Portfolio Detail: Asset Backed

    Asset Backed: $732 Million Weighted Average Rating: “AA+” Breakdown of Agency MBS Holdings Sub-Prime: $12.5 mln Market Value (AFS) $374,000 unrealized loss ProAssurance Portfolio Detail: Asset Backed 12/31/10 CMBS Details Provided on Page 33

  55. Slide 55: Portfolio Detail: CMBS

    ProAssurance Portfolio Detail: CMBS $99.4 million Fair Value in non-agency CMBS Book Value: $96 million (3% of fixed income portfolio) No cumulative losses in our CMBS portfolio 12/31/10

  56. Slide 56: Portfolio Detail: Municipals

    Municipals: $1.2 Billion Sources of Revenue Backing Municipals ProAssurance Portfolio Detail: Municipals 12/31/10 Investment policy has always required investment grade rating prior to applying the effect of insurance

  57. Slide 57: Portfolio Detail: Equities & Other

    Equities & Other: $168 Million ProAssurance Portfolio Detail: Equities & Other 12/31/10

  58. Slide 58: Portfolio Detail: Corporate

    Corporates: $1.1 Billion ProAssurance Portfolio Detail: Corporate 12/31/10 Weighted Average Rating: A

  59. Slide 59: Portfolio Detail: Various

    Treasury / GSE: $295Million Short Term: $168 Million BOLI: $50 Million ProAssurance Portfolio Detail: Various 12/31/10 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+

ProAssurance — Raymond James & Associates 32nd Annual Institutional Investors Conference (March 2011) on 6ix