ProAssurance Corporation (NYSE:PRA), an industry-leading specialty insurer with extensive expertise in medical professional liability, today reported net income of $8.5 million, or $0.16 per diluted share, and operating income⁽¹⁾ was $12.7 million, or $0.25 per diluted share, for the three months ended March 31, 2026.

Highlights⁽²⁾

Operating performance continues to demonstrate progress toward premium rate levels appropriate for the challenging conditions in the medical professional liability and workers' compensation markets.
Net Income was impacted by non-operating items totaling $4.3 million for the three months ended March 31, 2026, which are discussed under "Reconciliation of Net Income (Loss) to Non-GAAP Operating Income (Loss)."
Consolidated net premiums written were $258.6 million for the quarter, including net premiums written of $192.4 million for our Medical Professional Liability business, which makes up over 95% of the Specialty P&C segment, and $50.0 million for the Workers' Compensation Insurance segment.
Specialty P&C renewal premium increases of 6% for the quarter are part of the cumulative premium change of more than 80% we have accomplished since 2018 in the medical professional liability market. Retention for the entire Specialty P&C segment was 83% for the quarter, slightly lower than retention for full-year 2025. We continue to forgo renewal and new business opportunities when we believe they do not meet our expectation of rate adequacy in the current medical professional liability loss environment.
Consolidated Non-GAAP combined ratio⁽¹⁾ for the quarter improved 2.3 points to 109.9%, including a 105.9% Non-GAAP combined ratio for the Specialty P&C segment⁽¹⁾. The progress was largely due to the effect of favorable prior year reserve development, primarily related to $3.0 million of favorable development in our Medical Professional Liability business, as well as a 0.3 point improvement in the consolidated Non-GAAP expense ratio⁽¹⁾.
Consolidated net investment income increased 8.2% for the quarter, reflecting higher average book yields. Earnings from limited partnership investments (reported as equity in earnings of unconsolidated subsidiaries) were below the prior year due to lower market valuations for three holdings.
Book value per share was $25.94 at March 31, 2026, down $0.30 from $26.24 at year-end 2025 due to changes in the market value of long-term investments; Non-GAAP adjusted book value per share⁽¹⁾ was $27.86 compared with $27.82 at year-end 2025.

"ProAssurance has started 2026 with another quarter of progress toward our long-term objectives," said Ned Rand, President and Chief Executive Officer of ProAssurance. "Joining forces with The Doctors Company through the transaction we announced in March 2025 will allow our organizations to continue to serve today's healthcare providers with the necessary scale and breadth of capabilities.

"Closing the transaction remains subject to approval from insurance regulators in the jurisdictions where we have operating subsidiaries domiciled. To date, The Doctors Company has received final approval from insurance regulators in Alabama, the District of Columbia, Illinois, Missouri, Texas and Vermont. Review of the proposed transaction by insurance regulators remains pending in California and Pennsylvania. The timing for completion of the pending reviews is uncertain and outside our control, but in light of progress made, we continue to anticipate closing the transaction by June 30, 2026," Rand added. "The Federal Trade Commission granted the transaction early termination of the waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 in July 2025 and ProAssurance shareholders overwhelmingly approved the transaction in June 2025."

⁽¹⁾	Represents a Non-GAAP financial measure that excludes certain items that are not indicative of the performance of our ongoing core operations. See a reconciliation of the Non-GAAP financial measure to its GAAP counterpart under the heading "Non-GAAP Financial Measures" that follows.
⁽²⁾	Comparisons are to the first quarter of 2025 unless otherwise noted.


CONSOLIDATED INCOME STATEMENT HIGHLIGHTS
Selected consolidated financial data for each period is summarized in the table below.
	Three Months Ended March 31
($ in thousands, except per share data)		2026			2025		Change
Revenues
Gross premiums written⁽¹⁾	$	286,986		$	303,821			(5.5	%)
Net premiums written	$	258,605		$	276,051			(6.3	%)
Net premiums earned	$	223,505		$	236,275			(5.4	%)
Net investment income		39,972			36,951			8.2	%
Equity in earnings (loss) of unconsolidated subsidiaries		2,938			4,015			(26.8	%)
Net investment gains (losses)⁽²⁾		(3,425	)		(1,693	)		(102.3	%)
Other income (expense)⁽¹⁾		(356	)		(3,469	)		89.7	%
Total revenues⁽¹⁾		262,634			272,079			(3.5	%)
Expenses
Net losses and loss adjustment expenses		174,194			189,960			(8.3	%)
Underwriting, policy acquisition and operating expenses⁽¹⁾		72,529			83,191			(12.8	%)
SPC U.S. federal income tax expense (benefit)		549			348			57.8	%
SPC dividend expense (income)		1,079			(248	)		535.1	%
Interest expense		5,090			5,160			(1.4	%)
Total expenses⁽¹⁾		253,441			278,411			(9.0	%)
Income (loss) before income taxes		9,193			(6,332	)		245.2	%
Income tax expense (benefit)		732			(510	)		243.5	%
Net income (loss)	$	8,461		$	(5,822	)		245.3	%
Non-GAAP operating income (loss)⁽³⁾	$	12,719		$	6,812			86.7	%
Weighted average number of common shares outstanding
Basic		51,491			51,188
Diluted		51,811			51,445
Earnings (loss) per share
Net income (loss) per diluted share	$	0.16		$	(0.11	)	$	0.27
Non-GAAP operating income (loss) per diluted share	$	0.25		$	0.13		$	0.12

⁽¹⁾	Consolidated totals include inter-segment eliminations. The eliminations affect individual line items only and have no effect on net income (loss). See Note 12 of the Notes to Condensed Consolidated Financial Statements in our March 31, 2026 report on Form 10-Q for amounts by line item.
⁽²⁾	This line item typically includes both realized and unrealized investment gains and losses and investment impairment gains and losses. Detailed information regarding the components of net investment gains (losses) is included in Note 3 of the Notes to Condensed Consolidated Financial Statements in our March 31, 2026 report on Form 10-Q.
⁽³⁾	See a reconciliation of net income (loss) to Non-GAAP operating income (loss) under the heading "Non-GAAP Financial Measures" that follows.
The abbreviation "nm" indicates that the information or the percentage change is not meaningful.

BALANCE SHEET HIGHLIGHTS
($ in thousands, except per share data)	March 31, 2026			December 31, 2025
Total investments	$	4,402,857		$	4,429,379
Total assets	$	5,414,991		$	5,447,192
Total liabilities	$	4,076,221		$	4,098,058
Common shares (par value $0.01)	$	642		$	640
Retained earnings	$	1,494,101		$	1,485,640
Treasury shares	$	(469,694	)	$	(469,694	)
Shareholders' equity	$	1,338,770		$	1,349,134
Book value per share	$	25.94		$	26.24
Non-GAAP adjusted book value per share⁽¹⁾	$	27.86		$	27.82

⁽¹⁾	Adjusted book value per share is a Non-GAAP financial measure. See a reconciliation of book value per share to Non-GAAP adjusted book value per share under the heading "Non-GAAP Financial Measures" that follows.

CONSOLIDATED KEY RATIOS
	Three Months Ended March 31
	2026		2025
Current accident year net loss ratio	80.1	%	80.8	%
Effect of prior accident years' reserve development	(2.2	%)	(0.4	%)
Net loss ratio	77.9	%	80.4	%
Underwriting expense ratio	32.5	%	35.2	%
Combined ratio	110.4	%	115.6	%
Non-GAAP combined ratio⁽¹⁾	109.9	%	112.2	%
Operating ratio	92.5	%	100.0	%
Non-GAAP operating ratio⁽¹⁾	92.1	%	96.4	%
Return on equity⁽²⁾	2.5	%	(1.9	%)
Non-GAAP operating return on equity⁽¹⁾⁽²⁾	3.8	%	2.2	%

⁽¹⁾	Represents a Non-GAAP financial measure. See a reconciliation to their GAAP counterparts under the heading "Non-GAAP Adjusted Key Ratios" that follows.
⁽²⁾	Quarterly amounts are annualized. Refer to our March 31, 2026 report on Form 10-Q under the heading "Non-GAAP Operating ROE" in the Executive Summary of Operations section for details on our calculation.

SPECIALTY P&C SEGMENT RESULTS
	Three Months Ended March 31
($ in thousands)		2026			2025		% Change
Gross premiums written	$	220,014		$	234,012		(6.0	%)
Net premiums written	$	198,843		$	213,656		(6.9	%)
Net premiums earned	$	172,081		$	183,254		(6.1	%)
Other income		915			3,766		(75.7	%)
Total revenues		172,996			187,020		(7.5	%)
Net losses and loss adjustment expenses		(137,586	)		(152,247	)	(9.6	%)
Underwriting, policy acquisition and operating expenses		(44,540	)		(48,635	)	(8.4	%)
Total expenses		(182,126	)		(200,882	)	(9.3	%)
Segment results	$	(9,130	)	$	(13,862	)	34.1	%

SPECIALTY P&C SEGMENT NON-GAAP ADJUSTED KEY RATIOS⁽¹⁾
	Three Months Ended March 31
	2026		2025
Current accident year net loss ratio	82.1	%	83.2	%
Effect of prior accident years' reserve development	(2.1	%)	(0.6	%)
Net loss ratio	80.0	%	82.6	%
Underwriting expense ratio	25.9	%	26.4	%
Combined ratio	105.9	%	109.0	%

⁽¹⁾	Represents Non-GAAP financial measures. See a reconciliation to their GAAP counterparts under the heading "Non-GAAP Adjusted Key Ratios" that follows.

WORKERS' COMPENSATION INSURANCE SEGMENT RESULTS
	Three Months Ended March 31
($ in thousands)		2026			2025		% Change
Gross premiums written	$	66,972		$	69,809		(4.1	%)
Net premiums written	$	49,971		$	51,606		(3.2	%)
Net premiums earned	$	40,665		$	41,524		(2.1	%)
Other income		362			390		(7.2	%)
Total revenues		41,027			41,914		(2.1	%)
Net losses and loss adjustment expenses		(31,309	)		(30,153	)	3.8	%
Underwriting, policy acquisition and operating expenses		(15,076	)		(15,603	)	(3.4	%)
Total expenses		(46,385	)		(45,756	)	1.4	%
Segment results	$	(5,358	)	$	(3,842	)	(39.5	%)

WORKERS' COMPENSATION INSURANCE SEGMENT KEY RATIOS
	Three Months Ended March 31
	2026		2025
Current accident year net loss ratio	77.0	%	75.0	%
Effect of prior accident years' reserve development	—	%	(2.4	%)
Net loss ratio	77.0	%	72.6	%
Underwriting expense ratio	37.1	%	37.6	%
Combined ratio	114.1	%	110.2	%

SEGREGATED PORTFOLIO CELL REINSURANCE SEGMENT RESULTS
	Three Months Ended March 31
($ in thousands)		2026			2025		% Change
Gross premiums written	$	11,636		$	12,748		(8.7	%)
Net premiums written	$	9,791		$	10,789		(9.3	%)
Net premiums earned	$	10,759		$	11,497		(6.4	%)
Net investment income		961			816		17.8	%
Net investment gains (losses)		(569	)		(335	)	69.9	%
Other income (expense)		1			(1	)	200.0	%
Net losses and loss adjustment expenses		(5,299	)		(7,560	)	(29.9	%)
Underwriting, policy acquisition and operating expenses		(3,741	)		(4,135	)	(9.5	%)
SPC U.S. federal income tax (expense) benefit⁽¹⁾		(549	)		(348	)	57.8	%
SPC net results		1,563			(66	)	2,468.2	%
SPC dividend (expense) income⁽²⁾		(1,079	)		248		535.1	%
Segment results⁽³⁾	$	484		$	182		165.9	%

⁽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.

SEGREGATED PORTFOLIO CELL REINSURANCE SEGMENT KEY RATIOS
	Three Months Ended March 31
	2026		2025
Current accident year net loss ratio	61.6	%	68.8	%
Effect of prior accident years' reserve development	(12.3	%)	(3.0	%)
Net loss ratio	49.3	%	65.8	%
Underwriting expense ratio	34.8	%	36.0	%
Combined ratio	84.1	%	101.8	%

CORPORATE SEGMENT
	Three Months Ended March 31
($ in thousands)		2026			2025		% Change
Net investment income	$	39,011		$	36,135		8.0	%
Equity in earnings (loss) of unconsolidated subsidiaries:
All other investments, primarily investment fund LPs/LLCs		2,886			4,070		(29.1	%)
Tax credit partnerships		52			(55	)	194.5	%
Total equity in earnings (loss) of unconsolidated subsidiaries:		2,938			4,015		(26.8	%)
Net investment gains (losses)		(2,856	)		(1,358	)	(110.3	%)
Other income (expense)		(1,046	)		(7,283	)	85.6	%
Operating expenses⁽¹⁾		(8,337	)		(8,102	)	2.9	%
Interest expense		(5,090	)		(5,160	)	(1.4	%)
Income tax (expense) benefit⁽¹⁾		(732	)		(229	)	219.7	%
Segment results	$	23,888		$	18,018		32.6	%
Consolidated effective tax rate		8.0	%		8.1	%

⁽¹⁾

Our Corporate segment results for the three months ended March 31, 2026 and 2025 exclude pre-tax transaction-related costs of $1.4 million and $7.1 million, respectively, and the associated income tax benefit related to the proposed merger transaction with The Doctors Company. These costs are excluded as we do not consider these items in assessing the financial performance of the segment. Additional information regarding the proposed merger transaction with The Doctors Company is provided in Note 1 of the Notes to the Condensed Consolidated Financial Statements in our March 31, 2026 report on Form 10-Q.

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 ongoing core 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):

RECONCILIATION OF NET INCOME (LOSS) TO NON-GAAP OPERATING INCOME (LOSS)
	Three Months Ended March 31
(In thousands, except per share data)		2026			2025
Net income (loss)	$	8,461		$	(5,822	)
Items excluded in the calculation of Non-GAAP operating income (loss):
Net investment (gains) losses⁽¹⁾		3,425			1,693
Net investment gains (losses) attributable to SPCs in which no profit/loss is retained⁽²⁾		(402	)		(240	)
Transaction-related costs⁽³⁾		1,423			7,057
Foreign currency exchange rate (gains) losses⁽⁴⁾		1,046			7,283
Non-operating income⁽⁵⁾		—			(2,212	)
Guaranty fund assessments (recoupments)		9			6
Non-core operations⁽⁶⁾		(432	)		1,124
Pre-tax effect of exclusions		5,069			14,711
Tax effect, at 21%⁽⁷⁾		(811	)		(2,077	)
After-tax effect of exclusions		4,258			12,634
Non-GAAP operating income (loss)	$	12,719		$	6,812
Per diluted common share:
Net income (loss)	$	0.16		$	(0.11	)
Effect of exclusions		0.09			0.24
Non-GAAP operating income (loss) per diluted common share	$	0.25		$	0.13

⁽¹⁾	Net investment gains (losses) recognized in earnings are primarily driven by changes in the value of investments that are marked to fair value each period, the nature and timing of which are unrelated to our normal operating results.
⁽²⁾	Net investment gains (losses) on investments related to SPCs are recognized in our Segregated Portfolio Cell Reinsurance segment. SPC results, including any net investment gain or loss, that are attributable to external cell participants are reflected in the SPC dividend expense (income). To be consistent with our exclusion of net investment gains (losses) recognized in earnings, we are excluding the portion of net investment gains (losses) that is included in the SPC dividend expense (income) which is attributable to the external cell participants.
⁽³⁾	Transaction-related costs are attributable to professional fees incurred in relation to the proposed merger transaction with The Doctors Company. Additional information regarding the proposed merger transaction with The Doctors Company is provided in Note 1 of the Notes to the Condensed Consolidated Financial Statements in our March 31, 2026 report on Form 10-K. We are excluding these costs as they do not reflect normal operating results and are unique and non-recurring in nature.
⁽⁴⁾	Foreign currency exchange rate gains (losses) are reported in our Corporate segment and are primarily related to foreign currency denominated balances associated with international insurance exposures, primarily related to our strategic partnership with an international medical professional liability insured in our Specialty P&C segment. Due to the size of the loss reserves associated with these international exposures, even nominal movements in exchange rates can lead to volatility in our results of operations. We exclude foreign currency exchange rate movements as the nature and timing of these changes are not indicative of our normal core operating results. Additional information on foreign currency exchange rate gains (losses) is provided in the Executive Summary of Operations section under the heading "Revenues" in our March 31, 2026 report on Form 10-Q.
⁽⁵⁾	Non-operating income reflected a gain of $2.2 million associated with the sale of our Franklin, TN property to an unrelated third party in the first quarter of 2025. We are excluding this item as it does not reflect normal operating results and is unique and non-recurring in nature.
⁽⁶⁾	Non-core operations include the net underwriting results from operations that are currently in run-off but do not qualify for Discontinued Operations accounting treatment under GAAP. These operations include our Lloyd's Syndicates operations from our previous participation in Syndicate 1729 and Syndicate 6131 as well as our legal professional liability book of business. Net investment gains (losses) recognized in earnings associated with these operations are included in the adjustment for consolidated net investment gains (losses) as described in footnote 1.
⁽⁷⁾	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 three months ended March 31, 2026 and 2025. See further discussion on this method in the Critical Accounting Estimates section under the heading "Estimation of Taxes" and in Note 4 of the Notes to Condensed Consolidated Financial Statements in our March 31, 2026 report on 10-Q. For both the 2026 and 2025 periods, our effective tax rate was applied to these items in calculating net income (loss), excluding net investment gains (losses) and related adjustments which were treated as discrete items and were tax effected at the annual expected statutory tax rate (21%) in the period they were 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. There are no taxes associated with our Lloyd's Syndicates operations in our consolidated tax provision due to the availability of net operating losses and the full valuation allowance recorded against the deferred tax assets. Accordingly, all adjustments related to our Lloyd's Syndicates operations in the table above are not tax effected. The portion of transaction-related costs that is tax deductible was tax effected at the statutory tax rate while the remaining non-deductible portion was not tax effected as there was no associated income tax benefit.

Non-GAAP Adjusted Key Ratios

Certain key performance ratios include the impact of certain before-tax effects of items that do not reflect normal operating results, as discussed in the previous table. We believe adjusting our key ratios for these items presents a useful view of the performance of our ongoing core insurance operations; however, it should be considered in conjunction with ratios computed in accordance with GAAP.

Our consolidated key ratios for the three months ended March 31, 2026 and 2025 include the impact of net underwriting results related to non-core operations, guaranty fund assessments and transaction-related costs (see previous discussion on these items in the previous table). Non-core operations include a nominal amount of underwriting income for the three months ended March 31, 2026 associated with our Lloyd's Syndicates operations as compared to an underwriting loss of $1.4 million for the same period of 2025. Also included in non-core operations for the three months ended March 31, 2026 and 2025 are the underwriting results associated with our legal professional liability book of business which were nominal in amount for all periods presented.

The following table is a reconciliation of our consolidated key ratios to Non-GAAP adjusted key ratios for the three months ended March 31, 2026 and 2025:

	Three Months Ended March 31
CONSOLIDATED	2026					2025
	As Reported		Non-GAAP operating adjustments	Non-GAAP Adjusted Ratios		As Reported		Non-GAAP operating adjustments	Non-GAAP Adjusted Ratios
Current accident year net loss ratio	80.1	%	0.1 pts	80.2	%	80.8	%	0.2 pts	81.0	%
Effect of prior accident years' reserve development	(2.2	%)	— pts	(2.2	%)	(0.4	%)	(0.6 pts)	(1.0	%)
Net loss ratio	77.9	%	0.1 pts	78.0	%	80.4	%	(0.4 pts)	80.0	%
Underwriting expense ratio	32.5	%	(0.6 pts)	31.9	%	35.2	%	(3.0 pts)	32.2	%
Combined ratio	110.4	%	(0.5 pts)	109.9	%	115.6	%	(3.4 pts)	112.2	%
Less: investment income ratio	17.9	%	(0.1 pts)	17.8	%	15.6	%	0.2 pts	15.8	%
Operating ratio	92.5	%	(0.4 pts)	92.1	%	100.0	%	(3.6 pts)	96.4	%

Our Specialty P&C segment key ratios for the three months ended March 31, 2026 and 2025 include the impact of net underwriting results related to non-core operations, as previously discussed, and guaranty fund assessments.

The following table is a reconciliation of our Specialty P&C segment key ratios to Non-GAAP adjusted key ratios for the three months ended March 31, 2026 and 2025:

	Three Months Ended March 31
SPECIALTY P&C SEGMENT	2026					2025
	Segment As Reported		Non-GAAP operating adjustments	Non-GAAP Adjusted Ratios		Segment As Reported		Non-GAAP operating adjustments	Non-GAAP Adjusted Ratios
Current accident year net loss ratio	82.0	%	0.1 pts	82.1	%	82.8	%	0.4 pts	83.2	%
Effect of prior accident years' reserve development	(2.0	%)	(0.1 pts)	(2.1	%)	0.3	%	(0.9 pts)	(0.6	%)
Net loss ratio	80.0	%	— pts	80.0	%	83.1	%	(0.5 pts)	82.6	%
Underwriting expense ratio	25.9	%	— pts	25.9	%	26.5	%	(0.1 pts)	26.4	%
Combined ratio	105.9	%	— pts	105.9	%	109.6	%	(0.6 pts)	109.0	%

Non-GAAP Operating ROE

The following table is a reconciliation of ROE to Non-GAAP operating ROE for the three months ended March 31, 2026 and 2025:

	Three Months Ended March 31
	2026		2025
ROE⁽¹⁾	2.5	%	(1.9	%)
Effect of items excluded in the calculation of Non-GAAP operating ROE	1.3	%	4.1	%
Non-GAAP operating ROE	3.8	%	2.2	%

⁽¹⁾	Quarterly amounts are annualized. Refer to our March 31, 2026 report on Form 10-Q under the heading "Non-GAAP Operating ROE" in the Executive Summary of Operations section for details on our calculation.

Non-GAAP Adjusted Book Value per Share

The following table is a reconciliation of our book value per share to Non-GAAP adjusted book value per share at March 31, 2026 and December 31, 2025:

	Book Value Per Share
Book Value Per Share at December 31, 2025	$	26.24
Less: AOCI Per Share⁽¹⁾		(1.58	)
Non-GAAP Adjusted Book Value Per Share at December 31, 2025		27.82
Increase (decrease) to Non-GAAP Adjusted Book Value Per Share during the three months ended March 31, 2026 attributable to:
Net income (loss)		0.16
Other⁽²⁾		(0.12	)
Non-GAAP Adjusted Book Value Per Share at March 31, 2026		27.86
Add: AOCI Per Share⁽¹⁾		(1.92	)
Book Value Per Share at March 31, 2026	$	25.94

⁽¹⁾	Primarily the impact of accumulated unrealized investment gains (losses) on our available-for-sale fixed maturity investments. See Note 9 of the Notes to Condensed Consolidated Financial Statements in our March 31, 2026 report on Form 10-Q for additional information.
⁽²⁾	Primarily the impact of an increase in common shares outstanding due to share-based compensation.

About ProAssurance

ProAssurance Corporation is an industry-leading specialty insurer with extensive expertise in medical professional liability and products liability for medical technology and life sciences. The Company is also a provider of workers' compensation insurance in the eastern U.S. ProAssurance Group is rated "A" (Excellent) by AM Best.

For the latest on ProAssurance and its industry-leading suite of products and services, cutting-edge risk management and practice enhancement programs, visit our website at https://ProAssuranceGroup.com with investor content available at https://Investor.ProAssurance.com. Our YouTube channel regularly presents insightful videos that communicate effective practice management, patient safety and risk management strategies.

Forward-Looking Statements

The foregoing contains "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act. These statements are often identified by the use of words such as "anticipate," "believe," "continue," "could," "estimate," "expect," "intend," "may," "plan," "hope," "hopeful," "likely," "may," "optimistic," "possible," "potential," "preliminary," "project," "should," "will," "would" or the negative or plural of these words or similar expressions or variations. Forward-looking statements are made based upon management's current expectations and beliefs and are not guarantees of future performance. Such forward-looking statements are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by the forward-looking statements. These factors include, among others: (i) the completion of the proposed transaction on the anticipated terms and timing, (ii) the satisfaction of other conditions to the completion of the proposed transaction, including obtaining required shareholder and regulatory approvals; (iii) the risk that ProAssurance Corporation's stock price may fluctuate during the pendency of the proposed transaction and may decline if the proposed transaction is not completed; (iv) potential litigation relating to the proposed transaction that could be instituted against ProAssurance Corporation or its directors, managers or officers, including the effects of any outcomes related thereto; (v) the risk that disruptions from the proposed transaction will harm ProAssurance Corporation's business, including current plans and operations, including during the pendency of the proposed transaction; (vi) the ability of ProAssurance Corporation to retain and hire key personnel; (vii) the diversion of management's time and attention from ordinary course business operations to completion of the proposed transaction and integration matters; (viii) potential adverse reactions or changes to business relationships resulting from the announcement or completion of the proposed transaction; (ix) legislative, regulatory and economic developments; (x) potential business uncertainty, including changes to existing business relationships, during the pendency of the proposed transaction that could affect ProAssurance Corporation's financial performance; (xi) certain restrictions during the pendency of the proposed transaction that may impact ProAssurance Corporation's ability to pursue certain business opportunities or strategic transactions; (xii) unpredictability and severity of catastrophic events, including but not limited to acts of terrorism, outbreaks of war or hostilities or global pandemics, as well as management's response to any of the aforementioned factors; (xiii) the possibility that the proposed transaction may be more expensive to complete than anticipated, including as a result of unexpected factors or events; (xiv) unexpected costs, liabilities or delays associated with the transaction; (xv) the response of competitors to the transaction; (xvi) the occurrence of any event, change or other circumstance that could give rise to the termination of the proposed transaction, including in circumstances requiring ProAssurance Corporation to pay a termination fee ; and (xvii) other risks set forth under the heading "Risk Factors," of our Annual Report on Form 10-K for the year ended December 31, 2024 and in our subsequent filings with the Securities and Exchange Commission. You should not rely upon forward-looking statements as predictions of future events. Our actual results could differ materially from the results described in or implied by such forward looking statements. Forward-looking statements speak only as of the date hereof, and, except as required by law, we undertake no obligation to update or revise these forward-looking statements.

View source version on businesswire.com: https://www.businesswire.com/news/home/20260505036598/en/

For More Information:

Heather J. Wietzel • SVP, Investor Relations

800-282-6242 • 205-776-3028 • InvestorRelations@ProAssurance.com

ProAssurance Reports Results for First Quarter 2026