PROASSURANCE CORP - 10-K - MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS. - Insurance News | InsuranceNewsNet

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February 27, 2023 Newswires
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PROASSURANCE CORP – 10-K – MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

Edgar Glimpses
The following discussion generally focuses on the change in financial condition,
results of operations and cash flows for the year ended December 31, 2022 as
compared to the year ended December 31, 2021 and should be read in conjunction
with the Consolidated Financial Statements and Notes to those statements which
accompany this report. For a full discussion of the changes in the financial
condition, results of operations and cash flows for the year ended December 31,
2021 as compared to the year ended December 31, 2020, please refer to Item 7,
"Management's Discussion and Analysis of Financial Condition and Results of
Operations" section of ProAssurance's December 31, 2021 report on Form 10-K.

Throughout the discussion we use certain terms and abbreviations, which can be
found in the Glossary of Terms and Acronyms at the beginning of this report. In
addition, a glossary of insurance terms and phrases is available on the investor
section of our website. Throughout the discussion, references to "ProAssurance,"
"PRA," "Company," "organization," "we," "us" and "our" refer to ProAssurance
Corporation and its consolidated subsidiaries. The discussion contains certain
forward-looking information that involves significant risks, assumptions and
uncertainties. As discussed under the heading "Caution Regarding Forward-Looking
Statements," our actual financial condition and results of operations could
differ significantly from these forward-looking statements.

Enterprise Risk Management


As a property and casualty insurance provider, we are exposed to many risks
stemming from both our insurance operations and the environments in which we
operate. Since certain risks can be correlated with other risks, an event or a
series of events can impact multiple areas of the Company simultaneously and
have a material effect on the Company's results of operations, financial
position and/or liquidity. In response to these exposures we have implemented an
ERM program. Our ERM program consists of numerous processes and controls that
have been designed by our senior management with oversight by our Board and
implemented across our organization. We utilize our ERM program to identify
potential risks from all aspects of our operations and to evaluate these risks
in a manner that is both prudent and balanced. Our primary objective is to
develop a risk appetite that creates and preserves value for all of our
stakeholders.

Management Risk Oversight


We have a risk management framework that recognizes the risks inherent in our
operating segments as well as the risks associated with the operations of our
holding company that is overseen by our Chief Executive Officer. The risk
management process is managed by corporate executives in each line of business
who are responsible for our key risk areas, including adequacy of loss reserves;
defense of claims and the litigation process; the quality of investments
supporting our reserves and capital; compliance with regulatory and financial
reporting requirements; concentration in our insurance lines of business; and
information privacy and data security. Our Chief Executive Officer and members
of executive management are responsible for identifying material risks
associated with these and other risk areas and for establishing and monitoring
risk management solutions that address levels of risk appetite and risk
tolerance that are recommended by management and reviewed by the Board. Our
internal auditing department is responsible for reviewing and testing these risk
management solutions.

Board of Directors Role in Risk Oversight


The Board is responsible for ensuring that our ERM process is in place and
functioning. It reviews the ERM process established by management and monitors
the functioning of the process, including management's assessment of the most
significant enterprise-level risks identified in the ERM process.

The Audit Committee has the primary oversight responsibility for risks relating
to financial reporting and cybersecurity. We have established lines of
communication between the Audit Committee, our independent auditor, internal
auditor and management that enable the Audit Committee to perform its oversight
function.

ProAssurance Overview

ProAssurance Corporation is a holding company for property and casualty
insurance companies. Our insurance subsidiaries provide professional liability
insurance, liability insurance for medical technology and life sciences risks
and workers' compensation insurance. We also provide capital to Syndicate 1729
at Lloyd's of London.

We operate in five segments which are based on our internal management reporting
structure for which financial results are regularly evaluated by our CODM to
determine resource allocation and assess operating performance: Specialty P&C,
Workers' Compensation Insurance, Segregated Portfolio Cell Reinsurance, Lloyd's
Syndicates and Corporate. Additional information on ProAssurance's five
operating and reportable segments is included in Note 16 of the Notes to
Consolidated Financial Statements, Part I and in the Segment Results sections
herein that follow.

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Growth Opportunities and Outlook


Over the long-term we expect our growth to come primarily through controlled
expansion of our existing operations. In addition, we may identify opportunities
for growth through the acquisition of other insurers, service providers or books
of business. On May 5, 2021, we completed our acquisition of NORCAL Insurance
Company. The NORCAL acquisition continues to contribute to top line growth,
representing approximately 27% of consolidated gross premiums written in 2022.
We believe this transaction delivers strategic value through the acquisition of
customers, talent, distribution partners and expanded geographic footprint and
scale. This supports a national platform to deliver value to our customers,
business partners and other stakeholders. See further discussion on the NORCAL
acquisition in Note 2 of the Notes to Consolidated Financial Statements.

We operate in very competitive markets and face strong competition from other
insurance companies for all of our insurance products. Our Specialty P&C segment
includes our HCPL insurance which represents the largest product line in our
consolidated gross premiums written (58% in 2022). The Specialty P&C segment
also includes our Medical Technology Liability (4% in 2022) and Small Business
Unit (9% in 2022) lines of business. The healthcare market in the U.S. is
continuing to consolidate, which brings competitive challenges and
opportunities. This consolidation initially took the form of hospitals acquiring
physician practices and later the growth of physician groups owned by outside
investors. As these trends continue, most physicians no longer practice medicine
as owners of an independent practice. Large single and multi-specialty practices
often operate in many states. Healthcare delivery settings are changing with the
growth of retail delivery by allied healthcare professionals as well as
physicians in distributed clinics, pharmacies, large consumer stores and online.
These larger commercial enterprises have differing risk management needs from
those in the traditional small physician practices. In response to these trends,
we have enhanced our coverage offerings to fit the needs of combined
hospital/physician entities, multi-state medical groups, telemedicine companies,
miscellaneous facilities, allied healthcare professionals and self-insured
entities even as we continue to service that portion of the market maintaining
more traditional practice structures. Our Medical Technology Liability and Small
Business Unit lines of business are less affected by these consolidation trends.

Our operations at Eastern, a provider of workers' compensation insurance,
represents the second largest product line in our consolidated gross premiums
written (22% in 2022, including alternative market premiums). The workers'
compensation market is highly competitive in our operating territories and
multi-line insurers continue to leverage workers' compensation in their product
offerings, which has resulted in a reduction of new business writings. We
believe our workers' compensation product offerings allow us to provide
flexibility in offering solutions to our customers at a competitive price. In
addition, we believe that our claims handling and risk management services are
attractive to our customers and provide us with a competitive advantage even
when our pricing is higher than our competitors, which has contributed to strong
renewal retention.

Our Lloyd's Syndicates segment represents 2% of our consolidated gross premiums
written in 2022. Our participation in Syndicate 1729 for the 2014 through 2022
underwriting years has ranged from a low of 5% to a high of 62%. For the 2023
underwriting year, our participation in the results of Syndicate 1729 remains
unchanged at 5%.

We believe our emphasis on the fair treatment of our insureds and other
important stakeholders through our commitment to "Treated Fairly" has enhanced
our market position and differentiated us from other insurers. We will continue
to uphold our values of integrity, leadership, relationships and enthusiasm in
all of our activities. We will honor these values in the execution of "Treated
Fairly" to perform our Mission and realize our Vision. We believe that as we
reach more customers with this message we will continue to improve retention and
add new insureds.

Key Performance Measures

We are committed to disciplined underwriting, pricing and loss reserving
practices as well as an effective investment strategy, even during difficult
market conditions. We are also committed to maintaining prudent operating and
financial leverage. We recognize the importance that our customers and producers
place on the financial strength of our insurance subsidiaries, and we manage our
business to protect our financial security.

In evaluating our performance, we consider a number of performance measures,
including the following:

•The net loss ratio which is calculated as net losses and loss adjustment
expenses incurred divided by net premiums earned and is a component of
underwriting profitability.


•The underwriting expense ratio which is calculated as underwriting, policy
acquisition and operating expenses incurred divided by net premiums earned and
is a component of underwriting profitability.

•The combined ratio which is the sum of the net loss ratio and the underwriting
expense ratio and measures underwriting profitability.

•The investment income ratio which is calculated as net investment income
divided by net premiums earned and measures the contribution investment earnings
provide to our overall profitability.


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•The operating ratio which is the combined ratio, less the investment income
ratio. This ratio provides the combined effect of underwriting profitability and
investment income.

•The tax ratio which is calculated as total income tax expense (benefit) divided
by income (loss) before income taxes and measures our effective tax rate.


•Non-GAAP operating income (loss) is widely used to evaluate performance within
the insurance sector. In calculating Non-GAAP operating income (loss), we have
excluded the effects of the items that do not reflect normal results, such as
net investment gains (losses), transaction-related costs, the 2021 gain on
bargain purchase and guaranty fund assessments. We believe Non-GAAP operating
income (loss) presents a useful view of the performance of our insurance
operations, however it should be considered in conjunction with net income
(loss) computed in accordance with GAAP. See a reconciliation to its GAAP
counterpart in the Executive Summary of Operations section under the heading
"Non-GAAP Financial Measures" that follows.

•ROE which is calculated as net income (loss) divided by the average of
beginning and ending shareholders' equity. This ratio measures our overall
after-tax profitability and shows how efficiently capital is being used.


•Non-GAAP operating ROE is calculated as Non-GAAP operating income (loss) for
the period divided by the average of beginning and ending total GAAP
shareholders' equity. Non-GAAP operating ROE measures the overall after-tax
profitability of our insurance operations and shows how efficiently capital is
being used; however, it should be considered in conjunction with ROE computed in
accordance with GAAP. See a reconciliation to its GAAP counterpart in the
Executive Summary of Operations section under the heading "Non-GAAP Financial
Measures" that follows.

•Book value per share which is calculated as total shareholders' equity at the
balance sheet date divided by the total number of common shares outstanding.
This ratio measures the net worth of the Company to shareholders on a per-share
basis. The declaration of dividends decreases book value per share. Growth in
book value per share, adjusted for dividends declared, is an indicator of
overall profitability.

•Non-GAAP adjusted book value per share is a Non-GAAP measure widely used within
the insurance sector and is calculated as shareholders' equity, excluding AOCI,
divided by the total number of common shares outstanding at the balance sheet
date. This Non-GAAP calculation measures the net worth of the Company to
shareholders on a per share basis excluding AOCI to eliminate the temporary and
potentially significant effects of fluctuations in interest rates on our fixed
income portfolio; however, it should be considered in conjunction with book
value per share computed in accordance with GAAP. See a reconciliation to its
GAAP counterpart in the Executive Summary of Operations section under the
heading "Non-GAAP Financial Measures" that follows.

In particular, we focus on our combined ratio and investment returns, both of
which directly affect our ROE and growth in our book value. Currently, we target
a dynamic long-term ROE of 700 basis points above the 10-year U.S. Treasury
rate, which at December 31, 2022 was approximately 10.9%.

To achieve our long-term ROE target, we emphasize rate adequacy, selective
underwriting, effective claims management, operational efficiency gained by
leveraging our enhanced scope and scale and prudent investment management. We
closely monitor premium revenues, losses and loss adjustment expenses, and
underwriting and policy acquisition expenses. Our overall investment strategy is
to focus on maximizing current income from our investment portfolio while
maintaining appropriate credit risk, liquidity, duration, portfolio
diversification and capital efficiency. While we engage in activities that
generate other income, these activities, such as insurance agency services, do
not constitute a significant use of our resources or a significant source of
revenues or profits.

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Critical Accounting Estimates


Our Consolidated Financial Statements are prepared in conformity with GAAP.
Preparation of these financial statements requires us to make estimates and
assumptions that affect the amounts we report on those statements. We evaluate
these estimates and assumptions on an ongoing basis based on current and
historical developments, market conditions, industry trends and other
information that we believe to be reasonable under the circumstances. We can
make no assurance that actual results will conform to our estimates and
assumptions; reported results of operations may be materially affected by
changes in these estimates and assumptions.

Management considers the following accounting estimates to be critical because
they involve significant judgment by management and those judgments could result
in a material effect on our financial statements.

Reserve for Losses and Loss Adjustment Expenses


The largest component of our liabilities is our reserve for losses and loss
adjustment expenses ("reserve for losses" or "reserve"), and the largest
component of expense for our operations is incurred losses and loss adjustment
expenses (also referred to as "losses and loss adjustment expenses," "incurred
losses," "losses incurred" and "losses"). Incurred losses reported in any period
reflect our estimate of losses incurred related to the premiums earned in that
period as well as any changes to our previous estimate of the reserve required
for prior periods.

As of December 31, 2022, our reserve is comprised almost entirely of long-tail
exposures. The estimation of long-tailed losses is inherently complex and is
subject to significant judgment on the part of management. Due to the nature of
our claims, our loss costs, even for claims with similar characteristics, can
vary significantly depending upon many factors, including but not limited to the
specific characteristics of the claim and the manner in which the claim is
resolved. Long-tailed insurance is characterized by the extended period of time
typically required both to assess the viability of a claim and potential
damages, if any, and to reach a resolution of the claim. The claims resolution
process may extend to more than five years. Further, the industry has
experienced new conditions, including the effect of the postponement of court
cases and changes in settlement trends as a result of COVID-19. The combination
of continually changing conditions and the extended time required for claim
resolution results in a loss cost estimation process that requires actuarial
skill and the application of significant judgment, and such estimates require
periodic modification.

Our reserve is established by management after taking into consideration a
variety of factors including premium rates, historical paid and incurred loss
development trends and our evaluation of the current loss environment including
frequency, severity, expected effects of monetary and social inflation, general
economic and social trends, and the legal and political environment. The effect
of COVID-19 on recent historical trends regarding timing and severity of claims
may also impact certain of these factors and our ultimate estimation of losses.
We also take into consideration the conclusions reached by our internal and
consulting actuaries. We update and review the data underlying the estimation of
our reserve for losses each reporting period and make adjustments to loss
estimation assumptions that we believe best reflect emerging data. Both our
internal and consulting actuaries perform an in-depth review of our reserve for
losses on at least a semi-annual basis using the loss and exposure data of our
insurance subsidiaries.

We partition our reserves by accident year, which is the year in which the claim
becomes our liability. For claims-made policies, the insured event generally
becomes a liability when the event is first reported to us. For occurrence
policies, the insured event becomes a liability when the event takes place. For
retroactive coverages, the insured event becomes a liability at inception of the
underlying contract. As claims are incurred (reported) and claim payments are
made, they are aggregated by accident year for analysis purposes. We also
partition our reserves by reserve type: case reserves and IBNR reserves. Case
reserves are established by our claims departments based upon the particular
circumstances of each reported claim and represent our estimate of the future
loss costs (often referred to as expected losses) that will be paid on reported
claims. Case reserves are decremented as claim payments are made and are
periodically adjusted upward or downward as estimates regarding the amount of
future losses are revised; reported loss for an individual claim is the case
reserve at any point in time plus the claim payments that have been made to
date. IBNR reserves are estimated by accident year and represent our estimate in
the aggregate of future development on losses that have been reported to us and
our estimate of losses that have been incurred but not reported to us.

Our reserving process can be broadly grouped into three areas: the establishment
of the reserve for the current accident year (the initial reserve), the
re-estimation of the reserve for prior accident years (development of prior
accident years) and the establishment of the initial reserve for risks assumed
in business combinations, applicable only in periods in which acquisitions occur
(the acquired reserve). A summary of the activity in our net reserve for losses
during 2022 and 2021 is provided under the heading "Losses" in the Liquidity and
Capital Resources and Financial Condition section that follows.

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Current Accident Year - Initial Reserve


Considerable judgment is required in establishing our initial reserve for any
current accident year period, as there is limited data available upon which to
base our estimate (see further discussion that follows under the heading "Use of
Judgment"). Our process for setting an initial reserve considers the unique
characteristics of each product, but in general we rely heavily on the loss
assumptions that were used to price business, as our pricing reflects our
analysis of loss costs that we expect to incur relative to the insurance product
being priced.

Specialty P&C Segment. Loss costs within this segment are impacted by many
factors including but not limited to the nature of the claim, including whether
or not the claim is an individual or a mass tort claim, the personal situation
of the claimant or the claimant's family, the outcome of jury trials, the
legislative and judicial climate where any potential litigation may occur,
general economic and social trends and the trend of healthcare costs. Within our
Specialty P&C segment, for our professional liability business (88% of our
consolidated gross reserve for losses and loss adjustment expenses as of
December 31, 2022; predominately comprised of our HCPL products), we set an
initial reserve based upon our evaluation of the current loss environment
including frequency, severity, monetary inflation, social inflation and legal
trends.

The current accident year net loss ratio in the Specialty P&C segment has ranged
from 83% to 106% in the past five years. We observed a reduction in claims
frequency that started to emerge in 2020, some of which was due to our
re-underwriting efforts and some of which, we believe, was associated with the
COVID-19 pandemic including the disruption of the court systems. Given the
consistent and prolonged nature of these favorable trends, we recognized these
favorable frequency trends in our HCPL current accident year reserve during the
third and fourth quarters of 2021. Further, we reduced certain expected NORCAL
loss ratios during the fourth quarter of 2021 and the third and fourth quarters
of 2022 due to favorable frequency trends which, we believe, is primarily
attributable to our re-underwriting efforts. While NORCAL claims frequency is
generally down, we observed higher than anticipated loss emergence in our HCPL
line of business in select jurisdictions, primarily in the Standard Physician
line, which we recognized in our HCPL current accident year reserve during the
fourth quarter of 2022. See further discussion in our Segment Results -
Specialty Property & Casualty section that follows under the heading "Losses and
Loss Adjustment Expenses."

The risks insured in our Medical Technology Liability business (2% of our
consolidated gross reserve for losses and loss adjustment expenses as of
December 31, 2022) are more varied, and policies are individually priced based
on the risk characteristics of the policy and the account. The insured risks
range from startup operations to large multinational entities, and the larger
entities often have significant deductibles or self-insured retentions. Reserves
are established using our most recently developed actuarial estimates of losses
expected to be incurred based on factors which include results from prior
analysis of similar business, industry indications, observed trends and
judgment. Claims in this line of business primarily involve bodily injury to
individuals and are affected by factors similar to those of our HCPL line of
business. For the Medical Technology Liability business, we also establish an
initial reserve using a loss ratio approach, including a provision in
consideration of historical loss volatility that this line of business has
exhibited.

Workers' Compensation Insurance Segment. Many factors affect the ultimate losses
incurred for our workers' compensation coverages (5% of our consolidated gross
reserve for losses and loss adjustment expenses as of December 31, 2022)
including but not limited to the type and severity of the injury, the age,
health and occupation of the injured worker, the estimated length of disability,
medical treatment and related costs, and the jurisdiction and workers'
compensation laws of the state of the injury occurrence.

We use various actuarial methodologies in developing our workers' compensation
reserve, combined with a review of the payroll exposure base. For the current
accident year, given the lack of seasoned information, the different actuarial
methodologies produce results with significant variability; therefore, more
emphasis is placed on supplementing results from the actuarial methodologies
with trends in exposure base, medical expense inflation, general inflation,
severity, and claim counts, among other things, to select an ultimate loss
indication.

The current accident year net loss ratio in the Workers' Compensation Insurance
segment was 71.8% in 2022, which was lower than the 2021 loss ratio of 74.0%,
reflecting improved claim frequency and severity trends. The current accident
year net loss ratio in 2021 reflected higher claim activity as workers returned
to employment with the easing of pandemic-related restrictions in our operating
territories, including the impact of labor shortages on the existing workforce.

Segregated Portfolio Cell Reinsurance Segment. The factors that affect the
ultimate losses incurred for the workers' compensation and HCPL coverages
assumed by the SPCs at Inova Re and Eastern Re (2% of our consolidated gross
reserve for losses and loss adjustment expenses as of December 31, 2022) are
consistent with that of our Workers' Compensation Insurance and Specialty P&C
segments, respectively.

Lloyd's Syndicates Segment. Initial reserves for Syndicate 1729 are primarily
recorded using the loss assumptions by risk category incorporated into the
Syndicate's business plan submitted to Lloyd's with consideration given to loss
experience incurred to date (3% of our consolidated gross reserve for losses and
loss adjustment expenses as of December 31, 2022). The assumptions used in each
business plan are consistent with loss results reflected in Lloyd's historical
data for similar risks. The

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loss ratio may also fluctuate due to the mix of earned premium from different
open underwriting years which we participate in to varying degrees, as well as
the timing of earned premium adjustments. Such adjustments may be the result of
premiums for certain policies and assumed reinsurance contracts being reported
subsequent to the coverage period and may be subject to adjustment based on loss
experience. Premium and exposure for some of Syndicate 1729's insurance policies
and reinsurance contracts are initially estimated and subsequently recorded over
an extended period of time as reports are received under delegated underwriting
authority programs. When reports are received, the premium, exposure and
corresponding loss estimates are revised accordingly. Changes in loss estimates
due to premium or exposure fluctuations are incurred in the accident year in
which the premium is earned.

For significant property catastrophe exposures, Syndicate 1729 uses third-party
catastrophe models to accumulate a listing of potentially affected policies.
Each identified policy is given an estimate of loss severity based upon a
combination of factors including the probable maximum loss of each policy,
market share analytics, underwriting judgment, client/broker estimates and
historical loss trends for similar events. These models are inherently
uncertain, reliant upon key assumptions and management judgment and are not
always a representation of actual events and ensuing potential loss exposure.
Determination of actual losses may take an extended period of time until claims
are reported and resolved, including coverage litigation.

Development of Prior Accident Years

In addition to setting the initial reserve for the current accident year, we
reassess the amount of reserve required for prior accident years each period.


The foundation of our reserve re-estimation process is an actuarial analysis
that is performed by both our internal and consulting actuaries. This very
detailed analysis projects ultimate losses based on partitions which include
line of business, geography, coverage layer and accident year. The procedure
uses the most representative data for each partition, capturing its unique
patterns of development and trends. We believe that the use of consulting
actuaries provides an independent view of our loss data as well as a broader
perspective on industry loss trends.

For the Specialty P&C, Workers' Compensation Insurance and Segregated Portfolio
Cell Reinsurance segments, the analysis performed by the consulting actuaries
analyzes each partition of our business in a variety of ways and uses multiple
actuarial methodologies in performing these analyses, including:

•Bornhuetter-Ferguson (Paid and Reported) Method
•Paid Development Method
•Reported (Incurred) Development Method
•Average Paid Value Method
•Average Reported Value Method

A brief description of each method follows.


Bornhuetter-Ferguson Method. We use both the Paid and the Reported
Bornhuetter-Ferguson Methods. The Paid Method assigns partial weight to initial
expected losses for each accident year (initial expected losses being the first
established case and IBNR reserves for a specific accident year) and partial
weight to paid to date losses. The Reported Method assigns partial weight to the
initial expected losses and partial weight to current reported losses. The
weights assigned to the initial expected losses decrease as the accident year
matures.

Paid Development and Reported (Incurred) Development Methods. These methods use
historical, cumulative losses (paid losses for the Paid Development Method,
reported losses for the Reported (Incurred) Development Method) by accident year
and develop those actual losses to estimated ultimate losses based upon the
assumption that each accident year will develop to estimated ultimate cost in a
manner that is analogous to prior years, adjusted as deemed appropriate for the
expected effects of known changes in the claim payment environment (and case
reserving environment for the Reported (Incurred) Development Method); and to
the extent necessary, supplemented by analyses of the development of broader
industry data.

Average Paid Value and Average Reported Value Methods. In these methods, average
claim cost data (paid claim cost for the Average Paid Value Method and reported
claim cost for the Reported Value Method) is developed to an ultimate average
cost level by report year based on historical data. Claim counts are similarly
developed to an ultimate count level. The average claim cost (after rounding and
adjustment, if necessary, to accommodate report year data that is not considered
to be predictive) is then multiplied by the ultimate claim counts by report year
to derive ultimate loss and ALAE.

Generally, methods such as the Bornhuetter-Ferguson Method are used on more
recent accident years where we have less data on which to base our analysis. As
time progresses and we have an increased amount of data for a given accident
year, we begin to give more confidence to the development and average methods,
as these methods typically rely more heavily on our own historical data. These
methods emphasize different aspects of loss reserve estimation and provide a
variety of perspectives for our decisions.

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Certain of the methodologies utilized to estimate the ultimate losses for each
partition of our reserves consider the actual amounts paid. Paid data is
particularly influential when a large portion of known claims have been closed,
as is the case for older accident years. In selecting a point estimate for each
partition, management considers the extent to which trends are emerging
consistently for all partitions and known industry trends. Thus, actual, rather
than estimated severity trends are given more consideration. If actual severity
trends are lower than those estimated at the time that reserves were previously
established, the recognition of favorable development is indicated. This is
particularly true for older accident years where our actuarial methodologies
give more weight to actual loss costs (severity).

The various actuarial methods discussed above are applied in a consistent manner
from period to period. In addition, we perform statistical reviews of claims
data such as claim counts, average settlement costs and severity trends when
establishing our reserves.

We utilize the selected point estimates of ultimate losses to develop estimates
of ultimate losses recoverable from reinsurers, based on the terms and
conditions of our reinsurance agreements. An overall estimate of the amount
receivable from reinsurers is determined by combining the individual estimates.
Our net reserve estimate is the gross reserve point estimate less the estimated
reinsurance recovery.

For our Workers' Compensation Insurance segment and for the workers'
compensation exposures in our Segregated Portfolio Cell Reinsurance segment, we
utilize the Reported (Incurred) Development Method, Paid Development Method and
Bornhuetter-Ferguson Method, to develop our reserve for each accident year. The
actuarial review includes the stratification of claims data (lost time claims,
medical only claims) using different variations that allow us to identify trends
that may not be readily identifiable if the data was evaluated only in the
aggregate. Reported and paid loss development factors are key assumptions in the
reserve estimation process and are based on our historical reported and paid
loss development patterns. As accident years mature, the various actuarial
methodologies produce more consistent loss estimates.

For our Lloyd's Syndicates segment we rely on the analysis of actual loss
experience on the book of business written by Syndicate 1729 to determine loss
development by accident year.


Acquired Reserve

The acquisition of NORCAL on May 5, 2021 increased our gross reserves by $1.2
billion which was the fair value of NORCAL's gross loss reserve at the time of
acquisition. The fair value estimate of NORCAL's gross reserve for losses and
loss adjustment expenses was based on three components: an actuarial estimate of
the expected future net cash flows, a reduction to those cash flows for the time
value of money determined utilizing the U.S. Treasury Yield Curve and a risk
margin adjustment to reflect the net present value of profit that an investor
would demand in return for the assumption of the development risk associated
with the reserve. The fair value of NORCAL's gross reserve, including the risk
margin adjustment, exceeded the actuarial estimate of NORCAL's undiscounted
gross loss reserve by approximately $42.2 million as of May 5, 2021. This fair
value adjustment was recorded to the reserve for losses and loss adjustment
expenses and will be amortized over a period utilizing loss payment patterns as
a reduction to prior accident year net losses and loss adjustment expenses. We
also recorded other adjustments to NORCAL's reserve as a result of purchase
accounting including negative VOBA on NORCAL's assumed unearned premium and
assumed DDR reserve. See further discussion on these other purchase accounting
adjustments in Note 2 of the Notes to Consolidated Financial Statements.

Use of Judgment


The process of estimating reserves involves a high degree of judgment and is
subject to a number of variables. These variables can be affected by both views
of internal and external events, such as changes in views of monetary and social
inflation, legal trends and legislative changes, as well as differentiating
views of individuals involved in the reserve estimation process, among others.
We continually refine our estimates in a regular, ongoing process as historical
loss experience develops and additional claims are reported and settled. Our
objective is to consider all significant facts and circumstances known at the
time.

Our loss reserves may be impacted by social inflation, which is generally
described as the rising costs of insurance claims resulting from factors
including, but not limited to, increasing litigation, broader definitions of
liability, more plaintiff-friendly legal decisions, jury behavior, and larger
compensatory jury awards and non-economic damages. These factors could lead to
greater than anticipated claims and claim handling expenses which could exceed
our established reserves causing us to increase our loss reserves.

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The effects of monetary inflation could cause the cost of claims to rise in the
future. Our loss reserves include assumptions about future payments for
settlement of claims and claims handling expenses, such as medical treatments
and litigation costs. To the extent inflation causes these costs to increase
above reserves established for these claims, we will be required to increase our
loss reserves with a corresponding reduction in our financial results in the
period in which the need for additional reserves is identified.

We use various actuarial methods in the process of setting reserves. Each
actuarial method generally returns a different value, and for the more recent
accident years the variations among the various methodologies can be
significant. In order to project ultimate losses, we partition our reserves for
analysis such as by line of business, geography, coverage layer or accident
year. For each partition of our reserves, we evaluate the results of the various
methods, along with the supplementary statistical data regarding such factors as
closed with and without indemnity ratios, claim severity trends, the expected
duration of such trends, changes in the legal and legislative environment and
the current economic environment to develop a point estimate based upon
management's judgment and past experience. The series of selected point
estimates is then combined to produce an overall point estimate for ultimate
losses.

HCPL. Over the past several years the most influential factor affecting the
analysis of our HCPL reserves and the related development recognized has been an
observed increase in claim severity for the broader medical professional
liability industry as well as higher initial loss expectations on incurred
claims. The severity trend is an explicit component of our pricing models and
directly impacts the reserving process. Our estimate of this trend and our
expectations about changes in this trend impact a variety of factors, from the
selection of expected loss ratios to the ultimate point estimates established by
management.

Because of the implicit and wide-ranging nature of severity trend assumptions on
the loss reserving process, it is not practical to specifically isolate the
impact of changing severity trends. However, because severity is an explicit
component of our HCPL pricing process we can better isolate the impact that
changing severity can have on our loss costs and loss ratios in regards to our
pricing models for this business component. Our current HCPL pricing models
assume severity trends in the range of 2% to 6% depending on state, territory
and specialty. In some portions of our HCPL business we have observed and
reflected higher severity trends in our estimates of losses and loss adjustment
expenses.

Due to the long-tailed nature of our claims and the previously discussed
historical volatility of loss costs, selection of a severity trend assumption is
a subjective process that is inherently likely to prove inaccurate over time.
Given the long tail and volatility, we are generally cautious in making changes
to the severity assumptions within our pricing models. All open claims and
accident years are generally impacted by a change in the severity trend, which
compounds the effect of such a change.

Although the future degree and impact of the ultimate severity trend remains
uncertain due to the long-tailed nature of our business, we have given
consideration to observed loss costs in setting our rates. For our HCPL
business, this practice had generally resulted in rate reductions as claim
frequency declined and remained at historically low levels. However, from early
2017 to the current period, the average pricing on renewed business has steadily
increased reflective of the rising loss cost environment, and we anticipate
further renewal pricing increases due to increasing loss severity.

Another factor affecting our analysis of our HCPL reserves and the related
development recognized is the reduction in claims frequency that started to
emerge in 2020, some of which was due to our re-underwriting efforts and some of
which, we believe, was associated with the COVID-19 pandemic, as previously
discussed. In 2020, we established a $10 million IBNR reserve related to
COVID-19. Given the consistent and prolonged nature of the favorable claims
frequency trend and the fact that early first notices of potential claims
related to anticipated COVID-19 losses have not turned into claims, we reduced
our COVID-19 IBNR reserve by $9 million and $1 million in 2022 and 2021,
respectively. As of December 31, 2022, we no longer carry a specific IBNR
reserve for potential COVID-19 related losses.

Workers' Compensation. The projection of changes in claim severity trend has not
historically been an influential factor affecting our analysis of workers'
compensation reserves, as claims are typically resolved more quickly than the
industry norm. As previously mentioned, the determination and calculation of
loss development factors requires considerable judgment.

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Loss Development by Line of Business

Professional Liability


Our professional liability line of business includes both our HCPL and Small
Business Unit lines, with our HCPL line representing the largest component of
our reserve. Our HCPL line of business also includes the business acquired
through the NORCAL transaction that closed on May 5, 2021. In support of our
concern that the decline in frequency will result in a higher severity trend for
our HCPL claims (suits), we saw our closed-with-indemnity-payment ratio (i.e.,
the number of suits closed with an indemnity or loss payment as compared to the
total number of closed suits) for our claims increase from 28% in 2015 to 33% in
2022.

The following table presents additional information about the loss development
for our professional liability line of business, excluding loss development for
HCPL coverages assumed by the SPCs at Inova Re and Eastern Re. Furthermore, loss
development for our professional liability line of business for the year ended
December 31, 2022 includes NORCAL and the year ended December 31, 2021 includes
NORCAL since the date of acquisition, excluding the amortization of the purchase
accounting fair value adjustment in each period:

    ($ in thousands)                                                2022                                          2021                                           2020
                         Estimated Ultimate             Reserve                                       Reserve
                           Losses, Net of             Development                                   Development                                Reserve Development
                            Reinsurance,              (favorable)             % of Known            (favorable)             % of Known             (favorable)             % of Known
     Accident Years       December 31, 2022           unfavorable           Claims Closed           unfavorable           Claims Closed            unfavorable           Claims Closed
          2022           $        606,906                         N/A              26.9  %                      N/A                  N/A                       N/A                  N/A
          2021           $        708,733          $        (5,754)                52.9  %                      N/A              25.9  %                       N/A                  N/A
          2020           $        802,923          $       (17,597)                66.7  %       $        (4,947)                54.1  %                       N/A              22.0  %
          2019           $        840,353          $        20,285                 83.5  %       $       (20,426)                73.7  %       $          1,361                 48.7  %
          2018           $        821,716          $         4,491                 89.5  %       $         9,418                 81.0  %       $          1,218                 65.1  %
          2017           $        699,144          $       (10,261)                93.3  %       $        (2,342)                88.4  %       $         (2,741)                77.9  %
          2016           $        712,692          $         1,642                 91.0  %       $        (2,739)                89.5  %       $         (1,760)                88.8  %
          2015           $        638,344          $         5,190                 98.1  %       $         6,011                 97.1  %       $         (4,489)                93.7  %
          2014           $        567,219          $        (1,266)                99.0  %       $        (1,017)                98.5  %       $         (8,930)                96.6  %
          2013           $        587,169          $        (2,608)                99.3  %       $          (260)                98.9  %       $           (133)                98.0  %
     Prior to 2013       $      8,975,275          $        (8,123)                              $          (610)                              $         (3,413)


•Development recognized during 2022 principally related to accident years 2017,
2020 and 2021. Net favorable development recognized in 2022 included favorable
development related to NORCAL's 2021 accident year. We have not recognized any
development related to NORCAL's accident years 2020 or prior since the date of
acquisition on May 5, 2021 based on our comparison of expected loss emergence to
actual loss emergence. Net favorable prior accident year reserve development
recognized in 2022 was partially offset by unfavorable development recognized in
our HCPL line of business, excluding NORCAL, driven by higher than anticipated
loss severity trends, which emerged primarily in the fourth quarter of 2022. In
addition, we recognized favorable prior year reserve development of $9.0 million
in 2022 related to the 2020 accident year associated with our COVID-19 IBNR
reserve, as previously discussed, due to the fact that early first notices of
potential claims have not turned into claims.

•Development recognized during 2021 principally related to accident years 2015
through 2020. We also recognized favorable prior year reserve development of
$1.0 million associated with our COVID-19 IBNR reserve.

•Development recognized during 2020 principally related to accident years 2014
through 2017.


•Not included in the table above, is $10.8 million and $7.9 million of
amortization of the purchase accounting fair value adjustment on NORCAL's
assumed net reserve and amortization of the negative VOBA associated with
NORCAL's DDR reserve which is recorded as a reduction to prior accident year net
losses and loss adjustment expenses in 2022 and 2021, respectively. See Note 2
of the Notes to Consolidated Financial Statements for additional information on
the NORCAL acquisition and the related purchase accounting adjustments.

•Not included in the above table, as previously discussed, is $0.7 million of
unfavorable development recognized in 2022 and $2.5 million and $4.4 million of
favorable development recognized during 2021 and 2020, respectively, in our
Segregated Portfolio Cell Reinsurance segment related to the HCPL coverages
assumed by the SPCs at Inova Re and Eastern Re.

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This can also be seen in looking at both the absolute amount of reserve
development recognized for the less developed accident years as well as the size
of such development when compared to established ultimates for those same
accident years at the end of the preceding calendar year. The following table
provides this information for years ended December 31, 2022, 2021 and 2020 with
respect to the three then most recent prior accident years:

            ($ in millions)                    2022                    2021                     2020
Prior accident years                         2019-2021               2018-2020               2017-2019

Net favorable (unfavorable) development
recognized for the specified years $ 3.1 $ 16.0 $

           0.2
Development as a % of established
ultimates, prior calendar year end                  0.1  %                  1.1  %                     -  %


Medical Technology Liability

Our Medical Technology Liability line of business has not experienced the change
in claims frequency previously described for HCPL. However, the nature of the
risks insured and volatility of the loss experience in this line of business has
produced more variable loss development, as presented in the following table:

    ($ in thousands)                                              2022                                            2021                                            2020
                            Estimated
                         Ultimate Losses,
                              Net of
                           Reinsurance,         Reserve Development                             Reserve Development                             Reserve Development
                           December 31,             (favorable)             % of Known              (favorable)             % of Known              (favorable)             % of Known
     Accident Years            2022                 unfavorable            Claims Closed            unfavorable            Claims Closed            unfavorable            Claims Closed
          2022           $      17,683                          N/A               16.8  %                       N/A                   N/A                       N/A                   N/A
          2021           $      14,145          $         (2,759)                 53.3  %                       N/A               32.0  %                       N/A                   N/A
          2020           $      12,568          $         (1,921)                 70.6  %       $           (248)                 59.2  %                       N/A               41.0  %
          2019           $      12,247          $         (1,337)                 55.3  %       $            722                  47.5  %       $         (1,047)                 41.8  %
          2018           $       8,554          $           (252)                 86.4  %       $         (3,091)                 85.1  %       $           (352)                 75.2  %
          2017           $       7,967          $          1,950                  97.1  %       $         (2,192)                 94.1  %       $         (3,854)                 90.1  %
          2016           $       9,146          $            535                  98.4  %       $         (2,126)                 97.3  %       $           (486)                 96.7  %
          2015           $       7,216          $           (767)                 97.6  %       $           (638)                 97.0  %       $           (663)                 96.3  %
          2014           $       9,130          $           (244)                 99.6  %       $           (317)                 99.6  %       $           (458)                 98.9  %
          2013           $       4,550          $            (49)                100.0  %       $           (128)                100.0  %       $           (294)                100.0  %
     Prior to 2013       $     593,349          $           (156)                               $           (106)                               $         (1,439)

•Approximately $6.3 million of the $5.0 million total net favorable development
recognized in 2022 related to the 2018 through 2021 accident years. The
development for the 2018 through 2021 accident years represents a 11.7%
reduction to the ultimates established for those reserves at December 31, 2021.

•Approximately $7.6 million of the $8.1 million total net favorable development
recognized in 2021 related to the 2015 through 2020 accident years. The
development for the 2015 through 2020 accident years represents a 11.3%
reduction to the ultimates established for those reserves at December 31, 2020.

•Approximately $5.3 million of the $8.6 million total net favorable development
recognized in 2020 related to the 2017 through 2019 accident years. The
development for the 2017 through 2019 accident years represents a 13.7%
reduction to the ultimates established for those reserves at December 31, 2019.


•In 2022, 2021 and 2020 the development was largely attributable to favorable
results from claims closed during the year. As time has elapsed we have
recognized that actual loss experience has on average been better than
estimated. We have been cautious in recognizing the improvement, but as claims
have matured and claims are closed or have become more certain for the remaining
open claims, we have revised reserve estimates. We believe the need for a
cautious approach is required as outcomes are uncertain and results can be
significantly affected by outcomes for a small number of cases.

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Workers' Compensation


Claims in our workers' compensation line of business have historically closed at
a faster rate than in our HCPL or Medical Technology Liability lines of
business. This faster disposition rate, along with a lower net retention after
the application of reinsurance, has resulted in less volatility in loss
estimates on a net basis. However, a change in the number of individually-severe
claims can create volatility in a given accident year. The following table
presents additional information about the loss development for our workers'
compensation line of business:

    ($ in thousands)                                              2022                                           2021                                        2020
                            Estimated
                         Ultimate Losses,
                              Net of
                           Reinsurance,         Reserve Development                            Reserve Development                            Reserve Development
                           December 31,             (favorable)             % of Known             (favorable)             % of Known             (favorable)       % of Known
     Accident Years            2022                 unfavorable           Claims Closed            unfavorable           Claims Closed            unfavorable     Claims Closed
          2022           $     142,653                          N/A              39.8  %                       N/A                  N/A                       N/A            N/A
          2021           $     145,907          $            675                 82.6  %                       N/A              45.4  %                       N/A            N/A
          2020           $     137,728          $         (3,348)                93.8  %       $         (1,493)                85.1  %                       N/A        41.6  %
          2019           $     150,023          $         (4,143)                96.2  %       $         (4,030)                92.1  %       $         (6,160)          81.6  %
          2018           $     159,152          $           (410)                97.2  %       $         (1,503)                95.2  %       $            584           91.7  %
          2017           $     126,325          $         (3,209)                98.2  %       $         (2,375)                97.3  %       $         (3,372)          96.0  %
          2016           $     107,606          $         (2,179)                98.5  %       $         (1,230)                97.8  %       $         (3,048)          97.1  %
          2015           $     116,277          $         (1,285)                98.9  %       $         (1,538)                98.4  %       $         (3,919)          98.0  %
          2014           $     117,001          $           (891)                99.4  %       $           (873)                99.3  %       $         (2,136)          98.9  %
          2013           $     114,003          $           (377)                99.6  %       $           (646)                99.5  %       $           (592)          99.5  %
     Prior to 2013       $     657,225          $            161                               $         (1,032)                              $           (529)

•In 2022, we recognized $8.0 million of net favorable development in our
Workers' Compensation Insurance segment and $7.0 million of net favorable
development in our Segregated Portfolio Cell Reinsurance segment related to
workers' compensation business.

•In 2021, we recognized $7.6 million of net favorable development in our
Segregated Portfolio Cell Reinsurance segment related to workers' compensation
business and $7.1 million of net favorable development in our Workers'
Compensation Insurance
segment.

•In 2020, we recognized $12.1 million of net favorable development in our
Segregated Portfolio Cell Reinsurance segment related to workers' compensation
business, and $7.0 million of net favorable development in our Workers'
Compensation Insurance
segment.

Variability of Loss Reserves


As previously noted, the number of data points and variables considered and the
subjective process followed in establishing our loss reserve makes it
impractical to isolate individual variables and demonstrate their impact on our
estimate of loss reserves. However, to provide a better understanding of the
potential variability in our reserves, we have modeled implied reserve ranges
around our single point net reserve estimates for our various lines of business
assuming different confidence levels. The ranges have been developed by
aggregating the expected volatility of losses across partitions of our business
to obtain a consolidated distribution of potential reserve outcomes. The
aggregation of this data takes into consideration correlations among our
geographic and specialty mix of business. The result of the correlation approach
to aggregation is that the ranges are narrower than the sum of the ranges
determined for each partition.

We have used this modeled statistical distribution to calculate an 80% and 60%
confidence interval for the potential outcome of our consolidated net reserve
for losses. The high and low end points of the distributions are as follows:

                              Low End Point        Carried Net Reserve      

High End Point

80% Confidence Level $2.197 billion $3.039 billion

$4.027 billion

60% Confidence Level $2.413 billion $3.039 billion

$3.583 billion

Any change in our estimate of net ultimate losses for prior years is reflected
in net income (loss) in the period in which such changes are made.


Due to the size of our consolidated reserve for losses and the large number of
claims outstanding at any point in time, even a small percentage adjustment to
our total reserve estimate could have a material effect on our results of
operations for the period in which the adjustment is made, as was the case in
2022, 2021 and 2020.

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Reinsurance


We use insurance and reinsurance (collectively, "reinsurance") to provide
capacity to write larger limits of liability, to provide reimbursement for
losses incurred under the higher limit coverages we offer, to provide protection
against losses in excess of policy limits and, in the case of risk sharing
arrangements, to align our objectives with those of our strategic business
partners and to provide custom insurance solutions for large customer groups.
The purchase of reinsurance does not relieve us from the ultimate risk on our
policies; however, it does provide reimbursement for certain losses we pay.

We make a determination of the amount of insurance risk we choose to retain
based upon numerous factors, including our risk tolerance and the capital we
have to support it, the price and availability of reinsurance, the volume of
business, our level of experience with a particular set of exposures and our
analysis of the potential underwriting results. We purchase excess of loss
reinsurance to limit the amount of risk we retain and we do so from a number of
companies to mitigate concentrations of credit risk. As of December 31, 2022,
there is no reinsurer, on an individual basis, for which our recoverables for
both paid and unpaid claims (net of amounts due to the reinsurer) and our
prepaid balances are more than $55 million, in the aggregate. We utilize
reinsurance brokers to assist us in the placement of these reinsurance programs
and in the analysis of the credit quality of our reinsurers. The determination
of which reinsurers we choose to do business with is based upon an evaluation of
their then current financial strength, rating, stability and claims payment
practices.

We evaluate each of our ceded reinsurance contracts at inception to confirm that
there is sufficient risk transfer to allow the contract to be accounted for as
reinsurance under current accounting guidance. At December 31, 2022, all ceded
contracts were accounted for as risk transferring contracts.

Our receivable from reinsurers on unpaid losses and loss adjustment expenses
represents our estimate of the amount of our reserve for losses that will be
recoverable under our reinsurance programs. We base our estimate of funds
recoverable upon our expectation of ultimate losses and the portion of those
losses that we estimate to be allocable to reinsurers based upon the terms and
conditions of our reinsurance agreements. Our assessment of the collectability
of the recorded amounts receivable from reinsurers considers the payment history
of the reinsurer, publicly available financial and rating agency data, our
interpretation of the underlying contracts and policies and responses by
reinsurers.

Given the uncertainty inherent in our estimates of losses and related amounts
recoverable from reinsurers, these estimates may vary significantly from the
ultimate outcome.

Under the terms of certain of our reinsurance agreements, the amount of premium
that we cede to our reinsurers is based in part on the losses we recover under
the agreements. Therefore, we make an estimate of premiums ceded under these
reinsurance agreements subject to certain minimums and maximums. Any adjustments
to our estimates of losses recoverable under our reinsurance agreements or the
premiums owed under our agreements are reflected in current operations. Due to
the size of our reinsurance balances, an adjustment to these estimates could
have a material effect on our results of operations for the period in which the
adjustment is made.

Our reinsurance receivables are exposed to credit losses but to date have not
experienced any significant amount of credit losses. To partially mitigate our
exposure to credit losses, reinsurance receivables totaling approximately $90.6
million were collateralized by letters of credit or funds withheld as of
December 31, 2022. We measure expected credit losses on our reinsurance
receivables on a collective basis when similar risk characteristics exist or on
an individual basis if we determine a receivable does not share similar risk
characteristics. We measure expected credit losses associated with our
reinsurance receivables (related to both paid and unpaid losses) at the
consolidated level as our reinsurance receivables share similar risk
characteristics including type of financial asset, type of industry and similar
historical and expected credit loss patterns. We measure expected credit losses
over the average contractual term of our reinsurance receivables utilizing a
loss rate method. Historical internal credit loss experience is the basis for
our assessment of expected credit losses; however, we may also consider
historical credit loss information from external sources. We also consider
reasonable and supportable forecasts of future economic conditions in our
estimate of expected credit losses. Expected credit losses associated with our
reinsurance receivables (related to both paid and unpaid losses) were nominal in
amount as of December 31, 2022 and 2021. No reinsurance balances were written
off for credit reasons during the years ended December 31, 2022 or 2021. Should
our expected credit loss analysis or other facts or circumstances lead us to
believe that any reinsurer may not meet its obligations to us, adjustments to
the allowance for expected credit losses or to reinsurance receivables would be
reflected in current operations. Such an adjustment has the potential to be
material to the results of operations in the period in which it is recorded;
however, we would not expect such an adjustment to have a material effect on our
capital position or our liquidity. For further information on our allowance for
expected credit losses related to our receivables from reinsurers see Note 1 of
the Notes to Consolidated Financial Statements.

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Investment Valuations


We record the majority of our investments at fair value as shown in the table
below. At December 31, 2022, the distribution of our investments based on GAAP
fair value hierarchies (levels) was as follows:

                                                      Distribution by GAAP Fair Value Hierarchy
                                                                                                                                                         Total
                                         Level 1                      Level 2                       Level 3               Not Categorized             Investments
Investments recorded at:
Fair value                                  7%                          82%                            2%                        6%                       97%
Other valuations                                                                                                                                           3%
Total Investments                                                                                                                                         100%

Fair value is defined as the price that would be received to sell an asset or
paid to transfer a liability in an orderly transaction between market
participants at the measurement date. All of our fixed maturity and equity
investments are carried at fair value. The fair value of our short-term
securities approximates the cost of the securities due to their short-term
nature.


Because of the number of securities we own and the complexity of developing
accurate fair values, we utilize multiple independent pricing services to assist
us in establishing the fair value of individual securities. The pricing services
provide fair values based on exchange-traded prices, if available. If an
exchange-traded price is not available, the pricing services, if possible,
provide a fair value that is based on multiple broker/dealer quotes or that has
been developed using pricing models. Pricing models vary by asset class and
utilize currently available market data for securities comparable to ours to
estimate a fair value for our securities. The pricing services scrutinize market
data for consistency with other relevant market information before including the
data in the pricing models. The pricing services disclose the types of pricing
models used and the inputs used for each asset class. Determining fair values
using these pricing models requires the use of judgment to identify appropriate
comparable securities and to choose a valuation methodology that is appropriate
for the asset class and available data.

The pricing services provide a single value per instrument quoted. We review the
values provided for reasonableness each quarter by comparing market yields
generated by the supplied value versus market yields observed in the
marketplace. We also compare yields indicated by the provided values to
appropriate benchmark yields and review for values that are unchanged or that
reflect an unanticipated variation as compared to prior period values. We
utilize a primary pricing service for each security type and compare provided
information for consistency with alternate pricing services, known market data
and information from our own trades, considering both values and valuation
trends. We also review weekly trades versus the prices supplied by the services.
If a supplied value appears unreasonable, we discuss the valuation in question
with the pricing service and make adjustments if deemed necessary. Historically
our review has not resulted in any material changes to the values supplied by
the pricing services. The pricing services do not provide a fair value unless an
exchange-traded price or multiple observable inputs are available. As a result,
the pricing services may provide a fair value for a security in some periods but
not others, depending upon the level of recent market activity for the security
or comparable securities.

Level 1 Investments

Fair values for a majority of our equity securities and portions of our
short-term and convertible securities are determined using exchange-traded
prices. There is little judgment involved when fair value is determined using an
exchange-traded price. In accordance with GAAP, we classify securities valued
using an exchange-traded price as Level 1 securities.

Level 2 Investments


Most fixed income securities do not trade daily; thus, exchange-traded prices
are generally not available for these securities. However, market information
(often referred to as observable inputs or market data, including but not
limited to, last reported trade, non-binding broker quotes, bids, benchmark
yield curves, issuer spreads, two-sided markets, benchmark securities, offers
and recent data regarding assumed prepayment speeds, cash flow and loan
performance data) is available for most of our fixed income securities. We
determine fair value for a large portion of our fixed income securities using
available market information. In accordance with GAAP, we classify securities
valued based on multiple market observable inputs as Level 2 securities.

Level 3 Investments


When a pricing service does not provide a value for one of our fixed maturity
securities, management estimates fair value using either a single non-binding
broker quote or pricing models that utilize market based assumptions which have
limited observable inputs. The process involves significant judgment in
selecting the appropriate data and modeling techniques to use in the valuation
process. In accordance with GAAP, we classify securities valued using limited
observable inputs as Level 3 securities.

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Fair Values Not Categorized


We hold interests in certain investment funds, primarily LPs/LLCs, which measure
fund assets at fair value on a recurring basis and provide us with a NAV for our
interest. As a practical expedient, we consider the NAV provided to approximate
the fair value of the interest. In accordance with GAAP, we do not categorize
these investments within the fair value hierarchy.

Nonrecurring Fair Value Measurements


We measure the fair value of certain assets on a nonrecurring basis when events
or changes in circumstances indicate that the carrying amount of the asset may
not be recoverable. These assets include investments carried principally at
cost, investments in tax credit partnerships, fixed assets, goodwill and other
intangible assets. These assets would also include any equity method investments
that do not provide a NAV. We did not have any assets or liabilities that were
measured at fair value on a nonrecurring basis at December 31, 2022 or
December 31, 2021.

Investments - Other Valuation Methodologies


Certain of our investments, in accordance with GAAP for the type of investment,
are measured using methodologies other than fair value. At December 31, 2022,
these investments represented approximately 3% of total investments, and are
detailed in the following table. Additional information about these investments
is provided in Note 3 and Note 4 of the Notes to Consolidated Financial
Statements.

                    (In millions)                       Carrying Value               GAAP Measurement Method
Other investments:

Other, principally FHLB capital stock                  $          3.3                    Principally Cost

Investment in unconsolidated subsidiaries:
Investments in tax credit partnerships                            4.1                         Equity
Equity method investments, primarily LPs/LLCs                    38.6                         Equity
                                                                 42.7
BOLI                                                             81.7                  Cash surrender value

Total investments - Other valuation methodologies $ 127.7

Impairments


We evaluate our available-for-sale investment securities, which at December 31,
2022 and December 31, 2021 consisted entirely of fixed maturity securities, on
at least a quarterly basis for the purpose of determining whether declines in
fair value below recorded cost basis represent an impairment loss. We consider a
credit-related impairment loss to have occurred:

•if there is intent to sell the security;
•if it is more likely than not that the security will be required to be sold
before full recovery of its amortized cost basis; or
•if the entire amortized basis of the security is not expected to be recovered.

The assessment of whether the amortized cost basis of a security is expected to
be recovered requires management to make assumptions regarding various matters
affecting future cash flows. The choice of assumptions is subjective and
requires the use of judgment. Actual credit losses experienced in future periods
may differ from management's current estimates of those credit losses.
Methodologies used to estimate the present value of expected cash flows are:

The estimate of expected cash flows is determined by projecting a recovery value
and a recovery time frame and assessing whether further principal and interest
will be received. We consider various factors in projecting recovery values and
recovery time frames, including the following:

•third-party research and credit rating reports;
•the current credit standing of the issuer, including credit rating downgrades,
whether before or after the balance sheet date;
•the extent to which the decline in fair value is attributable to credit risk
specifically associated with the security or its issuer;
•internal assessments and the assessments of external portfolio managers
regarding specific circumstances surrounding an investment, which indicate the
investment is more or less likely to recover its amortized cost than other
investments with a similar structure;

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•for asset-backed securities, the origination date of the underlying loans, the
remaining average life, the probability that credit performance of the
underlying loans will deteriorate in the future and our assessment of the
quality of the collateral underlying the loan;
•failure of the issuer of the security to make scheduled interest or principal
payments;
•any changes to the rating of the security by a rating agency;
•recoveries or additional declines in fair value subsequent to the balance sheet
date;
•adverse legal or regulatory events;
•significant deterioration in the market environment that may affect the value
of collateral (e.g., decline in real estate prices);
•significant deterioration in economic conditions; and
•disruption in the business model resulting from changes in technology or new
entrants to the industry.

If deemed appropriate and necessary, a discounted cash flow analysis is
performed to confirm whether a credit loss exists and, if so, the amount of the
credit loss. We use the single best estimate approach for available-for-sale
debt securities and consider all reasonably available data points, including
industry analyses, credit ratings, expected defaults and the remaining payment
terms of the debt security. For fixed rate available-for-sale debt securities,
cash flows are discounted at the security's effective interest rate implicit in
the security at the date of acquisition. If the available-for-sale debt
security's contractual interest rate varies based on subsequent changes in an
independent factor, such as an index or rate, for example, the prime rate, the
LIBOR, or the U.S. Treasury bill weekly average, that security's effective
interest rate is calculated based on the factor as it changes over the life of
the security. If we intend to sell a debt security or believe we will more
likely than not be required to sell a debt security before the amortized cost
basis is recovered, any existing allowance will be written off against the
security's amortized cost basis, with any remaining difference between the debt
security's amortized cost basis and fair value recognized as an impairment loss
in earnings.

Exclusive of securities where there is an intent to sell or where it is not more
likely than not that the security will be required to be sold before recovery of
its amortized cost basis, impairment for debt securities is separated into a
credit component and a non-credit component. The credit component of an
impairment is the difference between the security's amortized cost basis and the
present value of its expected future cash flows, while the non-credit component
is the remaining difference between the security's fair value and the present
value of expected future cash flows. An allowance for expected credit losses
will be recorded for the expected credit losses through income and the
non-credit component is recognized in OCI. The amount of impairment recognized
is limited to the excess of the amortized cost over the fair value of the
available-for-sale debt security.

Pension


As a result of our NORCAL acquisition, we sponsor a frozen qualified defined
benefit pension plan which covers substantially all NORCAL employees (except
those that were previous employees of Medicus Insurance Company and FD Insurance
Company, employees of PPM RRG as well as new hires after December 31, 2013).
Accounting for pension benefits requires the use of assumptions for the
valuation of the PBO and the expected performance of the plan assets.

We use December 31 as the measurement date for calculating our obligation
related to this defined benefit pension plan and for estimating net periodic
benefit cost (income) for the subsequent year. The PBO for pension benefits
represents the present value of all future benefits earned as of the measurement
date for vested and non-vested employees. At each measurement date, we review
the various assumptions impacting the amounts recorded for the pension plan
including the discount rates, which impacts the recorded value of the PBO and
interest costs, and the expected return on plan assets.

To estimate the discount rate at the measurement date, we use a bond yield curve
model, developed based on pricing and yield information for high quality
corporate bonds. The assumption for the expected return on plan assets is based
on the anticipated returns that will be earned by the portfolio over the
long-term. The expected return on plan assets is influenced, but not determined,
by historical portfolio performance. We assumed a 4.0% expected return on plan
assets on our pension plan assets for the year ended December 31, 2022. For
2023, we increased our expected return on plan assets assumption to 5.3% based
on our long-term outlook for the capital markets.

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The following table summarizes the estimated changes in our projected benefit
obligation and net periodic benefit cost (income) for a hypothetical change in
our discount rate and expected return on plan assets:

                                                            Shift in Basis Points
                                                              December 31, 2022
                     ($ in millions)                    (100)         Current       100
       Change in Discount Rate:
       Benefit Obligation                           $   83.8         $  74.2      $ 66.3
       Net periodic benefit cost (income)           $    0.3         $   0.1      $  0.4

       Change in Expected Return on Plan Assets:
       Net periodic benefit cost (income)           $    0.8         $   0.1      $ (0.6)


Accounting standards provide for the delayed recognition of differences between
actual results and expected or estimated results. This delayed recognition of
the differences is amortized into earnings over time. The differences between
actual results and expected or estimated results are recognized in full in AOCI.
Amounts recognized in AOCI are reclassified to earnings in a systematic manner
over the average future service period of participants. During 2023, we expect
to recognize nominal net pension expense and we do not expect that contributions
to the pension plan will be required during 2023 nor do we anticipate making any
discretionary contributions.

Deferred Taxes


Deferred federal income taxes arise from the recognition of temporary
differences between the basis of assets and liabilities determined for financial
reporting purposes and the basis determined for income tax purposes. Our
temporary differences principally relate to our loss reserves, unearned and
advanced premiums, DPAC, NOL and tax credit carryforwards, compensation related
items, unrealized investment gains (losses) and basis differences on fixed
assets, intangible assets and operating leases. Deferred tax assets and
liabilities are measured using the enacted tax rates expected to be in effect
when such benefits are realized. We review our deferred tax assets quarterly for
impairment. If we determine that it is more likely than not that some or all of
a deferred tax asset will not be realized, a valuation allowance is recorded to
reduce the carrying value of the asset. In assessing the need for a valuation
allowance, management is required to make certain judgments and assumptions
about our future operations based on historical experience and information as of
the measurement period regarding reversal of existing temporary differences,
carryback capacity, future taxable income of the appropriate character
(including its capital and operating characteristics) and tax planning
strategies.

A significant portion of our deferred tax asset is related to unrealized losses
on our fixed maturities due to the significant rise in interest rates in 2022.
Any loss realized prior to recovery would require sufficient income of the
appropriate character (i.e., capital gains), and in the appropriate timeframe,
to realize the tax benefit. We believe that we have the intent and ability to
hold these securities until their recovery. Our projected positive operating
income, including the investment income generated from holding our debt
securities until maturity, support our ability to implement this tax planning
strategy.

A valuation allowance has been established against the deferred tax asset
related to the NOL carryforwards for our U.K. operations and against a portion
of the deferred tax asset related to a portion of our U.S. state NOL
carryforwards. In addition, a valuation allowance was established in 2021
against the net deferred tax asset of ProAssurance American Mutual, a Risk
Retention Group. As a taxpayer separate from the consolidated group, this entity
has experienced cumulative losses in recent years. Management concluded that it
was more likely than not that these deferred tax assets will not be realized. We
also established a valuation allowance in a prior year against the deferred tax
assets of certain SPCs at our wholly owned Cayman Islands reinsurance
subsidiary, Inova Re. Due to the cumulative losses incurred in recent years by
these SPCs, management concluded that a valuation allowance was required. As of
December 31, 2022, management concluded that the previously recorded valuation
allowances were still required against the deferred tax assets related to the
NOL carryforwards for our U.K. entities, against the deferred tax assets related
to our U.S. state NOL carryforwards and against the deferred tax assets of
certain SPCs at Inova Re. Management's assessment of the need for these
valuation allowances at December 31, 2022 included an analysis of the available
sources of income. See further discussion on ProAssurance's deferred tax assets
in Note 6 of the Notes to Consolidated Financial Statements.

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U.S. Tax Legislation

Coronavirus Aid, Relief and Economic Security Act


In response to COVID-19, the CARES Act was signed into law on March 27, 2020 and
contains several provisions for corporations and eased certain deduction
limitations originally imposed by the TCJA. See further discussion in Note 6 of
the Notes to Consolidated Financial Statements. Temporary changes regarding NOL
carryback provisions included in the CARES Act had a favorable impact on our
liquidity, as we were able to carryback our 2019 and 2020 net operating losses
to claim refunds (see discussion that follows in the Liquidity and Capital
Resources and Financial Condition section under the heading "Taxes"). See
further discussion in Note 6 of the Notes to Consolidated Financial Statements.

Unrecognized Tax Benefits


We evaluate tax positions taken on tax returns and recognize positions in our
financial statements when it is more likely than not that we will sustain the
position upon resolution with a taxing authority. If recognized, the benefit is
measured as the largest amount of benefit that has a greater than 50%
probability of being realized. We review uncertain tax positions each quarter,
considering changes in facts and circumstances, such as changes in tax law,
interactions with taxing authorities and developments in case law, and make
adjustments as we consider necessary. Adjustments to our unrecognized tax
benefits may affect our income tax expense, and settlement of uncertain tax
positions may require the use of cash. Other than differences related to timing,
no significant adjustments were considered necessary during 2022 or 2021. At
December 31, 2022, our liability for unrecognized tax benefits approximated $3.6
million.

Goodwill / Intangibles

Goodwill and intangible assets are tested for impairment annually or more
frequently if circumstances indicate an impairment may have occurred. The date
of our annual impairment testing is October 1. Impairment of goodwill is tested
at the reporting unit level, which is consistent with our reportable segments
identified in Note 16 of the Notes to Consolidated Financial Statements.

When testing goodwill for impairment on our annual test date, we have the option
to first assess qualitative factors to determine whether the existence of events
or circumstances leads to a determination that it is more likely than not that
the estimated fair value of a reporting unit is less than its carrying amount.
If we elect to perform a qualitative assessment and determine that an impairment
is more likely than not, we are then required to perform a quantitative
impairment test; otherwise, no further analysis is required. We also may elect
not to perform the qualitative assessment and, instead, proceed directly to the
quantitative impairment test.

Performance of the qualitative goodwill impairment assessment requires judgment
in identifying and considering the significance of relevant key factors, events
and circumstances that affect the fair values of our reporting units. This
requires consideration and assessment of external factors such as macroeconomic,
industry, and market conditions, as well as entity-specific factors, such as our
actual and planned financial performance. We also give consideration to the
difference between each reporting unit's fair value and carrying value as of the
most recent date that a fair value measurement was performed. If the results of
the qualitative assessment conclude that it is not more likely than not that the
fair value of a reporting unit exceeds its carrying value, additional
quantitative impairment testing is performed.

The quantitative goodwill impairment test involves comparing the fair value of a
reporting unit with its carrying value including goodwill. If the fair value of
a reporting unit exceeds its carrying value, the reporting unit's goodwill is
considered not to be impaired. However, if the carrying value of a reporting
unit exceeds its fair value, an impairment loss is recorded in an amount equal
to that excess. Any impairment charge recognized is limited to the amount of the
respective reporting unit's allocated goodwill.

Determining the fair value of a reporting unit under the quantitative goodwill
impairment test requires judgment and often involves the use of significant
estimates and assumptions, including an assessment of external factors such as
macroeconomic, industry and market conditions, as well as entity-specific
factors, such as actual and planned financial performance. These estimates and
assumptions could have a significant impact on whether or not an impairment
charge is recognized and the magnitude of any such charge. To assist management
in the process of determining any potential goodwill impairment, we may review
and consider appraisals from accredited independent valuation firms. Estimates
of fair value are primarily determined using discounted cash flows and market
comparisons. These approaches involve significant estimates and assumptions,
including projected future cash flows (including timing), discount rates
reflecting the risks inherent in those future cash flows, perpetual growth
rates, and selection of appropriate market comparable metrics and transactions.

For the most recent goodwill impairment test performed on October 1, 2022,
management elected to bypass the optional qualitative impairment test and
proceed directly to the quantitative impairment test for both the Workers'
Compensation Insurance and Segregated Portfolio Cell Reinsurance reporting units
. In applying the quantitative approach, management estimated the fair value of
the Workers' Compensation Insurance and Segregated Portfolio Cell Reinsurance
reporting units

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using both an income approach and market approach based on the aforementioned
valuation methodologies and process for developing assumptions. To corroborate
the reporting units' valuation, a reconciliation of the estimate of the
aggregate fair value of the reporting units to ProAssurance's market
capitalization was performed, including consideration of a control premium. As a
result of the quantitative assessments, management concluded that the fair value
of each of the Workers Compensation Insurance and Segregated Portfolio Cell
Reinsurance reporting units exceeded the carrying value as of the testing date;
therefore, goodwill was not impaired and no further goodwill impairment testing
was required. No goodwill impairment was recorded during the year ended
December 31, 2022. Furthermore, the analysis of our definite and indefinite
lived intangible assets indicated no impairment at December 31, 2022. Additional
information regarding our goodwill and intangible assets is included in Note 1
and Note 7 of the Notes to Consolidated Financial Statements.

Accounting Changes


Beginning in 2022, we revised our process for estimating ULAE as a result of
substantially integrating NORCAL into our Specialty P&C segment operations. ULAE
are costs that cannot be attributed to processing a specific claim and are
allocated to net losses and loss adjustment expenses on the Consolidated
Statement of Income and Comprehensive Income. We have accounted for this change
prospectively as a change in accounting estimate. Changes in accounting estimate
are reflected prospectively beginning in the period the change in estimate
occurs. The change in our estimate of ULAE resulted in an increase to
underwriting, policy acquisition and operating expenses with an offsetting
decrease to net losses and loss adjustment expenses in our Specialty P&C
segment; there was no impact on total expenses or net income (loss) in our
Consolidated Statement of Income and Comprehensive Income for the year ended
December 31, 2022. See further discussion on this change in estimate in the
Segment Results - Specialty Property & Casualty section that follows and in Note
1 of the Notes to Consolidated Financial Statements.

We did not have any other change in accounting estimate or policy that had a
material effect on our results of operations or financial position during 2022.
We are not aware of any accounting changes not yet adopted as of December 31,
2022 that could have a material impact on our results of operations, financial
position or cash flows. Note 1 of the Notes to Consolidated Financial Statements
provides additional detail regarding accounting changes not yet adopted.




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Liquidity and Capital Resources and Financial Condition

Overview


ProAssurance Corporation is a holding company and is a legal entity separate and
distinct from its subsidiaries. As a holding company, our principal source of
external revenue is our investment revenues. In addition, dividends from our
operating subsidiaries represent another source of funds for our obligations,
including debt service and shareholder dividends. We also charge our operating
subsidiaries within our Specialty P&C (including the acquired wholly owned
operating subsidiaries of NORCAL effective January 1, 2022) and Workers'
Compensation Insurance segments a management fee based on the extent to which
services are provided to the subsidiary and the amount of gross premium written
by the subsidiary. At December 31, 2022, we held cash and liquid investments of
approximately $83 million outside our insurance subsidiaries that were available
for use without regulatory approval or other restriction. We also have $250
million in permitted borrowings available under our Revolving Credit Agreement
as well as the possibility of a $50 million accordion feature, if successfully
subscribed. As of February 22, 2023, no borrowings were outstanding under our
Revolving Credit Agreement.

During 2022, our operating subsidiaries paid dividends to us of approximately
$51 million. In the aggregate, our insurance subsidiaries are permitted to pay
dividends of approximately $133 million over the course of 2023 without prior
approval of state insurance regulators. However, the payment of any dividend
requires prior notice to the insurance regulator in the state of domicile, and
the regulator may reduce or prevent the dividend if, in its judgment, payment of
the dividend would have an adverse effect on the surplus of the insurance
subsidiary. We make the decision to pay dividends from an insurance subsidiary
based on the capital needs of that subsidiary and may pay less than the
permitted dividend or may also request permission to pay an additional amount
(an extraordinary dividend).

Cash Flows

Cash flows between periods compare as follows:


                                                              Year Ended 

December 31

                   (In thousands)                       2022           2021           Change
 Net cash provided (used) by:
 Operating activities                               $  (29,841)     $  73,970      $ (103,811)
 Investing activities                                  (61,997)       (85,526)         23,529
 Financing activities                                  (21,805)       (60,624)         38,819

Increase (decrease) in cash and cash equivalents $ (113,643) $ (72,180) $ (41,463)



The principal components of our operating cash flows are the excess of premiums
collected and net investment income over losses paid and operating costs,
including income taxes. Timing delays exist between the collection of premiums
and the payment of losses associated with the premiums. Premiums are generally
collected within the twelve-month period after the policy is written, while our
claim payments are generally paid over a more extended period of time. Likewise,
timing delays exist between the payment of claims and the collection of any
associated reinsurance recoveries.

The decrease in operating cash flows of $103.8 million in 2022 as compared to
2021 was primarily due to:

•An increase in paid losses of $280.2 million driven by our Specialty P&C
segment primarily due to NORCAL paid losses and the payment of three large
claims totaling $16.4 million during the first quarter of 2022.


•An increase in cash paid for operating expenses of $131.5 million driven by our
Specialty P&C and Corporate segments, partially offset by lower
transaction-related costs associated with our acquisition of NORCAL as compared
to the prior year period. The increase in cash paid for operating expenses in
our Specialty P&C and Corporate segments was driven by an increase in
compensation-related costs primarily attributable to an increase in headcount
due to the addition of NORCAL employees. Furthermore, the increase in our
Specialty P&C segment reflected an increase in commissions paid driven by
additional premiums from our acquisition of NORCAL and one-time expenses of $3.9
million in 2022. One-time expenses in 2022 were mainly comprised of one-time
bonuses, employee severance charges and lease exit costs. Additionally, the
increase reflected the termination of deferred compensation arrangements assumed
in the NORCAL acquisition during the first quarter of 2022 totaling
approximately $13.2 million. See further discussion of NORCAL's deferred
compensation arrangements in Note 3 to the Notes to Consolidated Financial
Statements.

•The effect of a tax refund of approximately $9.0 million which we received in
February 2021 and an income tax extension payment of $1.1 million for the 2021
tax year during the second quarter of 2022. See additional discussion

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on this refund in our Liquidity section under the heading "Taxes" in Item 7 of
our December 31, 2021 report on Form 10-K.

The decrease in operating cash flows was partially offset by:


•An increase in net premium receipts of $273.0 million primarily driven by our
Specialty P&C segment, partially offset by a decrease in our Lloyd's Syndicates
segment. The increase in our Specialty P&C segment was due to additional
premiums from our acquisition of NORCAL and our focus on rate adequacy. The
decrease in premium receipts in our Lloyd's Syndicates segment reflected our
ceased participation in Syndicate 6131 for the 2022 underwriting year and the
impact of our decreased participation in the results of Syndicates 1729 and 6131
for the 2021 underwriting year.

•An increase in cash received from investment income of $45.7 million driven by
an increase in our investment balances due to the acquisition of NORCAL.

The remaining variance in operating cash flows in 2022 as compared to 2021 was
composed of individually insignificant components.


We manage our investing cash flows to ensure that we will have sufficient
liquidity to meet our obligations, taking into consideration the timing of cash
flows from our investments, including interest payments, dividends and principal
payments, as well as the expected cash flows to be generated by our operations
as discussed in this section under the heading "Investing Activities and Related
Cash Flows."

Our financing cash flows are primarily comprised of dividend payments. See
further discussion of our financing activities in this section under the heading
"Financing Activities and Related Cash Flows."




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Operating Activities and Related Cash Flows

Losses


The following table, known as the Analysis of Reserve Development, presents
information over the preceding ten years regarding the payment of our losses as
well as changes to (the development of) our estimates of losses during that time
period. As noted in the table, we have completed various acquisitions over the
ten year period which have affected original and re-estimated gross and net
reserve balances as well as loss payments.

The table includes losses on both a direct and an assumed basis and is net of
anticipated reinsurance recoverables. The gross liability for losses before
reinsurance, as shown on the balance sheet, and the reconciliation of that gross
liability to amounts net of reinsurance are reflected below the table. We do not
discount our reserve for losses to present value. Information presented in the
table is cumulative and, accordingly, each amount includes the effects of all
changes in amounts for prior years. The table presents the development of our
balance sheet reserve for losses; it does not present accident year or policy
year development data. Conditions and trends that have affected the development
of liabilities in the past may not necessarily occur in the future. Accordingly,
it is not appropriate to extrapolate future redundancies or deficiencies based
on this table.

The following may be helpful in understanding the Analysis of Reserve
Development
:


•The line entitled "Reserve for losses, undiscounted and net of reinsurance
recoverables" reflects our reserve for losses and loss adjustment expense, less
the receivables from reinsurers, each as reported in our Consolidated Balance
Sheets at the end of each year (the Balance Sheet Reserves).
•The section entitled "Cumulative net paid, as of" reflects the cumulative
amounts paid as of the end of each succeeding year with respect to the
previously recorded Balance Sheet Reserves.
•The section entitled "Re-estimated net liability as of" reflects the
re-estimated amount of the liability previously recorded as Balance Sheet
Reserves that includes the cumulative amounts paid and an estimate of the
remaining net liability based upon claims experience as of the end of each
succeeding year (the Net Re-estimated Liability).
•The line entitled "Net cumulative redundancy (deficiency)" reflects the
difference between the previously recorded Balance Sheet Reserve for each
applicable year and the Net Re-estimated Liability relating thereto as of the
end of the most recent fiscal year.

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                                                                                                                 Analysis of Reserve Development

                                                                                                                                            December 31
         (In thousands)                2012                 2013                 2014                 2015                 2016                 2017                 2018                 2019                 2020                 2021                 2022
Reserve for losses, undiscounted
and net of reinsurance
recoverables                      $ 1,860,076          $ 1,825,304          

$ 1,812,299 $ 1,730,308 $ 1,681,423 $ 1,659,971

         $ 1,709,129          $ 1,878,140          $ 1,945,099          $ 3,059,328          $ 2,973,196
Cumulative net paid, as of:
One Year Later                        311,835              343,197              380,508              370,973              354,526              387,389              428,940              466,904              454,902              756,601
Two Years Later                       563,805              571,690              640,655              616,016              621,783              668,340              734,638              790,989              813,768
Three Years Later                     704,795              732,892              798,636              799,689              800,331              857,177              952,309            1,046,573
Four Years Later                      800,189              826,384              910,998              898,844              930,769              990,023            1,133,462
Five Years Later                      852,873              891,615              964,897              974,104            1,004,951            1,085,267
Six Years Later                       893,529              924,334            1,006,215            1,018,148            1,061,488
Seven Years Later                     915,730              952,118            1,030,782            1,051,495
Eight Years Later                     930,375              967,945            1,045,980
Nine Years Later                      941,468              976,074
Ten Years Later                       946,993
Re-estimated net liability as of:
End of Year                         1,860,076            1,825,304            1,812,299            1,730,308            1,681,423            1,659,971            1,709,129            1,878,140            1,945,099            3,059,328
One Year Later                      1,644,203            1,644,516            1,651,117            1,587,029            1,547,876            1,565,867            1,696,893            1,827,153            1,902,813            3,015,241
Two Years Later                     1,472,259            1,483,378            1,511,542            1,460,660            1,444,619            1,487,905            1,656,615            1,805,433            1,885,456
Three Years Later                   1,331,828            1,358,560            1,388,682            1,356,075            1,337,571            1,446,571            1,647,283            1,792,202
Four Years Later                    1,231,337            1,252,605            1,288,564            1,257,650            1,306,274            1,432,477            1,632,836
Five Years Later                    1,157,493            1,173,975            1,221,463            1,231,713            1,299,032            1,415,077
Six Years Later                     1,108,716            1,126,308            1,204,642            1,230,562            1,287,731
Seven Years Later                   1,078,057            1,121,087            1,199,654            1,217,713
Eight Years Later                   1,075,277            1,119,984            1,183,973
Nine Years Later                    1,070,161            1,110,216
Ten Years Later                     1,064,057

Net cumulative redundancy
(deficiency)                      $   796,019          $   715,088          

$ 628,326 $ 512,595 $ 393,692 $ 244,894

         $    76,293          $    85,938          $    59,643          $    44,087
Original gross liability - end of
year                              $ 2,051,428          $ 2,072,822          

$ 2,052,768 $ 1,990,266 $ 1,961,436 $ 1,971,303

$ 2,037,274 $ 2,243,133 $ 2,295,279 $ 3,469,417
Reinsurance recoverables

             (191,352)            (247,518)            (240,469)            (259,958)            (280,013)            (311,332)            (328,145)            (364,993)            (350,180)            

(410,089)

Original net liability - end of
year                              $ 1,860,076          $ 1,825,304          

$ 1,812,299 $ 1,730,308 $ 1,681,423 $ 1,659,971

         $ 1,709,129          $ 1,878,140          $ 1,945,099          $ 3,059,328
Gross re-estimated liability -
latest                            $ 1,186,101          $ 1,252,152          

$ 1,344,636 $ 1,422,764 $ 1,522,082 $ 1,672,741

         $ 1,914,194          $ 2,098,742          $ 2,197,211          $ 3,425,358
Re-estimated reinsurance
recoverables                         (122,044)            (141,936)            (160,663)            (205,051)            (234,351)            (257,664)            (281,358)            (306,540)            (311,755)            

(410,117)

Net re-estimated liability -
latest                            $ 1,064,057          $ 1,110,216          

$ 1,183,973 $ 1,217,713 $ 1,287,731 $ 1,415,077

         $ 1,632,836          $ 1,792,202          $ 1,885,456          $ 3,015,241
Gross cumulative redundancy
(deficiency)                      $   865,327          $   820,670          $   708,132          $   567,502          $   439,354          $   298,562          $   123,080          $   144,391          $    98,068          $    44,059

See table notes on following page.




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Table Notes

•We have elected to present reserve history for acquired entities on a
prospective basis in the table above; therefore, certain items will not agree to
the following table which details activity in our net reserve for losses.


•Given the Lloyd's Syndicates segment reserve is relatively small on a
standalone basis as compared to our consolidated reserve, we have elected to
exclude the segment's reserve history for all periods presented in the table
above; therefore, certain items will not agree to the following table which
details activity in our net reserve for losses.

•Reserves for 2012 and thereafter include gross and net reserves acquired in
2012 business combinations of $21.8 million and $19.2 million, respectively,
which considers reductions of $3.6 million and $3.3 million, respectively,
recorded in 2013 due to the re-estimation of the fair value of the acquired
reserves.

•Reserves for 2013 include gross and net reserves acquired in 2013 business
combinations of $201.1 million and $126.0 million, respectively.

•Reserves for 2014 include gross and net reserves acquired in 2014 business
combinations of $153.2 million and $139.5 million, respectively.

•Reserves for 2021 include gross and net reserves acquired in 2021 business
combinations of $1.2 billion and $1.1 billion, respectively.


In each year reflected in the table, we have estimated our reserve for losses
utilizing the management and actuarial processes discussed under the heading
"Reserve for Losses and Loss Adjustment Expenses" in the Critical Accounting
Estimates section. Factors that have contributed to the variation in loss
development are primarily related to the extended period of time required to
resolve professional liability claims and include the following:

•The HCPL legal environment deteriorated in the late 1990's and severity began
to increase at a greater pace than anticipated in our rates and reserve
estimates. We addressed the adverse severity trends through increased rates,
stricter underwriting and modifications to claims handling procedures, and
reflected this adverse severity trend when we established our initial reserves
for subsequent years.

•These adverse severity trends later moderated, with that moderation becoming
more pronounced beginning in 2009. We were cautious in giving full recognition
to indications that the pace of severity increase had slowed, however we gave
measured recognition of the improved trend in our reserve estimates. The
favorable development was most pronounced for years 2004 to 2008, as the initial
reserves for these accident years were established prior to substantial
indication that severity trends were moderating. We gave stronger recognition to
the lower severity trend as time elapsed and a greater percentage of claims were
closed.

•A general decline in claims frequency has also been a contributor to favorable
loss development. A significant portion of our policies through 2003 were issued
on an occurrence basis, and a smaller portion of our ongoing business results
from the issuance of extended reporting endorsements which have occurrence-like
exposure. As claims frequency declined, the number of reported claims related to
these coverages was less than originally expected.

•Beginning in 2017, we identified potential higher severity trends in the
broader HCPL industry. These trends were also reflected in increases in
estimates of ultimate losses for open HCPL claims for earlier accident years,
which resulted in a lower amount of favorable development recognized in 2018 and
2017 as compared to prior years.

•During 2019 the loss experience in our Specialty line of business in our
Specialty P&C segment deteriorated further, particularly in regard to the
reserves we established for a large national healthcare account that experienced
losses far exceeding the assumptions we made when underwriting the account,
beginning in 2016. As a result, we strengthened our Specialty reserves through
the recognition of net unfavorable development on prior accident years and a
higher current accident year net loss ratio in our Specialty P&C segment in
2019.

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Activity in our net reserve for losses during 2022, 2021 and 2020 is summarized
below:

                                                                     Year Ended December 31
                  (In thousands)                        2022                  2021                  2020
Balance, beginning of year                         $  3,579,940          $  

2,417,179 $ 2,346,526
Less reinsurance recoverables on unpaid losses and
loss adjustment expenses

                                451,741               385,087               390,708
Net balance, beginning of year                        3,128,199             2,032,092             1,955,818
Net reserves acquired from acquisitions                       -             1,089,103                     -
Net losses:
Current year(1)(2)                                      813,515               797,732               711,846
Favorable development of reserves established in
prior years, net(2)                                     (36,753)              (45,483)              (50,399)
Total                                                   776,762               752,249               661,447
Paid related to:
Current year                                           (108,139)             (109,925)              (83,204)
Prior years                                            (757,564)             (635,320)             (501,969)
Total paid                                             (865,703)             (745,245)             (585,173)
Net balance, end of year                              3,039,258             3,128,199             2,032,092

Plus reinsurance recoverables on unpaid losses and
loss adjustment expenses

                                431,889               451,741               385,087
Balance, end of year                               $  3,471,147          $  

3,579,940 $ 2,417,179



(1) During 2020, the aforementioned large national healthcare account did not
renew on terms offered by the Company and exercised its contractual option to
purchase extended reporting endorsement or "tail" coverage. As a result, we
recognized total current year losses of $60.0 million (assumes a full limit
loss) within the Specialty P&C segment for the year ended December 31, 2020.

(2) Current year net losses and prior accident year development for the years
ended December 31, 2022 and 2021 includes certain purchase accounting
adjustments associated with our acquisition of NORCAL. See Note 8 of the Notes
to Consolidated Financial Statements for additional information.

At December 31, 2022 our gross reserve for losses included case reserves of
approximately $2.3 billion and IBNR reserves of approximately $1.2 billion. Our
consolidated gross reserve for losses on a GAAP basis exceeds the combined gross
reserves of our insurance subsidiaries on a statutory basis by approximately
$0.2 billion, which is principally due to the portion of the GAAP reserve for
losses that is reflected for statutory accounting purposes as unearned premiums.
These unearned premiums are applicable to extended reporting endorsements
("tail" coverage) issued without a premium charge upon death, disability or
retirement of an insured who meets certain qualifications.

Reinsurance


Within our Specialty P&C segment, we use insurance and reinsurance
(collectively, "reinsurance") to provide capacity to write larger limits of
liability, to provide reimbursement for losses incurred under the higher limit
coverages we offer and to provide protection against losses in excess of policy
limits. Within our Workers' Compensation Insurance segment, we use reinsurance
to reduce our net liability on individual risks, to mitigate the effect of
significant loss occurrences (including catastrophic events), to stabilize
underwriting results and to increase underwriting capacity by decreasing
leverage. In both our Specialty P&C and Workers' Compensation Insurance
segments, we use reinsurance in risk sharing arrangements to align our
objectives with those of our strategic business partners and to provide custom
insurance solutions for large customer groups. Within our Lloyd's Syndicates
segment, Syndicate 1729 utilizes reinsurance to provide capacity to write larger
limits of liability on individual risks, to provide protection against
catastrophic loss and to provide protection against losses in excess of policy
limits. The purchase of reinsurance does not relieve us from the ultimate risk
on our policies; however, it does provide reimbursement for certain losses we
pay. We pay our reinsurers a premium in exchange for reinsurance of the risk. In
certain of our excess of loss arrangements, the premium due to the reinsurer is
determined by the loss experience of the business reinsured, subject to certain
minimum and maximum amounts. Until all loss amounts are known, we estimate the
premium due to the reinsurer. Changes to the estimate of premium owed under
reinsurance agreements related to prior periods are recorded in the period in
which the change in estimate occurs and can have a significant effect on net
premiums earned.

We offer alternative market solutions whereby we cede certain premiums from our
Workers' Compensation Insurance and Specialty P&C segments to either the SPCs at
Inova Re or Eastern Re, our Cayman Islands reinsurance subsidiaries which are

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reported in our Segregated Portfolio Cell Reinsurance segment or captive
insurers unaffiliated with ProAssurance for two programs. The majority of these
policies are reinsured to the SPCs at Inova Re or Eastern Re, net of a ceding
commission. See further discussion on our SPC operations in the Segment Results
- Segregated Portfolio Cell Reinsurance section that follows. The alternative
market workers' compensation policies are ceded from our Workers' Compensation
Insurance segment to the SPCs under 100% quota share reinsurance agreements. The
alternative market healthcare professional liability policies are ceded from our
Specialty P&C segment to the SPCs under either excess of loss or quota share
reinsurance agreements, depending on the structure of the individual program.
The portion of the risk that is not ceded to an SPC is retained in our Specialty
P&C segment and may also be reinsured under our standard healthcare professional
liability reinsurance program, depending on the policy limits provided. The
remaining premium written in our alternative market business is 100% ceded to
unaffiliated captive insurers.

Excess of Loss Reinsurance Agreements


We generally reinsure risks under treaties (our excess of loss reinsurance
agreements) pursuant to which the reinsurers agree to assume all or a portion of
all risks that we insure above our individual risk retention levels, up to the
maximum individual limits offered. Generally, these agreements are negotiated
and renewed annually. Our HCPL and Medical Technology Liability treaties renew
annually on October 1 and our Workers' Compensation treaty renews annually on
May 1. Our HCPL and Medical Technology Liability treaties renewed October 1,
2022 at a slightly higher rate than the previous treaties; all other material
terms were consistent with the expiring treaties. Our traditional workers'
compensation treaty renewed May 1, 2022 at a higher rate than the previous
treaty; all other material terms were consistent with the expiring treaty. The
significant coverages provided by our current excess of loss reinsurance
agreements are depicted in the following table.

                     Excess of Loss Reinsurance Agreements

                     [[Image Removed: pra-20221231_g1.jpg]]

             Healthcare               Medical Technology &                 Workers'

Professional Liability Life Sciences Products Compensation - Traditional



(1) Effective October 1, 2020, one prepaid limit reinstatement of $21M and a
second limit reinstatement of up to $21M for the second layer, subject to
reinstatement premium, which attaches after the first reinstatement has been
completely exhausted. All limit reinstatements thereafter require no additional
premium. Effective October 1, 2021, limits can be reinstated a maximum of four
times.

(2) Prior to October 1, 2020, retention was $1M.

(3) Historically, retention has ranged from 0% to 32.5%.

(4) Historically, retention has ranged from $1M to $2M.


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(5) Subject to a limit of $20M per individual claimant. If an individual loss
were to exceed this level the Company would retain this excess exposure.

(6) Subject to an AAD where retention is 3.5% of subject earned premium in
annual losses otherwise recoverable in excess of the $500K retention per loss
occurrence.


Large HCPL risks that are above the limits of our basic reinsurance treaties may
be reinsured on a facultative basis, whereby the reinsurer agrees to insure a
particular risk up to a designated limit. We also have in place a number of risk
sharing arrangements that apply to the first $1 million of losses for certain
large healthcare systems and other insurance entities, as well as with certain
insurance agencies that produce business for us.

Other Reinsurance Arrangements


For the workers' compensation business ceded to Inova Re and Eastern Re; each
SPC has in place its own reinsurance arrangements; which are illustrated in the
following table.

                     Segregated Portfolio Cell Reinsurance

                     [[Image Removed: pra-20221231_g2.jpg]]

                    Per Occurrence Coverage       Aggregate Coverage

(1) The attachment point is based on a percentage of written premium within
individual cells, ranges from 85% to 94%, and varies by cell.


Each SPC has participants and the profit or loss of each cell accrues fully to
these cell participants. As previously discussed, we participate in certain SPCs
to a varying degree. Each SPC maintains a loss fund initially equal to the
difference between premium assumed by the cell and the ceding commission. The
external participants of each cell provide collateral to us, typically in the
form of a letter of credit that is initially equal to the difference between the
loss fund of the SPC (amount of funds available to pay losses after deduction of
ceding commission) and the aggregate attachment point of the reinsurance. Over
time, an SPC's retained profits are considered in the determination of the
collateral amount required to be provided by the cell's external participants.

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The level of reinsurance that Syndicate 1729 purchases is dependent on a number
of factors, including its underwriting risk appetite for catastrophic exposure,
the specific risks inherent in each line or class of business written and the
pricing, coverage and terms and conditions available from the reinsurance
market. Reinsurance protection by line of business is as follows:

•Reinsurance is utilized on a per risk basis for the property insurance and
casualty coverages in order to mitigate risk volatility.
•Catastrophic protection is utilized on both our property insurance and casualty
coverages to protect against losses in excess of policy limits as well as
natural catastrophes.
•Both quota share reinsurance and excess of loss reinsurance are utilized to
manage the net loss exposure on our property reinsurance coverages.
•Property umbrella excess of loss reinsurance is utilized for peak catastrophe
and frequency of catastrophe exposures.

Syndicate 1729 may still be exposed to losses that exceed the level of
reinsurance purchased as well as to reinstatement premiums triggered by losses
exceeding specified levels. Cash demands on Syndicate 1729 can vary
significantly depending on the nature and intensity of a loss event. For
significant reinsured catastrophe losses, the inability or unwillingness of the
reinsurer to make timely payments under the terms of the reinsurance agreement
could have an adverse effect on Syndicate 1729's liquidity.

Taxes


We are subject to the tax laws and regulations of the U.S., Cayman Islands and
U.K. We file a consolidated U.S. Federal income tax return that includes the
parent company and its U.S. subsidiaries, except for ProAssurance American
Mutual, a Risk Retention Group. Our filing obligations include a requirement to
make quarterly payments of estimated taxes to the IRS using the corporate tax
rate effective for the tax year. During the second quarter of 2022, we made a
nominal safe harbor quarterly estimated tax payment and also made an income tax
extension payment of $1.1 million for the 2021 tax year; we did not make any
payments during the year ended December 31, 2021, as we expected NOL
carryforwards to offset any income taxes due.

As a result of the CARES Act that was signed into law on March 27, 2020 we were
permitted to carryback NOLs generated in tax years 2019 and 2020 for up to five
years. See further discussion in the Critical Accounting Estimates section under
the heading "U.S. Tax Legislation" and Note 6 of the Notes to Consolidated
Financial Statements. We generated an NOL of approximately $33.3 million from
the 2020 tax year that was carried back to the 2015 tax year that resulted in a
tax refund of approximately $11.7 million received in February 2023.

As a result of our acquisition of NORCAL, we recorded $46.8 million of net
deferred tax assets reflecting the remeasurement of NORCAL's historical net
deferred tax assets at the acquisition date of May 5, 2021. The net deferred tax
assets acquired from NORCAL were subject to recalculation following application
of all purchase accounting adjustments and our assessment of the realizability
of NORCAL's deferred tax assets. As a result of the NORCAL acquisition, we have
U.S. Federal NOL carryforwards, which were approximately $36.1 million as of
December 31, 2022. These NOL carryforwards are subject to limitation by Internal
Revenue Code Section 382 and will begin to expire in 2035.

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Investing Activities and Related Cash Flows


Our investments at December 31, 2022 and December 31, 2021 are comprised as
follows:

                                                                       December 31, 2022                               December 31, 2021
                                                                 Carrying            % of Total                  Carrying            % of Total
                     ($ in thousands)                             Value              Investment                   Value              Investment
Fixed maturities, available for sale:
U.S. Treasury obligations                                  $         221,608                    5  %       $         238,507                    5  %
U.S. Government-sponsored enterprise obligations                      19,934                    1  %                  20,234                    1 

%

State and municipal bonds                                            439,450                   10  %                 519,196                   11  %
Corporate debt                                                     1,781,452                   41  %               1,898,556                   39  %
Residential mortgage-backed securities                               389,540                    8  %                 453,941                    9  %
Commercial mortgage-backed securities                                203,794                    5  %                 245,624                    5  %
Other asset-backed securities                                        416,694                    9  %                 457,664                    9  %
Total fixed maturities, available-for-sale                         3,472,472                   79  %               3,833,722                   79  %
Fixed maturities, trading                                             43,434                    1  %                  43,670                    1  %
Total fixed maturities                                             3,515,906                   80  %               3,877,392                   80  %

Equity investments(1)                                                143,738                    3  %                 214,807                    4  %
Short-term investments                                               245,313                    6  %                 216,987                    4  %
BOLI                                                                  81,746                    2  %                  81,767                    2  %
Investment in unconsolidated subsidiaries                            305,210                    7  %                 335,576                    7  %
Other investments                                                     95,770                    2  %                 101,794                    3  %
Total investments                                          $       4,387,683                  100  %       $       4,828,323                 

100 %
(1)Includes $112.1 million and $187.1 million of investment grade bond funds as of December 31, 2022 and 2021, respectively, which are not subject
to significant equity price risk.



At December 31, 2022, 99% of our investments in available-for-sale fixed
maturity securities were rated and the average rating was A+ . The distribution
of our investments in available-for-sale fixed maturity securities by rating
were as follows:

                                                            December 31, 2022                             December 31, 2021
                                                      Carrying          % of Total                  Carrying            % of Total
                ($ in thousands)                       Value            Investment                   Value              Investment
Rating*
AAA                                               $   1,008,230                   29  %       $       1,129,136                   29  %
AA+                                                     113,659                    3  %                 130,077                    3  %
AA                                                      210,247                    6  %                 254,570                    7  %
AA-                                                     190,106                    5  %                 194,661                    5  %
A+                                                      264,950                    8  %                 221,473                    6  %
A                                                       432,442                   12  %                 521,598                   14  %
A-                                                      345,671                   10  %                 364,147                    9  %
BBB+                                                    213,794                    6  %                 292,984                    8  %
BBB                                                     305,987                    9  %                 300,650                    8  %
BBB-                                                    137,596                    4  %                 127,982                    3  %
Below investment grade                                  249,400                    7  %                 296,444                    8  %
Not rated                                                   390                    1  %                       -                    -  %
Total                                             $   3,472,472                  100  %       $       3,833,722                  100  %

*Average of three NRSRO sources, presented as an S&P equivalent. Source: S&P, Copyright ©2023, S&P Global Market Intelligence




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A detailed listing of our investment holdings as of December 31, 2022 is located
under the Financial Information heading on the Investor Relations page of our
website which can be reached directly at
https://investor.proassurance.com/financial-information/quarterly-investment-supplements/default.aspx
or through links from the Investor Relations section of our website,
investor.proassurance.com.

We manage our investments to ensure that we will have sufficient liquidity to
meet our obligations, taking into consideration the timing of cash flows from
our investments, including interest payments, dividends and principal payments,
as well as the expected cash flows to be generated by our operations. In
addition to the interest and dividends we will receive from our investments, we
anticipate that between $90 million and $160 million of our portfolio will
mature (or be paid down) each quarter over the next twelve months and become
available, if needed, to meet our cash flow requirements. The primary outflow of
cash at our insurance subsidiaries is related to paid losses and operating
costs, including income taxes. The payment of individual claims cannot be
predicted with certainty; therefore, we rely upon the history of paid claims in
estimating the timing of future claims payments with consideration to current
and anticipated industry trends and macroeconomic conditions. To the extent that
we may have an unanticipated shortfall in cash, we may either liquidate
securities or borrow funds under existing borrowing arrangements through our
Revolving Credit Agreement and the FHLB system. Permitted borrowings under our
Revolving Credit Agreement are $250 million with the possibility of an
additional $50 million accordion feature, if successfully subscribed. Given the
duration of our investments, we do not foresee a shortfall that would require us
to meet operating cash needs through additional borrowings. Additional
information regarding our Revolving Credit Agreement is detailed in Note 11 of
the Notes to Consolidated Financial Statements.

At December 31, 2022, our FAL was comprised of fixed maturity securities with a
fair value of $23.8 million and cash and cash equivalents of $1.0 million
deposited with Lloyd's. See further discussion in Note 4 of the Notes to
Consolidated Financial Statements. During the second quarter of 2022, we
received a return of approximately $5.5 million of cash from our FAL balances
given Syndicate 6131 ceased underwriting on a quota share basis with Syndicate
1729 beginning with the 2022 underwriting year as well as the settlement of our
participation in the results of Syndicate 1729 and Syndicate 6131 for the 2019
underwriting year. Further, during the fourth quarter of 2022, we received a
return of approximately $5.6 million of cash from our FAL balances due to lower
capital requirements for the 2023 underwriting year following Lloyd's of
London's review of the 2023 business plan.

Our investment portfolio continues to be primarily composed of high quality
fixed income securities with approximately 92% of our fixed maturities being
investment grade securities as determined by national rating agencies. The
weighted average effective duration of our fixed maturity securities at
December 31, 2022 was 3.50 years; the weighted average effective duration of our
fixed maturity securities combined with our short-term securities was 3.27
years.

The carrying value and unfunded commitments for certain of our investments were
as follows:

                                                       Carrying Value                          December 31, 2022
  ($ in thousands, except expected funding                       December 31,             Unfunded      Expected funding
                   period)                    December 31, 2022      2021                Commitment      period in years
Qualified affordable housing project tax
credit partnerships (1)                       $        4,088    $     12,424          $         253                      4

All other investments, primarily investment
fund LPs/LLCs                                        301,122         323,152                120,043                      4
Total                                         $      305,210    $    335,576          $     120,296
(1) The carrying value reflects our total commitments (both funded and unfunded) to the partnerships, less any
amortization, since our initial investment. We fund these investments based on funding schedules maintained by the
partnerships.


Investment fund LPs/LLCs are by nature less liquid and may involve more risk
than other investments. We manage our risk through diversification of asset
class and geographic location. At December 31, 2022, we had investments in 35
separate investment funds with a total carrying value of $301.1 million which
represented approximately 7% of our total investments. Our investment fund
LPs/LLCs generate earnings from trading portfolios, secured debt, debt
securities, multi-strategy funds and private equity investments, and the
performance of these LPs/LLCs is affected by the volatility of equity and credit
markets. For our investments in LPs/LLCs, we record our allocable portion of the
partnership operating income or loss as the results of the LPs/LLCs become
available, typically following the end of a reporting period.

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Financing Activities and Related Cash Flows

Treasury Shares

Treasury share activity for 2022, 2021 and 2020 was as follows:


                        (In thousands)                       2022        

2021 2020

Treasury shares at the beginning of the period 9,325 9,325 9,325

Shares reacquired, at cost of $3.3 million for 2022 139 -

           -

     Treasury shares at the end of the period               9,464       

9,325 9,325



We did not repurchase any common shares subsequent to December 31, 2022 and as
of February 22, 2023 our remaining Board authorization was approximately $106.4
million.

ProAssurance Shareholder Dividends

Our Board declared cash dividends during 2022, 2021 and 2020 as follows:

                                      Quarterly Cash Dividends Declared, per Share
                                              2022                          2021        2020
     First Quarter        $           0.05                                $ 0.05      $ 0.31
     Second Quarter       $           0.05                                $ 0.05      $ 0.05
     Third Quarter        $           0.05                                $ 0.05      $ 0.05
     Fourth Quarter       $           0.05                                $ 0.05      $ 0.05


Each dividend was paid in the month following the quarter in which it was
declared. Cash dividends totaling $11 million were paid during each of the years
ended December 31, 2022 and 2021 and cash dividends totaling $39 million were
paid during the year ended December 31, 2020. Any decision to pay future cash
dividends is subject to the Board's final determination after a comprehensive
review of financial performance, future expectations and other factors deemed
relevant by the Board.

Debt

At December 31, 2022, our debt included $250 million of outstanding unsecured
senior notes. The notes bear interest at 5.3% annually and are due in November
2023, although they may be redeemed in whole or part prior to maturity. There
are no financial covenants associated with these notes.

NORCAL Insurance Company, successor to NORCAL Mutual Insurance Company, issued
Contribution Certificates, which bear interest at 3.0% annually and are due in
2031, to certain NORCAL policyholders in the conversion. The Contribution
Certificates have a principal amount of $191 million and were recorded at their
fair value of $175 million at the date of the NORCAL acquisition on May 5, 2021.
The difference of $16 million between the recorded acquisition date fair value
and the principal balance of the Contribution Certificates will be accreted
utilizing the effective interest method over the term of the certificates of ten
years as an increase to interest expense. Furthermore, interest payments are
subject to deferral if we do not receive permission from the California
Department of Insurance prior to payment. We received permission from the
California Department of Insurance to pay the first annual interest payment
which was paid in April 2022. See Note 2 and Note 11 of the Notes to
Consolidated Financial Statements for additional information on the Contribution
Certificates issued in the NORCAL acquisition. There are no financial covenants
associated with these certificates.

We have a Revolving Credit Agreement, which expires in November 2024, that may
be used for general corporate purposes, including, but not limited to,
short-term working capital, share repurchases as authorized by the Board and
support for other activities. Our Revolving Credit Agreement permits borrowings
of up to $250 million as well as the possibility of a $50 million accordion
feature, if successfully subscribed. At December 31, 2022, there were no
outstanding borrowings on our Revolving Credit Agreement; we are in compliance
with the financial covenants of the Revolving Credit Agreement.

Additional information regarding our debt is provided in Note 11 of the Notes to
Consolidated Financial Statements.


We utilized an interest rate cap agreement with a notional amount of $35 million
to manage our exposure to increases in LIBOR. Per the interest rate cap
agreement, we were entitled to receive cash payments if and when the three-month
LIBOR exceeds 2.35%. In April 2022, we terminated our interest rate cap
agreement that was previously utilized to manage our exposure to increases in
LIBOR on Mortgage Loans that were fully repaid in 2021. As a result of the
termination, we received $2.1 million in proceeds during the second quarter of
2022.

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Three of our insurance subsidiaries are members of an FHLB. Through membership,
those subsidiaries have access to secured cash advances which can be used for
liquidity purposes or other operational needs. In order for us to use FHLB
proceeds, regulatory approvals may be required depending on the nature of the
transaction. To date, those subsidiaries have not materially utilized their
membership for borrowing purposes.

Results of Operations - Year Ended December 31, 2022 Compared to Year Ended
December 31, 2021


Selected consolidated financial data for each period is summarized in the table
below.

                                                                        Year Ended December 31
      ($ in thousands, except per share data)               2022                     2021                Change
Revenues:
Net premiums written                                $       1,014,137           $    882,721          $  131,416
Net premiums earned                                 $       1,029,581           $    971,668          $   57,913

Net investment result                                         100,860                119,496             (18,636)
Net investment gains (losses)                                 (33,157)                24,310             (57,467)
Other income                                                    9,404                  8,936                 468
Total revenues                                              1,106,688              1,124,410             (17,722)

Expenses:

Net losses and loss adjustment expenses                       776,762                752,249              24,513
Underwriting, policy acquisition and operating
expenses                                                      307,338                268,246              39,092
SPC U.S. federal income tax expense                             1,759                  1,947                (188)
SPC dividend expense (income)                                   6,673                 10,050              (3,377)
Interest expense                                               20,372                 19,719                 653

Total expenses                                              1,112,904              1,052,211              60,693
Gain on bargain purchase                                            -                 74,408             (74,408)
Income (loss) before income taxes                              (6,216)               146,607            (152,823)
Income tax expense (benefit)                                   (5,814)                 2,483              (8,297)
Net income (loss)                                   $            (402)          $    144,124          $ (144,526)
Non-GAAP operating income (loss)                    $          24,509           $     75,892          $  (51,383)
Earnings (loss) per share:
Basic                                               $           (0.01)          $       2.67          $    (2.68)
Diluted                                             $           (0.01)          $       2.67          $    (2.68)
Non-GAAP operating income (loss) per share:
Basic                                               $            0.45           $       1.41          $    (0.96)
Diluted                                             $            0.45           $       1.40          $    (0.95)
Net loss ratio                                                   75.4   %               77.4  %         (2.0 pts)
Underwriting expense ratio                                       29.9   %               27.6  %          2.3 pts
Combined ratio                                                  105.3   %              105.0  %          0.3 pts
Operating ratio                                                  96.0   %               97.7  %         (1.7 pts)
Effective tax rate                                               93.5  %                 1.7  %         91.8 pts
Return on equity*                                                   -  %                 5.3  %         (5.3 pts)
Non-GAAP operating return on equity*                              1.9  %                 5.6  %         (3.7 pts)
*See further discussion on this calculation in the Executive Summary of Operations section under the heading
"Non-GAAP Operating ROE."
In all tables that follow, the abbreviation "nm" indicates that the information or the percentage change is not
meaningful.




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Executive Summary of Operations

The following sections provide an overview of our consolidated and segment
results of operations for the year ended December 31, 2022 as compared to the
year ended December 31, 2021. See the Segment Results sections that follow for
additional information regarding each segment's results. For a full discussion
of the changes in the financial condition, results of operations and cash flows
for the year ended December 31, 2021 as compared to the year ended December 31,
2020, please refer to Item 7, "Management's Discussion and Analysis of Financial
Condition and Results of Operations" section of ProAssurance's December 31, 2021
report on Form 10-K.

Revenues

The following table shows our consolidated and segment net premiums earned:


                                                             Year Ended 

December 31

               ($ in thousands)                 2022            2021        

Change

Net premiums earned

   Specialty P&C                            $   769,773      $ 695,008      

$ 74,765 10.8 %

   Workers' Compensation Insurance              166,371        164,600      

1,771 1.1 %

Segregated Portfolio Cell Reinsurance 69,810 63,688

   6,122         9.6  %
   Lloyd's Syndicates                            23,627         48,372       (24,745)      (51.2  %)
   Consolidated total                       $ 1,029,581      $ 971,668      $ 57,913         6.0  %


For the year ended December 31, 2022, consolidated net premiums earned included
earned premium from our acquisition of NORCAL of $289.0 million as compared to
$214.6 million in 2021. Excluding NORCAL premiums, our consolidated net premiums
earned decreased $16.5 million in 2022 as compared to 2021.

•The decrease in our Lloyd's Syndicates segment for the year ended December 31,
2022 was due to our decreased participation in the results of Syndicate 1729 and
Syndicate 6131 for the 2021 underwriting year and, to a lesser extent, our
ceased participation in Syndicate 6131 for the 2022 underwriting year.

•Net premiums earned in our Segregated Portfolio Cell Reinsurance segment
increased during 2022 driven by tail coverage premiums primarily related to one
program in which we do not participate, which resulted in $4.9 million of
one-time premium written and fully earned as well as an increase in audit
premium billed to policyholders in 2022.


•For our Workers' Compensation Insurance segment, net premiums earned increased
for 2022 due to an increase in audit premiums billed to policyholders in 2022 as
well as the change in the carried EBUB estimate, which increased $1.5 million in
2022 as compared to a reduction of $1.2 million in 2021, partially offset by the
competitive workers' compensation market conditions.

•Net premiums earned in our Specialty P&C segment, excluding NORCAL premiums,
remained relatively unchanged during 2022 as compared to 2021.

The following table shows our consolidated net investment result:

Year Ended December 31

                 ($ in thousands)                       2022                 2021                        Change
Net investment income                              $     95,972          $  70,522          $  25,450               36.1  %
Equity in earnings (loss) of unconsolidated
subsidiaries*                                             4,888             48,974            (44,086)             (90.0  %)
Net investment result                              $    100,860          $ 119,496          $ (18,636)             (15.6  %)

*Equity in earnings (loss) of unconsolidated subsidiaries includes our share of the operating results of interests we hold
in certain LPs/LLCs as well as operating losses associated with our tax credit partnership investments, which are designed
to generate returns in the form of tax credits and tax-deductible project operating losses.



The increase in our consolidated net investment income for the year ended
December 31, 2022 as compared to 2021 reflected higher average book yields as we
continue to reinvest at higher rates as our portfolio matures and the addition
of NORCAL's investment portfolio. Furthermore, the increase in net investment
income during 2022 reflected the prior year impact of capital planning in
anticipation of closing the NORCAL acquisition. Equity in earnings of
unconsolidated subsidiaries decreased in 2022 primarily due to the performance
of certain LP/LLCs, which are primarily reported to us on a one-quarter lag, and
reflected lower market valuations during 2022, partially offset by lower
amortization of tax credit partnership operating losses.

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The following table shows our total consolidated net investment gains (losses):

Year Ended December 31

                 ($ in thousands)                       2022              2021                        Change

Net impairment losses recognized in earnings $ (1,758) $

   -          $  (1,758)                    nm
Other net investment gains (losses)(1)                (31,399)           24,310            (55,709)            (229.2  %)
Net investment gains (losses)                       $ (33,157)         $ 24,310          $ (57,467)            (236.4  %)
(1) Consolidated other net investment gains (losses) in 2022 include a gain of $9.0 million recognized during the fourth
quarter of 2022 reflecting the change in the fair value of contingent consideration issued in connection with the NORCAL
acquisition (see Note 2 of the Notes to Consolidated Financial Statements). We do not consider this adjustment in
assessing the financial performance of any of our operating or reportable segments and therefore, we have excluded it
from the Segment Results sections that follow. See Note 16 of the Notes to Consolidated Financial Statements for a
reconciliation of our segment results to our consolidated results.


We recognized $33.2 million of net investment losses for the year ended
December 31, 2022 driven by unrealized holding losses resulting from changes in
the fair value of our equity investments and convertible securities. We
recognized $24.3 million of net investment gains for the year ended December 31,
2021, driven primarily by realized gains on the sale of certain
available-for-sale fixed maturities and other investments, partially offset by
unrealized holding losses resulting from decreases in the fair value on our
equity portfolio.

Expenses

The following table shows our consolidated and segment net loss ratios and net
prior accident year reserve development.

Year Ended December 31

                     ($ in millions)                          2022              2021               Change
Current accident year net loss ratio
Consolidated ratio                                             79.0  %           82.1  %           (3.1   pts)
Specialty P&C                                                  83.1  %           87.5  %           (4.4   pts)
Workers' Compensation Insurance                                71.8  %           74.0  %           (2.2   pts)
Segregated Portfolio Cell Reinsurance                          65.3  %           67.1  %           (1.8   pts)
Lloyd's Syndicates                                             37.2  %           51.9  %          (14.7   pts)
Calendar year net loss ratio
Consolidated ratio                                             75.4  %           77.4  %           (2.0   pts)
Specialty P&C                                                  79.2  %           82.8  %           (3.6   pts)
Workers' Compensation Insurance                                67.0  %           69.7  %           (2.7   pts)
Segregated Portfolio Cell Reinsurance                          56.3  %           51.1  %            5.2   pts
Lloyd's Syndicates                                             68.3  %           61.6  %            6.7   pts
Favorable (unfavorable) reserve development, prior
accident years
Consolidated                                               $   36.8          $   45.5          $   (8.7)
Specialty P&C                                              $   29.8          $   32.9          $   (3.1)
Workers' Compensation Insurance                            $    8.0          $    7.1          $    0.9
Segregated Portfolio Cell Reinsurance                      $    6.3          $   10.2          $   (3.9)
Lloyd's Syndicates                                         $   (7.3)         $   (4.7)         $   (2.6)



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The primary drivers of the change in our consolidated current accident year net
loss ratio for the year ended December 31, 2022 as compared to 2021 were as
follows:

Increase (Decrease)

                          (In percentage points)                                  2022 versus 2021
Estimated ratio increase (decrease) attributable to:

NORCAL Operations                                                                    (1.4 pts)
NORCAL Acquisition - Purchase Accounting Adjustment                                   0.2 pts
Change in Estimate of ULAE                                                           (2.5 pts)

All other, net                                                                        0.6 pts
Decrease in the consolidated current accident year net loss ratio           

(3.1 pts)



•Excluding the impact of the items specifically identified in the table above,
our consolidated current accident year net loss ratio increased 0.6 percentage
points for the year ended December 31, 2022 driven by our Specialty P&C segment,
partially offset by our Workers' Compensation Insurance, Segregated Portfolio
Cell Reinsurance and Lloyd's Syndicates segments. As a result of actuarial
analyses performed by both internal and consulting actuaries during 2022, we
increased our current accident year net loss ratio in our Specialty P&C segment,
excluding NORCAL, driven by an increase to certain expected loss ratios in our
Standard Physician line of business due to higher than anticipated loss severity
trends in select jurisdictions, which emerged primarily in the fourth quarter of
2022. See additional information in the Segment Results - Specialty Property and
Casualty section that follows. In our Workers' Compensation Insurance segment,
the lower current accident year net loss ratio for 2022 reflected an improvement
in loss frequency and severity trends, partially offset by the continuation of
intense price competition and the resulting renewal rate decreases. Further, the
current accident year net loss ratio in our Workers' Compensation Insurance
segment for 2021 reflects workers returning to full employment after the lifting
of pandemic-related restrictions and the labor shortage. In our Segregated
Portfolio Cell Reinsurance segment, the improvement in the current accident year
net loss ratio for 2022 primarily reflects favorable trends in prior accident
year workers' compensation claim results and their impact on our analysis of the
current year loss estimate. For our Lloyd's Syndicates segment, the lower
current accident year net loss ratio was driven by decreases to certain loss
estimates during the first quarter of 2022, partially offset by lower
reinsurance recoveries as a proportion of gross losses as compared to the prior
year period.

•Initial expected loss ratios associated with NORCAL policies are higher than
the average for the other books of business in our Specialty P&C segment;
however, we reduced certain expected NORCAL loss ratios during the fourth
quarter of 2021 and also in the third and fourth quarters of 2022 due to
favorable frequency trends some of which, we believe, are primarily attributable
to our re-underwriting efforts, leading to a 1.4 percentage point improvement in
our consolidated current accident year net loss ratio in 2022. We completed the
process of evaluating the NORCAL book of business and implementing
ProAssurance's underwriting strategies during the second quarter of 2022.
Furthermore, the 1.4 percentage point improvement also reflected a reduction to
our reserve related to NORCAL's DDR coverage endorsements in the fourth quarter
of 2022.

•Also as a result of our acquisition of NORCAL, our consolidated current
accident year net loss ratio in 2022 and 2021 was impacted by the purchase
accounting amortization of the negative VOBA associated with NORCAL's assumed
unearned premium of $4.9 million and $6.7 million, respectively, which was
recorded as a reduction to current accident year net losses. As of June 30,
2022, the negative VOBA was fully amortized which resulted in a 0.2 percentage
point increase in 2022.

•Beginning in 2022, we revised our process of estimating ULAE in our Specialty
P&C segment as a result of substantially integrating NORCAL into our operations,
which accounted for a 2.5 percentage point decrease in our consolidated current
accident year net loss ratio for the year ended December 31, 2022 with an
offsetting 2.5 percentage point increase in our consolidated expense ratio for
the same current period with no impact to our consolidated combined ratio, total
expenses or net income (loss). See additional information on this change in ULAE
estimate in the Segment Results - Specialty Property and Casualty section that
follows.

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In both 2022 and 2021, our consolidated calendar year net loss ratio was lower
than our consolidated current accident year net loss ratio due to the
recognition of net favorable prior year reserve development, as shown in the
previous table. The following table shows the components of our consolidated net
prior accident year reserve development:

                                                                            

Year Ended December 31

                 ($ in thousands)                       2022                  2021                         Change
Net favorable reserve development                  $        25,934       $        37,576       $ (11,642)            (31.0  %)
NORCAL Acquisition - Purchase Accounting
Amortization*                                               10,819                 7,907           2,912              36.8  %
Total net favorable reserve development            $        36,753       $        45,483       $  (8,730)            (19.2  %)

*See Note 2 of the Notes to Consolidated Financial Statements for additional information on the purchase accounting
adjustments.



•Development recognized in our Specialty P&C segment during 2022 principally
related to accident years 2017 and 2020 through 2021. Net favorable prior
accident year reserve development recognized in our Specialty P&C segment
included favorable development related to NORCAL's 2021 accident year and, to a
lesser extent, our Medical Technology Liability line of business. Net favorable
prior accident year reserve development recognized in 2022 was partially offset
by unfavorable reserve development in our HCPL line of business, excluding
NORCAL, driven by higher than anticipated loss severity trends in select
jurisdictions, which emerged primarily in the fourth quarter of 2022. We have
not recognized any development related to NORCAL's accident years 2020 or prior
since the date of acquisition on May 5, 2021.

•We reduced our prior accident year IBNR reserve for COVID-19 by $9.0 million
and $1.0 million during 2022 and 2021, respectively, as early first notices of
potential claims related to anticipated COVID losses have not turned into
claims. As of December 31, 2022, we no longer carry a specific IBNR reserve for
potential COVID-19 related losses. See additional discussion on the COVID-19
IBNR reserve in our Critical Accounting Estimates section under the heading
"Reserve for Losses and Loss Adjustment Expenses."

•For our Workers' Compensation Insurance and Segregated Portfolio Cell
Reinsurance segments, the net favorable development in 2022 reflected overall
favorable trends in claim closing patterns.


•We recognized $7.3 million of unfavorable prior year development in our Lloyd's
Syndicates segment during the year ended December 31, 2022 driven by higher than
expected losses and development on certain large claims, primarily catastrophe
related losses.

Our consolidated and segment underwriting expense ratios were as follows:

                                                                             Year Ended December 31
                                                               2022                2021                  Change
Underwriting Expense Ratio
Consolidated (1)                                                29.9  %              27.6  %               2.3   pts
Specialty P&C                                                   25.0  %              18.4  %               6.6   pts
Workers' Compensation Insurance                                 32.9  %              31.8  %               1.1   pts
Segregated Portfolio Cell Reinsurance                           29.1  %              34.0  %              (4.9   pts)
Lloyd's Syndicates                                              31.4  %              37.1  %              (5.7   pts)
Corporate (2)                                                    3.4  %               2.7  %               0.7   pts
(1) Consolidated underwriting expenses include transaction-related costs for 2022 and 2021 associated with our
acquisition of NORCAL that are not included in a segment as we do not consider these costs in assessing the financial
performance of any of our operating or reportable segments. See Note 16 of the Notes to Consolidated Financial
Statements for a reconciliation of our segment results to our consolidated results.
(2) There are no net premiums earned associated with the Corporate segment. Ratios shown are the contribution of the
Corporate segment to the consolidated ratio (Corporate operating expenses divided by consolidated net premiums
earned).



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The change in our consolidated underwriting expense ratio for the year ended
December 31, 2022 as compared to 2021 was primarily attributable to the
following:

                                                                                   Increase (Decrease)
                             (In percentage points)                        

2022 versus 2021
Estimated ratio increase (decrease) attributable to:
Change in Net Premiums Earned and DPAC amortization

                                      0.5 pts

NORCAL DPAC Amortization - Prior Period Purchase Accounting Impact

             1.4 pts
Change in Estimate of ULAE                                                               2.5 pts
Transaction-related Costs(1)                                                            (2.4 pts)
One-Time Expenses(2)                                                                     0.4 pts

All other, net                                                                          (0.1 pts)
Increase in the underwriting expense ratio                                               2.3 pts
(1) Represents transaction-related costs associated with our acquisition of NORCAL of $1.9 million and
$25.0 million for 2022 and 2021, respectively. While these costs are included in our consolidated
results, they are not allocated to an individual segment as we do not consider these costs in assessing
the financial performance of any or our operating of reportable segments. See Note 16 of the Notes to
Consolidated Financial Statements for a reconciliation of our segment results to our consolidated
results.
(2) Represents one-time expenses of $3.9 million for 2022 mainly comprised of one-time bonuses,
accelerated depreciation associated with a decommissioned IT system, employee severance charges and
lease exit costs in our Specialty P&C segment.


•Excluding the impact of items specifically identified in the table above, our
consolidated underwriting expense ratio for 2022 remained relatively unchanged
as compared to 2021.

•As shown in the previous table, our consolidated underwriting expense ratio for
2022 is higher as compared to 2021 reflecting the impact of lower DPAC
amortization than would have otherwise been recognized during 2021 associated
with NORCAL policies due to the application of GAAP purchase accounting rules.
Under these purchase accounting rules, the capitalized policy acquisition costs
for NORCAL policies written prior to the acquisition date were written off
through purchase accounting on May 5, 2021 rather than being expensed pro rata
over the remaining term of the associated policies (see Note 2 of the Notes to
Consolidated Financial Statements in our December 31, 2021 report on Form 10-K
for more information). DPAC amortization in our Specialty P&C segment for 2022
was approximately $1.0 million lower than would have otherwise been recognized.
Normalizing the prior year amortization would have increased our consolidated
underwriting expense ratio for 2021 by 1.4 percentage points.

•As shown in the previous table, the consolidated underwriting expense ratio for
2022 reflected a revision to our process of estimating ULAE in our Specialty P&C
segment, as previously discussed, which resulted in approximately $25.4 million
of expenses remaining in operating expenses instead of being allocated to net
losses and loss adjustment expenses. As a result, this change in ULAE estimate
accounted for a 2.5 percentage point increase in our consolidated underwriting
expense ratio with an offsetting 2.5 percentage point decrease to our
consolidated net loss ratio during the same period with no impact to our
consolidated combined ratio, total expenses or net income (loss). See additional
discussion on this change in ULAE estimate in the Segment Results - Specialty
Property and Casualty section that follows.

Gain on Bargain Purchase


As a result of the NORCAL acquisition, we recognized a gain on bargain purchase
of $74.4 million during the second quarter of 2021 representing the excess of
the fair value of the identifiable assets acquired and liabilities assumed over
the purchase consideration. We do not consider this gain in assessing the
financial performance of any of our operating or reportable segments and
therefore, we have excluded it from the Segment Results sections that follow.
See further discussion around the gain on bargain purchase recognized from the
NORCAL acquisition in Note 2 of the Notes to Consolidated Financial Statements.

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Taxes


Our consolidated effective tax rates for the years ended December 31, 2022 and
2021 were as follows:

                                                        Year Ended December 31
              ($ in thousands)              2022          2021              

Change

Income (loss) before income taxes $ (6,216) $ 146,607 $ (152,823) (104.2%)

     Income tax expense (benefit)          (5,814)         2,483          (8,297)     (334.2%)
     Net income (loss)                   $   (402)     $ 144,124      $ (144,526)     (100.3%)
     Effective tax rate                    93.5%          1.7%          91.8 pts


We recognized an income tax benefit in 2022 of $5.8 million and income tax
expense of $2.5 million in 2021. Our effective tax rates for the years ended
December 31, 2022 and 2021 were different from the statutory federal income tax
rate of 21% typically due to the benefit recognized from the tax credits
transferred to us from our tax credit partnership investments. Additionally, our
effective tax rate for 2022 was impacted by a gain of $9.0 million related to
the change in fair value of contingent consideration issued in connection with
the NORCAL acquisition, all of which was non-taxable. For 2021, our effective
tax rate was also affected by the non-taxable $74.4 million gain on bargain
purchase related to the NORCAL acquisition. See further information on other
notable items impacting our effective tax rate for the years ended December 31,
2022 and 2021 in the Segment Results - Corporate section that follows under the
heading "Taxes."

Operating Ratio

Our operating ratio is our combined ratio, less our investment income ratio.
This ratio provides the combined effect of underwriting profitability and
investment income. Our operating ratio for the years ended December 31, 2022 and
2021 was as follows:

                                                                                 Year Ended December 31
                                                                 2022                  2021                     Change
Combined ratio                                                    105.3  %                105.0  %                 0.3   pts
Less: investment income ratio                                       9.3  %                  7.3  %                 2.0   pts
Operating ratio                                                    96.0  %                 97.7  %                (1.7   pts)

Combined ratio, excluding transaction-related costs*              105.1  %                102.4  %                 2.7   pts
*Excludes transaction-related costs of $1.9 million and $25.0 million in 2022 and 2021, respectively, associated with our
acquisition of NORCAL which are included in consolidated results and do not reflect normal operating expenses. See previous
discussion under the heading "Expenses."


The primary drivers of the change in our operating ratio were as follows:


                                                                                            Increase (Decrease)
                             (In percentage points)                                           2022 versus 2021

Estimated ratio increase (decrease) attributable to:


Investment Results                                                                               (2.0 pts)
Transaction-related Costs                                                                        (2.4 pts)

NORCAL DPAC Amortization - Prior Period Purchase Accounting Impact

                       1.4 pts
All other, net                                                                                    1.3 pts
Decrease in the operating ratio                                                                  (1.7 pts)


Excluding the impact of the items specifically identified in the table above,
our operating ratio for 2022 increased as compared to 2021 driven by lower
favorable prior year development, partially offset by an improvement in our
Specialty P&C segment's current accident year net loss ratio. The improvement in
our Specialty P&C segment's current accident year net loss ratio in 2022 was
primarily attributable to a decrease to certain expected NORCAL loss ratios
during the third and fourth quarters of 2022 due to favorable frequency trends,
partially offset by an increase to certain expected loss ratios in our Standard
Physician line of business due to higher than anticipated loss emergence in
select jurisdictions. See previous discussion in this section under the heading
"Expenses" and further discussion in our Segment Operating Results sections that
follow.

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Non-GAAP Financial Measures

Non-GAAP Operating Income (Loss)


Non-GAAP operating income (loss) is a financial measure that is widely used to
evaluate performance within the insurance sector. In calculating Non-GAAP
operating income (loss), we have excluded the effects of the items listed in the
following table that do not reflect normal results. We believe Non-GAAP
operating income (loss) presents a useful view of the performance of our
insurance operations, however it should be considered in conjunction with net
income (loss) computed in accordance with GAAP.

The following table is a reconciliation of net income (loss) to Non-GAAP
operating income (loss):

Year Ended December 31

              (In thousands, except per share data)                       2022                    2021
Net income (loss)                                                 $        (402)             $    144,124

Items excluded in the calculation of Non-GAAP operating income
(loss):


Net investment (gains) losses(1)                                         33,157                   (24,310)

Net investment gains (losses) attributable to SPCs which no
profit/loss is retained (2)

                                              (2,138)                    3,253
Transaction-related costs (3)                                             1,862                    24,977

Guaranty fund assessments (recoupments)                                     541                       228
Gain on bargain purchase (4)                                                  -                   (74,408)

Pre-tax effect of exclusions                                             33,422                   (70,260)
Tax effect, at 21% (5)                                                   (8,511)                    2,028
After-tax effect of exclusions                                           24,911                   (68,232)

Non-GAAP operating income (loss)                                  $      24,509              $     75,892
Per diluted common share:
Net income (loss)                                                 $       (0.01)             $       2.67
Effect of exclusions                                                       0.46                     (1.27)

Non-GAAP operating income (loss) per diluted common share $ 0.45

              $       1.40


(1) Net investment gains (losses) in 2022 include a gain of $9.0 million related
to the change in the fair value of contingent consideration issued in connection
with the NORCAL acquisition. We have excluded this adjustment as it does not
reflect normal operating results. See further discussion around the contingent
consideration in Note 2 and Note 4 of the Notes to Consolidated Financial
Statements.

(2) Net investment gains (losses) on investments related to SPCs are recognized
in our Segregated Portfolio Cell Reinsurance segment. SPC results, including any
net investment gain or loss, that are attributable to external cell participants
are reflected in the SPC dividend expense (income). To be consistent with our
exclusion of net investment gains (losses) recognized in earnings, we are
excluding the portion of net investment gains (losses) that is included in the
SPC dividend expense (income) which is attributable to the external cell
participants.

(3) Transaction-related costs associated with our acquisition of NORCAL. We are
excluding these costs as they do not reflect normal operating results and are
unique and non-recurring in nature.

(4) Gain on bargain purchase associated with our acquisition of NORCAL which is
considered unusual, infrequent and non-recurring in nature. As such, we have
excluded the gain on bargain purchase as it does not reflect normal operating
results.

(5) The 21% rate is the statutory tax rate associated with the taxable or tax
deductible items listed above. The taxes associated with the net investment
gains (losses) related to SPCs in our Segregated Portfolio Cell Reinsurance
segment are paid by the individual SPCs and are not included in our consolidated
tax provision or net income (loss); therefore, both the net investment gains
(losses) from our Segregated Portfolio Cell Reinsurance segment and the
adjustment to exclude the portion of net investment gains (losses) included in
the SPC dividend expense (income) in the table above are not tax effected. The
2021 gain on bargain purchase and the 2022 gain related to the change in the
fair value of contingent consideration are non-taxable and therefore had no
associated income tax impact.

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Non-GAAP Operating ROE


Non-GAAP operating ROE is a financial measure that is calculated as Non-GAAP
operating income (loss) for the period divided by the average of beginning and
ending total GAAP shareholders' equity. As previously discussed, in calculating
Non-GAAP operating income (loss), we have excluded the effects of certain items
that do not reflect normal results. Non-GAAP operating ROE measures the overall
after-tax profitability of our insurance operations and shows how efficiently
capital is being used; however, it should be considered in conjunction with ROE
computed in accordance with GAAP. The following table is a reconciliation of ROE
to Non-GAAP operating ROE for the years ended December 31, 2022 and 2021:

                                                                              Year Ended December 31
                                                                   2022                  2021            Change
ROE(1)                                                                  -  %                5.3  %         (5.3   pts)
Pre-tax effect of items excluded in the calculation of
Non-GAAP operating ROE                                                2.6  %                0.2  %          2.4   pts
Tax effect, at 21%(2)                                                (0.7  %)               0.1  %         (0.8   pts)
Non-GAAP operating ROE                                                1.9  %                5.6  %         (3.7   pts)
(1) The $74.4 million gain on bargain purchase recognized during the second quarter of 2021 was excluded in our
calculation of ROE for the year ended December 31, 2021 consistent with our treatment of gains on bargain purchases
from previous acquisitions.
(2) The 21% rate is the statutory tax rate associated with the taxable or tax deductible items. See further discussion
in footnote 5 in this section under the heading "Non-GAAP Operating Income."


Non-GAAP operating ROE for 2022 decreased by 3.7 percentage points largely due
to a decrease in our investment results from our portfolio of investments in
LPs/LLCs (see previous discussion under the heading "Revenues"). Furthermore,
the decrease in ROE for 2022 reflected a lower amount of prior year DPAC
amortization associated with NORCAL policies than would have otherwise been
recognized during 2021 due to the application of GAAP purchase accounting rules
and a lower amount of favorable development as compared to 2021. See previous
discussion in this section under the heading "Expenses" and further discussion
in our Segment Operating Results sections that follow.

Non-GAAP Adjusted Book Value per Share


Book value per share is calculated as total GAAP shareholders' equity divided by
the total number of common shares outstanding at the balance sheet date. This
ratio measures the net worth of the Company to shareholders on a per share
basis.

Non-GAAP adjusted book value per share is a Non-GAAP measure widely used within
the insurance sector and is calculated as shareholders' equity, excluding AOCI,
divided by the total number of common shares outstanding at the balance sheet
date. This Non-GAAP calculation measures the net worth of the Company to
shareholders on a per share basis excluding AOCI to eliminate the temporary and
potentially significant effects of fluctuations in interest rates on our fixed
income portfolio; however, it should be considered in conjunction with book
value per share computed in accordance with GAAP. The increase in interest rates
during 2022 lead to significant unrealized holding losses on our
available-for-sale fixed maturity investments resulting in volatility in AOCI.
See Note 12 of the Notes to Consolidated Financial Statements for additional
information.

The following table is a reconciliation of our book value per share to Non-GAAP
adjusted book value per share at December 31, 2022 and December 31, 2021:


                                                                           Book Value Per Share
Book Value Per Share at December 31, 2021                                 $             26.46
Less: AOCI Per Share(1)                                                                  0.30
Non-GAAP Adjusted Book Value Per Share at December 31, 2021                                26.16
Increase (decrease) to Non-GAAP Adjusted Book Value Per Share during the
year ended December 31, 2022 attributable to:
Dividends declared                                                                      (0.20)
Net income (loss)                                                                       (0.01)

Other(2)                                                                                 0.04
Non-GAAP Adjusted Book Value Per Share at December 31, 2022                             25.99
Add: AOCI Per Share(1)                                                                  (5.53)
Book Value Per Share at December 31, 2022                                 $             20.46
(1)Primarily the impact of accumulated unrealized investment gains (losses) on our
available-for-sale fixed maturity investments. See Note 12 of the Notes to Consolidated
Financial Statements for additional information.
(2) Includes the impact of share-based compensation and shares repurchased conducted through a
10b5-1 stock repurchase plan.



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Segment Results - Specialty Property & Casualty


Our Specialty P&C segment focuses on professional liability insurance and
medical technology liability insurance as discussed in Note 16 of the Notes to
Consolidated Financial Statements. On May 5, 2021, we completed our acquisition
of NORCAL, an underwriter of healthcare professional liability insurance (Note 2
of the Notes to Consolidated Financial Statements provides additional
information regarding this acquisition). Segment results reflected pre-tax
underwriting profit or loss from these insurance lines and included the
amortization of certain purchase accounting adjustments. Segment results for the
years ended December 31, 2022 and 2021 exclude transaction-related costs and,
for 2021, a $74.4 million gain on bargain purchase associated with our
acquisition of NORCAL as we do not consider these items in assessing the
financial performance of the segment. Segment results included the following:

                                                                        

Year Ended December 31

              ($ in thousands)                    2022               2021                          Change
Net premiums written                          $ 765,444          $ 626,147          $ 139,297                   22.2  %
Net premiums earned                           $ 769,773          $ 695,008          $  74,765                   10.8  %
Other income                                      5,003              3,370              1,633                   48.5  %

Net losses and loss adjustment expenses (609,915) (575,164)

           (34,751)                   6.0  %
Underwriting, policy acquisition and
operating expenses                             (192,397)          (127,709)           (64,688)                  50.7  %
Segment results                               $ (27,536)         $  (4,495)         $ (23,041)                (512.6  %)

Net loss ratio                                     79.2  %            82.8  %            (3.6   pts)
Underwriting expense ratio                         25.0  %            18.4  %             6.6   pts


Premiums Written

Changes in our premium volume within our Specialty P&C segment are generally
driven by three primary factors: (1) the amount of new business written, (2) our
retention of existing business and (3) the premium charged for business that is
renewed, which is affected by rates charged and by the amount and type of
coverage an insured chooses to purchase. In addition, premium volume may
periodically be affected by shifts in the timing of renewals between periods.
For the year ended December 31, 2022, our premium volume was primarily affected
by our acquisition of NORCAL.

The medical professional liability market, which accounts for a majority of the
revenues in this segment, remains challenging as physicians continue joining
hospitals or larger group practices and, therefore, are no longer purchasing
individual or group policies in the standard market. In addition, some
competitors have chosen to compete primarily on price. Both factors may impact
our ability to write new business and retain existing business. Furthermore, the
insurance and reinsurance markets have historically been cyclical, characterized
by extended periods of intense price competition and other periods of reduced
capacity. The medical professional liability market has been particularly
affected by these cycles. Underwriting cycles are driven, among other reasons,
by excess capacity available to compete for the business. Changes in the
frequency and severity of losses may also affect the cycles of the insurance and
reinsurance markets significantly. During "soft markets" where price competition
is high and underwriting profits are poor, growth and retention of business
become challenging which may result in reduced premium volumes.

Gross, ceded and net premiums written were as follows:


                                                        Year Ended December 

31

                ($ in thousands)           2022           2021              

Change

         Gross premiums written         $ 836,628      $ 681,509      $ 155,119        22.8  %
         Less: Ceded premiums written      71,184         55,362         15,822        28.6  %
         Net premiums written           $ 765,444      $ 626,147      $ 139,297        22.2  %



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Gross Premiums Written

Gross premiums written by component were as follows:


                                                          Year Ended 

December 31

               ($ in thousands)              2022           2021                 Change
     Professional Liability
     HCPL
     Standard Physician(1)(12)            $ 205,271      $ 209,938      $ 

(4,667) (2.2 %)

     NORCAL Standard Physician(2)           240,391        111,673        128,718       115.3  %
     Total Standard Physician               445,662        321,611        124,051        38.6  %
     Specialty
     Custom Physician(3)(12)                 49,931         46,210          3,721         8.1  %
     NORCAL Custom Physician(4)              30,146         16,394         

13,752 83.9 %

Hospitals and Facilities(5)(12) 56,121 51,310 4,811 9.4 %

     NORCAL Hospitals and Facilities(6)      12,860          9,955          2,905        29.2  %
     Senior Care(7)(12)                       6,354          6,708           (354)       (5.3  %)
     Reinsurance assumed(8)                  43,449         37,755          5,694        15.1  %

     Total Specialty                        198,861        168,332         30,529        18.1  %
     Total HCPL                             644,523        489,943        154,580        31.6  %
     Small Business Unit(9)                 102,524        103,083           (559)       (0.5  %)
     Tail Coverages(10)(12)                  29,009         30,637         (1,628)       (5.3  %)
     NORCAL Tail Coverages(10)               18,646         16,092          

2,554 15.9 %

     Total Professional Liability           794,702        639,755        

154,947 24.2 %

     Medical Technology Liability(11)        41,065         40,997             68         0.2  %
     Other                                      861            757            104        13.7  %

Total Gross Premiums Written $ 836,628 $ 681,509 $ 155,119 22.8 %



(1) Standard Physician premium, exclusive of NORCAL, decreased in 2022 as
compared to 2021 driven by retention losses and, to a lesser extent, the
shifting of certain policies totaling $4.2 million from our Standard Physician
line to our Custom Physician line of business during the second quarter of 2022.
Partially offsetting these factors during 2022 was an increase in renewal
pricing and, to a lesser extent, new business written. Retention losses during
2022 generally reflect our underwriting strategy as we emphasize careful risk
selection, rate adequacy, improved contract terms and a willingness to walk away
from business that does not fit our goal of achieving a long-term underwriting
profit. Our underwriting and strategic planning process includes a continual
evaluation of venues, specialties and other areas to improve our underwriting
results. Renewal pricing increases during 2022 reflect the rising loss cost
environment and new business written reflects the competitive market conditions.

(2) NORCAL Standard Physician premium represents premium contributed by NORCAL
since the date of acquisition and is comprised of twelve month term policies
and, to a lesser extent, three month term policies. NORCAL Standard Physician
premium increased during 2022 driven by approximately four months of additional
premium in 2022 as compared to 2021 due to the timing of our acquisition of
NORCAL on May 5, 2021. The remaining increase in NORCAL Standard Physician
premium during 2022 was due to an increase in renewal pricing, the conversion of
a majority of the three month term policies to twelve month term policies and,
to a lesser extent, new business written, partially offset by retention losses.
Retention losses in 2022 were primarily attributable to price competition and
the process of evaluating the NORCAL book of business and implementing
ProAssurance's underwriting strategies.

(3) Custom Physician premium includes large physician groups, multi-state
physician groups and non-standard physicians and is written primarily on an
excess and surplus lines basis. Exclusive of NORCAL, the increase in Custom
Physician premium in 2022 as compared to 2021 primarily reflected the shifting
of certain policies totaling $4.2 million from our Standard Physician line of
business. In addition, the increase reflected new business written, an increase
in renewal pricing and, to a lesser extent, net timing differences of $1.3
million primarily related to the prior year renewal of a few policies, partially
offset by retention losses. Renewal pricing increases for 2022 reflect pricing
actions taken in response to a rising loss cost environment and new business
written

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reflects the competitive market conditions. The retention rate in our Custom
Physician book in 2022 reflects the impact of the loss of two large policies
totaling $9.0 million due to the willingness of competitors to offer pricing and
terms that did not meet our underwriting criteria during the first quarter of
2022, which resulted in a decrease to our Specialty retention rate of 5.4
percentage points.

(4) NORCAL Custom Physician premium represents premium contributed by NORCAL
since the date of acquisition and includes large physician groups, multi-state
physician groups and non-standard physicians and is written primarily on an
excess and surplus lines basis. NORCAL Custom Physician premium increased during
2022 as compared to 2021 driven by approximately four months of additional
premium during 2022 as compared to 2021 due to the timing of our acquisition of
NORCAL on May 5, 2021. In addition, the increase in NORCAL Custom Physician
premium during 2022 reflected an increase in renewal pricing and, to a lesser
extent, new business written, partially offset by retention losses. Retention
losses during 2022 reflect the loss of a $2.2 million policy during the second
quarter of 2022 due to price competition as well as our evaluation of the NORCAL
book of business and implementing ProAssurance's underwriting strategies.

(5) Hospitals and Facilities premium, exclusive of NORCAL, (which includes
hospitals, surgery centers and miscellaneous medical facilities) increased in
2022 as compared to 2021 driven by new business written, primarily miscellaneous
medical facilities, and, to a lesser extent, an increase in renewal pricing,
partially offset by retention losses. Retention losses in 2022 were largely
attributable to the loss of a $1.4 million policy due to the insured entering
into a captive arrangement and our non-renewal of a $1.2 million policy during
the first quarter of 2022 due to our focus on underwriting discipline. Renewal
pricing increases in 2022 reflect rate increases and contract modifications that
we believe are appropriate given the current loss environment and new business
written reflects the competitive market conditions.

(6) NORCAL Hospitals and Facilities premium represents premium contributed by
NORCAL since the date of acquisition and includes hospitals, surgery centers and
miscellaneous medical facilities. NORCAL Hospitals and Facilities premium
increased in 2022 as compared to 2021 driven by approximately four months of
additional premium during 2022 as compared to 2021 due to the timing of our
acquisition of NORCAL on May 5, 2021. In addition, the increase in NORCAL
Hospitals and Facilities premium in 2022 as compared to 2021 reflected new
business written and, to a lesser extent, an increase in renewal pricing,
partially offset by retention losses. Retention losses in 2022 are largely
attributable to the process of evaluating the NORCAL book of business and
implementing ProAssurance's underwriting strategies.

(7) Senior Care premium includes facilities specializing in long term
residential care primarily for the elderly ranging from independent living
through skilled nursing. Our Senior Care premium remained relatively unchanged
in 2022 as compared to 2021 as retention losses were offset by new business
written and, to a lesser extent, an increase in renewal pricing. The lower
premium retention in 2022 was primarily due to a large account renewing with a
meaningful reduction in exposure driven by a reduction in the number of
facilities.

(8) We offer custom alternative risk solutions including assumed reinsurance.
The increase in premium in 2022 reflected an increase in premiums assumed on a
quota share basis through a strategic partnership in place since 2016 with an
international medical professional liability insurer. In 2021, we increased our
participation in the original program and entered into another program with this
insurer in a new international territory. We anticipate the volume of premium
assumed through this partnership will continue to grow going forward. In
addition, the increase in 2022 reflected an assumed reinsurance arrangement with
a regional hospital group entered into during the third quarter of 2022 totaling
$1.3 million. The increase in premium in 2022 as compared to 2021 was partially
offset by the impact of a prior year assumed reinsurance arrangement with a
regional hospital group which resulted in $4.5 million of premium written,
comprised of $2.3 million of retroactive premium written and fully earned and
$2.2 million of prospective premium written. Furthermore, premium in both 2022
and 2021 reflected the annual renewal of this arrangement during the third
quarter.

(9) Our Small Business Unit is comprised of premium associated with podiatrists,
legal professionals, dentists and chiropractors. Our Small Business Unit premium
remained relatively unchanged in 2022 as compared to 2021 as an increase in
renewal pricing and new business written were offset by retention losses. The
increase in renewal pricing in 2022 was primarily the result of an increase in
the rate charged for certain renewed policies in select states.

(10) We offer extended reporting endorsement or "tail" coverage to insureds who
discontinue their claims-made coverage with us, and we also periodically offer
tail coverage through stand-alone policies. Tail coverage premiums are generally
100% earned in the period written because the policies insure only incidents
that occurred in prior periods and are not cancellable. The amount of tail
coverage premium written can vary significantly from period to period.

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(11) Our Medical Technology Liability business is marketed throughout the U.S.;
coverage is typically offered on a primary basis, within specified limits, to
manufacturers and distributors of medical technology and life sciences products
including entities conducting human clinical trials. In addition to the
previously listed factors that affect our premium volume, our Medical Technology
Liability premium is also impacted by the sales volume of insureds. Our Medical
Technology Liability premium remained relatively unchanged in 2022 as compared
to 2021 as retention losses were more than offset by new business written and an
increase in renewal pricing. Renewal pricing increases in 2022 are primarily due
to changes in the sales volume and changes in exposure of certain insureds.
Retention losses in 2022 are primarily attributable to insureds no longer
needing coverage, an increase in competition on terms and pricing, as well as
merger activity within the industry.

(12) Certain components of our gross premiums written include alternative market
premiums. We currently cede either all or a portion of the alternative market
premium, net of reinsurance, to three SPCs of our wholly owned Cayman Islands
reinsurance subsidiaries, Inova Re and Eastern Re, which are reported in our
Segregated Portfolio Cell Reinsurance segment (see further discussion in the
Ceded Premiums Written section that follows). The portion not ceded to the SPCs
is retained within our Specialty P&C segment.

                                                      Year Ended December 31
                  ($ in millions)           2022          2021              Change
             Standard Physician         $      -         $ 2.0      $ (2.0)             nm
             Custom Physician                2.0             -         2.0              nm
             Hospitals and Facilities        0.1           0.1           -           -  %
             Senior Care                     4.8           5.2        (0.4)       (7.7  %)
             Tail Coverages                  4.9           0.8         4.1       512.5  %
             Total                      $   11.8         $ 8.1      $  3.7        45.7  %


Alternative market gross premiums written increased in 2022 as compared to 2021
driven by an increase in tail coverage premium, primarily related to one
program. Additionally, alternative market gross premiums during 2022 reflected a
$2.0 million expiring Standard Physician policy in one program renewed as a
Custom Physician policy during the second quarter of 2022.

We are committed to a rate structure that will allow us to fulfill our
obligations to our insureds, while generating competitive long-term returns for
our shareholders. Our pricing continues to be based on expected losses as
indicated by our historical loss data and available industry loss data. In
recent years, this practice has resulted in rate increases and we anticipate
further rate increases due to indications of increasing projected loss severity.
Additionally, the pricing of our business includes the effects of filed rates,
surcharges and discounts. Renewal pricing reflects changes in our exposure base,
deductibles, self-insurance retention limits and other policy terms and
conditions. See further explanation of changes in renewal pricing above under
the heading "Gross Premiums Written".

The change in renewal pricing for our Specialty P&C segment, including by major
component, was as follows:

                                                Year Ended December 31
                                                         2022
              Specialty P&C segment                                7  %
              HCPL
              Standard Physician                                   7  %
              Specialty                                           10  %
              Total HCPL                                           8  %
              Small Business Unit                                  6  %
              Medical Technology Liability                         3  %



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New business written by major component on a direct basis was as follows:

                                                  Year Ended December 31
                    (In millions)                    2022                2021
           HCPL
           Standard Physician              $        9.8                $  4.7
           Specialty                               19.1                  28.2
           Total HCPL                              28.9                  32.9
           Small Business Unit                      3.8                   3.9
           Medical Technology Liability             4.6                   6.5
           Total                           $       37.3                $ 43.3


For our Specialty P&C segment, we calculate retention as annualized renewed
premium divided by all annualized premium subject to renewal. Retention is
affected by a number of factors. We may lose insureds to competitors or to
alternative insurance mechanisms such as risk retention groups, captive
arrangements or self-insurance entities (often when physicians join hospitals or
large group practices) or due to pricing or other issues. We may choose not to
renew an insured as a result of our underwriting evaluation. Insureds may also
terminate coverage because they have left the practice of medicine for various
reasons, principally for retirement, death or disability, but also for personal
reasons. See further explanation of changes in retention above under the heading
"Gross Premiums Written".

Retention for our Specialty P&C segment, including by major component, was as
follows:

                                                  Year Ended December 31
                                                      2022               2021
            Specialty P&C segment                              84  %     80  %
            HCPL
            Standard Physician                                 88  %     86  %
            Specialty                                          69  %     58  %
            Total HCPL                                         82  %     77  %
            Small Business Unit                                91  %     91  %
            Medical Technology Liability                       90  %     90  %


Ceded Premiums Written

Ceded premiums represent the amounts owed to our reinsurers for their assumption
of a portion of our losses. Our HCPL and Medical Technology Liability excess of
loss reinsurance arrangements renew annually on October 1. Through our current
excess of loss reinsurance arrangements which renewed effective October 1, 2022,
we generally retain the first $2 million in risk insured by us and cede
coverages in excess of this amount. For our HCPL coverages in excess of $2
million, we generally retain from 0% to 5% of the next $24 million of risk.
There were no significant changes in the cost or structure of our HCPL treaty
upon the October 2022 renewal. Our HCPL excess of loss reinsurance arrangement
that renewed on October 1, 2021 renewed at a lower gross rate and prospectively
incorporated NORCAL policies. Prior to October 1, 2021, NORCAL policies were
reinsured under separate reinsurance agreements, primarily excess of loss, which
have historically renewed annually on January 1. For the NORCAL excess of loss
reinsurance arrangement that renewed on January 1, 2021, retention was generally
the first $2 million in risk and coverages in excess of this amount were ceded
up to $24 million. For our Medical Technology Liability treaty which also
renewed effective October 1, 2022, we do not retain any of the next $8 million
of risk for coverages in excess of $2 million.

We pay our reinsurers a ceding premium in exchange for their accepting the risk,
and in certain of our excess of loss arrangements, the ultimate amount of which
is determined by the loss experience of the business ceded, subject to certain
minimum and maximum amounts. Given the length of time that it takes to resolve
our claims, many years may elapse before all losses recoverable under a
reinsurance arrangement are known. As a part of the process of estimating our
loss reserve we also make estimates regarding the amounts recoverable under our
reinsurance arrangements. As a result, we may have an adjustment to our estimate
of expected losses and associated recoveries for prior year ceded losses under
certain loss sensitive reinsurance agreements. Any changes to estimates of
premiums ceded related to prior accident years are fully earned in the period
the changes in estimates occur.

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Ceded premiums written were as follows:

Year Ended December 31

                 ($ in thousands)                      2022              2021                       Change

Excess of loss reinsurance arrangements (1) $ 38,005 $ 30,622 $ 7,383

              24.1  %
Other shared risk arrangements (2)                    19,049            16,112             2,937              18.2  %
Premium ceded to SPCs (3)                             10,902             7,211             3,691              51.2  %
NORCAL premiums ceded since acquisition (4)                -             2,253            (2,253)                   nm
Other ceded premiums written (5)                       6,056             3,100             2,956              95.4  %
Adjustment to premiums owed under reinsurance
agreements, prior accident years, net (6)             (2,828)           (3,936)            1,108             (28.2  %)
Total ceded premiums written                        $ 71,184          $ 55,362          $ 15,822              28.6  %


(1)We generally reinsure risks under our excess of loss reinsurance arrangements
pursuant to which the reinsurers agree to assume all or a portion of all risks
that we insure above our individual risk retention levels. Premium due to
reinsurers is based on a rate factor applied to gross premiums written subject
to cession under the arrangement. The increase in ceded premiums written under
our excess of loss reinsurance arrangements was driven by the incorporation of
NORCAL policies into our existing HCPL excess of loss reinsurance arrangements
with the October 1, 2021 renewal, as previously discussed, which contributed
$11.2 million of ceded premiums in 2022 as compared to $1.9 million in 2021.
Excluding NORCAL, ceded premiums written under our excess of loss reinsurance
arrangements decreased by approximately $1.9 million in 2022 as compared to 2021
primarily due to a decrease in the overall volume of gross premiums written
subject to cession and, to a lesser extent, the higher retention and reduced
rate on the treaty year effective October 1, 2021.

(2)We have entered into various shared risk arrangements, including quota share,
fronting and captive arrangements, with certain large healthcare systems and
other insurance entities. While we cede a large portion of the premium written
under these arrangements, they provide us an opportunity to grow net premium
through strategic partnerships. These arrangements primarily include our
Ascension Health program. The increase in ceded premiums written under our
shared risk arrangements in 2022 as compared to 2021 was primarily due to an
increase in premium ceded to our Ascension Health Program.

(3)As previously discussed, as a part of our alternative market solutions, all
or a portion of certain healthcare premium written is ceded to SPCs in our
Segregated Portfolio Cell Reinsurance segment under either excess of loss or
quota share reinsurance agreements, depending on the structure of the individual
program. See the Segment Results - Segregated Portfolio Cell Reinsurance section
for further discussion on the cession to the SPCs from our Specialty P&C
segment. Premiums ceded to SPCs in 2022 increased as compared to 2021 driven by
the impact of tail coverages, primarily related to one program (see previous
discussion in footnote 12 under the heading "Gross Premiums Written").

(4)NORCAL policies written prior to October 1, 2021 were reinsured under
separate reinsurance agreements, primarily excess of loss; however, these
policies were incorporated into our existing HCPL excess of loss reinsurance
arrangements with the October 1, 2021 renewal, as previously discussed. For
NORCAL's previous excess of loss agreement, deposit ceded premium, as defined in
the contract, was initially estimated and recorded at the inception date of the
treaty, generally January 1, as an estimate of ceded premiums written for the
full contract year based on information provided by brokers and reinsurers. As a
result, the majority of ceded premiums for NORCAL's excess of loss reinsurance
arrangement were recorded by NORCAL before the acquisition in their first
quarter 2021 results and were expensed pro rata throughout the contract year.
However, these initial estimates of ceded premiums were periodically adjusted as
new information was received and were fully earned in the period the changes in
estimates occurred. NORCAL's ceded premiums written in 2021 related almost
entirely to an increase in the estimate of premiums owed in excess of the
deposit ceded premium initially recorded by NORCAL prior to acquisition and, to
a lesser extent, premium related to cyber liability coverages.

(5)The increase in other ceded premiums written in 2022 as compared to 2021 was
primarily driven by the incorporation of NORCAL's cyber liability coverages into
our existing HCPL cyber liability arrangement with the January 1, 2022 renewal.

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(6)Given the length of time that it takes to resolve our claims, many years may
elapse before all losses recoverable under a reinsurance arrangement are known.
As a part of the process of estimating our loss reserve we also make estimates
regarding the amounts recoverable under our reinsurance arrangements. As
previously discussed, the premiums ultimately ceded under certain of our swing
rated excess of loss reinsurance arrangements are subject to the losses ceded
under the arrangements. As part of the review of our reserves for 2022 and 2021,
we recorded a net decrease in our estimate of expected losses and associated
recoveries for prior year ceded losses, as well as our estimate of ceded
premiums owed to reinsurers. Changes to estimates of premiums ceded related to
prior accident years are fully earned in the period the changes in estimates
occur.

Ceded Premiums Ratio

As shown in the table below, our ceded premiums ratio was affected in both 2022
and 2021 by revisions to our estimate of premiums owed to reinsurers related to
coverages provided in prior accident years. The ceded premiums ratio was as
follows:

                                                                                  Year Ended December 31
                                                                    2022                   2021                  Change
Ceded premiums ratio                                                   8.5  %                 8.1  %               0.4   pts

Less the effect of adjustments in premiums owed under
reinsurance agreements, prior accident years (as previously
discussed)

                                                            (0.3  %)               (0.6  %)              0.3   pts
Ratio, current accident year                                           8.8  %                 8.7  %               0.1   pts


The above table reflects ceded premiums written, excluding the effect of prior
year ceded premium adjustments, as previously discussed, as a percent of gross
premiums written. Our ceded premiums ratio remained relatively unchanged for
2022 as compared to 2021. See additional discussion above under the heading
"Ceded Premiums Written."

Net Premiums Earned


Net premiums earned consist of gross premiums earned less the portion of earned
premiums that we cede to our reinsurers for their assumption of a portion of our
losses. Because premiums are generally earned pro rata over the entire policy
period, fluctuations in premiums earned tend to lag those of premiums written.
The majority of our policies carry a term of one year; however, some of our
Medical Technology Liability policies have a multi-year term and some of our
NORCAL Standard Physician policies have a three-month term. In addition, prior
to the third quarter of 2020, we wrote certain Standard Physician policies with
a twenty-four month term. Tail coverage premiums are generally 100% earned in
the period written because the policies insure only incidents that occurred in
prior periods and are not cancellable. Retroactive coverage premiums are 100%
earned at the inception of the contract, as all of the associated underlying
loss events occurred in the past. Additionally, any ceded premium changes due to
changes to estimates of premiums owed under reinsurance agreements for prior
accident years are fully earned in the period of change.

Net premiums earned were as follows:

                                                       Year Ended December 31
                ($ in thousands)           2022           2021                Change
          Gross premiums earned         $ 834,500      $ 761,411      $ 73,089        9.6  %
          Less: Ceded premiums earned      64,727         66,403        (1,676)      (2.5  %)
          Net premiums earned           $ 769,773      $ 695,008      $ 74,765       10.8  %


Gross premiums earned included earned premium from our acquisition of NORCAL of
approximately $296.5 million in 2022 as compared to $226.0 million in 2021.
Excluding NORCAL premiums, gross premiums earned increased $2.6 million in 2022
as compared to 2021 driven by our focus on rate adequacy.

Ceded premiums earned during both 2022 and 2021 included prior accident year
ceded premium adjustments under swing rated reinsurance agreements (see previous
discussion in footnote 6 under the heading "Ceded Premiums Written"). After
removing the effect of prior accident year ceded premium adjustments from both
years, ceded premiums earned decreased $2.8 million in 2022 as compared to 2021
driven by a decrease in premium ceded under our shared risk arrangements during
the preceding twelve months, partially offset by the pro rata effect of an
increase in premium ceded under our excess of loss arrangements during the
preceding twelve months.



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Losses and Loss Adjustment Expenses


The determination of calendar year losses involves the actuarial evaluation of
incurred losses for the current accident year and the actuarial re-evaluation of
incurred losses for prior accident years.

Accident year refers to the accounting period in which the insured event becomes
a liability of the insurer. For claims-made policies, which represent the
majority of the premiums written in our Specialty P&C segment, the insured event
generally becomes a liability when the event is first reported to us and the
policy that is in effect at that time covers the claim. For occurrence policies,
the insured event becomes a liability when the event takes place even though the
claim may be reported to us at a later date. For retroactive coverages, the
insured event becomes a liability at inception of the underlying contract. We
believe that measuring losses on an accident year basis is the best measure of
the underlying profitability of the premiums earned in that period, since it
associates policy premiums earned with the estimate of the losses incurred
related to those policy premiums.

The following table summarizes calendar year net loss ratios for our Specialty
P&C segment by separating losses between the current accident year and all prior
accident years. The net loss ratios for our Specialty P&C segment were as
follows:

                                                                                 Net Loss Ratios (1)
                                                                                Year Ended December 31
                                                                 2022                  2021                   Change
Calendar year net loss ratio                                       79.2  %               82.8  %               (3.6   pts)

Less impact of prior accident years on the net loss ratio (3.9 %)

              (4.7  %)               0.8   pts
Current accident year net loss ratio(2)                            83.1   %              87.5   %              (4.4   pts)


(1)Net losses, as specified, divided by net premiums earned.


(2)For the year ended December 31, 2022, our current accident year net loss
ratio (as shown in the table above), improved 4.4 percentage points as compared
to 2021. The change in our current accident year net loss ratio was primarily
attributable to the following:

                                                                          

Increase (Decrease) 2022

                         (In percentage points)                                 versus 2021
Estimated ratio increase (decrease) attributable to:

NORCAL Operations                                                                (2.2 pts)
NORCAL Acquisition - Purchase Accounting Amortization                             0.3 pts
Change in Estimate of ULAE                                                       (3.3 pts)
Ceded Premium Adjustments, Prior Accident Years                                   0.2 pts
All other, net                                                                    0.6 pts
Decrease in current accident year net loss ratio                            

(4.4 pts)



•Excluding the impact of the items specifically identified in the table above,
our current accident year net loss ratio increased 0.6 percentage points during
2022 as compared to 2021 driven by actuarial analyses performed by both internal
and consulting actuaries during 2022. We update and review the data underlying
the estimation of our current accident year reserve each reporting period and
make adjustments to current accident year net loss ratios that we believe best
reflect emerging data. Both our internal and consulting actuaries perform an
in-depth review of our current accident year reserve on at least a semiannual
basis. As a result of these analyses in 2022, we increased our current accident
year net loss ratio, excluding NORCAL, driven by an increase to certain expected
loss ratios in our Standard Physician line of business due to higher than
anticipated loss severity trends in select jurisdictions, which emerged
primarily in the fourth quarter of 2022. The increase in our current accident
year net loss ratio was partially offset by our reduction to certain expected
loss ratios during the first quarter of 2022 in our Standard Physician and
Specialty lines of business primarily reflecting the improvement in pricing and
terms that we have obtained in our estimate of expected losses.

•Initial expected loss ratios associated with NORCAL policies are higher than
the average for our other books of business in this segment; however, we reduced
certain expected NORCAL loss ratios during the fourth quarter of 2021 and also
in the third and fourth quarters of 2022 due to favorable frequency trends, some
of which, we believe, are attributable to our re-underwriting efforts, leading
to a 2.2 percentage point improvement in our segment current accident year net
loss ratio in 2022. We completed the process of evaluating the NORCAL book of
business and implementing ProAssurance's underwriting strategies during the
second quarter of 2022. Furthermore, the 2.2

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percentage point improvement also reflected a reduction to our reserve related
to NORCAL's DDR coverage endorsements in the fourth quarter of 2022.


•Also as a result of our acquisition of NORCAL, our current accident year net
loss ratio in 2022 and 2021 was impacted by the purchase accounting amortization
of the negative VOBA associated with NORCAL's assumed unearned premium of $4.9
million and $6.7 million, respectively, which is recorded as a reduction to
current accident year net losses. As of June 30, 2022, the negative VOBA was
fully amortized which resulted in a 0.3 percentage point increase in our current
period ratio as compared to the prior year period.

•Beginning in 2022, we revised our process of estimating ULAE as a result of
substantially integrating NORCAL into our Specialty P&C segment operations,
which accounted for a 3.3 percentage point decrease in our current accident year
net loss ratio in 2022 with an offsetting 3.3 percentage point increase in our
current period expense ratio with no impact to our combined ratio or segment
results during the year ended December 31, 2022 (see discussion on our expense
ratio in the following section under the heading "Underwriting, Policy
Acquisition and Operating Expenses").

•In 2022 and 2021, we decreased our estimate of premiums owed under reinsurance
agreements related to prior accident years which increased net premium earned
(the denominator of the current accident year net loss ratio) and accounted for
a 0.2 percentage point increase in our current period ratio. See the previous
discussion under the heading "Ceded Premiums Written" for additional
information.

We re-evaluate our previously established reserve each quarter based upon the
most recently completed actuarial analysis supplemented by any new analysis,
information or trends that have emerged since the date of that study. We also
take into account currently available industry trend information.

The following table shows the components of our net prior accident year reserve
development:

                                                                           Year Ended December 31
              ($ in thousands)                     2022                    2021                            Change
Net favorable reserve development            $          19,000       $          25,035       $  (6,035)               (24.1  %)
NORCAL Acquisition - Purchase Accounting
Amortization*                                           10,819                   7,907           2,912                 36.8  %

Total net favorable reserve development $ 29,819 $

     32,942       $  (3,123)                (9.5  %)

*See Note 2 of the Notes to Consolidated Financial Statements for additional information on the amortization of the NORCAL
acquisition purchase accounting adjustments.



•Development recognized during 2022 principally related to accident years 2017
and 2020 through 2021. Net favorable prior accident year reserve development
recognized in 2022 included favorable development related to NORCAL's 2021
accident year and, to a lesser extent, our Medical Technology Liability line of
business. Net favorable prior accident year reserve development recognized in
2022 was partially offset by unfavorable reserve development in our HCPL line of
business, excluding NORCAL, driven by higher than anticipated loss severity
trends in select jurisdictions, which emerged primarily in the fourth quarter of
2022. We have not recognized any development related to NORCAL's accident years
2020 or prior since the date of acquisition on May 5, 2021 based on our
comparison of expected loss emergence to actual loss emergence.

•Development recognized in 2021 primarily reflected lower than anticipated loss
emergence, principally related to accident years 2015 through 2020.


•We reduced our prior accident year IBNR reserve for COVID-19 by $9.0 million
and $1.0 million during 2022 and 2021, respectively, as early first notices of
potential claims related to anticipated COVID losses have not turned into
claims. As of December 31, 2022, we no longer carry a specific IBNR reserve for
potential COVID-19 related losses. See additional discussion on the COVID-19
IBNR reserve in our Critical Accounting Estimates section under the heading
"Reserve for Losses and Loss Adjustment Expenses."

•Net favorable development recognized in 2022 included an increase of $4.0
million and $1.0 million in our reserve for potential ECO/XPL claims in 2022 and
2021, respectively.

A detailed discussion of factors influencing our recognition of loss development
is included in our Critical Accounting Estimates section under the heading
"Reserve for Losses and Loss Adjustment Expenses." Assumptions used in
establishing our reserve are regularly reviewed and updated by management as new
data becomes available. Any adjustments necessary are reflected in the then
current operations. Due to the size of our reserve, even a small percentage
adjustment to the assumptions can have a material effect on our results of
operations for the period in which the change is made, as was the case in both
2022 and 2021.

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Underwriting, Policy Acquisition and Operating Expenses

Our Specialty P&C segment underwriting, policy acquisition and operating
expenses were comprised as follows:


                                                              Year Ended 

December 31

                ($ in thousands)                  2022           2021                Change
  DPAC amortization                            $  91,660      $  61,662      $ 29,998        48.6  %
  Management fees                                  4,763          3,781           982        26.0  %

Other underwriting and operating expenses 95,974 62,266

   33,708        54.1  %
  Total                                        $ 192,397      $ 127,709      $ 64,688        50.7  %


DPAC amortization for 2022 increased due to a higher amount of premiums written
driven by our 2021 acquisition of NORCAL. Due to the NORCAL acquisition and
application of GAAP purchase accounting rules, the level of DPAC amortization in
2021 was approximately $13.4 million lower than would have otherwise been
recognized. Under these purchase accounting rules, the capitalized policy
acquisition costs for policies written prior to the acquisition date were
written off through purchase accounting on May 5, 2021 rather than being
expensed pro rata over the remaining term of the associated policies. DPAC
amortization associated with NORCAL policies in 2022 is approximately $1.0
million lower than would have otherwise been recognized for the period. The
remaining increase in DPAC amortization for 2022 as compared to 2021 reflected
an increase in agency commissions due to a higher volume of commissionable
premium driven by NORCAL and an increase in compensation-related expenses driven
by an increase in headcount due to the addition of NORCAL employees.

Management fees are charged pursuant to a management agreement by the Corporate
segment to the operating subsidiaries within our Specialty P&C segment for
services provided based on the extent to which services are provided to the
subsidiary and the amount of premium written by the subsidiary. Fluctuations in
the amount of premium written by each subsidiary can result in corresponding
variations in the management fee charged to each subsidiary during a particular
period. Due to continued organizational structure enhancements in our Specialty
P&C segment during 2021 as well as operational alignments as a result of the
integration of NORCAL, the extent to which services are provided exclusively by
the Corporate segment to the operating subsidiaries within the segment decreased
further effective January 1, 2022. Accordingly, we reduced the fee charged to
the operating subsidiaries in 2022. Also effective January 1, 2022, the
management agreement included the wholly owned operating subsidiaries of NORCAL
contributing to $1.3 million of additional management fees in 2022.

Other underwriting and operating expenses increased in 2022 primarily due to a
revision to our process of estimating ULAE which resulted in approximately $25.4
million of expenses remaining in operating expenses instead of being allocated
to net losses and loss adjustment expenses. As a result, this change in ULAE
estimate had offsetting impacts to our loss and expense ratios during 2022 with
no impact to our combined ratio or segment results. See additional discussion on
this change in ULAE estimate in the previous section under the heading "Losses
and Loss Adjustment Expenses." Excluding the impact of the change in ULAE, other
underwriting and operating expenses increased in 2022 as compared to 2021. The
increase in 2022 was primarily attributable to higher amounts accrued for
performance-related incentive plans due to our improved performance metrics, an
increase in professional fees, as well as certain one-time expenses of $3.9
million, partially offset by the benefits from prior organizational
restructurings and proactive expense management as well as expense synergies
recognized from the NORCAL acquisition. The increase in professional fees in
2022 was primarily attributable to an increase in IT consulting fees. One-time
expenses in 2022 were mainly comprised of one-time bonuses, accelerated
depreciation associated with a decommissioned IT system, employee severance
charges and lease exit costs.

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Underwriting Expense Ratio (the Expense Ratio)

Our expense ratio for the Specialty P&C segment was as follows:


                                                   Year Ended December 31
                                               2022              2021       

Change

           Underwriting expense ratio               25.0  %     18.4  %     

6.6 pts

The change in our expense ratio in 2022 as compared to 2021 was primarily
attributable to the following:

Increase (Decrease)

                          (In percentage points)                            

2022 versus 2021
Estimated ratio increase (decrease) attributable to:
Change in Net Premiums Earned and DPAC amortization

                                 1.5 pts
NORCAL DPAC Amortization - Prior Period Purchase Accounting Impact                  1.9 pts
Change in Estimate of ULAE                                                          3.3 pts
One-Time Expenses                                                                   0.5 pts

All other, net                                                                     (0.6 pts)
Increase in the underwriting expense ratio                                  

6.6 pts



Excluding the impact of the items specifically identified in the table above,
our expense ratio improved in 2022 by 0.6 percentage points primarily due to the
benefits from prior organizational restructurings and proactive expense
management as well as expense synergies recognized from the NORCAL acquisition,
partially offset by higher amounts accrued for performance-related incentive
plans and, to a lesser extent, an increase in professional fees, as previously
discussed. As shown in the table above, the higher expense ratio for 2022 as
compared to 2021 reflects the impact of purchase accounting on prior year DPAC
amortization, the current year change in estimate of ULAE and the impact of
one-time expenses, as previously discussed. The increase in the expense ratio
from higher DPAC amortization, excluding the prior year purchase accounting
impact, in relation to net premiums earned for 2022 of 1.5 percentage points
primarily reflects an increase in agency commissions due to a higher volume of
commissionable premium driven by NORCAL.



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Segment Results - Workers' Compensation Insurance

Our Workers' Compensation Insurance segment includes workers' compensation
products provided to employers generally with 1,000 or fewer employees, as
discussed in Note 16 of the Notes to Consolidated Financial Statements. Workers'
compensation products offered include guaranteed cost policies, policyholder
dividend policies, retrospectively-rated policies, deductible policies and
alternative market programs. Alternative market programs include services
related to program design, fronting, claims administration, risk management, SPC
rental, asset management and SPC management services. Alternative market program
premiums are 100% ceded to either the SPCs within our Segregated Portfolio Cell
Reinsurance segment or captive insurers unaffiliated with ProAssurance for two
programs. Our Workers' Compensation Insurance segment results reflect pre-tax
underwriting profit or loss from these workers' compensation products, exclusive
of investment results, which are included in our Corporate segment. Segment
results included the following:

                                                                        

Year Ended December 31

               ($ in thousands)                     2022               2021                        Change
Net premiums written                            $ 160,760          $ 161,865          $  (1,105)               (0.7  %)

Net premiums earned                             $ 166,371          $ 164,600          $   1,771                 1.1  %
Other income                                        2,201              2,211                (10)               (0.5  %)

Net losses and loss adjustment expenses (111,407) (114,704)

             3,297                (2.9  %)
Underwriting, policy acquisition and operating
expenses                                          (54,737)           (52,418)            (2,319)                4.4  %
Segment results                                 $   2,428          $    (311)         $   2,739              (880.7  %)

Net loss ratio                                     67.0%              69.7%            (2.7 pts)
Underwriting expense ratio                         32.9%              31.8%             1.1 pts



Premiums Written

Our workers' compensation premium volume is driven by five primary factors: (1)
the amount of new business written, (2) retention of our existing book of
business, (3) premium rates charged on our renewal book of business, (4) changes
in payroll exposure and (5) audit premium.

Gross, ceded and net premiums written were as follows:


                                                       Year Ended December 

31

                ($ in thousands)           2022           2021              

Change

         Gross premiums written         $ 247,132      $ 240,546      $  6,586        2.7  %
         Less: Ceded premiums written      86,372         78,681         7,691        9.8  %
         Net premiums written           $ 160,760      $ 161,865      $
(1,105)      (0.7  %)



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Gross Premiums Written

Gross premiums written by product were as follows:


                                                         Year Ended 

December 31

              ($ in thousands)                                  2022         2021                       Change
Traditional business:
Guaranteed cost                                                          $ 135,847          $ 138,756          $  (2,909)                (2.1  %)
Policyholder dividend                                                       21,547             21,468                 79                  0.4  %
Deductible                                                                   4,705              4,613                 92                  2.0  %
Retrospective(1)                                                             3,123              2,741                382                 13.9  %
Other                                                                        7,286              6,357                929                 14.6  %
Change in EBUB estimate                                                      1,450             (1,210)             2,660                219.8  %
Total traditional business                                                 173,958            172,725              1,233                  0.7  %
Alternative market business(2)                                              73,174             67,821              5,353                  7.9  %
Total                                                                    $ 247,132          $ 240,546          $   6,586                  2.7  %

(1) The change in retrospectively-rated policies included an adjustment that
decreased premium by $1.7 million and $1.1 million during the years ended
December 31, 2022 and 2021, respectively.


(2) A majority of alternative market premiums are ceded to SPCs in our
Segregated Portfolio Cell Reinsurance segment. See further discussion on
alternative market gross premiums written in our Segment Operating Results -
Segregated Portfolio Cell Reinsurance section under the heading "Gross Premiums
Written" that follows.

Gross premiums written increased during the year ended December 31, 2022 as
compared to 2021, primarily reflecting higher audit premium and changes in the
carried EBUB estimate, partially offset by lower renewal and new business
premium. Policy audits processed in 2022 resulted in audit premium billed to
policyholders totaling $13.6 million as compared to audit premium returned to
policyholders totaling $0.8 million in 2021. The 2022 audit premium results
reflect higher payrolls related to an increased workforce, as well as wage
inflation, in our policyholders' businesses. Additionally, the carried EBUB
estimate was increased $1.5 million in 2022 as compared to a reduction of $1.2
million in 2021. The increase in the carried EBUB estimate during 2022 reflects
management's expectation of higher audited payrolls related to wage inflation.
Our new business premium, renewal retention and rate change results in 2022 were
reflective of the competitive workers' compensation market conditions. Renewal
retention in our traditional business was impacted by the loss of a large
account with expiring premium totaling $3.8 million, which decreased the renewal
retention 2.2 percentage points.

We retained 100% of the twenty-three workers' compensation alternative market
programs that were up for renewal during the year ended December 31, 2022. We
wrote one new workers' compensation alternative market program with an
unaffiliated captive insurer during 2022 with premiums written totaling $1.9
million. The policies in this program were written in our traditional book of
business during 2021; therefore, there was no impact to gross premiums written
in 2022.

New business, audit premium, renewal retention and renewal price changes for our
traditional business and the alternative market business are shown in the table
below:

                                                                         Year Ended December 31
                                                       2022                                                 2021
                                                  Alternative
                                    Traditional     Market          Segment               Traditional      Alternative     Segment
         ($ in millions)             Business      Business         Results                Business      Market Business   Results
New business                       $    14.1     $     3.6     $     17.7              $     17.8        $       3.3     $   21.1

Audit premium (excluding EBUB) $ 8.2 $ 5.4 $ 13.6

            $     (1.9)       $       1.1     $   (0.8)
Retention rate (1)                        82  %         87  %          83  %                   86  %              89  %        87  %
Change in renewal pricing (2)             (5  %)        (4  %)         (5  %)                  (1  %)             (4  %)       (2  %)

(1) We calculate our workers' compensation retention rate as annualized expiring renewed premium divided by all annualized expiring
premium subject to renewal. Our retention rate can be impacted by various factors, including price or other competitive issues,
insureds being acquired, or a decision not to renew based on our underwriting evaluation.
(2) The pricing of our business includes an assessment of the underlying policy exposure and market conditions. We continue to base
our pricing on expected losses, as indicated by our historical loss data.




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Ceded Premiums Written

Ceded premiums written were as follows:

Year Ended December 31

              ($ in thousands)                     2022                  2021                          Change
Premiums ceded to SPCs(1)                    $       68,035          $  64,639          $   3,396                    5.3  %
Premiums ceded to external reinsurers(2)             14,177             12,768              1,409                   11.0  %
Premiums ceded to unaffiliated captive
insurers(1)                                           5,139              3,182              1,957                   61.5  %
Change in return premium estimate under
external reinsurance(3)                                 297               (605)               902                 (149.1  %)
Estimated revenue share under external
reinsurance(4)                                       (1,276)            (1,303)                27                   (2.1  %)
Total ceded premiums written                 $       86,372          $  78,681          $   7,691                    9.8  %
(1) Represents alternative market business that is ceded under 100% quota share reinsurance agreements to the SPCs in our
Segregated Portfolio Cell Reinsurance segment. Premiums ceded to unaffiliated captive insurers represent alternative market
business for two programs that are ceded under 100% quota share reinsurance agreements. See further discussion on
alternative market gross premiums written in our Segment Operating Results - Segregated Portfolio Cell Reinsurance section
under the heading "Gross Premiums Written" that follows.
(2) Under our external reinsurance treaty for traditional business, we retain the first $0.5 million in risk insured by us
and cede losses in excess of this amount on each loss occurrence, subject to an AAD, equal to 3.5% of subject earned premium
for the treaty year effective May 1, 2022. Premiums ceded under our traditional reinsurance treaty are based on premiums
earned during the treaty period.
(3) Changes in the return premium estimate reflect adjustments to our estimate of expected future recovery of ceded premium
based on the underlying loss experience of our reinsurance treaties that include a provision for return premium.
(4) We are party to a revenue sharing agreement with our reinsurance broker under which we participate in the broker's
revenue earned under our reinsurance treaties based on the volume of premium ceded. We estimate the amount of revenue we
expect to receive under this agreement as premiums are recognized and ceded to the reinsurers.


Ceded premiums written increased during the year ended December 31, 2022 as
compared to the year ended December 31, 2021, primarily reflecting higher
alternative market premiums ceded to the Segregated Portfolio Cell Reinsurance
segment and unaffiliated captive insurers as well as an increase in reinsurance
rates under our external reinsurance treaty. The increase in premiums ceded to
unaffiliated captive insurers in 2022 as compared to 2021 reflects the new
alternative market program written in 2022 (see previous discussion under the
heading "Gross Premiums Written").

Ceded Premiums Ratio

Ceded premiums ratio was as follows:

Year Ended December 31

                                                               2022                   2021                   Change
Ceded premiums ratio, as reported                                34.1  %                32.4  %                 1.7   pts
Less the effect of:
Premiums ceded to SPCs (100%)                                    24.6  %                24.6  %                   -   pts

Premiums ceded to unaffiliated captive insurers (100%)            2.2  %                 1.7  %                 0.5   pts

Estimated revenue share                                          (0.7  %)               (0.7  %)                  -   pts
Assumed premiums earned (not ceded to external
reinsurers)                                                      (0.3  %)               (0.2  %)               (0.1   pts)

Ceded premiums ratio (related to external reinsurance),
less the effects of above

                                         8.3  %                 7.0  %                 1.3   pts


The above table reflects traditional ceded premiums earned as a percent of
traditional gross premiums earned. As discussed above, premiums ceded under our
traditional reinsurance treaty are based on premiums earned during the treaty
period. The increase in the ceded premiums ratio in 2022 as compared to 2021
primarily reflected the higher reinsurance rates and a decrease in the estimated
return premium.

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Net Premiums Earned


Net premiums earned consist of gross premiums earned less the portion of earned
premiums that we cede to SPCs in our Segregated Portfolio Cell Reinsurance
segment, external reinsurers (including changes related to the return premium
and revenue share estimates) and the unaffiliated captive insurers. Because
premiums are generally earned pro rata over the entire policy period,
fluctuations in premiums earned tend to lag those of premiums written. Our
workers' compensation policies are twelve month term policies, and premiums are
earned on a pro rata basis over the policy period. Net premiums earned also
include premium adjustments related to the audit of our insureds' payrolls and
changes in our estimates related to EBUB and premium adjustments related to
retrospectively-rated policies. Payroll audits are conducted subsequent to the
end of the policy period and any related premium adjustments processed are
recorded as fully earned in the current period. We evaluate our estimates
related to EBUB and retrospectively-rated premium adjustments on a quarterly
basis with any adjustments being included in written and earned premium in the
current period.

Net premiums earned were as follows:

                                                       Year Ended December 31
                 ($ in thousands)           2022           2021               Change
           Gross premiums earned         $ 252,452      $ 243,665      $ 8,787       3.6  %
           Less: Ceded premiums earned      86,081         79,065        7,016       8.9  %
           Net premiums earned           $ 166,371      $ 164,600      $ 1,771       1.1  %

Net premiums earned increased during the year ended December 31, 2022 as
compared to 2021 primarily reflecting higher audit premium and the change in the
carried EBUB estimate, partially offset by the continuation of competitive
market conditions.

Losses and Loss Adjustment Expenses


We estimate our current accident year loss and loss adjustment expenses by
developing actual reported losses using historical loss development factors,
adjusted to reflect current and expected trends based on various internal
analyses and supplemental information. The following table summarizes calendar
year net loss ratios by separating losses between the current accident year and
all prior accident years. Calendar year and current accident year net loss
ratios by component were as follows:

                                                                           

Year Ended December 31

                                                           2022                    2021                    Change
Calendar year net loss ratio                                  67.0  %                 69.7  %                (2.7   pts)

Less impact of prior accident years on the net loss
ratio

                                                         (4.8  %)                (4.3  %)               (0.5   pts)
Current accident year net loss ratio                          71.8  %                 74.0  %                (2.2   pts)


The current accident year net loss ratio decreased in 2022 as compared to 2021
primarily reflecting an improvement in loss frequency and severity trends,
partially offset by the continuation of intense price competition and the
resulting renewal rate decreases. The current accident year net loss ratio in
2021 reflected higher claim activity as workers returned to employment with the
easing of pandemic-related restrictions in our operating territories, including
the impact of labor shortages on the existing workforce.

Calendar year incurred losses (excluding IBNR) in excess of our per occurrence
reinsurance retention, before consideration of the AAD (see previous discussion
under the heading "Ceded Premiums Written"), decreased $8.5 million in 2022 as
compared to 2021. We retained losses in excess of our per occurrence retention
totaling $5.0 million for the year ended December 31, 2022 as compared to $6.6
million in 2021 which reflected losses within the AAD.

We recognized net favorable prior year development of $8.0 million for the year
ended December 31, 2022 as compared to $7.1 million for 2021. The net favorable
prior year reserve development for the years ended December 31, 2022 and 2021
reflected overall favorable trends in claim closing patterns. Net favorable
development for the year ended December 31, 2022 primarily related to accident
years 2017 through 2020. Net favorable development for the year ended December
31, 2021 primarily related to accident years 2012 through 2017.

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Underwriting, Policy Acquisition and Operating Expenses


Underwriting, policy acquisition and operating expenses include the amortization
of commissions, premium taxes and underwriting salaries, which are capitalized
and deferred over the related workers' compensation policy period, net of ceding
commissions earned. The capitalization of underwriting salaries can vary as they
are subject to the success rate of our contract acquisition efforts. These
expenses also include a management fee charged by our Corporate segment, which
represents intercompany charges pursuant to a management agreement, and the
amortization of intangible assets, primarily related to the acquisition of
Eastern by ProAssurance. The management fee is based on the extent to which
services are provided to the subsidiary and the amount of premium written by the
subsidiary.

Our Workers' Compensation Insurance segment underwriting, policy acquisition and
operating expenses were comprised as follows:


                                                              Year Ended 

December 31

                 ($ in thousands)                  2022          2021               Change
   DPAC amortization                            $ 29,585      $ 29,092      $   493         1.7  %
   Management fees                                 1,853         1,804           49         2.7  %

Other underwriting and operating expenses 37,146 34,359

2,787 8.1 %

   Policyholder dividend expense                     902         1,155      

(253) (21.9 %)

   SPC ceding commission offset                  (14,749)      (13,992)        (757)        5.4  %
   Total                                        $ 54,737      $ 52,418      $ 2,319         4.4  %

The increase in DPAC amortization for the year ended December 31, 2022 as
compared to 2021 primarily reflected the increase in gross premiums earned.


The increase in other underwriting and operating expenses for the year ended
December 31, 2022 as compared to 2021 primarily reflected an increase in costs
related to compensation and business-related travel as well as planned higher
marketing costs related to advertising and website-related activities in 2022.
The increase in compensation-related costs primarily reflected a higher
headcount. The increase in travel-related costs reflected the easing of
pandemic-related restrictions and the return to more normal business activity.

As previously discussed, alternative market premiums written by our Workers'
Compensation Insurance segment are 100% ceded, less a ceding commission, to
either the SPCs in our Segregated Portfolio Cell Reinsurance segment or
unaffiliated captive insurers. The ceding commission charged to the SPCs
consists of an amount for fronting fees, cell rental fees, commissions, premium
taxes, claims administration fees and risk management fees. The fronting fees,
commissions, premium taxes and risk management fees are recorded as an offset to
underwriting, policy acquisition and operating expenses. Cell rental fees are
recorded as a component of other income and claims administration fees are
recorded as ceded ULAE. The increase in SPC ceding commissions earned for the
year ended December 31, 2022 as compared to 2021, primarily reflected the
increase in alternative market ceded earned premium.

Underwriting Expense Ratio (the Expense Ratio)

The underwriting expense ratio included the impact of the following:

Year Ended December 31

                                                               2022                  2021                   Change
Underwriting expense ratio, as reported                          32.9  %                31.8  %               1.1   pts

Less estimated ratio increase (decrease) attributable
to:
Impact of ceding commissions received from SPCs

                   3.9  %                 3.3  %               0.6   pts

Impact of audit premium                                          (1.2  %)                0.4  %              (1.6   pts)

Underwriting expense ratio, less listed effects                  30.2  %                28.1  %               2.1   pts


Excluding the items noted in the table above, the expense ratio increased for
the year ended December 31, 2022, primarily reflecting the increase in other
underwriting and operating expenses, as previously discussed.

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Segment Results - Segregated Portfolio Cell Reinsurance

The Segregated Portfolio Cell Reinsurance segment includes the results
(underwriting profit or loss, plus investment results, net of U.S. federal
income taxes) of SPCs at Inova Re and Eastern Re, our Cayman Islands SPC
operations, as discussed in Note 17 of the Notes to Consolidated Financial
Statements. SPCs are segregated pools of assets and liabilities that provide an
insurance facility for a defined set of risks. Assets of each SPC are solely for
the benefit of that individual cell and each SPC is solely responsible for the
liabilities of that individual cell. Assets of one SPC are statutorily protected
from the creditors of the others. Each SPC is owned, fully or in part, by an
individual company, agency, group or association and the results of the SPCs are
attributable to the participants of that cell. We participate to a varying
degree in the results of selected SPCs and, for the SPCs in which we
participate, our participation interest ranges from a low of 15% to a high of
85%. SPC results attributable to external cell participants are reported as an
SPC dividend (expense) income in our Segregated Portfolio Cell Reinsurance
segment. In addition, our Segregated Portfolio Cell Reinsurance segment includes
the investment results of the SPCs as the investments are solely for the benefit
of the cell participants and investment results attributable to external cell
participants are reflected in the SPC dividend (expense) income. As of
December 31, 2022, there were 27 (4 inactive) SPCs. The SPCs assume workers'
compensation insurance, healthcare professional liability insurance or a
combination of the two from our Workers' Compensation Insurance and Specialty
P&C segments. As of December 31, 2022, there were two SPCs that assumed both
workers' compensation insurance and healthcare professional liability insurance
and one SPC that assumed only healthcare professional liability insurance.

Segment results reflects our share of the underwriting and investment results of
the SPCs in which we participate, and included the following:


                                                           Year Ended 

December 31

                 ($ in thousands)                                2022     2021              Change
Net premiums written                                                   $ 69,357    $ 63,042    $   6,315          10.0  %

Net premiums earned                                                    $ 69,810    $ 63,688    $   6,122           9.6  %
Net investment income                                                     1,029         814          215          26.4  %
Net investment gains (losses)                                            (3,067)      4,080       (7,147)       (175.2  %)
Other income                                                                  2           3           (1)        (33.3  %)
Net losses and loss adjustment expenses                                 (39,310)    (32,569)      (6,741)         20.7  %
Underwriting, policy acquisition and operating
expenses                                                                

(20,316) (21,635) 1,319 (6.1 %)
SPC U.S. federal income tax expense (1)

                                  (1,759)     (1,947)         188          (9.7  %)
SPC net results                                                           6,389      12,434       (6,045)        (48.6  %)
SPC dividend (expense) income (2)                                        (6,673)    (10,050)       3,377         (33.6  %)
Segment results (3)                                                    $   

(284) $ 2,384 $ (2,668) (111.9 %)


Net loss ratio                                                            56.3%       51.1%      5.2 pts
Underwriting expense ratio                                                29.1%       34.0%     (4.9 pts)
(1) Represents the provision for U.S. federal income taxes for
SPCs at Inova Re, which have elected to be taxed as a U.S.
corporation under Section 953(d) of the Internal Revenue Code.
U.S. federal income taxes are included in the total SPC net
results and are paid by the individual SPCs.
(2) Represents the net (profit) loss attributable to external
cell participants.
(3) Represents our share of the net profit (loss) and OCI of
the SPCs in which we participate.




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Premiums Written


Premiums in our Segregated Portfolio Cell Reinsurance segment are assumed from
either our Workers' Compensation Insurance or Specialty P&C segments. Premium
volume is driven by five primary factors: (1) the amount of new business
written, (2) retention of the existing book of business, (3) premium rates
charged on the renewal book of business and, for workers' compensation business,
(4) changes in payroll exposure and (5) audit premium.

Gross, ceded and net premiums written were as follows:

                                                       Year Ended December 31
                  ($ in thousands)           2022          2021              Change
           Gross premiums written         $ 78,937      $ 71,850      $ 7,087        9.9  %
           Less: Ceded premiums written      9,580         8,808          772        8.8  %
           Net premiums written           $ 69,357      $ 63,042      $ 6,315       10.0  %


Gross Premiums Written

Gross premiums written reflected reinsurance premiums assumed by component as
follows:

                                                          Year Ended December 31
                  ($ in thousands)              2022          2021              Change
         Workers' compensation               $ 68,035      $ 64,639      $ 3,396        5.3  %
         Healthcare professional liability     10,902         7,211        3,691       51.2  %

         Gross Premiums Written              $ 78,937      $ 71,850      $ 7,087        9.9  %


Gross premiums written for the years ended December 31, 2022 and 2021 were
primarily comprised of workers' compensation coverages assumed from our Workers'
Compensation Insurance segment. Workers' compensation gross premiums written
increased during the year ended December 31, 2022 as compared to 2021 reflecting
higher audit premium, partially offset by a decrease in renewal premium. The
increase in healthcare professional liability gross premiums written in 2022 as
compared to 2021 primarily reflected the impact of tail coverage premium related
to one program in which we do not participate. See further discussion in our
Segment Results - Specialty Property & Casualty section under the heading
"Premiums Written." We retained 100% of the twenty-two workers' compensation and
three healthcare professional liability alternative market programs up for
renewal for the year ended December 31, 2022.

New business, audit premium, retention and renewal price changes for the assumed
workers' compensation premium is shown in the table below:

Year Ended December 31

                     ($ in millions)                                   2022                   2021
New business                                                     $       3.6             $      3.3
Audit premium                                                    $       5.4             $      1.1
Retention rate (1)                                                        87  %                  89  %
Change in renewal pricing (2)                                             (4  %)                 (4  %)
(1) We calculate our workers' compensation retention rate as annualized expiring renewed premium
divided by all annualized expiring premium subject to renewal. Our retention rate can be impacted by
various factors, including price or other competitive issues, insureds being acquired, or a decision
not to renew based on our underwriting evaluation.
(2) The pricing of our business includes an assessment of the underlying policy exposure and market
conditions. We continue to base our pricing on expected losses, as indicated by our historical loss
data.



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Ceded Premiums Written

Ceded premiums written were as follows:

                                                     Year Ended December 31
                    ($ in thousands)        2022          2021             Change
                Ceded premiums written   $   9,580      $ 8,808      $ 772       8.8  %


For the workers' compensation business, each SPC has in place its own external
reinsurance coverage. The healthcare professional liability business is assumed
net of reinsurance from our Specialty P&C segment; therefore, there are no ceded
premiums related to the healthcare professional liability business reflected in
the table above. The risk retention for each loss occurrence for the workers'
compensation business ranges from $0.3 million to $0.4 million based on the
program, with limits up to $119.7 million. In addition, each program has
aggregate reinsurance coverage between $1.1 million and $2.1 million on a
program year basis. Premiums ceded under our SPC reinsurance treaty are based on
premiums written during the treaty period. The change in ceded premiums written
in 2022 as compared to 2021 primarily reflected the increase in workers'
compensation gross premiums written and the impact of rate increases under the
external reinsurance treaty. External reinsurance rates vary based on the
alternative market program.

Ceded Premiums Ratio

Ceded premiums ratio was as follows:

                                                 Year Ended December 31
                                             2022              2021        Change
              Ceded premiums ratio                14.1  %     13.6  %     0.5   pts


The above table reflects ceded premiums as a percent of gross premiums written
for the workers' compensation business only; healthcare professional liability
business is assumed net of reinsurance, as discussed above. The ceded premiums
ratio reflects the weighted average reinsurance rates of all SPC programs. The
increase in the ceded premiums ratio for the year ended December 31, 2022
reflects an increase in reinsurance rates.

Net Premiums Earned


Net premiums earned consist of gross premiums earned less the portion of earned
premiums that the SPCs cede to external reinsurers. Because premiums are
generally earned pro rata over the entire policy period, fluctuations in
premiums earned tend to lag those of premiums written. Policies ceded to the
SPCs are twelve month term policies and premiums are earned on a pro rata basis
over the policy period. Net premiums earned also include premium adjustments
related to the audit of workers' compensation insureds' payrolls. Payroll audits
are conducted subsequent to the end of the policy period and any related
adjustments are recorded as fully earned in the current period.

Gross, ceded and net premiums earned were as follows:

                                                       Year Ended December 31
                  ($ in thousands)           2022          2021              Change
            Gross premiums earned         $ 79,347      $ 72,359      $ 6,988        9.7  %
            Less: Ceded premiums earned      9,537         8,671          866       10.0  %
            Net premiums earned           $ 69,810      $ 63,688      $ 6,122        9.6  %



The increase in net premiums earned during the year ended December 31, 2022 as
compared to 2021, primarily reflected the aforementioned impact of healthcare
professional liability tail premium written and fully earned and the increase in
workers' compensation audit premium billed to policyholders.

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Losses and Loss Adjustment Expenses


The following table summarizes the calendar year net loss ratios by separating
losses between the current accident year and all prior accident years. The
current accident year net loss ratio reflects the aggregate loss ratio for all
programs. Loss reserves and associated reinsurance are estimated for each
program on a quarterly basis. Each SPC has in place its own reinsurance
agreement, and the attachment point of aggregate reinsurance coverage varies by
program. Due to the size of some of the programs, quarterly loss results,
including changes in estimated aggregate reinsurance, can create volatility in
the current accident year net loss ratio from period to period.

Calendar year and current accident year net loss ratios for the years ended
December 31, 2022 and 2021 were as follows:

                                                                     Year Ended December 31
                                                            2022                   2021            Change

Calendar year net loss ratio                                  56.3  %                 51.1  %                                5.2   pts

Less impact of prior accident years on the net loss
ratio

                                                         (9.0  %)               (16.0  %)                               7.0   pts
Current accident year net loss ratio                          65.3  %                 67.1  %                               (1.8   pts)

Less estimated ratio increase (decrease) attributable
to:
Change in estimated aggregate reinsurance

                      0.9  %                 (2.2  %)                               3.1   pts

Current accident year net loss ratio, excluding the
effect of the change in estimated aggregate
reinsurance

                                                   64.4  %                 69.3  %                               (4.9   pts)


During the year ended December 31, 2022, we decreased our estimate of aggregate
reinsurance which increased our current accident year net loss ratios as
compared to 2021. The decrease in the estimated aggregate reinsurance reflected
an improvement in expected ultimate program year losses in certain programs. See
additional information regarding the SPC's aggregate reinsurance agreements in
our Liquidity section under the heading "Operating Activities and Related Cash
Flows."

The current accident year net loss ratio, excluding the effect of changes in
estimated aggregate reinsurance, decreased in 2022 as compared to 2021,
reflecting a lower workers' compensation current accident year net loss ratio,
partially offset by a higher healthcare professional liability current accident
year net loss ratio. The improvement in the workers' compensation current
accident year net loss ratio for 2022 primarily reflects favorable trends in
prior accident year workers' compensation claim results and their impact on our
analysis of the current year loss estimate, and the impact of audit premium,
partially offset by the continuation of intense price competition and the
resulting renewal rate decreases in the workers' compensation business. The
increase in the healthcare professional liability current accident year loss
ratio for 2022 primarily reflected an increase in expected claim frequency
related to one program in which we do not participate.

Calendar year incurred losses (excluding IBNR) ceded to our external reinsurers
increased $2.9 million for the year ended December 31, 2022 as compared to 2021.
Current accident year ceded incurred losses (excluding IBNR) increased $5.1
million for the year ended December 31, 2022 as compared to 2021.

We recognized net favorable prior year reserve development of $6.3 million and
$10.2 million for the years ended December 31, 2022 and 2021, respectively.


Net favorable prior year reserve development in the workers' compensation
business totaled $7.0 million in 2022 as compared to $7.6 million in 2021. The
2022 net favorable prior year reserve development in the workers' compensation
business reflected overall favorable trends in claim closing patterns primarily
in accident years 2016 through 2021. The 2021 net favorable development related
primarily to accident year 2015 and accident years 2018 through 2020.

Net unfavorable prior year reserve development in the healthcare professional
liability business totaled $0.7 million in 2022 as compared to $2.5 million of
favorable development in 2021. The 2022 net unfavorable prior year reserve
development primarily reflected higher than expected claim frequency in one
program in which we do not participate. The 2021 net favorable prior year
reserve development related primarily to accident years 2018 through 2020.

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Underwriting, Policy Acquisition and Operating Expenses

Our Segregated Portfolio Cell Reinsurance segment underwriting, policy
acquisition and operating expenses were comprised as follows:


                                                               Year Ended 

December 31

                 ($ in thousands)                  2022          2021       

Change

   DPAC amortization                            $ 20,068      $ 18,730      

$ 1,338 7.1 %

   Policyholder dividend expense                     167           508      

(341) (67.1 %)

Other underwriting and operating expenses 81 2,397

  (2,316)      (96.6  %)
   Total                                        $ 20,316      $ 21,635      $ (1,319)       (6.1  %)


DPAC amortization primarily represents ceding commissions, which vary by program
and are paid to our Workers' Compensation Insurance and Specialty P&C segments
for premiums assumed. Ceding commissions include an amount for fronting fees,
commissions, premium taxes and risk management fees, which are reported as an
offset to underwriting, policy acquisition and operating expenses within our
Workers' Compensation Insurance and Specialty P&C segments. In addition, ceding
commissions paid to our Workers' Compensation Insurance segment include cell
rental fees which are recorded as other income and claims administration fees
which are recorded as ceded ULAE within our Workers' Compensation Insurance
segment.

Other underwriting and operating expenses primarily include bank fees,
professional fees and changes in the allowance for expected credit losses. The
decrease in other underwriting and operating expenses for the year ended
December 31, 2022 as compared to 2021 primarily reflects changes in the
allowance for expected credit losses related to the collection of customer
accounts that were previously written off.


The decrease in policyholder dividend expense for the year ended December 31,
2022 as compared to 2021, primarily reflects changes in estimated dividends for
one SPC program, in which we do not participate.

Underwriting Expense Ratio (the Expense Ratio)

The underwriting expense ratio included the impact of the following:

Year Ended December 31

                                                             2022                    2021                    Change
Underwriting expense ratio, as reported                         29.1  %                 34.0  %                (4.9   pts)
Less: impact of audit premium on expense ratio                  (2.3  %)                (0.5  %)               (1.8   pts)

Underwriting expense ratio, excluding the effect of
audit premium

                                                   31.4  %                 34.5  %                (3.1   pts)


Excluding the effect of audit premium, the underwriting expense ratio decreased
for the year ended December 31, 2022. The decrease in the underwriting expense
ratio in 2022 primarily reflected the change in the allowance for expected
credit losses and policyholder dividend expense, as discussed above.




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Segment Results - Lloyd's Syndicates
Our Lloyd's Syndicates segment includes the results from our participation in
Syndicate 1729 and Syndicate 6131 at Lloyd's of London. In addition to our
participation in Syndicate results, we have investments in and other obligations
to our Lloyd's Syndicates consisting of a Syndicate Credit Agreement and FAL
requirements. For the 2022 underwriting year, our FAL was comprised of
investment securities and cash and cash equivalents deposited with Lloyd's which
at December 31, 2022 had a fair value of approximately $24.8 million, as
discussed in Note 4 of the Notes to Consolidated Financial Statements. During
the second quarter of 2022 we received a return of approximately $5.5 million of
cash from our FAL balances given Syndicate 6131 ceased underwriting on a quota
share basis with Syndicate 1729 as Syndicate 6131's business is retained within
Syndicate 1729 beginning with the 2022 underwriting year. The return of FAL
during the second quarter of 2022 also related to the settlement of our
participation in the results of Syndicate 1729 and Syndicate 6131 for the 2019
underwriting year. Further, during the fourth quarter of 2022, we received a
return of approximately $5.6 million of cash from our FAL balances due to lower
capital requirements for the 2023 underwriting year following Lloyd's of
London's review of Syndicate 1729's 2023 business plan.

We normally report results from our involvement in Lloyd's Syndicates on a
quarter lag, except when information is available that is material to the
current period. Furthermore, the investment results associated with our FAL
investments and certain U.S. paid administrative expenses are reported
concurrently as that information is available on an earlier time frame.


We provide capital to Syndicate 1729, which covers a range of property and
casualty insurance and reinsurance lines in both the U.S. and international
markets. The remaining capital for Syndicate 1729 is provided by unrelated third
parties, including private names and other corporate members. For each of the
2023 and 2022 underwriting years our participation in the results of Syndicate
1729 is approximately 5%. Syndicate 1729 had a maximum underwriting capacity of
£210 million (approximately $254 million at December 31, 2022) for the 2022
underwriting year, of which £11 million (approximately $14 million at
December 31, 2022) is our allocated underwriting capacity. Effective January 1,
2022, Syndicate 6131 ceased underwriting on a quota share basis with Syndicate
1729, as previously discussed; the results from our participation in Syndicate
6131 from open underwriting years prior to 2022 will continue to earn out pro
rata over the entire policy period of the underlying business. Due to the
quarter lag, our ceased participation in Syndicate 6131 was not reflected in our
results until the second quarter of 2022. Syndicate 1729's maximum underwriting
capacity for the 2023 underwriting year is £280 million (approximately $338
million at December 31, 2022), of which £15 million (approximately $18 million
at December 31, 2022) is our allocated underwriting capacity.

In addition to the results of our participation in Lloyd's Syndicates, as
discussed above, our Lloyd's Syndicates segment also includes 100% of the
results of our wholly owned subsidiaries that support our operations at Lloyd's.
For the years ended December 31, 2022 and 2021, the results of our Lloyd's
Syndicates segment were as follows:


                                                                    Year 

Ended December 31

                 ($ in thousands)                       2022         2021                Change
Gross premiums written                              $  20,233    $  37,969    $ (17,736)          (46.7  %)
Less: Ceded premiums written                           (1,657)      (6,302)       4,645           (73.7  %)
Net premiums written                                $  18,576    $  31,667    $ (13,091)          (41.3  %)
Net premiums earned                                 $  23,627    $  48,372    $ (24,745)          (51.2  %)
Net investment income                                     568        1,961       (1,393)          (71.0  %)
Net investment gains (losses)                            (964)         249       (1,213)         (487.1  %)
Other income                                              119          912         (793)          (87.0  %)
Net losses and loss adjustment expenses               (16,130)     (29,812)      13,682           (45.9  %)
Underwriting, policy acquisition and operating
expenses                                               (7,412)     (17,957)      10,545           (58.7  %)

Segment results                                     $    (192)   $   3,725    $  (3,917)         (105.2  %)
Net loss ratio                                           68.3  %      61.6  %   6.7 pts
Underwriting expense ratio                               31.4  %      37.1  %  (5.7 pts)


Premiums

Changes in premium volume within our Lloyd's Syndicates segment are driven by
five primary factors: (1) changes in our participation in the Syndicates, (2)
the amount of new business and the channels in which the business is written,
(3) the retention of existing business, (4) the premium charged for business
that is renewed, which is affected by rates charged and by the amount and type
of coverage an insured chooses to purchase and (5) the timing of premium written
through multi-period policies. Gross premiums written in 2022 consisted of
property insurance coverages (30% of total gross premiums written), casualty
coverages (24%), catastrophe reinsurance coverages (16%), contingency coverages
(14%), specialty property

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coverages (13%) and property reinsurance coverages (3%). The decrease in net
premiums written in 2022 as compared to 2021 was primarily driven by the impact
of our decreased participation in the results of Syndicates 1729 and 6131 for
the 2021 underwriting year and our ceased participation in Syndicate 6131 for
the 2022 underwriting year. The decrease in net premiums written in 2022 was
partially offset by volume increases on renewal business and renewal pricing
increases, primarily on property and specialty insurance coverages, as well as
new business written, primarily on property insurance and casualty coverages.

Net premiums earned consist of gross premiums earned less the portion of earned
premiums that the Syndicates cede to reinsurers for their assumption of a
portion of losses. Premiums written through open-market channels are generally
earned pro rata over the entire policy period, which is predominantly twelve
months, whereas premiums written through delegated underwriting authority
arrangements are generally earned over the policy period plus twelve months.
Therefore, net premiums earned is affected by shifts in the mix of policies
written between the open-market and delegated underwriting authority
arrangements. Additionally, net premiums earned consists of a mix of policies
earned from different open underwriting years. As previously discussed, we
participate to a varying degree in each open underwriting year which may cause
fluctuations in premiums earned. Furthermore, fluctuations in premiums earned
tend to lag those of premiums written. Premiums for certain policies and assumed
reinsurance contracts are reported subsequent to the coverage period and/or may
be subject to adjustment based on loss experience. These premium adjustments are
earned when reported, which can result in further fluctuation in earned premium.
Net premiums earned decreased during the year ended December 31, 2022 as
compared to 2021 primarily attributable to the pro rata effect of a reduction in
net premiums written during the preceding twelve months.

Net Losses and Loss Adjustment Expenses


Losses for the year were primarily recorded using the loss assumptions by risk
category incorporated into the business plan submitted to Lloyd's for Syndicate
1729 with consideration given to loss experience incurred to date. The
assumptions used in the business plan were consistent with loss results
reflected in Lloyd's historical data for similar risks. The loss ratios may
fluctuate due to the mix of earned premium and the timing of earned premium
adjustments (see discussion in this section under the heading "Premiums").
Premium and exposure for some of Syndicate 1729's insurance policies and
reinsurance contracts are initially estimated and subsequently adjusted over an
extended period of time as underlying premium reports are received from cedents
and insureds. When reports are received, the premium, exposure and corresponding
loss estimates are revised accordingly. Changes in loss estimates due to premium
or exposure fluctuations are incurred in the accident year in which the premium
is earned.

The following table summarizes calendar year net loss ratios by separating
losses between the current accident year and all prior accident years. Net loss
ratios for the period were as follows:

Year Ended December 31

                                                        2022                  2021                    Change
Calendar year net loss ratio                              68.3  %                61.6  %                  6.7   pts
Less: impact of prior accident years on the net
loss ratio                                                31.1  %                 9.7  %                 21.4   pts
Current accident year net loss ratio                      37.2  %                51.9  %                (14.7   pts)


The current accident year net loss ratio decreased in 2022 as compared to 2021
driven by decreases to certain loss estimates during the first quarter of 2022,
partially offset by lower reinsurance recoveries as a proportion of gross losses
as compared to the prior year period and, to a lesser extent, certain
catastrophe losses in the current period.

We recognized $7.3 million and $4.7 million of unfavorable prior year
development for the years ended December 31, 2022 and 2021, respectively. The
unfavorable prior year development for the year ended December 31, 2022 was
driven by higher than expected losses and development on certain large claims,
primarily catastrophe related losses.

Underwriting, Policy Acquisition and Operating Expenses


For the year ended December 31, 2022, the underwriting expense ratio decreased
by 5.7 percentage points as compared to 2021, which primarily reflected the
impact of our ceased participation in Syndicate 6131 for the 2022 underwriting
year. Syndicate 6131 incurred nominal operating expenses during 2022, whereas
the net premiums earned during the same period also includes premium from open
underwriting years prior to 2022. The decrease in the underwriting expense ratio
in 2022 also reflected the impact of our reduced participation in the results of
Syndicate 1729 and Syndicate 6131 for the 2021 underwriting year.

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Segment Results - Corporate


Our Corporate segment includes our investment operations excluding those
reported in our Segregated Portfolio Cell Reinsurance and Lloyd's Syndicates
segments as discussed in Note 16 of the Notes to Consolidated Financial
Statements. In addition, this segment includes corporate expenses, interest
expense, U.S. income taxes and non-premium revenues generated outside of our
insurance entities. Segment results for the year ended December 31, 2022 and
2021 exclude transaction-related costs as well as the associated income tax
benefit and, for 2022, the change in fair value of contingent consideration
related to the NORCAL acquisition as we do not consider these items in assessing
the financial performance of the segment. For additional information on the
NORCAL acquisition see Note 2 of the Notes to Consolidated Financial Statements.
Segment results for our Corporate segment were net earnings of $17.7 million and
$91.2 million for the years ended December 31, 2022 and 2021, respectively, and
included the following:

                                                                          Year Ended December 31
                ($ in thousands)                      2022              2021                        Change
Net investment income                             $  94,375          $ 67,747          $  26,628                39.3  %
Equity in earnings (loss) of unconsolidated
subsidiaries                                      $   4,888          $ 48,974          $ (44,086)              (90.0  %)
Net investment gains (losses)                     $ (38,126)         $ 19,981          $ (58,107)             (290.8  %)
Other income                                      $   6,198          $  5,531          $     667                12.1  %
Operating expense                                 $  34,733          $ 26,641          $   8,092                30.4  %
Interest expense                                  $  20,372          $ 19,719          $     653                 3.3  %
Income tax expense (benefit)                      $  (5,423)         $  4,651          $ (10,074)             (216.6  %)


Net Investment Income, Equity in Earnings (Loss) of Unconsolidated Subsidiaries,
Net Investment Gains (Losses)

Net Investment Income


Net investment income is primarily derived from the income earned by our fixed
maturity securities and also includes dividend income from equity securities,
income from our short-term and cash equivalent investments, earnings from other
investments and increases in the cash surrender value of BOLI contracts, net of
investment fees and expenses.

Net investment income (loss) by investment category was as follows:


                                                             Year Ended 

December 31

                ($ in thousands)                 2022          2021                Change
    Fixed maturities                          $ 92,034      $ 71,451      $ 20,583        28.8  %
    Equities                                     3,706         2,539         1,167        46.0  %

Short-term investments, including Other 5,414 1,860

3,554 191.1 %

    BOLI                                         1,141         2,699        

(1,558) (57.7 %)

    Investment fees and expenses                (7,920)      (10,802)        2,882       (26.7  %)
    Net investment income                     $ 94,375      $ 67,747      $ 26,628        39.3  %


Fixed Maturities

Income from our fixed maturities increased in 2022 as compared to 2021 driven by
higher average book yields as we continue to reinvest at higher rates as our
portfolio matures. In addition, the increase in income from our fixed maturities
during 2022 reflected higher average investment balances primarily attributable
to the addition of fixed maturity securities valued at $1.1 billion to our
portfolio on May 5, 2021 as a result of the NORCAL acquisition. As a result of
the NORCAL acquisition, average investment balances over a twelve month period
were approximately 17% higher for 2022 as compared to 2021; excluding the impact
of the acquisition, average investment balances were approximately 2% higher.

Average yields for our fixed maturity portfolio were as follows:

                                                     Year Ended December 31
                                                   2022                   2021
          Average income yield                     2.5%                   2.3%
          Average tax equivalent income yield      2.5%                   2.3%



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Equities

Income from our equity portfolio increased in 2022 as compared to 2021 which
reflected changes in the mix of equities owned.

Short-term Investments and Other Investments


Short-term investments, which have a maturity at purchase of one year or less
are carried at fair value, which approximates their cost basis, and are
primarily composed of investments in U.S. treasury obligations, commercial paper
and money market funds. Income from our short-term and other investments
increased during 2022 primarily due to higher yields given the increase in
interest rates.

BOLI


We hold BOLI policies that are carried at the current cash surrender value of
the policies, which includes the BOLI policies acquired from NORCAL. All insured
individuals were members of ProAssurance or NORCAL management at the time the
policies were acquired. Income from our BOLI policies decreased in 2022 as
compared to 2021 primarily attributable to a decrease in the cash surrender
value of policies acquired from NORCAL.

Investment Fees and Expenses


Investment fees and expenses decreased in 2022 as compared to 2021 primarily due
to no longer paying an incentive fee on convertibles and the renegotiation of
our contract due to the addition of NORCAL.

Equity in Earnings (Loss) of Unconsolidated Subsidiaries

Equity in earnings (loss) of unconsolidated subsidiaries was comprised as
follows:

Year Ended December 31

                 ($ in thousands)                     2022              2021                       Change
All other investments, primarily investment fund
LPs/LLCs                                           $ 11,954          $ 64,031          $ (52,077)            (81.3  %)
Tax credit partnerships                              (7,066)          (15,057)             7,991             (53.1  %)
Equity in earnings (loss) of unconsolidated
subsidiaries                                       $  4,888          $ 48,974          $ (44,086)            (90.0  %)


We hold interests in certain LPs/LLCs that generate earnings from trading
portfolios, secured debt, debt securities, multi-strategy funds and private
equity investments. The performance of the LPs/LLCs is affected by the
volatility of equity and credit markets. For our investments in LPs/LLCs, we
record our allocable portion of the partnership operating income or loss as the
results of the LPs/LLCs become available, typically following the end of a
reporting period. Our investment results from our portfolio of investments in
LPs/LLCs for 2022 as compared to 2021 decreased primarily due to the performance
of certain LP/LLCs which reflected lower market valuations during 2022.

Our tax credit partnership investments are designed to generate returns in the
form of tax credits and tax-deductible project operating losses and are
comprised of qualified affordable housing project tax credit partnerships and a
historic tax credit partnership. We account for our tax credit partnership
investments under the equity method and record our allocable portion of the
operating losses of the underlying properties based on estimates provided by the
partnerships. For our qualified affordable housing project tax credit
partnerships, we adjust our estimates of our allocable portion of operating
losses periodically as actual operating results of the underlying properties
become available. The primary benefit of credits and losses from our historic
tax credit partnership are earned in a short period with potential for
additional cash flows extending over several years. The results from our tax
credit partnership investments for the year ended December 31, 2022 reflected
lower partnership operating losses as compared to 2021, partially offset by an
increase in our estimate of operating losses by $1.0 million and $1.9 million
for the years ended December 31, 2022 and 2021, respectively.

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The tax benefits received from our tax credit partnerships, which are not
reflected in our investment results, reduced our tax expense in 2022 and 2021 as
follows:

                                                                    Year Ended December 31
                       (In millions)                              2022                  2021
Tax credits recognized during the period                    $         4.8          $       13.2
Tax benefit of tax credit partnership operating losses      $         1.5   

$ 3.2



The tax credits generated from our tax credit partnership investments of $4.8
million for 2022 were deferred for use in future periods due to our expected
consolidated loss calculated on a tax basis. For the year ended December 31,
2021, the tax credits generated from our tax credit partnership investments of
$13.2 million were deferred to be utilized in future periods. Not included in
the table above is $0.5 million of tax credits recaptured from the 2019 tax year
during the year ended December 31, 2022 due to the carryback of our estimated
NOL for the year ended December 31, 2022 to the 2021 tax year. The recaptured
tax credits were earned in 2019 but not utilized until 2021 due to NOL's
generated in both 2019 and 2020. As of December 31, 2022, we had approximately
$51.2 million of available tax credit carryforwards generated from our
investments in tax credit partnerships which we expect to utilize in future
years. See further discussion in Note 6 of the Notes to Consolidated Financial
Statements.

Tax credits provided by the underlying projects of our historic tax credit
partnership are typically available in the tax year in which the project is put
into active service, whereas the tax credits provided by qualified affordable
housing project tax credit partnerships are provided over approximately a ten
year period.

Net Investment Gains (Losses)

The following table provides detailed information regarding our net investment
gains (losses).

                                                                                  Year Ended December 31
                             (In thousands)                                       2022                  2021
Total impairment losses

Corporate debt                                                            $      (1,331)             $      -

Asset-backed securities                                                            (441)                    -

Portion of impairment losses recognized in other comprehensive income
before taxes:
Asset-backed securities

                                                              14                     -

Net impairment losses recognized in earnings                                     (1,758)                    -
Gross realized gains, available-for-sale fixed maturities                         1,649                13,047
Gross realized (losses), available-for-sale fixed maturities                     (3,041)               (1,133)
Net realized gains (losses), equity investments                                  (5,928)                5,394
Net realized gains (losses), other investments                                     (222)                8,660
Change in unrealized holding gains (losses), equity investments                 (18,483)               (4,697)

Change in unrealized holding gains (losses), convertible securities,
carried at fair value as a part of other investments

                            (10,557)               (1,701)
Other                                                                               214                   411
Net investment gains (losses)                                             $     (38,126)             $ 19,981


For the year ended December 31, 2022, we recognized $1.8 million of
credit-related impairment losses in earnings and a nominal amount of non-credit
impairment losses in OCI. The credit-related impairment losses recognized during
the year ended December 31, 2022 related to a corporate bond in the consumer
sector as well as certain mortgage-backed and other asset-backed securities. We
did not recognize any credit-related impairment losses in earnings or non-credit
impairment losses in OCI for the year ended December 31, 2021.

We recognized $38.1 million of net investment losses for the year ended
December 31, 2022 driven by unrealized holding losses resulting from changes in
the fair value of our equity investments and convertible securities and, to a
lesser extent, realized losses from the sale of equity investments. We
recognized $20.0 million of net investment gains for the year ended December 31,
2021, driven primarily by realized gains on the sale of certain
available-for-sale fixed maturities and other investments, partially offset by
unrealized holding losses resulting from decreases in the fair value on our
equity portfolio.



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Operating Expenses

Corporate segment operating expenses were comprised as follows:

                                                       Year Ended December 31
                 ($ in thousands)           2022          2021               Change
              Operating expenses         $ 41,350      $ 36,007      $ 5,343        14.8  %
              Management fee offset        (6,617)       (9,366)       2,749       (29.4  %)
              Total                      $ 34,733      $ 26,641      $ 8,092        30.4  %


Operating expenses increased during the year ended December 31, 2022 as compared
to 2021 primarily due to an increase in compensation-related costs, professional
fees, business-related travel and share-based compensation expenses. The
increase in professional fees in 2022 was primarily driven by an increase in
consulting fees and, to a lesser extent, an increase in recruiting and employee
placement fees as a result of filling open positions across the organization.
Prior to 2022, recruiting and employee placement fees were allocated to the
operating segments. The increase in compensation-related costs during 2022 was
driven by an increase in segment headcount due to the addition of Corporate
NORCAL employees. Subsequent to acquisition on May 5, 2021, compensation-related
costs of all NORCAL employees were reported in our Specialty P&C segment.
Beginning in 2022, compensation-related costs for Corporate NORCAL employees are
reported in our Corporate segment. In addition, the increase in
compensation-related costs also reflected higher amounts accrued for
performance-related incentive plans due to our improved performance metrics. The
increase in share-based compensation expenses in 2022 was attributable to the
effect of the incorporation of certain NORCAL employees into our share-based
compensation plans beginning in 2022.

Operating subsidiaries within our Specialty P&C segment and our Workers'
Compensation Insurance segment are charged a management fee by the Corporate
segment for services provided to these subsidiaries. The management fee is based
on the extent to which services are provided to the subsidiary and the amount of
premium written by the subsidiary. Under the arrangement, the expenses
associated with such services are reported as expenses of the Corporate segment,
and the management fees charged are reported as an offset to Corporate operating
expenses. Fluctuations in the amount of premium written by each subsidiary can
result in corresponding variations in the management fee charged to each
subsidiary during a particular period. Due to continued organizational structure
enhancements in our Specialty P&C segment during 2021 as well as operational
alignments as a result of the integration of NORCAL, the extent to which
services are provided exclusively by the Corporate segment to the operating
subsidiaries within the Specialty P&C segment decreased further effective
January 1, 2022. Accordingly, we reduced the fee charged to the operating
subsidiaries within the Specialty P&C segment during the first quarter of 2022.
Also effective January 1, 2022, the management agreement included the wholly
owned operating subsidiaries of NORCAL contributing to $1.3 million of
additional management fees during 2022. There were no changes to the extent to
which services are provided exclusively by the Corporate segment to the
operating subsidiaries within our Workers' Compensation Insurance segment in
2022.

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Interest Expense


Consolidated interest expense for the years ended December 31, 2022 and 2021 was
comprised as follows:

                                                                             Year Ended December 31
                  ($ in thousands)                        2022               2021                       Change
Senior Notes due 2023                                $    13,429          $ 13,429          $      -                  -  %
Contribution Certificates (including accretion)(1)         7,332             5,046             2,286               45.3  %
Revolving Credit Agreement (including fees and
amortization) (2)                                          1,016             1,120              (104)              (9.3  %)
Mortgage Loans (including amortization)                        -               444              (444)                    nm
(Gain)/loss on interest rate cap                          (1,405)             (320)           (1,085)            (339.1  %)

Interest expense                                     $    20,372          $ 19,719          $    653                3.3  %
(1) Includes accretion of approximately $1.8 million and $1.2 million for the years ended December 31, 2022 and 2021,
respectively, which is recorded as an increase to interest expense as a result of the difference between the recorded
acquisition date fair value and the principal balance of the Contribution Certificates associated with our acquisition of
NORCAL.
(2) There were no outstanding borrowings on our Revolving Credit Agreement during the year ended December 31, 2022. During
the third quarter of 2021, we repaid the balance outstanding on the Revolving Credit Agreement of $15.0 million. Interest
expense in both 2022 and 2021 primarily reflected unused commitment fees.


Consolidated interest expense increased during 2022 as compared to 2021 driven
by the Contribution Certificates associated with our acquisition of NORCAL on
May 5, 2021 (see Note 2 and Note 11 of the Notes to Consolidated Financial
Statements), partially offset by the change in the fair value of our interest
rate cap which was terminated in the second quarter of 2022. See further
discussion of our interest rate cap agreement in Note 3 and further discussion
on our outstanding debt in Note 11 of the Notes to Consolidated Financial
Statements.

Taxes


Tax expense allocated to our Corporate segment includes U.S. tax only, which
would include U.S. tax expense incurred from our corporate membership in Lloyd's
of London. Any U.K. tax expense incurred by the U.K. based subsidiaries of our
Lloyd's Syndicates segment is allocated to that segment. The SPCs at Inova Re,
one of our Cayman Islands reinsurance subsidiaries, have each made a 953(d)
election under the U.S. Internal Revenue Code and are subject to U.S. federal
income tax; therefore, tax expense allocated to our Corporate segment also
includes tax expense incurred from any SPC at Inova Re in which we have a
participation interest of 80% or greater as those SPCs are required to be
included in our consolidated tax return. Consolidated tax expense (benefit)
reflects the tax expense (benefit) of both segments and the tax impact of items
excluded from segment reporting, as shown in the table below:

                                                                            Year Ended December
                                                                                    31
                           (In thousands)                                             2022                2021
Corporate segment income tax expense (benefit)                              

$ (5,423) $ 4,651


Income tax expense (benefit) - transaction-related costs*                               (391)             (2,168)
Consolidated income tax expense (benefit)                                         $   (5,814)         $    2,483
*Represents the income tax benefit associated with the transaction-related
costs related to our acquisition of NORCAL that are not included in a segment
as we do not consider these costs in assessing the financial performance of
any of our operating or reportable segments. See Note 16 of the Notes to
Consolidated Financial Statements for a reconciliation of our segment results
to our consolidated results.



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Listed below are the primary factors affecting our consolidated effective tax
rate for the years ended December 31, 2022 and 2021. The comparability of each
factor's impact on our effective tax rate is affected by the consolidated
pre-tax loss recognized during 2022 as compared to the consolidated pre-tax
income recognized during 2021. Factors that have the same directional impact on
income tax expense (benefit) in each period have an opposite impact on our
effective tax rate due to the effective tax rate being calculated based upon a
pre-tax loss during the year ended December 31, 2022 versus the pre-tax income
during the year ended December 31, 2021. These factors include the following:

                                                                                        Year Ended December 31
                                                                            2022                                        2021
                                                                                                          Income tax
                                                              Income tax                                   (benefit)
                     ($ in thousands)                      (benefit) expense     Rate Impact                expense         Rate Impact
Computed "expected" tax expense (benefit) at statutory
rate                                                       $       (1,305)               21.0  %        $     30,787                21.0  %
Tax-exempt income (1)                                              (1,072)               17.2  %              (1,298)               (0.9  %)
Tax credits                                                        (4,805)               77.3  %             (13,160)               (9.0  %)
Non-U.S. operating results                                           (411)                6.6  %              (1,322)               (0.9  %)

Tax deficiency (excess tax benefit) on share-based
compensation

                                                          309                (5.0  %)                286                 0.2  %

Non-taxable gain on bargain purchase (2)                                -                   -  %             (15,626)              (10.7  %)
Non-taxable contingent consideration(3)                            (1,890)               30.4  %                   -                   -  %
Provision-to-return and other differences                           1,112               (17.9  %)              3,574                 2.4  %
Change in uncertain tax positions                                     780               (12.5  %)             (1,909)               (1.3  %)

Change in limitation of future deductibility of certain
executive compensation                                                708               (11.4  %)                303                 0.3  %
GILTI and subpart F income                                            556                (8.9  %)                721                 0.6  %
State income taxes                                                    105                (1.7  %)                460                 0.3  %

Other                                                                  99                (1.6  %)               (333)               (0.3  %)
Total income tax expense (benefit)                         $       (5,814)               93.5  %        $      2,483                 1.7  %


(1) Includes tax-exempt interest, dividends received deduction and change in
cash surrender value of BOLI.


(2) Represents the tax impact of the non-taxable gain on bargain purchase as a
result of our acquisition of NORCAL on May 5, 2021. See further discussion on
the gain on bargain purchase in Note 2 of the Notes to Consolidated Financial
Statements.

(3) Represents the tax impact of the change in the fair value of contingent
consideration issued in connection with the NORCAL acquisition, all of which is
non-taxable. See further discussion on the contingent consideration in Note 2
and Note 3 of the Notes to Consolidated Financial Statements.

Our consolidated effective tax rates for 2022 and 2021, as shown in the table
above, differed from the statutory federal income tax rate of 21% in each
respective year typically due to the benefit recognized from the tax credits
transferred to us from our tax credit partnership investments. Tax credits
recognized for the year ended December 31, 2022 were $4.8 million as compared to
$13.2 million in 2021. While projected tax credits for 2022 are less than 2021,
they continue to have a significant impact on the effective tax rate for 2022.
Additionally, our effective tax rate for 2022 was impacted by a gain of $9.0
million related to the change in fair value of contingent consideration issued
in connection with the NORCAL acquisition, all of which was non-taxable. Our
effective tax rate for 2021 was also affected by the gain on bargain purchase of
$74.4 million related to the NORCAL acquisition, all of which was non-taxable.
See further discussion on the contingent consideration and the gain on bargain
purchase in Note 2 of the Notes to Consolidated Financial Statements. There were
no other individually significant items impacting our effective tax rates for
2022 or 2021.

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