Growth and Acquisitions

On November 7, 2005, the company sold its personal lines insurance operations, known as Meemic Insurance Company, to Ally Financial (GMAC) for $400 million. Of the $400 million, $327 million was to be paid in cash, and $73 million was to be in capital that was held in Meemic Insurance Company.^[5] The sale was completed on January 4, 2006.^[6]

The company operates five principal subsidiaries: ProAssurance Indemnity Company (formerly The Medical Assurance Company), ProAssurance Casualty Company (formerly ProNational Insurance Company), ProAssurance Wisconsin Insurance Company (formerly PIC Wisconsin), ProAssurance Specialty Insurance Company (formerly Red Mountain Casualty Insurance Company), and ProAssurance National Capital Insurance Company (formerly NCRIC, Inc.).^{[citation needed]}

On April 1, 2009, ProAssurance acquired Podiatry Insurance Company of America, A Mutual Company (PICA) in a sponsored demutualization. PICA, founded by podiatrists in 1980, is the largest insurer of podiatrists in the U.S. PICA also is an insurer of U.S. chiropractors and acupuncturists through its subsidiary, PACO Assurance Company, Inc. (PACO).^{[citation needed]} PICA had previously acquired PACO (1999), Dependable Protective Mutual (2000), and OUM (2001).^[7] PICA is domiciled in Illinois and its offices are in Brentwood, Tennessee.

In 2010, ProAssurance acquires American Physicians Service Group, Inc., the publicly-traded parent company of American Physicians Insurance Company (API), an Austin, Texas-based insurer with roots stretching back to 1975. This transaction moves ProAssurance into the vital Texas market and expands writings in Arkansas and Oklahoma.^[8] ProAssurance and Ascension Health, the nation's largest not-for-profit healthcare provider, announce the creation of the Certitude program. This strategic partnership provides a competitive, financially secure medical professional liability program for certain on-staff and affiliated physicians and mid-level healthcare providers.^[9]

ProAssurance acquires Independent Nevada Doctors Insurance Exchange (IND),^[10] a Nevada reciprocal insurer in 2012. This vaults the company to a leadership position in the Nevada healthcare professional liability market and a strong base of operations in the far West.

In 2013, ProAssurance acquires Medmarc Insurance Group^[11] in a sponsored demutualization. The Medmarc Group, consisting of Medmarc Casualty Insurance Company and Noetic Specialty Insurance Company, expands ProAssurance's healthcare-centric focus to medical products and life sciences, and lawyer writings.

On January 1, 2014 ProAssurance acquires Eastern Insurance Holdings, Inc., a publicly traded healthcare-centric writer of worker's compensation insurance.^[12] ProAssurance becomes the majority capital provider to Syndicate 1729 at Lloyd's of London.^[13] Also, in 2014 ProAssurance announces the formation of CAPAssurance in partnership with the Cooperative of American Physicians (CAP), a California-based insurer.^[14]

In 2015, ProAssurance forms ProAssurance American Mutual, A Risk Retention Group domiciled in Washington, D.C. The Risk Retention Group provides ProAssurance with additional flexibility to service its customers with challenging and complex needs.

In 2017, ProAssurance's subsidiary, Eastern Alliance, purchased Great Falls Insurance Company's book of workers' compensation business. This purchase allowed Eastern to expand operations into Maine and New Hampshire.^[15] In September 2017, ProAssurance Corporation endowed the University of Alabama School of Medicine $1.5 million to establish the ProAssurance Endowed Chair for Physician Wellness. The chair will support a research team to address health issues unique to physicians."^[16]

On May 5, 2021, ProAssurance Corporation acquires NORCAL Mutual, a physician-directed insurance company based in Northern California. As leaders in writing medical professional liability insurance, NORCAL contributions help to expand and establish ProAssurance as a true nationwide platform.