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

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November 8, 2022 Newswires
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PROASSURANCE CORP – 10-Q – MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

Edgar Glimpses
The following discussion should be read in conjunction with the Condensed
Consolidated Financial Statements and Notes to those statements which accompany
this report. 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," "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.

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 Reinsurance, Lloyd's
Syndicates and Corporate. Additional information on ProAssurance's five
operating and reportable segments is included in Note 18 of the Notes to
Consolidated Financial Statements in our December 31, 2021 report on Form 10-K
and in the Segment Results sections herein that follow.

Critical Accounting Estimates


Our Condensed 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, including
the potential impacts of the COVID-19 pandemic (see "Item 1A, Risk Factors" in
our December 31, 2021 report on Form 10-K for additional information). 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. A detailed discussion of our
critical accounting estimates is included in our Critical Accounting Estimates
section in Item 7 of our December 31, 2021 report on Form 10-K.

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
•Reinsurance
•Valuation of investments and impairment of securities
•Goodwill
•Income taxes

Estimation of Taxes / Tax Credits


For interim periods, we generally utilize the estimated annual effective tax
rate method under which we determine our provision (benefit) for income taxes
based on the current estimate of our annual effective tax rate. For the six
months ended June 30, 2022, we utilized the discrete effective tax rate method
for recording income taxes in the period. The discrete method was utilized
during the first half of 2022 because the application of the estimated annual
effective tax rate method was impractical and did not provide a reliable
estimate of the annual effective tax rate. Furthermore, we believed the use of
the discrete effective tax rate method for the six months ended June 30, 2022
was more appropriate than the annual effective tax rate method as minor changes
in our estimated ordinary income would have had a significant effect on the
estimated annual effective tax rate and would have resulted in sizable
variations in the customary relationship between income tax expense (benefit)
and pretax accounting income (loss). For the nine months ended September 30,
2022, we reevaluated our use of the discrete effective tax rate method and
concluded that a return to the estimated annual effective tax rate method is
appropriate given our revised financial projections and ability to provide a
reliable estimate of the annual effective tax rate in the current period. Under
the estimated annual effective tax rate method, items which are unusual,
infrequent, or that cannot be reliably estimated are considered in the effective
tax rate in the period in which the item is included in income and are referred
to as discrete items. In calculating our year-to-date income tax expense
(benefit), we include the estimated benefit of tax credits for the year-to-date
period based on the most recently available information provided by the tax
credit partnerships; the actual
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amounts of credits provided by the tax credit partnerships may prove to be
different than our estimates. The effect of such a difference is recognized in
the period identified.


For the nine months ended September 30, 2021, we utilized the discrete effective
tax rate method for recording income taxes after the estimated annual effective
tax rate method produced an unreliable estimated annual effective tax rate. See
further discussion on this method in the Critical Accounting Estimates section
under the heading "Estimation of Taxes/Tax Credits" of our September 30, 2021
report on Form 10-Q.

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 Condensed
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
Condensed Consolidated Statement of Income and Comprehensive Income for the
three and nine months ended September 30, 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 Condensed 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 the
nine months ended September 30, 2022. We are not aware of any accounting changes
not yet adopted as of September 30, 2022 that could have a material impact on
our results of operations, financial position or cash flows.

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 September 30, 2022, we held cash and liquid investments of
approximately $86 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 November 2, 2022, no borrowings were outstanding under our
Revolving Credit Agreement.

To date, during 2022, our operating subsidiaries have paid dividends to us of
approximately $47 million, which included $6 million that was paid in October
2022. Dividends paid in October 2022 have not been included in our cash and
liquid investments held outside of our insurance subsidiaries at September 30,
2022. Excluding the dividends paid in October 2022, our insurance subsidiaries,
in the aggregate, are permitted to pay dividends of approximately $108 million
over the remainder of 2022 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).
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Operating Activities and Related Cash Flows

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 discussion in our Liquidity section under the same heading in Item 7
of our December 31, 2021 report on Form 10-K includes additional information
regarding our reinsurance agreements.

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 detailed in the following
table.
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                     Excess of Loss Reinsurance Agreements
                     [[Image Removed: pra-20220930_g1.jpg]]
    Healthcare Professional         Medical Technology & Life           Workers' Compensation -
           Liability                    Sciences Products                     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.

(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.



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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-20220930_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.

Cash Flows

Cash flows between periods compare as follows:


                                                           Nine Months 

Ended September 30

                   (In thousands)                        2022            2021          Change
 Net cash provided (used) by:
 Operating activities                               $      6,673      $  69,363      $ (62,690)
 Investing activities                                    (91,749)       (25,531)       (66,218)
 Financing activities                                    (17,154)       (56,661)        39,507

Increase (decrease) in cash and cash equivalents $ (102,230) $ (12,829) $ (89,401)



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 $62.7 million for the nine months ended
September 30, 2022 as compared to the nine months ended September 30, 2021 was
primarily due to:

•An increase in paid losses of $204.6 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 $96.9 million driven by our
Specialty P&C and Corporate segments, partially offset by lower
transaction-related costs associated with our acquisition of NORCAL as

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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. 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 2 to the Notes to Condensed 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 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 $203.6 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 $46.3 million driven by
an increase in distributed earnings and redemptions from our portfolio of
investments in LPs/LLCs. The increase in the current period also reflected an
increase in our investment balances due to the acquisition of NORCAL.

The remaining variance in operating cash flows for the nine months ended
September 30, 2022 as compared to the same period of 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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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 three months ended September 30, 2022, due to our expected
consolidated loss calculated on a tax basis, or the three and nine months ended
September 30, 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 Estimate section under
the heading "U.S. Tax Legislation" and Note 7 of the Notes to Consolidated
Financial Statements in our December 31, 2021 report on Form 10-K. 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 claim for a refund of approximately
$11.7 million, which we currently anticipate to receive by December 31, 2022.

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
September 30, 2022. These NOL carryforwards are subject to limitation by
Internal Revenue Code Section 382 and will begin to expire in 2035. For
additional information on the NORCAL acquisition see Note 2 and Note 7 of the
Notes to Consolidated Financial Statements in our December 31, 2021 report on
Form 10-K.
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Investing Activities and Related Cash Flows

Our investments at September 30, 2022 and December 31, 2021 are comprised as
follows:

                                                                      September 30, 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                                  $         217,951                    5  %       $         238,507                    5  %
U.S. Government-sponsored enterprise obligations                      19,893                    1  %                  20,234                    1 

%

State and municipal bonds                                            450,839                   10  %                 519,196                   11  %
Corporate debt                                                     1,751,087                   40  %               1,898,556                   39  %
Residential mortgage-backed securities                               373,807                    8  %                 453,941                    9  %
Commercial mortgage-backed securities                                206,625                    5  %                 245,624                    5  %
Other asset-backed securities                                        410,941                    9  %                 457,664                    9  %
Total fixed maturities, available-for-sale                         3,431,143                   78  %               3,833,722                   79  %
Fixed maturities, trading                                             43,451                    1  %                  43,670                    1  %
Total fixed maturities                                             3,474,594                   79  %               3,877,392                   80  %

Equity investments(1)                                                142,254                    3  %                 214,807                    4  %
Short-term investments                                               288,927                    7  %                 216,987                    4  %
BOLI                                                                  81,239                    2  %                  81,767                    2  %
Investment in unconsolidated subsidiaries                            305,184                    7  %                 335,576                    7  %
Other investments                                                     93,309                    2  %                 101,794                    3  %
Total investments                                          $       4,385,507                  100  %       $       4,828,323                 

100 %
(1) Includes $110.9 million and $187.1 million of investment grade bond funds as of September 30, 2022 and December 31, 2021, respectively, which
are not subject to significant equity price risk.



At September 30, 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:

                                                           September 30, 2022                             December 31, 2021
                                                      Carrying          % of Total                  Carrying            % of Total
                 ($ in thousands)                      Value            Investment                   Value              Investment
Rating*
AAA                                               $     985,835                   29  %       $       1,129,136                   29  %
AA+                                                     117,622                    3  %                 130,077                    3  %
AA                                                      209,514                    6  %                 254,570                    7  %
AA-                                                     185,546                    5  %                 194,661                    5  %
A+                                                      260,981                    7  %                 221,473                    6  %
A                                                       432,200                   13  %                 521,598                   14  %
A-                                                      337,990                   10  %                 364,147                    9  %
BBB+                                                    203,159                    6  %                 292,984                    8  %
BBB                                                     308,945                    9  %                 300,650                    8  %
BBB-                                                    138,060                    4  %                 127,982                    3  %
Below investment grade                                  241,136                    7  %                 296,444                    8  %
Not rated                                                10,155                    1  %                       -                    -  %
Total                                             $   3,431,143                  100  %       $       3,833,722                  100  %

*Average of three NRSRO sources, presented as an S&P equivalent. Source: S&P, Copyright ©2022, S&P Global Market Intelligence



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A detailed listing of our investment holdings as of September 30, 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 $80 million and $150 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 7 of
the Notes to Condensed Consolidated Financial Statements.

At September 30, 2022, our FAL was comprised of fixed maturity securities with a
fair value of $29.7 million and cash and cash equivalents of $0.4 million
deposited with Lloyd's. See further discussion in Note 3 of the Notes to
Condensed 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.

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
September 30, 2022 was 3.59 years; the weighted average effective duration of
our fixed maturity securities combined with our short-term securities was 3.31
years.

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

                                                       Carrying Value                          September 30, 2022

($ in thousands, except expected funding September 30, December 31,

             Unfunded      Expected funding
                   period)                          2022             2021                Commitment      period in years
Qualified affordable housing project tax
credit partnerships (1)                       $        5,037    $     12,424          $         267                      5

All other investments, primarily investment
fund LPs/LLCs                                        300,147         323,152                133,643                      5
Total                                         $      305,184    $    335,576          $     133,910
(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 September 30, 2022, we had investments in 35
separate investment funds with a total carrying value of $300.1 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.

Treasury Shares


We repurchased approximately 139,000 common shares at a cost of approximately
$3.3 million, conducted through a 10b5-1 stock repurchase plan in July 2022. We
did not repurchase any shares during the nine months ended September 30, 2021.
We did not repurchase any common shares subsequent to September 30, 2022, and as
of November 2, 2022, our remaining Board authorization was approximately $106.4
million.
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Debt


At September 30, 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 13 of the Notes to
Consolidated Financial Statements in our December 31, 2021 report on Form 10-K
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 September 30, 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 7 of the Notes to
Condensed 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. See Note 2 of the Notes to Consolidated Financial Statements of our
December 31, 2021 report on Form 10-K for additional information on our interest
rate cap agreement.

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.
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Results of Operations - Three and Nine Months Ended September 30, 2022 Compared
to Three and Nine Months Ended September 30, 2021

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

                                            Three Months Ended September 30                        Nine Months Ended September 30

($ in thousands, except per share

              data)                     2022             2021            Change                 2022          2021           Change

Revenues:

Net premiums written              $   281,989      $   287,043      $   (5,054)             $ 803,055     $ 677,527     $  125,528

Net premiums earned               $   258,355      $   272,248      $  (13,893)             $ 771,337     $ 698,598     $   72,739

Net investment result                  17,893           34,522         (16,629)                73,080        85,672        (12,592)
Net investment gains (losses)          (8,262)             530          (8,792)               (45,652)       20,212        (65,864)
Other income                            5,097            2,400           2,697                 13,215         6,862          6,353
Total revenues                        273,083          309,700         (36,617)               811,980       811,344            636

Expenses:

Net losses and loss adjustment
expenses                              198,073          223,393         (25,320)               585,166       555,030         30,136
Underwriting, policy acquisition
and operating expenses                 80,679           66,812          13,867                229,788       200,450         29,338
SPC U.S. federal income tax
expense                                   433              431               2                  1,424         1,291            133
SPC dividend expense (income)             183            1,320          (1,137)                 1,697         5,926         (4,229)
Interest expense                        5,513            5,814            (301)                14,872        14,203            669

Total expenses                        284,881          297,770         (12,889)               832,947       776,900         56,047
Gain on bargain purchase                    -                -               -                      -        74,408        (74,408)

Income (loss) before income taxes (11,798) 11,930 (23,728)

               (20,967)      108,852       (129,819)
Income tax expense (benefit)           (2,673)            (270)         (2,403)                (6,623)       (3,132)        (3,491)
Net income (loss)                 $    (9,125)     $    12,200      $  (21,325)             $ (14,344)    $ 111,984     $ (126,328)

Non-GAAP operating income (loss) $ (2,976) $ 13,766 $ (16,742)

             $  21,033     $  42,452     $  (21,419)
Earnings (loss) per share:
Basic                             $     (0.17)     $      0.23      $    (0.40)             $   (0.27)    $    2.08     $    (2.35)
Diluted                           $     (0.17)     $      0.23      $    (0.40)             $   (0.27)    $    2.07     $    (2.34)
Non-GAAP operating income (loss)
per share:
Basic                             $     (0.06)     $      0.25      $    (0.31)             $    0.39     $    0.79     $    (0.40)
Diluted                           $     (0.06)     $      0.25      $    (0.31)             $    0.39     $    0.79     $    (0.40)
Net loss ratio                           76.7  %          82.1  %         (5.4   pts)            75.9  %       79.4  %        (3.5   pts)
Underwriting expense ratio               31.2  %          24.5  %          6.7   pts             29.8  %       28.7  %         1.1   pts
Combined ratio                          107.9  %         106.6  %          1.3   pts            105.7  %      108.1  %        (2.4   pts)
Operating ratio                          98.3  %          99.5  %         (1.2   pts)            97.0  %      100.7  %        (3.7   pts)
Effective tax rate                       22.7  %          (2.3  %)        25.0   pts             31.6  %       (2.9  %)       34.5   pts
Return on equity*                        (3.3  %)          4.0  %         (7.3   pts)            (1.5  %)       4.2  %        (5.7   pts)
Non-GAAP operating return on
equity*                                  (1.1  %)          4.1  %         (5.2   pts)             2.2  %        4.2  %        (2.0   pts)

*Annualized. 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 three and nine months ended September 30, 2022 as
compared to the three and nine months ended September 30, 2021. See the Segment
Results sections that follow for additional information regarding each segment's
results.

Revenues

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


                                            Three Months Ended September 30                                               Nine Months Ended September 

30

   ($ in thousands)          2022                2021                       Change                         2022                2021                     

Change

Net premiums earned
Specialty P&C           $   192,762          $ 203,716          $ (10,954)             (5.4  %)       $   574,276          $ 487,963          $ 86,313              17.7  %
Workers' Compensation
Insurance                    42,063             42,235               (172)             (0.4  %)           124,456            122,872             1,584               1.3  %
Segregated Portfolio
Cell Reinsurance             17,811             15,344              2,467              16.1  %             53,347             47,500             5,847              12.3  %
Lloyd's Syndicates            5,719             10,953             (5,234)            (47.8  %)            19,258             40,263           (21,005)            (52.2  %)

Consolidated total $ 258,355 $ 272,248 $ (13,893)

            (5.1  %)       $   771,337          $ 698,598          $ 72,739              10.4  %


For the three and nine months ended September 30, 2022, consolidated net
premiums earned included earned premium from our acquisition of NORCAL of
approximately $69.2 million and $221.1 million, respectively, as compared to
$82.9 million and $131.4 million during the same respective periods of 2021. The
decrease in NORCAL earned premium for the 2022 three-month period was driven by
our process of evaluating the NORCAL book of business and implementing
ProAssurance's underwriting strategies. Excluding NORCAL premiums, our
consolidated net premiums earned decreased for the three and nine months ended
September 30, 2022 by $0.2 million and $17.0 million, respectively, as compared
to the same respective periods of 2021.

•The decrease in our Lloyd's Syndicates segment for the three and nine months
ended September 30, 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.

•For our Specialty P&C segment, excluding NORCAL premiums, net premiums earned
increased $2.7 million during the 2022 three-month period and decreased $3.4
million during the 2022 nine-month period as compared to the same respective
periods of 2021. The increase in net premiums earned for the 2022 three-month
period was primarily attributable to our focus on rate adequacy. In the second
quarter of 2021, we wrote a tail policy which resulted in $7.8 million of
one-time premium written and fully earned at that time. The non-recurrence of
this one-time transaction was the largest impact to the decline in earned
premium for our legacy Specialty P&C business during the 2022 nine-month period.
The decrease in net premiums earned in our Specialty P&C segment during the 2022
nine-month period also reflected the effect of an adjustment made during the
second quarter of 2022 to ceded premiums owed under reinsurance agreements
related to prior accident year losses; no such adjustments were made during the
2022 three-month period or 2021 three- and nine-month periods.

•Net premiums earned in our Segregated Portfolio Cell Reinsurance segment
increased for the 2022 three- and nine-month periods driven by tail coverage
premiums primarily related to one program in which we do not participate, which
resulted in $1.7 million and $4.7 million of one-time premium written and fully
earned, respectively.

•For our Workers' Compensation Insurance segment, net premiums earned remained
relatively unchanged for the 2022 three-month period and increased for the 2022
nine-month period due to the prior year effect of a $1.2 million reduction in
our EBUB estimate during the first quarter of 2021 and an increase in audit
premiums billed to policyholders in 2022.


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The following table shows our consolidated net investment result:

                                               Three Months Ended September 30                                                Nine Months Ended September 30
     ($ in thousands)           2022                2021                        Change                         2022                2021                       Change

Net investment income $ 24,745 $ 19,278 $ 5,467

               28.4  %        $   67,132            $ 51,713          $  15,419              29.8  %
Equity in earnings (loss)
of unconsolidated
subsidiaries*                    (6,852)           15,244            (22,096)            (144.9  %)            5,948              33,959            (28,011)            (82.5  %)

Net investment result $ 17,893 $ 34,522 $ (16,629)

             (48.2  %)       $   73,080            $ 85,672          $ (12,592)            (14.7  %)

*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 three and nine
months ended September 30, 2022 as compared to the same respective periods of
2021 reflected higher average book yields as we continue to reinvest at higher
rates as our portfolio matures and, for the 2022 nine-month period the addition
of NORCAL's investment portfolio. Furthermore, the increase in net investment
income during the 2022 nine-month period reflected the prior year impact of
capital planning in anticipation of closing the NORCAL acquisition. Equity in
earnings of unconsolidated subsidiaries decreased for the three and nine months
ended September 30, 2022 as compared to the same respective periods of 2021
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 the first half of 2022, partially offset by lower amortization of tax
credit partnership operating losses.

The following table shows our consolidated other income:

                                            Three Months Ended September 30, 2022                                       Nine Months Ended September 30, 2022
      ($ in thousands)             2022                2021                     Change                        2022                2021                     Change
Other income                 $       5,097          $ 2,400          $ 2,697             112.4  %       $      13,215          $ 6,862          $ 6,353              92.6  %


The increase in consolidated other income for the 2022 three- and nine-month
periods was driven by the effect of foreign currency exchange rate changes of
$2.3 million and $5.4 million, respectively, in our Corporate segment related to
foreign currency denominated loss reserves associated with premium assumed from
an international medical professional liability insured in our Specialty P&C
segment. We mitigate foreign exchange exposure by generally matching the
currency and duration of associated investments to the corresponding loss
reserves. In accordance with GAAP, the impact on the market value of
available-for-sale fixed maturities due to changes in foreign currency exchange
rates is reflected as part of OCI. Conversely, the impact of changes in foreign
currency exchange rates on loss reserves is reflected through net income (loss)
as a component of other income. The effect of exchange rate changes on foreign
currency denominated loss reserves are reported in our Corporate segment to be
consistent with the reporting of the foreign currency denominated invested
assets and associated investment income.
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Expenses

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


                                              Three Months Ended September 30                         Nine Months Ended September 30
          ($ in millions)               2022              2021              Change              2022              2021              Change
Current accident year net loss ratio
Consolidated ratio                       79.5  %           85.2  %         (5.7   pts)           80.0  %           83.3  %         (3.3   pts)
Specialty P&C                            82.9  %           90.0  %         (7.1   pts)           84.3  %           89.7  %         (5.4   pts)
Workers' Compensation Insurance          71.7  %           77.8  %         (6.1   pts)           71.8  %           74.0  %         (2.2   pts)
Segregated Portfolio Cell
Reinsurance                              67.7  %           67.2  %          0.5   pts            67.5  %           66.3  %          1.2   pts
Lloyd's Syndicates                       56.2  %           50.4  %          5.8   pts            37.8  %           54.5  %        (16.7   pts)
Calendar year net loss ratio
Consolidated ratio                       76.7  %           82.1  %         (5.4   pts)           75.9  %           79.4  %         (3.5   pts)
Specialty P&C                            80.1  %           86.6  %         (6.5   pts)           79.6  %           85.6  %         (6.0   pts)
Workers' Compensation Insurance          66.9  %           74.3  %         (7.4   pts)           66.9  %           69.4  %         (2.5   pts)
Segregated Portfolio Cell
Reinsurance                              64.0  %           56.7  %          7.3   pts            60.3  %           55.9  %          4.4   pts
Lloyd's Syndicates                       72.7  %           62.5  %         10.2   pts            64.2  %           62.7  %          1.5   pts
Favorable (unfavorable) reserve
development, prior accident years
Consolidated                         $       7.2       $       8.6       $ (1.4)             $      31.5       $      27.2       $  4.3
Specialty P&C                        $       5.5       $       6.8       $ (1.3)             $      26.8       $      20.0       $  6.8
Workers' Compensation Insurance      $       2.0       $       1.5       $  0.5              $       6.0       $       5.6       $  0.4
Segregated Portfolio Cell
Reinsurance                          $       0.6       $       1.6       $ (1.0)             $       3.8       $       4.9       $ (1.1)
Lloyd's Syndicates                   $     (0.9)       $     (1.3)       $  0.4              $     (5.1)       $     (3.3)       $ (1.8)


The primary drivers of the change in our consolidated current accident year net
loss ratio for the three and nine months ended September 30, 2022 as compared to
the same respective periods of 2021 were as follows:

                                                                              Increase (Decrease)
                                                                                2022 versus 2021
                                                                 Comparative                       Comparative
                                                                 three-month                       nine-month
                  (In percentage points)                           periods                           periods

Estimated ratio increase (decrease) attributable to:
NORCAL Operations

                                                 (2.3 pts)                         (0.8 pts)
NORCAL Acquisition - Purchase Accounting Amortization              0.9 pts                            - pts
Change in Estimate of ULAE                                        (3.2 pts)                         (2.4 pts)

Ceded Premium Adjustments, Prior Accident Years                     - pts                            0.3 pts
SPCs Estimated Aggregate Reinsurance                               0.2 pts                           0.3 pts
All other, net                                                    (1.3 pts)                         (0.7 pts)

Decrease in the consolidated current accident year net loss
ratio

                                                             (5.7 pts)                         (3.3 pts)


•Excluding the impact of the items specifically identified in the table above,
our consolidated current accident year net loss ratios for the three and nine
months ended September 30, 2022 decreased 1.3 and 0.7 percentage points,
respectively, as compared to the same respective periods of 2021 driven by our
Workers' Compensation Insurance and Specialty P&C segments and, for the 2022
nine-month period, our Lloyd's Syndicates segment. The lower current accident
year net loss ratios in our Workers' Compensation Insurance segment for the
three and nine months ended September 30, 2022 was driven by 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 for the 2021 three-month period was also impacted
by an increase in the full-year loss ratio from 72% at June 30, 2021 to 74% at
September 30, 2021. The improvement in the current accident year net loss ratios
in our Specialty P&C segment for the three and nine months ended September 30,
2022 was driven by our reduction to certain expected loss ratios in our Standard
Physician line of business primarily reflecting the improvement in pricing and
terms that we have obtained in our estimate of expected losses, which we began
recognizing in the second half of 2021, somewhat
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offset by changes in the mix of business. Furthermore, we continue to observe a
reduction in claims frequency that started to emerge in 2020, some of which is
due to our re-underwriting efforts and some of which, we believe, is associated
with the COVID-19 pandemic including the disruption of the court systems. Given
the consistent and prolonged nature of this favorable claims frequency trend, we
reduced certain expected loss ratios in our Standard Physician line of business
during the third and fourth quarters of 2021. We continue to remain cautious in
recognizing the full impact of these favorable trends in our current accident
year reserve due to the long-tailed nature of our HCPL claims as well as the
uncertainty surrounding the length and severity of the pandemic. For our Lloyd's
Syndicates segment, the lower current accident year net loss ratio for the 2022
nine-month period 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 further reduced certain expected loss ratios during the
third quarter of 2022 due to favorable frequency trends, as previously
discussed, leading to a 2.3 and 0.8 percentage point improvement in our
consolidated current accident year net loss ratio for the three and nine months
ended September 30, 2022, respectively, as compared to the same periods of 2021.
The improvement in our consolidated current accident year net loss ratio for the
nine months ended September 30, 2022 as compared to the prior year period also
reflected the higher volume of NORCAL premiums in the 2022 nine-month period.

•Also as a result of our acquisition of NORCAL, our consolidated current
accident year net loss ratios for the nine months ended September 30, 2022 and
the three and nine months ended September 30, 2021 were impacted by the purchase
accounting amortization of the negative VOBA associated with NORCAL's assumed
unearned premium of $4.9 million, $2.5 million and $4.3 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 0.9
percentage point increase in the 2022 three-month period ratio as compared to
the prior year period. The purchase accounting amortization did not have an
impact on our consolidated current accident year net loss ratio for the nine
months ended September 30, 2022 as compared to the prior year period as each
respective nine-month period had two quarters of amortization.

•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 3.2 and 2.4 percentage point decrease in our consolidated
current accident year net loss ratios for the three and nine months ended
September 30, 2022 with an offsetting 3.2 and 2.4 percentage point increase,
respectively, in our consolidated expense ratios for the same current periods
with no impact to our consolidated combined ratios, total expenses or net
income. See additional information on this change in ULAE estimate in the
Segment Results - Specialty Property and Casualty section that follows.

•During the 2022 nine-month period, we increased our estimate of premiums owed
under swing rated reinsurance agreements related to prior accident years in our
Specialty P&C segment which decreased net premium earned (the denominator of the
current accident year net loss ratio) and accounted for a 0.3 percentage point
increase in our consolidated current period ratio. No such adjustments were made
during the 2022 three-month period or 2021 three- and nine-month periods. See
the Segment Results - Specialty Property and Casualty section that follows under
the heading "Ceded Premiums Written" for additional information.

•Furthermore, our consolidated current accident year net loss ratios for the
2022 three- and nine-month periods reflected the effects of a decrease in our
estimate of aggregate reinsurance under the workers' compensation programs in
our Segregated Portfolio Cell Reinsurance segment, which accounted for an
increase of 0.2 and 0.3 percentage points, respectively, in the current period
ratios as compared to the prior year periods. The decrease in the estimated
aggregate reinsurance reflected an improvement in expected ultimate program year
losses in certain programs.
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In both the 2022 and 2021 three- and nine-month periods, our consolidated
calendar year net loss ratios were lower than our consolidated current accident
year net loss ratios due to the recognition of net favorable prior year reserve
development, as shown in the previous table. The following table shows our
consolidated net prior accident year reserve development:

                                               Three Months Ended September 30                                          Nine Months Ended September 30
      ($ in thousands)            2022               2021                     Change                      2022                2021                      Change

Net favorable reserve
development                   $    4,714          $ 5,688          $   (974)          (17.1  %)       $      23,219       $      22,196       $ 1,023              4.6  %
NORCAL Acquisition - Purchase
Accounting Amortization*           2,510            2,900              (390)          (13.4  %)               8,309               5,009         3,300             65.9  %
Total net favorable reserve
development                   $    7,224          $ 8,588          $ 

(1,364) (15.9 %) $ 31,528 $ 27,205 $ 4,323

             15.9  %

*See Note 2 of the Notes to Consolidated Financial Statements in our December 31, 2021 report on Form 10-K for additional information on the remaining expected
amortization of the NORCAL acquisition purchase accounting adjustments.



•We reduced our prior accident year IBNR reserve for COVID-19 by $3.0 million
and $6.0 million during the 2022 three- and nine-month periods, respectively, as
compared to $1.0 million in each of the 2021 three- and nine-month periods as
early first notices of potential claims related to anticipated COVID losses have
not turned into claims. 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" in our December 31, 2021 report on Form
10-K.

•Development recognized in our Specialty P&C segment during the three months
ended September 30, 2022 related to the accident year 2020 and development
recognized for the nine months ended September 30, 2022 principally related to
accident years 2018 through 2021. We have not recognized any development related
to NORCAL's prior accident year reserves since the date of acquisition on May 5,
2021.

•For our Workers' Compensation Insurance and Segregated Portfolio Cell
Reinsurance segments, the net favorable development recognized during the three
and nine months ended September 30, 2022 reflected overall favorable trends in
claim closing patterns.

•We recognized $0.9 million and $5.1 million of unfavorable prior year
development in our Lloyd's Syndicates segment during the three and nine months
ended September 30, 2022, respectively, 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:

                                             Three Months Ended September 30                                    Nine Months Ended September 30
                                    2022                2021                 Change                  2022                  2021                   Change
Underwriting Expense Ratio
Consolidated (1)                      31.2  %             24.5  %          
   6.7   pts                29.8  %               28.7  %                1.1   pts
Specialty P&C                         26.6  %             17.7  %              8.9   pts                24.8  %               18.7  %                6.1   pts
Workers' Compensation Insurance       33.6  %             32.0  %              1.6   pts                32.8  %               31.3  %                1.5   pts
Segregated Portfolio Cell
Reinsurance                           31.4  %             31.0  %              0.4   pts                28.5  %               31.7  %               (3.2   pts)
Lloyd's Syndicates                    32.7  %             35.7  %             (3.0   pts)               31.6  %               37.8  %               (6.2   pts)
Corporate (2)                          3.5  %              2.5  %              1.0   pts                 3.5  %                2.7  %                0.8   pts
(1) Consolidated underwriting expenses include transaction-related costs for the nine months ended September 30, 2022 and the three and nine months ended
September 30, 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. We did not incur any transaction-related costs associated with our acquisition of NORCAL for the
three months ended September 30, 2022. See Note 11 of the Notes to Condensed 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 2022 three-
and nine-month periods as compared to the same respective periods of 2021 was
primarily attributable to the following:

                                                                                   Increase (Decrease)
                                                                                     2022 versus 2021
                                                                        Comparative                   Comparative
                      (In percentage points)                        three-month period             nine-month period

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

                       1.1 pts                       0.1 pts

NORCAL DPAC Amortization - Prior Period Purchase Accounting Impact 2.1 pts

                       1.7 pts
Change in Estimate of ULAE                                                3.2 pts                       2.4 pts

Transaction-related Costs(1)                                             (0.8 pts)                     (3.1 pts)
One-Time Expenses(2)                                                      0.7 pts                       0.5 pts
All other, net                                                            0.4 pts                      (0.5 pts)
Increase in the underwriting expense ratio                                6.7 pts                       1.1 pts
(1) Represents transaction-related costs associated with our acquisition of NORCAL of $1.9 million for the nine months
ended September 30, 2022 as compared to $2.3 million and $23.5 million for the three and nine months ended
September 30, 2021, respectively. We did not incur any transaction-related costs associated with our acquisition of
NORCAL for the three months ended September 30, 2022. 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 of our operating or reportable segments. See Note 11 of the Notes to Condensed Consolidated Financial Statements
for a reconciliation of our segment results to our consolidated results.
(2) Represents one-time expenses of $1.8 million and $3.6 million for the three and nine months ended September 30,
2022, respectively, 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 the items specifically identified in the table above,
our consolidated underwriting expense ratio for the 2022 three-month period
increased by 0.4 percentage points and decreased by 0.5 percentage points for
the 2022 nine-month period as compared to the same respective periods of 2021.
The increase in our consolidated underwriting expense ratio for the 2022
three-month period was primarily driven by an increase in compensation-related
costs, business-related travel and our allowance for credit losses in our
Workers' Compensation Insurance segment. The decrease in our consolidated
underwriting expense ratio for the 2022 nine-month period was primarily due to
the benefits from prior organizational restructurings and proactive expense
management as well as expense synergies recognized from the NORCAL acquisition
in our Specialty P&C segment. The decrease in the 2022 nine-month period ratio
also reflected the impact of our ceased participation in Syndicate 6131 for the
2022 underwriting year.

•As shown in the previous table, our consolidated underwriting expense ratios
for both the 2022 three- and nine-month periods are higher as compared to the
same respective periods of 2021 reflecting the impact of lower DPAC amortization
than would have otherwise been recognized associated with NORCAL policies during
each of the 2021 three- and nine-month periods due to the application of GAAP
purchase accounting rules in 2021. 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 the 2022 three-month period included a
normalized level of amortization associated with NORCAL policies whereas the
2022 nine-month period was approximately $1.0 million lower than would have
otherwise been recognized. Normalizing the prior year amortization would have
increased our consolidated underwriting expense ratios for the 2021 three- and
nine-month periods by 2.1 and 1.7 percentage points, respectively.

•As shown in the previous table, the consolidated underwriting expense ratios
for the three and nine months ended September 30, 2022 reflected a revision to
our process of estimating ULAE which resulted in approximately $8.2 million and
$21.8 million, respectively, 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 consolidated loss and
expense ratios during the same periods 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.
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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 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
included in our December 31, 2021 report on Form 10-K.

Taxes

Our provision for income taxes and effective tax rates for the nine months ended
September 30, 2022 and 2021 were as follows:


                                                       Nine Months Ended 

September 30

              ($ in thousands)              2022           2021             

Change

Income (loss) before income taxes $ (20,967) $ 108,852 $ (129,819) (119.3 %)

    Less: Income tax expense (benefit)      (6,623)        (3,132)         (3,491)       (111.5  %)
    Net income (loss)                    $ (14,344)     $ 111,984      $ (126,328)       (112.8  %)
    Effective tax rate                      31.6%         (2.9%)         34.5 pts


We recognized an income tax benefit of $6.6 million and $3.1 million during the
nine months ended September 30, 2022 and 2021, respectively; however, the
comparability of our effective tax rates is impacted by the consolidated pre-tax
loss recognized during the 2022 nine-month period as compared to consolidated
pre-tax income recognized in the 2021 nine-month period. Furthermore, the
comparability of our effective tax rates is impacted by our use of the estimated
annual effective tax rate method for the 2022 nine-month period versus our use
of the discrete effective tax rate method for the 2021 nine-month period (see
further discussion on these methods in the Critical Accounting Estimates section
under the heading "Estimation of Taxes/Tax Credits").

Our effective tax rates for both the 2022 and 2021 nine-month periods were
different from the statutory federal income tax rate of 21% due to the benefit
recognized from the tax credits transferred to us from our tax credit
partnership investments. Additionally, our effective tax rate for the 2021
nine-month period was different from the statutory federal income tax rate of
21% due to the non-taxable $74.4 million gain on bargain purchase related to the
NORCAL acquisition, as previously discussed. See further discussion of other
notable items impacting our effective tax rate in the Segment Operating 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 three and nine months ended
September 30, 2022 and 2021 was as follows:


                                                    Three Months Ended September 30                           Nine Months Ended September 30
                                                2022            2021             Change                  2022            2021             Change
Combined ratio                                    107.9  %        106.6  %         1.3   pts               105.7  %        108.1  %        (2.4   pts)
Less: investment income ratio                       9.6  %          7.1  %         2.5   pts                 8.7  %          7.4  %         1.3   pts
Operating ratio                                    98.3  %         99.5  %        (1.2   pts)               97.0  %        100.7  %        (3.7   pts)

Combined ratio, excluding
transaction-related costs*                        107.9  %        105.8  %         2.1   pts               105.5  %        104.8  %         0.7   pts
*Our consolidated combined ratios for the 2022 nine-month period includes $1.9 million of transaction-related costs included in consolidated operating
expenses associated with our acquisition of NORCAL as compared to $2.3 million and $23.5 million for the 2021 three- and nine-month periods,
respectively. We did not incur any transaction-related costs associated with our acquisition of NORCAL for the three months ended September 30, 2022.
Given these costs do not reflect normal operating expenses, we have excluded their impact from our calculation of the consolidated combined ratio. See
previous discussion under the heading "Expenses."


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

                                                                                    Increase (Decrease)
                                                                                      2022 versus 2021
                                                                       Comparative                       Comparative
                                                                       three-month                       nine-month
                     (In percentage points)                              periods                           periods

Estimated ratio increase (decrease) attributable to:


NORCAL Acquisition - Purchase Accounting Amortization                    1.0 pts                          (0.3 pts)
Investment Results                                                      (2.5 pts)                         (1.3 pts)
Transaction-related Costs                                               (0.8 pts)                         (3.1 pts)

NORCAL DPAC Amortization - Prior Period Purchase Accounting
Impact

                                                                   2.1 pts                           1.7 pts
All other, net                                                          (1.0 pts)                         (0.7 pts)
Decrease in the operating ratio                                         (1.2 pts)                         (3.7 pts)


Excluding the impact of the items specifically identified in the table above,
our operating ratio for the 2022 three and nine months ended decreased by 1.0
and 0.7 percentage points, respectively, as compared to the same respective
periods of 2021. The decrease in our operating ratios for the 2022 three- and
nine-month periods were primarily due to a lower net loss ratio in our Specialty
P&C segment driven by a decrease to certain expected NORCAL loss ratios during
the fourth quarter of 2021 and further reduced certain expected loss ratios
during the third quarter of 2022 due to favorable frequency trends. Furthermore,
the improvement in the Specialty P&C segment's net loss ratio for the 2022
three- and nine-month periods reflected a decrease to certain expected loss
ratios in our Standard Physician line of business, which we began recognizing in
the second half of 2021, somewhat offset by changes in the mix of business. 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):

                                                             Three Months Ended                    Nine Months Ended
                                                                September 30                         September 30
         (In thousands, except per share data)             2022              2021               2022               2021
Net income (loss)                                       $ (9,125)         $ 12,200          $ (14,344)         $ 111,984
Items excluded in the calculation of Non-GAAP operating
income (loss):
Net investment (gains) losses                              8,262              (530)            45,652            (20,212)

Net investment gains (losses) attributable to SPCs
which no profit/loss is retained (1)

                        (562)              143             (3,362)             2,208
Transaction-related costs (2)                                  -             2,327              1,862             23,535

Guaranty fund assessments (recoupments)                        4                53                130                186

Gain on bargain purchase (3)                                   -                 -                  -            (74,408)
Pre-tax effect of exclusions                               7,704             1,993             44,282            (68,691)

Tax effect, at 21% (4)                                    (1,555)             (427)            (8,905)              (841)
After-tax effect of exclusions                             6,149             1,566             35,377            (69,532)
Non-GAAP operating income (loss)                        $ (2,976)         $ 13,766          $  21,033          $  42,452

Per diluted common share:
Net income (loss)                                       $  (0.17)         $   0.23          $   (0.27)         $    2.07
Effect of exclusions                                        0.11              0.02               0.66              (1.28)

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

                                                   $  (0.06)         $   0.25          $    0.39          $    0.79
(1) 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.
(2) 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.
(3) 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 from Non-GAAP operating income (loss) as it
does not reflect normal operating results.
(4) The 21% rate is the annual expected statutory tax rate associated with the taxable or tax deductible items listed
above. We utilized the estimated annual effective tax rate method for the nine months ended September 30, 2022, while we
utilized the discrete effective tax rate method for the nine months ended September 30, 2021. For the 2022 periods our
effective tax rate was applied to these items in calculating net income (loss), excluding net investment gains (losses) and
related adjustments. For the 2021 periods, our statutory tax rate was applied to these items in calculating net income
(loss), excluding the 2021 gain on bargain purchase. See further discussion on these methods in the Critical Accounting
Estimates section under the heading "Estimation of Taxes/Tax Credits". Net investment gains (losses) in our Corporate
segment are treated as discrete items and are tax effected at the annual expected statutory tax rate (21%) in the period
they are included in our consolidated tax provision and net income (loss). 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 is 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 annualized
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 three and nine months
ended September 30, 2022 and 2021:

                                                     Three Months Ended                                               Nine Months Ended
                                                        September 30                                                    September 30
                                       2022                  2021             Change                    2022                   2021             Change
ROE(1)                                   (3.3  %)               4.0  %         (7.3   pts)                 (1.5  %)               4.2  %         (5.7   pts)
Pre-tax effect of items excluded
in the calculation of Non-GAAP
operating ROE                             2.8  %                0.2  %          2.6   pts                   4.7  %                0.1  %          4.6   pts
Tax effect, at 21%(2)                    (0.6  %)              (0.1  %)        (0.5   pts)                 (1.0  %)              (0.1  %)        (0.9   pts)
Non-GAAP operating ROE                   (1.1  %)               4.1  %         (5.2   pts)                  2.2  %                4.2  %         (2.0   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 nine months ended
September 30, 2021 consistent with our treatment of gains on bargain purchases from previous acquisitions. Further, transaction-related costs associated
with our acquisition of NORCAL were not annualized in our quarterly calculation of ROE for the nine months ended September 30, 2022 and the three and nine
months ended September 30, 2021 as these costs are considered non-recurring in nature.
(2) The 21% rate is the annual expected statutory tax rate associated with the taxable or tax deductible items. See further discussion in footnote 4 in this
section under the heading "Non-GAAP Operating Income."


Non-GAAP operating ROE was impacted by the amortization of purchase accounting
adjustments during the 2022 and 2021 three- and nine-month periods associated
with our acquisition of NORCAL, which decreased our Non-GAAP operating ROE by
0.5 points for the 2022 three-month period and increased 0.6 percentage points
for the 2022 nine-month period as compared to the same respective periods of
2021. See Note 2 of the Notes to Consolidated Financial Statements in our
December 31, 2021 report on Form 10-K for additional information on the NORCAL
acquisition and the related purchase accounting adjustments. Excluding the
purchase accounting amortization, Non-GAAP operating ROE for the 2022 three- and
nine-month periods decreased by 4.7 and 2.6 percentage points, respectively,
largely due to a lower amount of prior year DPAC amortization associated with
NORCAL policies than would have otherwise been recognized during the 2021 three-
and nine-month periods due to the application of GAAP purchase accounting rules
(see previous discussion under the heading "Expenses"). Furthermore, the
decrease in ROE for the 2022 three- and nine-month periods reflected a decrease
in our investment results from our portfolio of investments in LPs/LLCs and
unfavorable prior year development in our Lloyd's Syndicates segment. See
previous discussion in this section under the heading "Revenues" and further
discussion in our Segment Operating Results sections that follow.
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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 8 of the Notes to Condensed 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, 2021 and September 30, 2022:


                                                                              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 Adjusted Book Value Per Share during the nine months
ended September 30, 2022 attributable to:
Dividends declared                                                                           (0.15)

Net income (loss)                                                                            (0.27)

Other(2)                                                                                      0.01
Non-GAAP Adjusted Book Value Per Share at September 30, 2022                                 25.75
Add: AOCI Per Share(1)                                                                       (6.00)
Book Value Per Share at September 30, 2022                                  $                19.75
(1) Primarily the impact of accumulated unrealized investment gains (losses) on our
available-for-sale fixed maturity investments. See Note 8 of the Notes to Condensed 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 18 of the Notes to
Consolidated Financial Statements in our December 31, 2021 report on Form 10-K.
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 in our December 31, 2021 report on Form 10-K 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
nine months ended September 30, 2022 and the three and nine months ended
September 30, 2021 exclude transaction-related costs associated with our
acquisition of NORCAL as we do not consider these costs in assessing the
financial performance of the segment. We did not incur any transaction-related
costs associated with our acquisition of NORCAL for the three months ended
September 30, 2022. Segment results included the following:

                                              Three Months Ended September 30                                        Nine Months Ended September 30
       ($ in thousands)               2022              2021                Change                       2022              2021                   Change
Net premiums written            $         216,131 $        218,636 $  (2,505)       (1.1  %)       $         600,984 $        467,383 $ 133,601              28.6  %
Net premiums earned             $         192,762 $        203,716 $ (10,954)       (5.4  %)       $         574,276 $        487,963 $  86,313              17.7  %
Other income                                  832              860       (28)       (3.3  %)                   3,755            2,800       955              34.1  %
Net losses and loss adjustment
expenses                                (154,361)        (176,490)    22,129       (12.5  %)               (457,320)        (417,890)   (39,430)              9.4  %
Underwriting, policy
acquisition and operating
expenses                                 (51,295)         (36,147)   (15,148)       41.9  %                (142,252)         (91,369)   (50,883)             55.7  %
Segment results                 $        (12,062) $        (8,061) $  (4,001)      (49.6  %)       $        (21,541) $       (18,496) $  (3,045)            (16.5  %)

Net loss ratio                        80.1%            86.6%        (6.5 pts)                            79.6%            85.6%        (6.0 pts)
Underwriting expense ratio            26.6%            17.7%         8.9 pts                             24.8%            18.7%         6.1 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 nine months ended September 30, 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:

                                              Three Months Ended September 30                                              Nine Months Ended September 30
    ($ in thousands)            2022                 2021                      Change                        2022                2021                      Change
Gross premiums written    $   238,043            $ 235,091          $  2,952              1.3  %        $   663,476          $ 515,414          $ 148,062             28.7  %
Less: Ceded premiums
written                        21,912               16,455             5,457             33.2  %             62,492             48,031             14,461             30.1  %
Net premiums written      $   216,131            $ 218,636          $ (2,505)            (1.1  %)       $   600,984          $ 467,383          $ 133,601             28.6  %


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Gross Premiums Written

Gross premiums written by component were as follows:

                                                    Three Months Ended September 30                                                 Nine Months Ended September 30
       ($ in thousands)               2022                  2021                       Change                       2022                2021                       Change
Professional Liability
HCPL
Standard Physician(1)(12)      $     66,586             $  65,531          $ 1,055                1.6  %        $  162,928          $ 167,882          $  (4,954)             (3.0  %)
NORCAL Standard Physician(2)         54,340                55,235             (895)              (1.6  %)          199,898             71,575            128,323             179.3  %
Total Standard Physician            120,926               120,766              160                0.1  %           362,826            239,457            123,369              51.5  %

Specialty

Custom Physician(3)(12)              10,074                13,222           (3,148)             (23.8  %)           29,930             35,814             (5,884)            (16.4  %)
NORCAL Custom Physician(4)            4,858                 6,700           (1,842)             (27.5  %)           20,895              7,905             12,990             164.3  %
Hospitals and
Facilities(5)(12)                    18,408                12,802            5,606               43.8  %            43,574             39,553              4,021              10.2  %
NORCAL Hospitals and
Facilities(6)                         2,554                 3,999           (1,445)             (36.1  %)           11,022              6,386              4,636              72.6  %
Senior Care(7)(12)                      811                   573              238               41.5  %             5,481              6,333               (852)            (13.5  %)
Reinsurance assumed(8)               16,850                14,612            2,238               15.3  %            34,739             29,139              5,600              19.2  %

Total Specialty                      53,555                51,908            1,647                3.2  %           145,641            125,130             20,511              16.4  %
Total HCPL                          174,481               172,674            1,807                1.0  %           508,467            364,587            143,880              39.5  %
Small Business Unit(9)               38,983                38,718              265                0.7  %            84,484             84,662               (178)             (0.2  %)
Tail Coverages(10)(12)                8,667                 5,210            3,457               66.4  %            24,026             26,666             (2,640)             (9.9  %)
NORCAL Tail Coverages(10)             3,446                 6,544           (3,098)             (47.3  %)           15,011              8,994              6,017              66.9  %
Total Professional Liability        225,577               223,146            2,431                1.1  %           631,988            484,909            147,079              30.3  %
Medical Technology
Liability(11)                        12,167                11,709              458                3.9  %            30,780             29,887                893               3.0  %
Other                                   299                   236               63               26.7  %               708                618                 90              14.6  %
Total Gross Premiums Written   $    238,043             $ 235,091          $ 2,952                1.3  %        $  663,476          $ 515,414          $ 148,062              28.7  %


(1) Standard Physician premium, exclusive of NORCAL, increased for the 2022
three-month period and decreased for the 2022 nine-month period as compared to
the same respective periods of 2021. The increase in premium for the 2022
three-month period as compared to the same period of 2021 was driven by an
increase in renewal pricing and new business written, partially offset by
retention losses. The decrease in premium for the 2022 nine-month period as
compared to the same period of 2021 was 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 the 2022
nine-month period was an increase in renewal pricing and new business written.
Renewal pricing increases during the 2022 three- and nine-month periods reflect
the rising loss cost environment and new business written reflects the
competitive market conditions. Retention losses during the 2022 three- and
nine-month periods 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.
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(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 decreased for the 2022 three-month period as compared to the same period
of 2021 driven by retention losses, partially offset by an increase in renewal
pricing and, to a lesser extent, new business written. NORCAL Standard Physician
premium increased during the 2022 nine-month period as compared to the same
period of 2021 driven by four months of additional premium for the 2022
nine-month period as compared to the same period of 2021 due to the timing of
our acquisition of NORCAL on May 5, 2021. In addition, NORCAL Standard Physician
premium increased during the 2022 nine-month period as compared to the same
period of 2021 due to an increase in renewal pricing and, to a lesser extent,
new business written, partially offset by retention losses. Retention losses for
the 2022 three- and nine-month periods were primarily attributable to price
competition and, for the 2022 nine-month period, 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 decrease in Custom
Physician premium during the 2022 three- and nine-month periods as compared to
the same respective periods of 2021 reflected net timing differences of $5.2
million and $6.0 million, respectively, primarily related to the current year
renewal of a few policies. The decrease in Custom Physician premium during the
2022 three- and nine-month periods also reflected retention losses, partially
offset by an increase in renewal pricing, and, to a lesser extent, new business
written. Additionally, Custom Physician premium during the 2022 nine-month
period reflected the shifting of certain policies totaling $4.2 million from our
Standard Physician line of business. Renewal pricing increases for the 2022
three- and nine-month periods reflect pricing actions taken in response to a
rising loss cost environment and new business written reflects the competitive
market conditions. The retention rate in our Custom Physician book for the 2022
nine-month period 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 6.8 percentage
points.

(4) NORCAL Custom Physician premium represents premium contributed by NORCAL
since the date of acquisition and includes large complex physician groups,
multi-state physician groups and non-standard physicians and is written
primarily on an excess and surplus lines basis. The decrease in NORCAL Custom
Physician premium for the 2022 three-month period as compared to the same period
of 2021 was driven by retention losses, including the loss of a $2.2 million
policy during the third quarter of 2022 due to price competition, partially
offset by an increase in renewal pricing and, to a lesser extent, new business
written. NORCAL Custom Physician premium increased during the 2022 nine-month
period as compared to the same period of 2021 driven by four months of
additional premium for the 2022 nine-month period as compared to the same period
of 2021 due to the timing of our acquisition of NORCAL on May 5, 2021. In
addition, the increase in NORCAL Custom Physician premium during the 2022
nine-month period reflected an increase in renewal pricing and, to a lesser
extent, new business written, partially offset by retention losses. Retention
losses during the 2022 nine-month period 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 for
the 2022 three- and nine-month periods as compared to the same respective
periods of 2021 driven by new business written, primarily miscellaneous medical
facilities, and an increase in renewal pricing, partially offset by retention
losses. The increase in Hospitals and Facilities premium during the 2022
three-month period also reflected net timing differences of $6.4 million,
primarily related to the current year renewal of five policies; a majority of
these policies renewed in the third quarter of 2022 as compared to the first and
second quarters of 2021. Retention losses in the 2022 nine-month period 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 for the 2022 three- and nine-month periods 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. The decrease in NORCAL Hospitals and
Facilities premium for the 2022 three-month period as compared to the same
period of 2021 was driven by retention losses, partially offset by new business
written and, to a lesser extent, an increase in renewal pricing. NORCAL
Hospitals and Facilities premium increased during the 2022 nine-month period as
compared to the same period of 2021 driven four months of additional premium for
the 2022 nine-month period as compared to the same period of 2021 due to the
timing of our acquisition of NORCAL on May 5, 2021. In addition, the increase in
NORCAL Hospitals and Facilities premium during the 2022 nine-month period 2021
was driven by new business written and, to a lesser extent, an increase in
renewal pricing, partially offset by retention losses. Retention losses for the
2022 nine-month period are largely attributable to the process of evaluating the
NORCAL book of business and implementing ProAssurance's underwriting strategies.
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(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
for the 2022 three-month period and decreased for the 2022 nine-month period as
compared to the same respective periods of 2021. The decrease in Senior Care
premium for the 2022 nine-month period was driven by retention losses, partially
offset by new business written and, to a lesser extent, an increase in renewal
pricing. The lower premium retention for the 2022 nine-month period was
primarily due to a large account renewing with a meaningful reduction in
exposure driven by a reduction in the number of owned facilities.

(8) We offer custom alternative risk solutions including assumed reinsurance.
The increase in premium during the 2022 three- and nine-month periods 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
for the 2022 three- and nine-month periods 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 during the 2022
nine-month period as compared to the same period of 2021 was partially offset by
the impact of an assumed reinsurance arrangement with a regional hospital group
entered into during the first quarter of 2021 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 (see Note 5 of the
Notes to Consolidated Financial Statements in our December 31, 2021 report on
Form 10-K).

(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 during the 2022 three- and nine-month periods as
compared to the same respective periods of 2021. The increase in renewal pricing
during the 2022 three- and nine-month periods 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. The
decrease in Tail Coverages, excluding NORCAL, during the 2022 nine-month period
as compared to the same period of 2021 was primarily due to the prior year
effect of $7.8 million of tail premium written and fully earned during the
second quarter of 2021 associated with a large Custom Physician policy.

(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 increased during the 2022 three- and nine-month
periods as compared to the same respective periods of 2021 driven by new
business written and, to a lesser extent, an increase in renewal pricing,
partially offset by retention losses. Renewal pricing increases during the 2022
three- and nine-month periods are primarily due to changes in the sales volume
and changes in exposure of certain insureds. Retention losses during the 2022
three- and nine-month periods 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.
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(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.

                                                 Three Months Ended September 30                                       Nine Months Ended September 30
        ($ in millions)              2022              2021                    Change                      2022              2021                    Change
Standard Physician               $        -          $    -          $   -                    nm       $        -          $  2.0          $ (2.0)                  nm
Custom Physician                          -               -              -                    nm              2.0               -             2.0                   nm
Hospitals and Facilities                0.1             0.1              -                 -  %               0.1             0.1               -                -  %
Senior Care                             0.3             0.6           (0.3)            (50.0  %)              4.2             5.2            (1.0)           (19.2  %)
Tail Coverages                          1.7               -            1.7                    nm              4.7             0.7             4.0            571.4  %
Total                            $      2.1          $  0.7          $ 1.4             200.0  %        $     11.0          $  8.0          $  3.0             37.5  %


Alternative market gross premiums written increased during the 2022 three- and
nine-month periods as compared to the same respective periods of 2021 driven by
an increase in tail coverage premium, primarily related to one program.
Additionally, alternative market gross premiums during the 2022 nine-month
period 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 can also reflect 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:

                                         Three Months Ended      Nine Months Ended
                                            September 30           September 30
                                                2022                   2022
       Specialty P&C segment                            8  %                   7  %
       HCPL
       Standard Physician                               9  %                   7  %
       Specialty                                        7  %                  10  %
       Total HCPL                                       9  %                   8  %
       Small Business Unit                              7  %                   6  %
       Medical Technology Liability                     3  %                   3  %

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

                                          Three Months Ended                Nine Months Ended
                                             September 30                     September 30
             (In millions)                 2022             2021            2022             2021
    HCPL
    Standard Physician              $      4.0            $  2.3      $      7.8           $  3.9
    Specialty                              5.4               6.4            13.4             18.8
    Total HCPL                             9.4               8.7            21.2             22.7
    Small Business Unit                    1.4               1.3             3.0              3.1
    Medical Technology Liability           1.3               1.2             3.9              4.7
    Total                           $     12.1            $ 11.2      $     28.1           $ 30.5


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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.

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

                                          Three Months Ended               Nine Months Ended
                                             September 30                     September 30
                                            2022             2021            2022            2021
    Specialty P&C segment                          87  %     84  %                 84  %     83  %
    HCPL
    Standard Physician                             89  %     85  %                 87  %     86  %
    Specialty                                      74  %     69  %                 69  %     66  %
    Total HCPL                                     85  %     81  %                 82  %     80  %
    Small Business Unit                            91  %     91  %                 91  %     91  %
    Medical Technology Liability                   92  %     90  %                 91  %     89  %


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.

Ceded premiums written were as follows:


                                                  Three Months Ended September 30                             Nine Months Ended September 30
            ($ in thousands)                  2022          2021             Change                      2022           2021             Change
Excess of loss reinsurance arrangements
(1)                                      $     11,138    $  7,062    $ 

4,076 57.7 % $ 28,455 $ 22,443 $ 6,012 26.8 %
Other shared risk arrangements (2)

              7,413       6,387      1,026        16.1  %            15,955          14,318       1,637        11.4  %
Premium ceded to SPCs (3)                       1,921         443      1,478       333.6  %            10,201           7,046       3,155        44.8  %
NORCAL premiums ceded since
acquisition(4)                                      -       1,691     (1,691)            nm                 -           1,758      (1,758)            nm
Other ceded premiums written(5)                 1,440         872        568        65.1  %             4,881           2,466       2,415        97.9  %
Adjustment to premiums owed under
reinsurance agreements, prior accident
years, net(6)                                       -           -          -             nm             3,000               -       3,000             nm
Total ceded premiums written             $     21,912    $ 16,455    $ 5,457        33.2  %       $    62,492        $ 48,031    $ 14,461        30.1  %


(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 during the 2022 three- and
nine-month periods as compared to the same respective periods of 2021 was driven
by additional ceded premiums of $3.5 million and $9.6 million, respectively, as
a result of incorporating NORCAL policies into our existing HCPL excess of loss
reinsurance arrangements with the October 1, 2021 renewal, as previously
discussed. Excluding NORCAL, ceded premiums written under our excess of loss
reinsurance arrangements was relatively unchanged for the 2022 three-month
period and
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decreased by approximately $3.6 million during the 2022 nine-month period as
compared to the same respective periods of 2021. The decrease during the 2022
nine-month period was 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 during the 2022 three- and nine-month periods as
compared to the same respective periods of 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 during the 2022 three- and nine-month periods
increased as compared to the same respective periods of 2021 driven by the
impact of tail coverages, primarily related to one program (see discussion in
footnote 12 under the heading "Gross Premiums Written").

(4) NORCAL policies written prior to September 30, 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 was 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 may be periodically adjusted as new
information is received and are fully earned in the period the changes in
estimates occur. NORCAL's ceded premiums written for the 2021 three- and
nine-month periods 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. Effective October 1, 2021 and January 2022, we
prospectively incorporated NORCAL policies into our existing HCPL excess of loss
reinsurance and cyber liability arrangements, respectively.

(5) The increase in other ceded premiums written during the 2022 three- and
nine-month periods as compared to the same respective periods of 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,
as previously discussed.

(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 excess
of loss reinsurance arrangements are subject to the losses ceded under the
arrangements. As part of the review of our reserves for the 2022 nine-month
period we increased our estimate of expected losses and associated recoveries
for prior year ceded losses, as well as our estimate of ceded premiums owed to
reinsurers due to the overall change in expected loss recoveries attributable to
one large claim during the second quarter of 2022. We do not believe this
isolated claim indicates a change in overall loss trends for us or the industry.
As part of the review of our reserves during the 2022 three-month period and
both the 2021 three- and nine-month periods, we concluded that our estimate of
expected losses and associated recoveries for prior year ceded losses was
reasonable; therefore, we did not adjust 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.
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Ceded Premiums Ratio

As shown in the table below, our ceded premiums ratio was affected during the
2022 nine-month period 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:

                                                     Three Months Ended September 30                              Nine Months Ended September 30
                                              2022               2021               Change                2022               2021                Change
Ceded premiums ratio                            9.2  %             7.0  %             2.2   pts             9.4  %             9.3  %              0.1   pts
Less the effect of adjustments in
premiums owed under reinsurance
agreements, prior accident years (as
previously discussed)                             -  %               -  %               -   pts             0.5  %               -  %              0.5   pts
Ratio, current accident year                    9.2  %             7.0  %             2.2   pts             8.9  %             9.3  %             (0.4   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 for the 2022 three-month period
increased as compared to the same period of 2021 driven by an increase in
premiums ceded under our excess of loss arrangements as a result of NORCAL being
incorporated into our existing HCPL treaty. The decrease in our ceded premiums
ratios for the 2022 nine-month period as compared to the same period of 2021 was
driven by the reduced rate on our excess of loss reinsurance arrangements for
the treaty year effective October 1, 2021 and the impact of the addition of the
NORCAL gross written premium base during the first quarter of 2022. The decrease
in our ceded premiums ratio for the 2022 nine-month period as compared to the
same period of 2021 was partially offset by an increase in premiums ceded to
SPCs. 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:

                                                       Three Months Ended September 30                                              Nine Months Ended September 30
         ($ in thousands)                2022                2021                       Change                        2022                2021                      Change
Gross premiums earned               $   211,782          $ 221,956          $ (10,174)            (4.6  %)       $   625,916          $ 540,489          $ 85,427             15.8  %
Less: Ceded premiums earned              19,020             18,240                780              4.3  %             51,640             52,526              (886)            (1.7  %)
Net premiums earned                 $   192,762          $ 203,716          $ (10,954)            (5.4  %)       $   574,276          $ 487,963          $ 86,313             17.7  %


Gross premiums earned included earned premium from our acquisition of NORCAL of
approximately $72.9 million and $226.0 million during the 2022 three- and
nine-month periods, respectively, as compared to $88.1 million and $138.8
million during the same respective periods of 2021. Excluding NORCAL premiums,
gross premiums earned increased $5.1 million during the 2022 three-month period
and decreased $1.7 million during the 2022 nine-month period as compared to the
same respective periods of 2021. The increase for the 2022 three-month period
was driven by our focus on rate adequacy. The decrease for the 2022 nine-month
period was driven by tail premium associated with a Custom Physician policy,
which resulted in $7.8 million of one-time written and fully earned during the
prior year period (see previous discussion in footnote 10 under the heading
"Gross Premiums Written").

Ceded premiums earned increased $0.8 million during the 2022 three-month period
and decreased $0.9 million during the 2022 nine-month period as compared to the
same respective periods of 2021. The increase in ceded premiums earned during
the 2022 three-month period was primarily attributable to the pro rata effect of
an increase in premium ceded under our excess of loss arrangements during the
preceding twelve months, partially offset by the effect of subsequent prior year
adjustment made to initial deposit ceded premium recorded under NORCAL's excess
of loss reinsurance arrangement (see previous discussion in footnote 4 under the
heading "Ceded Premiums Written"). The decrease in ceded premiums earned during
the 2022 nine-month period was driven by a decrease in premium ceded under our
shared risk arrangements during the preceding twelve months,
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partially offset by an adjustment made during the second quarter of 2022 to
ceded premiums owed under swing rated reinsurance agreements related to prior
accident year losses; no such adjustments were made during the 2022 three-month
period or the 2021 three- and nine-month periods (see previous discussion in
footnote 6 under the heading "Ceded Premiums Written").

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 responds to 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)
                                               Three Months Ended September 30                                  Nine Months Ended September 30
                                       2022                2021                Change                  2022                 2021                 Change

Calendar year net loss ratio          80.1%               86.6%                 (6.5   pts)             79.6  %              85.6  %              (6.0  

pts)

Less impact of prior accident
years on the net loss ratio           (2.8%)              (3.4%)                 0.6   pts              (4.7  %)             (4.1  %)             (0.6  

pts)

Current accident year net loss
ratio(2)                              82.9%               90.0%                 (7.1   pts)             84.3  %              89.7  %              (5.4   pts)

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


(2)For the three and nine months ended September 30, 2022, our current accident
year net loss ratio (as shown in the table above), improved 7.1 and 5.4
percentage points, respectively, as compared to the same respective periods of
2021. The change in our current accident year net loss ratio in each period was
primarily attributable to the following:

                                                                               Increase (Decrease)
                                                                                2022 versus 2021
                                                                 Comparative                        Comparative
                                                                 three-month                         nine-month
                  (In percentage points)                           periods                            periods

Estimated ratio increase (decrease) attributable to:
NORCAL Operations

                                                 (2.2 pts)                          (1.6 pts)
NORCAL Acquisition - Purchase Accounting Amortization              1.2 pts                             - pts
Change in Estimate of ULAE                                        (4.3 pts)                          (3.8 pts)

Ceded Premium Adjustments, Prior Accident Years                     - pts                             0.4 pts
All other, net                                                    (1.8 pts)                          (0.4 pts)
Decrease in current accident year net loss ratio                  (7.1 pts)                          (5.4 pts)


•Excluding the impact of the items specifically identified in the table above,
our current accident year net loss ratios for the three and nine months ended
September 30, 2022 improved 1.8 and 0.4 percentage points, respectively, as
compared to the same respective periods of 2021 driven by our reduction to
certain expected loss ratios in our Standard Physician line of business
primarily reflecting the improvement in pricing and terms that we have obtained
in our estimate of expected losses, which we began recognizing in the second
half of 2021, somewhat offset by changes in the mix of business. Furthermore, we
continue to observe a reduction in claims frequency that started to emerge in
2020, some of which is due to our re-underwriting efforts and some of which, we
believe, is associated with the COVID-19 pandemic including the disruption of
the court systems. Given the consistent and prolonged nature of this favorable
claims frequency trend, we reduced certain expected loss ratios in our Standard
Physician line of business during the third and fourth quarters of 2021. We
continue to remain cautious in recognizing the full impact of these favorable
trends in our current accident year reserve due to the long-tailed nature of our
HCPL claims as well as the uncertainty surrounding the length and severity of
the pandemic.
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•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
further reduced certain expected loss ratios during the third quarter of 2022
due to favorable frequency trends, as previously discussed, leading to a 2.2 and
1.6 percentage point improvement in our segment current accident year net loss
ratios for the three and nine months ended September 30, 2022, respectively. The
improvement in our segment current accident year net loss ratio for the nine
months ended September 30, 2022 as compared to the prior year period also
reflected the higher volume of NORCAL premium in the 2022 nine-month period.
Furthermore, we completed the process of evaluating the NORCAL book of business
and implementing ProAssurance's underwriting strategies during the second
quarter of 2022.

•Also as a result of our acquisition of NORCAL, our current accident year net
loss ratios for the nine months ended September 30, 2022 and the three and nine
months ended September 30, 2021 were impacted by the purchase accounting
amortization of the negative VOBA associated with NORCAL's assumed unearned
premium of $4.9 million, $2.5 million and $4.3 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 1.2 percentage
point increase in the 2022 three-month period ratio as compared to the prior
year period. The purchase accounting amortization did not have an impact on our
current accident year net loss ratio for the nine months ended September 30,
2022 as compared to the prior year period as each respective nine-month period
had two quarters of amortization.

•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 4.3 and 3.8 percentage point decrease in our current
accident year net loss ratios for the 2022 three- and nine-month periods,
respectively, with an offsetting 4.3 and 3.8 percentage point increase,
respectively, in our current period expense ratios with no impact to our
combined ratios or segment results during the three and nine months ended
September 30, 2022, respectively (see discussion on our expense ratios in the
following section under the heading "Underwriting, Policy Acquisition and
Operating Expenses").

•During the 2022 nine-month period, we increased our estimate of premiums owed
under reinsurance agreements related to prior accident years which decreased net
premium earned (the denominator of the current accident year net loss ratio) in
the second quarter of 2022 and accounted for a 0.4 percentage point increase in
our current period ratio. No such adjustments were made during the 2022
three-month period or 2021 three- and nine-month periods. 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 our net prior accident year reserve development:

                                              Three Months Ended September 30                                            Nine Months Ended September 30
      ($ in thousands)           2022               2021                     Change                       2022                2021                       Change

Net favorable reserve
development                  $    3,000          $ 3,900          $   (900)           (23.1  %)       $      18,500       $      14,975       $ 3,525              23.5  %
NORCAL Acquisition -
Purchase Accounting
Amortization*                     2,510            2,900              (390)           (13.4  %)               8,309               5,009         3,300              65.9  %
Total net favorable reserve
development                  $    5,510          $ 6,800          $ (1,290) 

(19.0 %) $ 26,809 $ 19,984 $ 6,825

            34.2  %

*See Note 2 of the Notes to Consolidated Financial Statements in our December 31, 2021 report on Form 10-K for additional information on the remaining expected
amortization of the NORCAL acquisition purchase accounting adjustments.



•Development recognized during the three months ended September 30, 2022 related
to the accident year 2020 and development recognized for the nine months ended
September 30, 2022 principally related to accident years 2018 through 2021.
Development recognized during the three and nine months ended September 30, 2021
principally related to accident years 2017 through 2020. We have not recognized
any development related to NORCAL's prior accident year reserves since the date
of acquisition on May 5, 2021 based on our comparison of expected loss emergence
to actual loss emergence.

•We reduced our prior accident year IBNR reserve for COVID-19 by $3.0 million
and $6.0 million during the 2022 three- and nine-month periods, respectively, as
compared to $1.0 million in each of 2021 three- and nine-month periods as early
first notices of potential claims related to anticipated COVID losses have not
turned into claims. 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" in our December 31, 2021 report on Form 10-K.
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•Net favorable development recognized during the nine months ended September 30,
2022 included an increase of $4.0 million in our reserve for potential ECO/XPL
claims, as compared to a reduction in this same reserve of $0.4 million for the
three months ended September 30, 2021 and an increase of $1.0 million for the
nine months ended September 30, 2021.

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" in our December 31, 2021
report on Form 10-K. 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.

Underwriting, Policy Acquisition and Operating Expenses

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

                                              Three Months Ended September 30                                                 Nine Months Ended September 30
    ($ in thousands)            2022                  2021                      Change                          2022                 2021                      Change
DPAC amortization        $    24,357               $ 16,145          $ 
8,212              50.9  %       $     70,335             $ 42,328          $ 28,007              66.2  %
Management fees                1,410                  1,159               251              21.7  %              3,806                3,015               791              26.2  %
Other underwriting and
operating expenses            25,528                 18,843             6,685              35.5  %             68,111               46,026            22,085              48.0  %
Total                    $    51,295               $ 36,147          $ 15,148              41.9  %       $    142,252             $ 91,369          $ 50,883              55.7  %


DPAC amortization for the 2022 three- and nine-month periods increased due to a
higher amount of premium 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 the 2021 three- and nine-month periods was
approximately $5.5 million and $11.8 million lower, respectively, 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 (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
for the 2022 three-month period included a normalized level of amortization
associated with NORCAL policies whereas the 2022 nine-month period was
approximately $1.0 million lower than would have otherwise been recognized. The
remaining increase in DPAC amortization for the 2022 three- and nine-month
periods as compared to the same respective periods of 2021 reflected an increase
in agency commissions due to a higher volume of commissionable premium driven by
NORCAL, an increase in compensation-related expenses driven by an increase in
headcount due to the addition of NORCAL employees as well as an increase in
brokerage expenses due to our increased participation with an international
medical professional liability insurer in our Specialty line of business (see
discussion under the heading "Gross Premiums Written").

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 $0.3 million and $1.1 million of additional management fees in
the 2022 three- and nine-month periods, respectively.
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Other underwriting and operating expenses increased during the 2022 three- and
nine-month periods primarily due to a revision to our process of estimating ULAE
which resulted in approximately $8.2 million and $21.8 million, respectively, 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 the 2022 three- and
nine-month periods 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 decreased for the
2022 three-month period and increased for the 2022 nine-month period as compared
to the same respective periods of 2021. The decrease for the 2022 three-month
period was 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 certain one-time expenses of $1.8
million mainly comprised of one-time bonuses, accelerated depreciation
associated with a decommissioned IT system, employee severance charges and lease
exit costs. The increase for the 2022 nine-month period was primarily
attributable to an increase in professional fees, higher amounts accrued for
performance-related incentive plans due to our improved combined ratio and other
performance metrics as well as certain one-time expenses of $3.6 million mainly
comprised of one-time bonuses, accelerated depreciation associated with a
decommissioned IT system, employee severance charges and lease exit costs. The
increase in professional fees for the 2022 nine-month period was primarily
attributable to an increase in IT consulting fees and higher external audit fees
due to the timing of prior year invoices.

Underwriting Expense Ratio (the Expense Ratio)

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

                                                   Three Months Ended September 30                                   Nine Months Ended September 30
                                           2022                 2021                 Change                 2022                 2021                 Change
Underwriting expense ratio                   26.6  %              17.7  %              8.9   pts              24.8  %              18.7  %              6.1   pts


The change in our expense ratio for the 2022 three- and nine-month periods as
compared to the same respective periods of 2021 was primarily attributable to
the following:

                                                                               Increase (Decrease)
                                                                                 2022 versus 2021
                                                                  Comparative                       Comparative
                   (In percentage points)                     three-month period                 nine-month period

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

                 2.0 pts                           1.2 pts

NORCAL DPAC Amortization - Prior Period Purchase Accounting
Impact

                                                              2.7 pts                           2.4 pts
Change in Estimate of ULAE                                          4.3 pts                           3.8 pts

One-Time Expenses                                                   0.9 pts                           0.6 pts
All other, net                                                     (1.0 pts)                         (1.9 pts)
Increase in the underwriting expense ratio                          8.9 pts                           6.1 pts


The change in other operating expenses decreased our expense ratios for the 2022
three- and nine-month periods by 1.0 and 1.9 percentage points, respectively,
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 an increase in professional fees and, to
a lesser extent, higher amounts accrued for performance-related incentive plans,
as previously discussed. Further, the higher expense ratios for both the 2022
three- and nine-month periods as compared to the same respective periods of 2021
reflect the impact of lower DPAC amortization than would have otherwise been
recognized during each of the 2021 three- and nine-month periods due to the
application of GAAP purchase accounting rules in 2021, change in estimate of
ULAE and the impact of one-time expenses, as previously discussed. As shown in
the previous table, normalizing the prior year DPAC amortization would have
increased our expense ratios for the 2021 three- and nine-month periods by 2.7
and 2.4 percentage points, respectively. The increase in the expense ratio from
the increase in DPAC amortization in relation to net premiums earned for the
2022 three- and nine-month periods of 2.0 and 1.2 percentage points,
respectively, 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 18 of the Notes to Consolidated Financial Statements in our
December 31, 2021 report on Form 10-K. 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, to a limited extent, unaffiliated captive insurers 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:

                                             Three Months Ended September 30                               Nine Months Ended September 30
       ($ in thousands)                2022           2021               Change                      2022          2021              Change
Net premiums written            $    43,973        $ 46,702    $  (2,729)        (5.8  %)       $   131,796    $ 134,370    $  (2,574)       (1.9  %)

Net premiums earned             $    42,063        $ 42,235    $    (172)        (0.4  %)       $   124,456    $ 122,872    $   1,584         1.3  %
Other income                            554             437          117         26.8  %              1,753        1,730           23         1.3  %
Net losses and loss adjustment
expenses                            (28,148)        (31,364)       3,216        (10.3  %)           (83,306)     (85,323)       2,017        (2.4  %)
Underwriting, policy
acquisition and operating
expenses                            (14,146)        (13,521)        (625)         4.6  %            (40,816)     (38,519)      (2,297)        6.0  %
Segment results                 $       323        $ (2,213)   $   2,536       (114.6  %)       $     2,087    $     760    $   1,327       174.6  %

Net loss ratio                        66.9%           74.3%     (7.4 pts)                           66.9%         69.4%      (2.5 pts)
Underwriting expense ratio            33.6%           32.0%      1.6 pts                            32.8%         31.3%       1.5 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:


                                          Three Months Ended September 30                             Nine Months Ended September 30
       ($ in thousands)               2022           2021             Change                     2022          2021             Change
Gross premiums written         $    63,543        $ 64,594    $ (1,051)      (1.6  %)       $   199,295    $ 194,767    $  4,528        2.3  %
Less: Ceded premiums written        19,570          17,892       1,678        9.4  %             67,499       60,397       7,102       11.8  %
Net premiums written           $    43,973        $ 46,702    $ (2,729)      (5.8  %)       $   131,796    $ 134,370    $ (2,574)      (1.9  %)


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Gross Premiums Written

Gross premiums written by product were as follows:

                                                    Three Months Ended September 30                                                Nine Months Ended September 30
       ($ in thousands)                2022                 2021                      Change                        2022                2021                       Change
Traditional business:
Guaranteed cost                 $    38,823              $ 42,368          $ (3,545)            (8.4  %)       $   110,045          $ 113,429          $ (3,384)             (3.0  %)
Policyholder dividend                 3,961                 3,560               401             11.3  %             17,353             17,820              (467)             (2.6  %)
Deductible                            1,516                 1,641              (125)            (7.6  %)             4,104              4,080                24               0.6  %
Retrospective(1)                        893                   448               445             99.3  %              3,969              3,107               862              27.7  %
Other                                 1,942                 1,742               200             11.5  %              5,668              5,049               619              12.3  %
Change in EBUB Estimate                 450                     -               450                   nm               450             (1,210)            1,660            (137.2  %)
Total traditional business           47,585                49,759            (2,174)            (4.4  %)           141,589            142,275              (686)             (0.5  %)
Alternative market business(2)       15,958                14,835             1,123              7.6  %             57,706             52,492             5,214               9.9  %
Total                           $    63,543              $ 64,594          $ (1,051)            (1.6  %)       $   199,295          $ 194,767          $  4,528               2.3  %


(1) The change in retrospectively-rated policies included an adjustment that
decreased premium by $0.2 million and $0.9 million for the three and nine months
ended September 30, 2022, respectively, as compared to $0.1 million and $0.4
million for the same respective periods of 2021.

(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 decreased during the three months ended September 30,
2022 as compared to the same period of 2021 primarily reflecting retention
losses, renewal rate decreases and lower new business, partially offset by
higher audit premium and increased payroll exposure. Renewal premium was
impacted by the loss of a large traditional account with expiring premium of
$3.8 million, which accounted for a 5.5 percentage point decline in the renewal
retention rate for the current period. Renewal retention was 80% and 88% for the
2022 and 2021 three-month periods, respectively. Renewal rate decreases and new
business results reflected the continuation of competitive workers' compensation
market conditions. Renewal rates declined 5% for the 2022 three-month period as
compared to no change for the same period in 2021. New business decreased $0.4
million from 2021 to 2022. Policy audits processed during the 2022 three-month
period resulted in audit premium billed to policyholders totaling $4.1 million
as compared to audit premium returned to policyholders totaling $0.2 million for
the same respective period in 2021.

Gross premiums written increased during the nine months ended September 30, 2022
as compared to the same period of 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 during the 2022
nine-month period resulted in audit premium billed to policyholders totaling
$8.9 million as compared to audit premium returned to policyholders totaling
$2.0 million for the same period in 2021. Additionally, the carried EBUB
estimate was increased $0.5 million during the 2022 nine-month period as
compared to a reduction of $1.2 million for the same period in 2021.

We retained 100% of the eighteen (three in the third quarter) workers'
compensation alternative market programs that were up for renewal during the
nine months ended September 30, 2022.

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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:

                                                                       

Three Months Ended September 30

                                                       2022                                                   2021
                                                  Alternative
                                    Traditional     Market          Segment               Traditional     Alternative Market    Segment
         ($ in millions)             Business      Business         Results                Business            Business         Results
New business                       $     3.1     $     0.8     $      3.9              $      3.5        $       0.8          $    4.3

Audit premium (excluding EBUB) $ 2.9 $ 1.2 $ 4.1

            $     (0.1)       $      (0.1)         $   (0.2)
Retention rate (1)                        77  %         86  %          80  %                   87  %              93  %             88  %
Change in renewal pricing (2)             (5  %)        (4  %)         (5  %)                   1  %              (2  %)             -  %

                                                                       Nine Months Ended September 30
                                                       2022                                                   2021
                                                  Alternative
                                    Traditional     Market          Segment               Traditional     Alternative Market    Segment
         ($ in millions)             Business      Business         Results                Business            Business         Results
New business                       $    10.2     $     2.9     $     13.1              $     15.5        $       2.3          $   17.8

Audit premium (excluding EBUB) $ 4.9 $ 4.0 $ 8.9

            $     (2.3)       $       0.3          $   (2.0)
Retention rate (1)                        84  %         88  %          85  %                   87  %              90  %             88  %
Change in renewal pricing (2)             (5  %)        (4  %)         (4  %)                  (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:

                                              Three Months Ended September 30                                              Nine Months Ended September 30
     ($ in thousands)          2022              2021                       Change                           2022                 2021                       Change

Premiums ceded to SPCs(1) $ 15,958 $ 14,801 $ 1,157

             7.8  %        $    52,681              $ 49,409          $ 3,272                6.6  %
Premiums ceded to external
reinsurers(2)                  3,720             3,290              430                13.1  %             10,508                 9,476            1,032               10.9  %
Premiums ceded to
unaffiliated captive
insurers(1)                        -                34              (34)             (100.0  %)             5,025                 3,083            1,942               63.0  %
Change in return premium
estimate under external
reinsurance (3)                  (46)              (55)               9                16.4  %                208                  (550)             758              137.8  %
Estimated revenue share
under external reinsurance
(4)                              (62)             (178)             116               (65.2  %)              (923)               (1,021)              98               (9.6  %)
Total ceded premiums
written                     $ 19,570          $ 17,892          $ 1,678                 9.4  %        $    67,499              $ 60,397          $ 7,102               11.8  %
(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 three and nine months ended
September 30, 2022 as compared to the same respective periods of 2021, primarily
reflecting higher alternative market premiums ceded to the Segregated Portfolio
Cell Reinsurance Segment and, for the 2022 nine-month period, unaffiliated
captive insurers, and an increase in reinsurance rates under our external
reinsurance treaty. The increase in premiums ceded to unaffiliated captive
insurers during the 2022 nine-month period as compared to the same period of
2021 was driven by a new program that was effective June 1, 2022. The policies
in the new program were previously written in our traditional book of business;
therefore, the premium ceded to the unaffiliated captive insurer resulted in a
decrease in net premiums written for the Workers' Compensation Insurance
segment.

Ceded Premiums Ratio

Ceded premiums ratio was as follows:

                                                     Three Months Ended September 30                                  Nine Months Ended September 30
                                             2022                 2021                Change                 2022                 2021                 Change
Ceded premiums ratio, as reported             34.2  %              31.8  %              2.4   pts             34.0  %              32.2  %               1.8   pts
Less the effect of:
Premiums ceded to SPCs (100%)                 23.9  %              23.4  %              0.5   pts             24.7  %              24.6  %              

0.1 pts


Premiums ceded to unaffiliated captive
insurers (100%)                                2.5  %               1.6  %              0.9   pts              2.0  %               1.7  %               0.3   pts

Estimated revenue share                       (0.1  %)             (0.4  %)             0.3   pts             (0.7  %)             (0.8  %)              0.1   pts
Assumed premiums earned (not ceded to
external reinsurers)                          (0.3  %)             (0.3  %)               -   pts             (0.3  %)             (0.2  %)             (0.1   pts)
Ceded premiums ratio (related to
external reinsurance), less the effects
of above                                       8.2  %               7.5  %              0.7   pts              8.3  %               6.9  %               1.4   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 for the three and nine months
ended September 30, 2022 as compared to the same respective periods of 2021
primarily reflected the increase in reinsurance rates.
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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:

                                                  Three Months Ended September 30                              Nine Months Ended September 30
          ($ in thousands)                   2022            2021             Change                       2022            2021            Change
Gross premiums earned                 $    63,963         $ 61,964    $ 1,999         3.2  %        $    188,518       $ 181,306    $ 7,212        4.0  %
Less: Ceded premiums earned                21,900           19,729      2,171        11.0  %              64,062          58,434      5,628        9.6  %
Net premiums earned                   $    42,063         $ 42,235    $  (172)       (0.4  %)       $    124,456       $ 122,872    $ 1,584        1.3  %


Net premiums earned remained relatively unchanged for the three months ended
September 30, 2022 and increased during the nine months ended September 30, 2022
as compared to the same respective periods of 2021. The increase in net premiums
earned for the 2022 nine-month period primarily reflected the change in the
carried EBUB estimate, which increased $0.5 million during the 2022 nine-month
period as compared to a reduction of $1.2 million for the same period in 2021.

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:

                                                 Three Months Ended September 30                                   Nine Months Ended September 30
                                        2022                 2021                 Change                  2022                 2021                 Change
Calendar year net loss ratio             66.9  %              74.3  %              (7.4   pts)             66.9  %              69.4  %              (2.5   pts)
Less impact of prior accident
years on the net loss ratio              (4.8  %)             (3.5  %)             (1.3   pts)             (4.9  %)             (4.6  %)             (0.3   pts)
Current accident year net loss
ratio                                    71.7  %              77.8  %              (6.1   pts)             71.8  %              74.0  %              (2.2   pts)


The decrease in the current accident year net loss ratio during the three and
nine months ended September 30, 2022 as compared to the same respective periods
of 2021 primarily reflected 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 ratios
for the 2021 three- and nine-month periods 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. The current accident year net loss ratio for the 2021
three-month period was also impacted by an increase in the full-year loss ratio
from 72% at June 30, 2021 to 74% at September 30, 2021.

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 $1.9 million and $3.7
million for the three and nine months ended September 30, 2022, respectively, as
compared to the same respective periods of 2021. We retained losses in excess of
our per occurrence retention totaling $1.5 million and $3.5 million during the
2022 three- and nine-month periods, respectively, as compared to $1.4 million
and $4.2 million for the same respective periods of 2021 which reflected losses
within the AAD.

We recognized net favorable prior year development of $2.0 million and $6.0
million for the three and nine months ended September 30, 2022, respectively, as
compared to $1.5 million and $5.6 million for the same respective periods of
2021. The net favorable prior year reserve development for the three and nine
months ended September 30, 2022 and 2021 reflected overall favorable trends in
claim closing patterns. Net favorable development for the 2022 and 2021 three-
and nine-month periods was primarily related to accident years 2017 and prior.
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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:

                                              Three Months Ended September 30                                               Nine Months Ended September 30
     ($ in thousands)           2022                2021                      Change                          2022                 2021                      Change
DPAC amortization          $      7,513          $  7,464          $   49                0.7  %        $    22,105              $ 21,454          $   651               3.0  %
Management fees                     477               485              (8)              (1.6  %)             1,495                 1,461               34               2.3  %
Other underwriting and
operating expenses                9,635             8,611           1,024               11.9  %             27,609                25,205            2,404               9.5  %
Policyholder dividend
expense                             216               329            (113)             (34.3  %)               708                   831             (123)            (14.8  %)
SPC ceding commission
offset                           (3,695)           (3,368)           (327)               9.7  %            (11,101)              (10,432)            (669)              6.4  %
Total                      $     14,146          $ 13,521          $  625                4.6  %        $    40,816              $ 38,519          $ 2,297               6.0  %

The increase in DPAC amortization for the three and nine months ended
September 30, 2022 as compared to the same respective periods of 2021 primarily
reflected the increase in gross premiums earned.


The increase in other underwriting and operating expenses for the three and nine
months ended September 30, 2022 as compared to the same respective periods of
2021 primarily reflected an increase in costs related to compensation,
business-related travel and our allowance for credit losses. Additionally, for
the 2022 nine-month period, we incurred planned higher marketing costs related
to advertising and website-related activities. 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, to a
limited extent, the 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 three and nine months ended September 30, 2022
as compared to the same respective periods of 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:

                                                     Three Months Ended September 30                                 Nine Months Ended September 30
                                             2022                2021                Change                 2022                2021                Change
Underwriting expense ratio, as reported       33.6  %             32.0  %              1.6   pts             32.8  %             31.3  %              1.5   pts
Less estimated ratio increase (decrease)
attributable to:
Impact of ceding commissions received
from SPCs                                      4.1  %              3.3  %              0.8   pts              3.7  %              3.1  %              0.6   pts

Impact of audit premium                       (1.8  %)             0.1  %             (1.9   pts)            (0.9  %)             0.6  %             (1.5   pts)

Underwriting expense ratio, less listed
effects                                       31.3  %             28.6  %              2.7   pts             30.0  %             27.6  %              2.4   pts


Excluding the items noted in the table above, the expense ratio increased for
the three and nine months ended September 30, 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 18 of the Notes to Consolidated Financial
Statements in our December 31, 2021 report on Form 10-K. 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 20% 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 September 30, 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 September 30, 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:


                                                Three Months Ended September 30                                Nine Months Ended September 30
          ($ in thousands)                2022           2021               Change                      2022           2021               Change
Net premiums written                 $     15,672    $   13,260    $ 2,412         18.2  %        $    55,404       $ 49,656    $   5,748         11.6  %

Net premiums earned                  $     17,811    $   15,344    $ 2,467         16.1  %        $    53,347       $ 47,500    $   5,847         12.3  %
Net investment income                         294           193        101         52.3  %                617            620           (3)        (0.5  %)
Net investment gains (losses)                (732)          204       (936)      (458.8  %)            (4,225)         2,772       (6,997)      (252.4  %)
Other income                                    1             -          1               nm                 2              2            -            -  %
Net losses and loss adjustment
expenses                                  (11,407)       (8,693)    (2,714)        31.2  %            (32,170)       (26,560)      (5,610)        21.1  %
Underwriting, policy acquisition and
operating expenses                         (5,599)       (4,758)      (841)        17.7  %            (15,203)       (15,078)        (125)         0.8  %
SPC U.S. federal income tax expense
(1)                                          (433)         (431)        (2)         0.5  %             (1,424)        (1,291)        (133)        10.3  %
SPC net results                               (65)        1,859     (1,924)      (103.5  %)               944          7,965       (7,021)       (88.1  %)
SPC dividend (expense) income (2)            (183)       (1,320)     1,137        (86.1  %)            (1,697)        (5,926)       4,229        (71.4  %)
Segment results (3)                  $       (248)   $      539    $  (787)      (146.0  %)       $      (753)      $  2,039    $  (2,792)      (136.9  %)

Net loss ratio                            64.0%          56.7%      7.3 pts                             60.3%          55.9%      4.4 pts
Underwriting expense ratio                31.4%          31.0%      0.4 pts                             28.5%          31.7%     (3.2 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:


                                                 Three Months Ended September 30                                             Nine Months Ended 

September 30

       ($ in thousands)             2022                2021                     Change                         2022                  2021              

Change

Gross premiums written $ 17,879 $ 15,244 $ 2,635

             17.3  %       $    62,882               $ 56,455          $ 6,427             11.4  %
Less: Ceded premiums written          2,207             1,984              223             11.2  %             7,478                  6,799              679             10.0  %
Net premiums written           $     15,672          $ 13,260          $ 2,412             18.2  %       $    55,404               $ 49,656          $ 5,748             11.6  %


Gross Premiums Written


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

                                               Three Months Ended September 30                                             Nine Months Ended September 30
      ($ in thousands)            2022                2021                     Change                         2022                  2021                     Change
Workers' compensation        $     15,958          $ 14,801          $ 1,157              7.8  %       $    52,681               $ 49,409          $ 3,272              6.6  %
Healthcare professional
liability                           1,921               443            1,478            333.6  %            10,201                  7,046            3,155             44.8  %

Gross Premiums Written       $     17,879          $ 15,244          $ 2,635             17.3  %       $    62,882               $ 56,455          $ 6,427             11.4  %


Gross premiums written for the three and nine months ended September 30, 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 2022 three- and nine-month periods as
compared to the same respective periods of 2021 driven by higher audit premium
and new business, partially offset by renewal rate decreases of 4% in each
respective period. Healthcare professional liability gross premiums written
increased during the 2022 three- and nine-month periods as compared to the same
respective periods of 2021, primarily reflecting the impact of tail coverage
premium primarily 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 seventeen
(three in the third quarter) workers' compensation programs and two (none in the
third quarter) healthcare professional liability programs up for renewal during
the nine months ended September 30, 2022.

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


                                            Three Months Ended September 30              Nine Months Ended September 30
            ($ in millions)                   2022                  2021                    2022                   2021
New business                             $       0.8           $       0.8           $        2.9              $     2.3
Audit premium                            $       1.2           $      (0.1)          $        4.0              $     0.3
Retention rate (1)                                86  %                 93  %                  88  %                  90  %
Change in renewal pricing (2)                     (4  %)                (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:


                                          Three Months Ended September 30                        Nine Months Ended September 30
        ($ in thousands)               2022          2021           Change                    2022         2021           Change
Ceded premiums written            $      2,207    $ 1,984    $  223        11.2  %       $     7,478    $ 6,799    $  679        10.0  %


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
during the three and nine months ended September 30, 2022 as compared to the
same respective periods of 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:

                                                      Three Months Ended September 30                                      Nine Months Ended September 30
                                          2022                       2021                   Change               2022                   2021                  Change
Ceded premiums ratio                     13.8%                      13.4%                   0.4 pts              14.2%                  13.8%                 0.4 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 three and nine months ended
September 30, 2022 as compared to the same respective periods of 2021 primarily
reflected the 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:


                                                  Three Months Ended September 30                           Nine Months Ended September 30
            ($ in thousands)                  2022          2021            Change                      2022            2021            Change
Gross premiums earned                    $     20,195    $ 17,495    $ 

2,700 15.4 % $ 60,455 $ 53,890 $ 6,565 12.2 %
Less: Ceded premiums earned

                     2,384       2,151        233       10.8  %             7,108            6,390        718       11.2  %
Net premiums earned                      $     17,811    $ 15,344    $ 2,467       16.1  %       $    53,347         $ 47,500    $ 5,847       12.3  %


Net premiums earned increased during the three and nine months ended
September 30, 2022 as compared to the same period of 2021. The increase in net
premiums earned 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 three and nine
months ended September 30, 2022 and 2021 were as follows:

                                                  Three Months Ended September 30                                       Nine Months Ended September 30
                                       2022                   2021                   Change                  2022                  2021                   Change
Calendar year net loss ratio             64.0  %                56.7  %                7.3   pts               60.3  %               55.9  %                4.4   pts
Less impact of prior accident
years on the net loss ratio              (3.7  %)              (10.5  %)               6.8   pts               (7.2  %)             (10.4  %)               3.2   pts
Current accident year net loss
ratio                                    67.7  %                67.2  %                0.5   pts               67.5  %               66.3  %                1.2   pts
Less estimated ratio increase
(decrease) attributable to:
Change in estimated aggregate
reinsurance                               1.3  %                (2.4  %)               3.7   pts                1.6  %               (3.1  %)               4.7   pts
Current accident year net loss
ratio, excluding the effect of
the change in estimated aggregate
reinsurance                              66.4  %                69.6  %               (3.2   pts)              65.9  %               69.4  %               (3.5   pts)


During the 2022 three- and nine-month periods, we decreased our estimate of
aggregate reinsurance which increased our current accident year net loss ratios
as compared to the same respective periods of 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 both the 2022 three and nine-month
periods, 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 the 2022 three- and nine-month periods
primarily reflects favorable trends in prior accident year workers' compensation
claim results and their impact on our analysis of the current year loss
estimate, 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 the 2022 three- and nine-month periods 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 $0.5 million and $2.8 million for the three and nine months ended
September 30, 2022, respectively, as compared to the same respective periods of
2021. Current accident year ceded incurred losses (excluding IBNR) decreased
$0.9 million and increased $4.9 million for the 2022 three- and nine-month
periods, respectively, as compared to the same respective periods of 2021. The
increase in both the calendar year and current accident year ceded incurred
losses is driven by two large 2022 accident year loss occurrences.

We recognized net favorable prior year reserve development of $0.6 million and
$3.8 million for the three and nine months ended September 30, 2022,
respectively, as compared to $1.6 million and $4.9 million for the same
respective periods of 2021. The development for the 2022 three- and nine-month
periods includes net favorable development of $1.3 million and $4.6 million in
the workers' compensation business, partially offset by net unfavorable
development of $0.7 million in each period in the healthcare professional
liability business. The net favorable development in the workers' compensation
business reflected overall favorable trends in claim closing patterns primarily
in accident years 2016 through 2020. The net unfavorable development in the
healthcare professional liability business primarily reflected higher than
expected claim frequency in one program in which we do not participate. The net
favorable prior year reserve development for the three and nine months ended
September 30, 2021 also related entirely to the workers' compensation business
which primarily reflected overall favorable claim trends in claim closing
patterns in accident years 2018 and 2019.
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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:

                                           Three Months Ended September 30                                             Nine Months Ended September 30
    ($ in thousands)           2022               2021                    Change                         2022                 2021                       Change
DPAC amortization         $     5,067          $ 4,526          $ 541              12.0  %        $    15,219              $ 13,930          $ 1,289                9.3  %
Policyholder dividend
expense                            57               64             (7)            (10.9  %)               135                   348             (213)             (61.2  %)
Other underwriting and
operating expenses                475              168            307             182.7  %               (151)                  800             (951)            (118.9  %)
Total                     $     5,599          $ 4,758          $ 841              17.7  %        $    15,203              $ 15,078          $   125                0.8  %


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
increase in other underwriting and operating expenses for the 2022 three-month
period as compared to the same period in 2021 primarily reflects changes in the
allowance for credit losses. Other underwriting and operating expenses for the
2022 nine-month period reflects a decrease in our 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 2022 nine-month period as
compared to the same period of 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:

                                                    Three Months Ended September 30                                      Nine Months Ended September 30
                                         2022                      2021                   Change               2022                   2021                  Change
Underwriting expense ratio, as
reported                                31.4%                      31.0%                  0.4 pts              28.5%                  31.7%                (3.2 pts)
Less: impact of audit premium on
expense ratio                           (2.2%)                     0.2%                  (2.4 pts)            (2.2%)                 (0.1%)                (2.1 pts)

Underwriting expense ratio,
excluding the effect of audit
premium                                 33.6%                      30.8%                  2.8 pts              30.7%                  31.8%                (1.1 pts)


Excluding the effect of audit premium, the underwriting expense ratio increased
for the 2022 three-month period and decreased for the 2022 nine-month period as
compared the same respective periods of 2021. The increase in the underwriting
expense ratio for the 2022 three-month period primarily reflected an increase in
the average ceding commissions incurred and an increase in ceded premiums earned
resulting from higher reinsurance costs. The decrease in the underwriting
expense ratio for the 2022 nine-month period 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 September 30, 2022 had a fair value of approximately $30.1 million, as
discussed in Note 3 of the Notes to Condensed 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. The discussion in our Segment Operating
Results under the same heading in Item 7 of our December 31, 2021 report on Form
10-K includes additional information regarding our participation.

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.


Our participation in the results of Syndicate 1729 for the 2022 underwriting
year remains unchanged from the 2021 underwriting year at 5%. Effective January
1, 2022, Syndicate 6131 ceased underwriting on a quota share basis with
Syndicate 1729 as Syndicate 6131's applicable business is retained within
Syndicate 1729 beginning with the 2022 year of account. 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.

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 three and nine months ended September 30, 2022 and 2021, the results of
our Lloyd's Syndicates segment were as follows:

                                              Three Months Ended September 30                                  Nine Months Ended September 30
        ($ in thousands)                2022           2021               Change                       2022          2021                Change
Gross premiums written           $    6,844         $  8,970    $  (2,126)        (23.7  %)       $   16,741      $ 31,702    $ (14,961)          (47.2  %)
Less: Ceded premiums written            631              525          106          20.2  %             1,870         5,584       (3,714)          (66.5  %)
Net premiums written             $    6,213         $  8,445    $  (2,232)        (26.4  %)       $   14,871      $ 26,118    $ (11,247)          (43.1  %)
Net premiums earned              $    5,719         $ 10,953    $  (5,234)        (47.8  %)       $   19,258      $ 40,263    $ (21,005)          (52.2  %)
Net investment income                    98              431         (333)        (77.3  %)              453         1,677       (1,224)          (73.0  %)
Net investment gains (losses)          (131)              35         (166)       (474.3  %)           (1,015)            9       (1,024)      (11,377.8  %)
Other income                            168              283         (115)        (40.6  %)              430           864         (434)          (50.2  %)
Net losses and loss adjustment
expenses                             (4,157)          (6,846)       2,689         (39.3  %)          (12,370)      (25,257)      12,887           (51.0 

%)

Underwriting, policy acquisition
and operating expenses               (1,871)          (3,909)       2,038         (52.1  %)           (6,087)      (15,219)       9,132           (60.0  %)

Segment results                  $     (174)        $    947    $  (1,121)       (118.4  %)       $      669      $  2,337    $  (1,668)          (71.4  %)
Net loss ratio                         72.7%           62.5%      10.2 pts                             64.2%         62.7%      1.5 pts
Underwriting expense ratio             32.7%           35.7%     (3.0 pts)                             31.6%         37.8%     (6.2 pts)


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Premiums


Net premiums written decreased during the 2022 three- and nine-month periods as
compared to the same respective periods of 2021 driven by our ceased
participation in Syndicate 6131 for the 2022 underwriting year and, for the 2022
nine-month period, the impact of our decreased participation in the results of
Syndicates 1729 and 6131 for the 2021 underwriting year. The decrease in net
premiums written for the 2022 three- and nine-month periods was partially offset
by volume increases on renewal business and renewal pricing increases, primarily
on property insurance and property reinsurance coverages, as well as new
business written, primarily on property insurance and casualty coverages. Net
premiums earned decreased $5.2 million and $21.0 million during the 2022 three-
and nine-month periods, respectively, as compared to the same respective periods
of 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

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:

                                                                                          Net Loss Ratios
                                                   Three Months Ended September 30                                Nine Months Ended September 30
                                            2022                 2021               Change                2022               2021                Change
Calendar year net loss ratio                   72.7  %            62.5  %            10.2   pts            64.2  %            62.7  %              1.5  

pts

Less: impact of prior accident years
on the net loss ratio                          16.5  %            12.1  %             4.4   pts            26.4  %             8.2  %             18.2  

pts

Current accident year net loss ratio           56.2  %            50.4  %             5.8   pts            37.8  %            54.5  %            (16.7  

pts)



The current accident year net loss ratio increased during the three months ended
September 30, 2022 as compared to the same period of 2021 driven by lower
reinsurance recoveries as a proportion of gross losses as compared to the prior
year period and, to a lesser extent, certain catastrophe-related losses. The
decrease in the current accident year net loss ratio for the nine months ended
September 30, 2022 as compared to the same period of 2021 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, as previously discussed.

We recognized $0.9 million and $5.1 million of unfavorable prior year
development during the three and nine months ended September 30, 2022,
respectively, as compared to $1.3 million and $3.3 million for the same
respective periods of 2021. The unfavorable prior year development for the three
and nine months ended September 30, 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 2022 three- and nine-month periods, the underwriting expense ratio
decreased by 3.0 and 6.2 percentage points, respectively, as compared to the
same respective periods of 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 the current period, 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
for the 2022 nine-month period 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 and excludes those
reported in our Segregated Portfolio Cell Reinsurance and Lloyd's Syndicates
segments as discussed in Note 18 of the Notes to Consolidated Financial
Statements in our December 31, 2021 report on Form 10-K. 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 nine months ended September 30, 2022 and the three and nine
months ended September 30, 2021 exclude transaction-related costs and the
associated income tax benefit related to the NORCAL acquisition as we do not
consider these items in assessing the financial performance of the segment. We
did not incur any transaction-related costs associated with our acquisition of
NORCAL for the three months ended September 30, 2022. For additional information
on the NORCAL acquisition see Note 2 of the Notes to Consolidated Financial
Statements in our December 31, 2021 report on Form 10-K. Segment results for our
Corporate segment were net earnings of $3.0 million and $6.7 million for the
three and nine months ended September 30, 2022, respectively, as compared to
$22.8 million and $70.0 million for the same respective periods of 2021 and
included the following:

                                             Three Months Ended September 30                                Nine Months Ended September 30
       ($ in thousands)              2022           2021                Change                        2022         2021               Change
Net investment income          $    24,353       $ 18,654    $   5,699     

30.6 % $ 66,062 $ 49,416 $ 16,646 33.7 %
Equity in earnings (loss) of
unconsolidated subsidiaries $ (6,852) $ 15,244 $ (22,096)

(144.9 %) $ 5,948 $ 33,959 $ (28,011) (82.5 %)
Net investment gains (losses) $ (7,399) $ 291 $ (7,690)

  (2,642.6  %)       $   (40,412)   $ 17,431    $ (57,843)      (331.8  %)
Other income                   $     4,695       $  1,542    $   3,153           204.5  %        $    10,386    $  3,786    $   6,600        174.3  %
Operating expense              $     8,921       $  6,872    $   2,049            29.8  %        $    26,679    $ 19,050    $   7,629         40.0  %
Interest expense               $     5,513       $  5,814    $    (301)    

(5.2 %) $ 14,872 $ 14,203 $ 669 4.7 %
Income tax expense (benefit) $ (2,673) $ 219 $ (2,892)

(1,320.5 %) $ (6,232) $ 1,369 $ (7,601) (555.2 %)

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 changes in the cash surrender value of BOLI contracts, net of
investment fees and expenses.

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

                                                 Three Months Ended September 30                                                Nine Months Ended September 30
      ($ in thousands)              2022                  2021                      Change                        2022                 2021                      Change
Fixed maturities             $    23,315               $ 19,447          $ 3,868             19.9  %        $    66,015             $ 51,523          $ 14,492             28.1  %
Equities                             846                    648              198             30.6  %              2,514                1,790               724             40.4  %
Short-term investments,
including Other                    1,756                    561            1,195            213.0  %              2,860                1,440             1,420             98.6  %
BOLI                                 421                    623             (202)           (32.4  %)               635                1,752            (1,117)           (63.8  %)
Investment fees and expenses      (1,985)                (2,625)             640            (24.4  %)            (5,962)              (7,089)            1,127            (15.9  %)
Net investment income        $    24,353               $ 18,654          $ 5,699             30.6  %        $    66,062             $ 49,416          $ 16,646             33.7  %


Fixed Maturities

Income from our fixed maturities increased during the 2022 three- and nine-month
periods as compared to the same respective periods of 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
the 2022 nine-month period 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 (see Note 2 of the Notes to Consolidated Financial Statements in
ProAssurance's December 31, 2021 report on Form 10-K for additional
information). As a result of the NORCAL acquisition, average investment balances
over a twelve-month period were approximately 3% and 23% higher for the 2022
three- and nine-month periods, respectively, as compared to the same respective
periods of 2021; excluding the impact of the acquisition, average investment
balances were approximately 1% lower and 2% higher, respectively.
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Average yields for our fixed maturity portfolio were as follows:

                                                  Three Months Ended September 30                           Nine Months Ended September 30
                                               2022                              2021                    2022                              2021
Average income yield                           2.5%                              2.2%                    2.4%                              2.2%
Average tax equivalent income yield            2.5%                              2.2%                    2.4%                              2.2%



Equities

Income from our equity portfolio increased during the 2022 three- and nine-month
periods as compared to the same respective periods of 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 the 2022 three- and nine-month periods as compared to the same
respective periods of 2021 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 three-
and nine-month periods as compared to the same respective periods of 2021
primarily attributable to a decrease in the cash surrender value of policies
acquired from NORCAL.

Equity in Earnings (Loss) of Unconsolidated Subsidiaries


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

                                                    Three Months Ended September 30                                                Nine Months Ended September 30
       ($ in thousands)              2022                 2021                       Change                         2022                2021                       Change
All other investments,
primarily investment fund
LPs/LLCs                       $    (4,688)            $ 18,835          $ (23,523)           (124.9  %)       $   12,347            $ 45,489          $ (33,142)           (72.9  %)
Tax credit partnerships             (2,164)              (3,591)             1,427             (39.7  %)           (6,399)            (11,530)             5,131            (44.5  %)
Equity in earnings (loss) of
unconsolidated subsidiaries    $    (6,852)            $ 15,244          $ (22,096)           (144.9  %)       $    5,948            $ 33,959          $ (28,011)           (82.5  %)


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 the 2022 three- and nine-month periods as compared to the same
respective periods of 2021 decreased primarily due to the performance of certain
LP/LLCs which reflected lower market valuations during the first half of 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 three and nine months ended September 30,
2022 reflected lower partnership operating losses as compared to the same
respective periods of 2021, partially offset by an increase in our estimate of
operating losses by $0.4 million and $1.0 million in the three and nine months
ended September 30, 2022, respectively, as compared to $0.2 million and $1.7
million for the same respective periods of 2021.
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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:


                                             Three Months Ended September 30           Nine Months Ended September 30
               (In millions)                      2022               2021                  2022                 2021

Tax credits recognized during the period $ 1.2 $ 3.1

         $           3.6          $    9.9
Tax benefit of tax credit partnership
operating losses                             $       0.5          $    0.8          $           1.3          $    2.4


The tax credits generated from our tax credit partnership investments of $1.2
million and $3.6 million for the three and nine months ended September 30, 2022,
respectively, were deferred for use in future periods due to our expected
consolidated loss calculated on a tax basis. For the three and nine months ended
September 30, 2021 the tax credits generated from our tax credit partnership
investments of $3.1 million and $9.9 million, respectively, were deferred to be
utilized in future periods. Not included in the table above is $2.7 million of
tax credits recaptured from the 2019 tax year during the nine months ended
September 30, 2022 due to the carryback of our estimated NOL for the nine months
ended September 30, 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 September 30, 2022, we had approximately $52.3 million of
available tax credit carryforwards generated from our investments in tax credit
partnerships which we expect to utilize in future periods.

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.

Non-GAAP Financial Measure - Tax Equivalent Investment Result


We believe that to fully understand our investment returns it is important to
consider the current tax benefits associated with certain investments as the tax
benefit received represents a portion of the return provided by our tax-exempt
bonds, BOLI, common and preferred stocks, and tax credit partnership investments
(collectively, our tax-preferred investments). We impute a pro forma
tax-equivalent result by estimating the amount of fully-taxable income needed to
achieve the same after-tax result as is currently provided by our tax-preferred
investments. We believe this better reflects the economics behind our decision
to invest in certain asset classes that are either taxed at lower rates and/or
result in reductions to our current federal income tax expense. Our pro forma
tax-equivalent investment result is shown in the table that follows as well as a
reconciliation of our GAAP net investment result to our tax equivalent result.

                                               Three Months Ended September
                                                            30                     Nine Months Ended September 30
                (In thousands)                    2022              2021               2022              2021
GAAP net investment result:
Net investment income                          $ 24,353          $ 18,654          $  66,062          $ 49,416
Equity in earnings (loss) of unconsolidated
subsidiaries                                     (6,852)           15,244              5,948            33,959
GAAP net investment result                     $ 17,501          $ 33,898   

$ 72,010 $ 83,375

Pro forma tax-equivalent investment result $ 16,747 $ 34,221

$ 69,102 $ 84,244


Reconciliation of pro forma and GAAP
tax-equivalent investment result:
GAAP net investment result                     $ 17,501          $ 33,898          $  72,010          $ 83,375
Taxable equivalent adjustments, calculated
using the 21% federal statutory tax rate
State and municipal bonds                           125               160                392               378
BOLI                                                112               166                169               466
Dividends received                                    -                (3)                 -                25
Tax credit partnerships*                           (991)                -             (3,469)                -

Pro forma tax-equivalent investment result $ 16,747 $ 34,221

        $  69,102          $ 84,244
*Due to our expected consolidated loss calculated on a tax basis for the three and nine months ended
September 30, 2022, the tax credits recognized from our tax credit partnership investments totaling $1.2 million
and $3.6 million, respectively, were deferred to be utilized in future periods; however, during the nine months
ended September 30, 2022, we recaptured a portion of tax credits earned in 2019, that were utilized in 2021, as a
result of our expected carry back of our 2022 NOL to the 2021 tax year, resulting in a current tax expense
related to tax credit partnerships. We earned tax credits totaling $3.1 million and $9.9 million from our tax
credit partnership investments during the three and nine months ended September 30, 2021, respectively. As of the
third quarter of 2021, all of these tax credits were deferred for use in future periods due to the utilization of
NOLs available to us following our acquisition of NORCAL.


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Net Investment Gains (Losses)


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

                                                         Three Months Ended September 30        Nine Months Ended September 30
                     (In thousands)                          2022                2021               2022               2021
Total impairment losses

Corporate debt                                           $        -          $       -          $     (972)         $      -

Portion of impairment losses recognized in other
comprehensive income before taxes:
Corporate debt                                                    -                  -                 419                 -
Net impairment losses recognized in earnings                      -                  -                (553)                -
Gross realized gains, available-for-sale fixed
maturities                                                      142              2,066               1,503            11,663
Gross realized (losses), available-for-sale fixed
maturities                                                      (54)              (254)             (2,032)             (756)
Net realized gains (losses), equity investments                   -                 (1)             (5,928)            5,274
Net realized gains (losses), other investments                  209              1,699                  99             6,192

Change in unrealized holding gains (losses), equity
investments

                                                  (5,925)              (699)            (19,272)           (3,257)

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

                                                  (1,441)            (2,456)            (14,499)           (2,117)
Other                                                          (330)               (64)                270               432
Net investment gains (losses)                            $   (7,399)        

$ 291 $ (40,412) $ 17,431



We did not recognize any credit-related impairment losses in earnings or
non-credit impairment losses in OCI during the three months ended September 30,
2022 or the three and nine months ended September 30, 2021. For the nine months
ended September 30, 2022, we recognized credit-related impairment losses in
earnings of $0.6 million and non-credit impairment losses in OCI of $0.4
million. The credit-related and non-credit impairment losses recognized during
the nine months ended September 30, 2022 related to a corporate bond in the
consumer sector.

We recognized $7.4 million and $40.4 million of net investment losses during the
2022 three- and nine-month periods, respectively, driven by unrealized holding
losses resulting from changes in the fair value of our convertible securities
and equity investments and, for the 2022 nine-month period, realized losses from
the sale of equity investments. During the 2021 three- and nine-month periods,
we recognized $0.3 million and $17.4 million of net investment gains,
respectively, driven by realized gains on the sale of certain available-for-sale
fixed maturities and other investments.


Other Income


Other income was $4.7 million and $10.4 million for the 2022 three- and
nine-month periods, respectively, as compared to $1.5 million and $3.8 million
during the same respective periods of 2021. The increase in other income for the
2022 three- and nine-month periods was driven by the effect of foreign currency
exchange rate changes of $2.3 million and $5.4 million, respectively, related to
foreign currency denominated loss reserves associated with premium assumed from
an international medical professional liability insured in our Specialty P&C
segment. We mitigate foreign exchange exposure by generally matching the
currency and duration of associated investments to the corresponding loss
reserves. In accordance with GAAP, the impact on the market value of
available-for-sale fixed maturities due to changes in foreign currency exchange
rates is reflected as part of OCI. Conversely, the impact of changes in foreign
currency exchange rates on loss reserves is reflected through net income (loss)
as a component of other income. The effect of exchange rate changes on foreign
currency denominated loss reserves are reported in our Corporate segment to be
consistent with the reporting of the foreign currency denominated invested
assets and associated investment income.
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Operating Expenses

Corporate segment operating expenses were comprised as follows:

                                                   Three Months Ended September 30                                             Nine Months Ended September 30
        ($ in thousands)              2022                2021                     Change                         2022                 2021                      Change
Operating expenses               $     10,806          $ 9,675          $ 1,131             11.7  %        $    31,963              $ 26,542          $ 5,421             20.4  %
Management fee offset                  (1,885)          (2,803)             918            (32.8  %)            (5,284)               (7,492)           2,208            (29.5  %)
Total                            $      8,921          $ 6,872          $ 2,049             29.8  %        $    26,679              $ 19,050          $ 7,629             40.0  %


Operating expenses increased for the 2022 three- and nine-month periods by $1.1
million and $5.4 million, respectively, as compared to the same respective
periods of 2021 primarily due to an increase in professional fees, share-based
compensation expenses and, for the 2022 nine-month period, compensation-related
costs. The increase in professional fees for the 2022 three- and nine-month
periods 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 share-based compensation expense in the 2022 three- and nine-month periods
was attributable to the effect of the incorporation of certain NORCAL employees
into our share-based compensation plans beginning in 2022. The increase in
compensation-related costs during the 2022 nine-month period 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.

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 $0.3 million and $1.1
million of additional management fees during the 2022 three- and nine-month
periods, respectively. 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 three and nine months ended September 30,
2022 and 2021 was comprised as follows:


                                             Three Months Ended September 30                                           Nine Months Ended September 30
      ($ in thousands)           2022             2021                     Change                       2022                2021                       

Change

Senior Notes due 2023 $ 3,357 $ 3,357 $ -

            -  %        $     10,071          $ 10,071          $     -                  -  %
Contribution Certificates
(including accretion)(1)        1,906            1,962             (56)             (2.9  %)              5,438             3,090            2,348               76.0  %
Revolving Credit Agreement
(including fees and
amortization)(2)                  250              364            (114)            (31.3  %)                768               870             (102)             (11.7  %)
Mortgage Loans (including
amortization)                       -               79             (79)                   nm                  -               444             (444)                    nm
(Gain)/loss on interest rate
cap                                 -               52             (52)                   nm             (1,405)             (272)          (1,133)            (416.5  %)
Interest expense              $ 5,513          $ 5,814          $ (301)             (5.2  %)       $     14,872          $ 14,203          $   669                4.7  %
(1) Includes accretion of approximately $0.4 million and $1.3 million for the three and nine months ended September 30, 2022, respectively, as compared to approximately
$0.6 million and $0.8 million in the same respective periods of 2021, 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 three and nine months ended September 30, 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 the 2022 and 2021 three- and nine-month periods primarily
reflected unused commitment fees.


Consolidated interest expense remained relatively unchanged for the 2022
three-month period and increased for the 2022 nine-month period as compared to
the same respective periods of 2021. The increase in consolidated interest
expense for the 2022 nine-month period was driven by the Contribution
Certificates associated with our acquisition of NORCAL on May 5, 2021 (see Note
2 of the Notes to Consolidated Financial Statements in our December 31, 2021
report on Form 10-K), partially offset by the change in fair value of our
interest rate cap which was terminated during the second quarter of 2022. See
further discussion of our interest rate cap agreement and outstanding debt in
Note 2 and Note 7 of the Notes to Condensed Consolidated Financial Statements,
respectively, and further discussion of our Contribution Certificates in Note 13
of the Notes to Consolidated Financial Statements in our December 31, 2021
report on Form 10-K.
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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:

                                                              Three Months Ended                  Nine Months Ended
                                                                 September 30                        September 30
                     (In thousands)                         2022              2021              2022              2021
Corporate segment income tax expense (benefit)           $ (2,673)         

$ 219 $ (6,232) $ 1,369

Income tax expense (benefit) - transaction-related
costs*

                                                          -             (489)              (391)           (4,501)
Consolidated income tax expense (benefit)                $ (2,673)         $  (270)         $  (6,623)         $ (3,132)
*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 11 of the Notes to Condensed Consolidated Financial Statements for a
reconciliation of our segment results to our consolidated results.


Listed below are the primary factors affecting our consolidated effective tax
rates for the three and nine months ended September 30, 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 the three and nine months ended
September 30, 2022 as compared to the consolidated pre-tax income recognized
during the same respective periods of 2021. Factors that have the same
directional impact on income tax expense 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 three and nine months ended September 30, 2022
versus the pre-tax income during the same respective periods of 2021. These
factors include the following:

                                                                                       Three Months Ended September 30
                                                                              2022                                         2021
                                                                                                              Income tax
                                                                 Income tax                                   (benefit)
                ($ in thousands)                             (benefit) expense      Rate Impact                expense          Rate Impact
Computed "expected" tax expense (benefit) at
statutory rate                                               $        (2,478)               21.0  %        $          2,505             21.0  %
Tax-exempt income (1)                                                   (291)                2.5  %                   (418)             (3.5  %)
Tax credits                                                           (1,201)               10.2  %                 (3,126)            (26.2  %)
Non-U.S. operating results                                                37                (0.2  %)                  (199)             (1.7  %)

Estimated annual tax rate differential (2)                             1,933               (16.4  %)                      -                -  %

Other                                                                   (673)                5.6  %                     968              8.1  %
Total income tax expense (benefit)                           $        (2,673)               22.7  %        $        (270)               (2.3  %)


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  Table of Contents

                                                                                     Nine Months Ended September 30
                                                                            2022                                       2021
                                                               Income tax                                Income tax
                                                               (benefit)                                  (benefit)
                ($ in thousands)                                expense         Rate Impact                expense         Rate Impact
Computed "expected" tax expense (benefit) at
statutory rate                                               $    (4,403)               21.0  %        $        22,859             21.0  %
Tax-exempt income (1)                                               (767)                3.7  %                  (895)             (0.8  %)
Tax credits                                                       (3,604)               17.2  %                (9,880)             (9.1  %)
Non-U.S. operating results                                          (140)                0.8  %                  (491)             (0.4  %)

Estimated annual tax rate differential (2)                         1,933                (9.2  %)                     -                -  %

Non-taxable gain on bargain purchase (3)                               -                   -  %               (15,626)            (14.4  %)
Other                                                                358                (1.9  %)                   901              0.8  %
Total income tax expense (benefit)                           $    (6,623)               31.6  %        $     (3,132)               (2.9  %)


(1) Includes tax-exempt interest, dividends received deduction and change in
cash surrender value of BOLI.
(2) Represents the tax rate differential between our actual effective tax rate
for the three and nine months ended September 30, 2022 and our projected annual
effective tax rate as of September 30, 2022 as calculated under the estimated
annual effective tax rate method. There was no tax rate differential recorded
for the three and nine months ended September 30, 2021 as we utilized the
discrete effective tax rate method at September 30, 2021 (see further discussion
on this method in the Critical Accounting Estimates section under the heading
"Estimation of Taxes/Tax Credits").
(3) Represents the tax impact of the 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
included in our December 31, 2021 report on Form 10-K.

For the three and nine months ended September 30, 2022, the provision (benefit)
for income taxes and the effective tax rate are determined utilizing the
estimated annual effective tax rate method which is based upon our current
estimate of our annual effective tax rate at the end of each quarterly reporting
period (the projected annual effective tax rate) plus the impact of certain
discrete items that are not included in the projected annual effective tax rate.
For the three and nine months ended September 30, 2021, we utilized the discrete
effective tax rate method for recording the provision (benefit) for income taxes
which treats the income tax expense (benefit) for the period as if it were the
income tax expense (benefit) for the full year and determines the income tax
expense (benefit) on that basis. See further discussion on the methods utilized
to compute interim taxes in the Critical Accounting Estimates section under the
heading "Estimation of Taxes/Tax Credits". Our effective tax rates for both the
2022 and 2021 three- and nine-month periods were different from the statutory
federal income tax rate of 21% due to the benefit recognized from the tax
credits transferred to us from our tax credit partnership investments. We
recognized tax credits of $1.2 million and $3.6 million during the three and
nine months ended September 30, 2022, respectively, as compared to $3.1 million
and $9.9 million for the same respective periods of 2021. While projected tax
credits for 2022 are less than 2021, they continue to have a significant impact
on the effective tax rate for the 2022 three- and nine-month periods.
Additionally, our effective tax rate for the 2021 nine-month period was
different from the statutory federal income tax rate of 21% due to the gain on
bargain purchase of $74.4 million related to the NORCAL acquisition, all of
which was non-taxable. There were no other individually significant items
impacting our effective tax rates for the 2022 and 2021 three- and nine-month
periods.

Our effective tax rate for the 2022 nine-month period, as shown in the table
above, differed from our projected annual effective tax rate of 9.6% due to
certain discrete items. These discrete items increased our effective tax rate by
22.0% for the 2022 nine-month period mainly due to the treatment of net
investment losses. When we utilize the estimated annual effective tax rate
method, net investment gains or losses are treated as discrete items and
reflected in the effective tax rate in the period in which they are included in
income. This treatment of net investment losses of $40.4 million for the nine
months ended September 30, 2022 in our Corporate segment accounted for an
increase of 21.9% in the effective tax rate. The remaining discrete items that
affected our effective tax rate for the 2022 nine-month period were comprised of
individually insignificant components.


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