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PPTF was formed by Florida physicians in 1975 to ensure the availability of medical professional liability coverage in that state.
An Austin, Texas company, API’s physician-founded roots stretch back to 1975 when it was known as American Physicians Insurance Exchange.
TDC had begun to lay the groundwork for tort reform efforts in other states as early as 1977.
MAIC Holdings acquires Missouri Medical Insurance Company (MOMEDICO), expanding westward and providing a base for operations in the Central United States MOMEDICO was a publicly-traded Missouri insurer founded by Missouri physicians in 1978.
1979: TDC expands to offer coverage in four additional western states.
ProNational, was previously known as Physicians Insurance Company of Michigan (PICOM). In 1980, Detroit physicians stepped up to create PICOM after the State of Michigan decided to return its temporary medical professional liability insurance source, the Brown-McNeely Fund, to the private sector.
NCRIC was formed by the Medical Society of the District of Columbia (Society) in 1980 to provide affordable and available coverage for Society members practicing in the District.
Mutual Assurance purchases Physicians Insurance Company of Indiana (PICI), formed in 1982.
In 1984, The Doctors' Company Insurance Services (TDCIS) was established for the primary purpose of making agency licensure available in states where TDC offered insurance coverage other than medical malpractice policies.
The Doctors' Company ushered in a new president in 1985.
PICOM assumes the business of Associated Physicians Insurance Company (APIC), an Illinois-based, physician-led insurer founded in 1986.
PIC WISCONSIN was established to provide affordable professional liability coverage for Wisconsin Medical Society physicians in 1986, during the height of the medical professional liability crisis.
In 1986, TDC played a key role in derailing an attempt by the plaintiff's bar to overturn MICRA.
NORCAL Mutual acquires Preferred Physicians Medical Risk Retention Group, a Mutual Insurance Company (PPM), an anesthesiologist founded, specialty specific insurer established in 1987.
AMIE was organized in 1988 to fill the void created when a major commercial insurer left the Indiana market.
By 1989, TDC had been authorized to offer its coverage in 37 states, and the company was well equipped to mobilize its forces for liability reform.
By 1990, TDC's Government Relations Department was exerting pressure for liability reform on both state and federal levels.
Active in Nevada since 1993 and seeking to expand westward, ProAssurance was impressed with the quality of IND’s operations and their demonstrated commitment to their physician insureds.
Mutual Assurance began serving the state’s physicians in 1994.
1994: TDC launches the first federal Doctors' Political Action Committee (DOPAC).
1995: TDC formalizes its reinsurance functions by establishing a separate strategic business unit called TDCRe.
TDC's efforts to diversify proved visionary: by 1997, over 20 percent of TDC's premium revenue was coming from niche insurance markets outside the medical malpractice arena.
P.I.E.'s stated mission had been to sell liability insurance to doctors at cost, and the company was known for offering highly competitive prices, but by the end of 1997 its stability was jeopardized by a sharply diminished surplus due, in large part, to precipitous underwriting losses.
TDC launched a major effort to improve its technology beginning in 1998.
TDC got a similar business opportunity in 1999 when a Florida insurer, Caduceus Self Insurance Fund, Inc., announced that it did not have sufficient funds to pay its claims.
At the end of 2000, with $500.1 million in reserves, $381.1 million in surplus, and $255 million in written premium, TDC was keeping these ratios well below regulatory standards.
After years of preparation, the company introduced a new computer system in 2000.
Medical Assurance became ProAssurance Indemnity Company, Inc. when it merged with ProNational in 2001 to form ProAssurance.
In 2001, the market for medical liability insurance was still plagued by tumult.
2001: TDC is the first national physician-owned and -operated insurance provider to celebrate its 25th anniversary.
Released in 2002, these guidelines included strong recommendations for getting informed consent from patients before using e-mail and for using only encrypted and authentication-secured messaging systems.
NORCAL Mutual acquires FD Insurance, a stock insurance company privately held by a group of Florida physicians and investors, formed in 2005.
The 2006 merger provided liquidity for PIC WISCONSIN shareholders, and PIC WISCONSIN’s former offices and staff now provide a regional office and services for ProAssurance policyholders throughout the upper Midwest and West.
Medicus was acquired by NORCAL Mutual in 2011.
In 2012 ProAssurance acquired IND and immediately became Nevada’s top medical professional liability insurer with 6,000 new insureds and a strong base of local operations.
The CAPAssurance partnership between ProAssurance and CAP mutually ended in October 2020.
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| Company name | Founded date | Revenue | Employee size | Job openings |
|---|---|---|---|---|
| Colorado Casualty Insurance Co | 1980 | $100.0M | 350 | - |
| Brownstone Agency | 1973 | $17.0M | 50 | - |
| Appalachian Underwriters, Inc. | - | - | - | - |
| Pennsylvania Lumbermens Mutual Insurance Company | - | $119.2M | 170 | - |
| Old Republic Construction Program Group. | - | $4.0M | 116 | - |
| Marketscout | - | $940,000 | 50 | - |
| Lexington Insurance | 1969 | $19.0M | 200 | - |
| Atlantic Specialty Lines | 1996 | $37.5M | 350 | 4 |
| Risk Placement Services | 1997 | $1.1B | 744 | - |
| NBIS | 2002 | $6.8M | 115 | - |
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