Virginia Medical Professional Liability Insurance Profitability (2023)

In 2023, Medical Professional Liability insurers earned $237.2M in premiums in Virginia and ran a 25.7% loss ratio — the 46th-highest of 51 states (one of the lowest loss ratio for the line).

Source: NAIC 2023 Report on Profitability by Line by State. Loss ratio = incurred losses ÷ premiums earned.

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Virginia loss ratio
25.7%
31.9% below national
Premiums earned
$237.2M
Underwriting profit
25.0%
Profit on insurance
31.4%
incl. investment income

Nationally, Medical Professional Liability ran a 57.6% loss ratio in 2023, so Virginia is below the national average. See how every state compares on the Medical Professional Liability market page.

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A higher loss ratio means carriers paid out more of each premium dollar in claims, which tends to push Virginia 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 25.0% underwriting profit means the line stood on its own in Virginia without leaning on investment income. Counting investment income, carriers earned a 31.4% profit on medical professional liability insurance transactions in Virginia 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.

Virginia's $237M in medical professional liability premiums is the 16th-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; Virginia's 25.7% places it 46th 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, Virginia is about 2.2% 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 Virginia medical professional liability business.

Key takeaways

  • Virginia medical professional liability: $237M in 2023 premiums at a 25.7% loss ratio (NAIC).
  • That ranks Virginia 46th of 51 states by loss ratio for the line — a profitable market for carriers.
  • These are industry aggregates, not a quote — your medical professional liability rate depends on your business; compare filed rates and real quotes.

Getting Medical Professional Liability coverage in Virginia

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

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Data: NAIC 2023 Report on Profitability by Line by State (public). See our data methodology. Figures are industry aggregates, not a quote.
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