In the latest issue of Medical Liability Monitor, we summarize results from the second quarter of 2024 for composite of medical professional liability (MPL) specialty writers, our 15th year of tracking the metrics. The data used in our analysis covers 20 years and consists of aggregate statutory financial information compiled from S&P Global Market Intelligence. The current composite includes 173 MPL specialty companies with total direct written premium of more than $6.6 billion in 2023. In this issue, we discuss the key metrics, including:

• Premium growth
• Underwriting expenses
• Investment income
• Indemnity payments
• Policyholder surplus