North Carolina Medical Professional Liability Insurance Profitability (2023)

A higher loss ratio means carriers paid out more of each premium dollar in claims, which tends to push North Carolina medical professional liability rates up and thin the field of carriers competing for the business; a lower one signals a more profitable, more competitive market. A 17.6% underwriting profit means the line stood on its own in North Carolina without leaning on investment income. Counting investment income, carriers earned a 26.0% profit on medical professional liability insurance transactions in North Carolina in 2023 — NAIC's broadest profitability measure for the line. Either way, these are industry aggregates — your own medical professional liability rate depends on your business, and the only way to see it is to compare filed rates and real quotes.

North Carolina's $206M in medical professional liability premiums is the 19th-largest of the 51 states NAIC reports for the line. Across those states, loss ratios span from 194.3% in New Mexico — the toughest market for carriers — down to 14.2% in Wyoming, the most profitable; North Carolina's 39.5% places it 41st of 51. For buyers, a state near the top of that spread usually means firmer medical professional liability pricing and fewer competing carriers, while a state near the bottom tends to run softer and more competitive. By premium, North Carolina is about 1.9% of the $10.9B national medical professional liability market, and its loss-ratio rank places it in the most profitable quartile of states for carrier profitability — context that shapes how aggressively carriers compete for North Carolina medical professional liability business.

Getting Medical Professional Liability coverage in North Carolina

See recent North Carolina rate filings on the North Carolina rate page, learn how Medical Professional Liability works in our Medical Professional Liability guide, then compare real quotes for your business.