A reputable broker like SURGPLI can help surgeons achieve the ideal medical malpractice insurance scenario: top-notch liability coverage from an A-rated provider at a competitive rate. 

Use this guide to explore the leading insurance providers of 2025, their ratings, and how their organizational structure and product offerings address surgeons’ unique needs.

How to Choose the Best Medical Malpractice Insurance Carrier

Depending on your specialty and where you live, you’ll likely have access to multiple top-rated malpractice insurance providers. When comparing policies and selecting a carrier, pay attention to the details and carefully consider these factors:


AM Best is an independent global credit agency that has specialized in insurance company credit assessments since 1899. The non-profit agency evaluates an insurance company’s strength and reliability using qualitative and quantitative data, such as public filings, year-end financial statements, and regulatory reports.

This AM Best Rating System:

  • Increases credibility and trust for carriers
  • Builds knowledge and transparency for consumers
  • Develops awareness of financial stability
  • Highlights future strength projections

Each year, AM Best gives consumers an opinion-based rating and overview of the industry’s carriers. Insurance carriers receive a rating according to the scale of A++ (Superior) to D (Poor) based on these five measures:

  • Insurer Philosophy
  • Financial Stability
  • Management Practices
  • Operational Structure
  • Projected Success

TIP: Verify a carrier’s rating per the original A.M. Best ratings document.
An insurance company’s website might display its top historical rating rather than the current rating.

Financially stable carriers will remain solvent long-term, ensuring your policy limits are sufficiently funded. Financially unstable carriers pose a greater risk of unexpectedly losing coverage or being held liable for legal fees or damages.
After narrowing down a list of strong potential carriers, focus on the policy details and rate premiums. Policy features that demand particular attention include:

Legal Expenses
A policy that covers defense costs in addition to the limits of liability is preferable to a policy that subtracts defense costs from your total liability limits.

Incident Trigger vs. Demand Trigger
The coverage trigger is a frequently ignored yet crucial line item in a malpractice insurance policy. Look for a policy with an incident trigger that allows you to report a claim as soon as an incident happens. The alternative, a demand trigger, requires a written demand for damages from the plaintiff before you can report a claim.

Consent to Settle
A consent-to-settle clause gives you the right to contest a meritless claim, even when settling is cheaper for the carrier. Without this clause, the carrier can opt for a settlement without your approval.

SURGPLI’s Top 10 Medical Malpractice Insurance Companies for Surgeons

Select the carrier you’d like to view.

No. Carrier A.M. Best Rating Category
1 The Doctors Company Group A Excellent
2 MedPro Group A++ Superior
3 Coverys Group A Excellent
4 Admiral Insurance Company A+ Superior
5 ISMIE A- Excellent
6 MagMutual Group A Excellent
7 MMIC/Curi Group A Excellent
8 AMS RRG A- Excellent
9 COPIC Group A Excellent
10 Hudson Insurance Group A+ Superior
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1. The Doctors Company (TDC)
AM Best Rating: A (Excellent)

  • Largest physician-owned malpractice insurance carrier
  • Protects more than 90,000 physicians and surgeons nationwide
  • $7.3 billion in assets with a $2.8 billion member surplus

The Doctors Company was founded during the California medical malpractice insurance crisis of the 1970s with the clear mission to advance, protect, and reward the practice of good medicine. 

Since then, The Doctors Company has earned endorsements from many national partners, including:

  • American College of Surgeons
  • American Academy of Otolaryngology-Head and Neck Surgery
  • American Association of Neurological Surgeons
  • American Society of Plastic Surgeons

The Doctors Company is an excellent choice for surgeons in most states. It offers its members a loyalty program called The Tribute Plan, which has paid physicians over $175 million in rewards. The Doctors Company Foundation funds patient safety research and education programs to improve the healthcare environment for surgeons and physicians.

2. MedPro Group
AM Best Rating: A++ (Superior)

  • A Berkshire Hathaway Company
  • 90% national trial win rate; 80% of claims closed without payment
  • Provides free tail coverage for surgeons at retirement after one year of insurance

MedPro Group is owned by Berkshire Hathaway, an organization widely recognized for its financial strength and prudent investment strategies. The Medical Protective Company is the oldest and largest malpractice insurance carrier, insuring the healthcare community and managing over half a million claims since 1899. Berkshire Hathaway/MedPro acquired Medical Liability Mutual Insurance Company (MLMIC), New York’s largest carrier, in 2018. 

MedPro offers pure consent to settle clauses, vowing never to settle any case without the surgeon’s consent. It’s your name on the policy and, to them, that signifies the right to make settlement decisions autonomously.

MedPro is the leading medical malpractice insurance carrier in Texas, New York, Ohio, Pennsylvania, New Jersey, Indiana, Kentucky, and other states.

3. Coverys 
AM Best Rating: A (Excellent)

  • 45+ years of experience defending doctors
  • Nearly $4 billion in assets
  • Offers CME programs on risk management and quality improvement

Coverys is a group of carriers including ProSelect Insurance Company, ProMutual Group Inc., Preferred Professional Insurance Company, Medical Professional Mutual Insurance Company, Healthcare Underwriters Group, Inc., Coverys Specialty Insurance Company, and Coverys, RRG, Inc. 

Coverys is the leading medical malpractice insurance carrier in Michigan, New Hampshire, North Dakota, and Rhode Island and writes medical professional liability insurance in most states.

4. Admiral Insurance Company
AM Best Rating: A+ (Superior)

  • In operation for 50+ years
  • Offers diverse endorsement options to support surgeons with unique risk profiles
  • Covers hard-to-place surgeons and aesthetic procedures

Admiral Insurance Company is a member of W.R. Berkley Corporation and has been in operation since 1974. It provides medical malpractice insurance to surgeons and medical practices on a non-admitted basis in most states. Admiral helps surgeons whose individual risk profile—due to claims or other factors like specialty—falls outside of typical underwriting guidelines for admitted carriers.  

Admiral was named 5-Star Professional Liability winner for excellence in Professional Liability underwriting by Insurance Business America in 2023.

5. ISMIE Group
AM Best Rating: A- (Excellent)

  • 92% trial win rate
  • Personalized risk management
  • 100+ Online CME courses on patient safety

ISMIE is a physician-led medical malpractice insurance carrier based in Chicago, IL, offering nationwide flexible coverage solutions. Doctors founded ISMIE during the professional liability insurance crisis in 1976, and it has since dominated the Illinois medical liability market for over 40 years. 

With over $1.4 billion in assets, ISMIE provides malpractice protection to doctors, surgeons, hospital systems, and healthcare facilities in all 50 states, DC, and the US Virgin Islands.

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6. MagMutual Insurance Company
AM Best Rating: A (Excellent)

 

  • 10% reduction in medical malpractice losses
  • Owned and led by policy owners
  • $400M+ in financial rewards returned to policy owners since inception
  • Free retirement tail insurance after one year for surgeons age 50+

MagMutual, based in Atlanta, is Georgia’s top malpractice insurance carrier, covering more than 40,000 physicians and healthcare organizations nationwide. Subsidiaries include Professional Security Insurance Company and MagMutual RRG for New York Doctors.

MagMutual offers the Preserve Program®, an early-intervention strategy that surgeons can implement to maintain a positive physician-patient relationship following an adverse outcome. Other resources include a 24/7 physician-staffed emergency hotline, online CME courses, and a peer support program for litigation-related stress management.

7. MMIC/Curi Group  
AM Best Rating: A (Excellent)

Based in Raleigh, NC, Curi Group has a well-established reputation for strong financial stability and a trial win/loss success rate of 83%. Curi is comprised of many formerly independent carriers, including MMIC, Medical Mutual Insurance Company of North Carolina (MMICNC), MMIC RRG, Arkansas Mutual, Michigan Professional Insurance Exchange (MPIE), Utah Medical Insurance Association, and more.

Curi offers CME-Eligible Webinars allowing physicians to earn AMA PRA Category 1 Credits.

8. Applied Medico-legal Solutions RRG (AMS RRG)

AM Best Rating: A- (Excellent)

  • In operation since 2003
  • Deep claims and underwriting knowledge
  • Physician ownership model

AMS RRG, Inc. is registered in all 50 states plus DC, delivering medical malpractice insurance solutions to doctors and surgeons in nearly every specialty. During the past 20 years, AMS RRG has grown to over $85 million in written premiums for Medical Professional Liability Insurance.

9. COPIC Group

AM Best Rating:  A (Excellent)

  • Founded by doctors
  • 24/7 risk management hotline
  • On-site risk assessments

COPIC is the top medical malpractice insurance provider in Colorado, offering admitted malpractice coverage in 12 states and COPIC RRG coverage in nearly every state across the U.S. Established in 1981 by doctors, COPIC now serves over 21,000 physicians and more than 300 medical facilities and hospitals.

10. Hudson Insurance Group

AM Best Rating: A+ (Superior)

  • In operation for 100+ years
  • Financially secure
  • Broad risk appetite
  • The underwriting scope includes surgery centers

Hudson Insurance Group (HIG) furnishes medical malpractice insurance underwritten on a non-admitted claims-made basis. HIG maintains an aggressive claim defense philosophy, settling indefensible cases quickly and fighting defensible cases forcefully. 

Find the Best Medical Malpractice Insurance For Your Specific Practice

While online research into a provider’s AM Best rating and financial strength are powerful first steps, a reputable broker specializing in medical malpractice can support your search with provider-specific context and expertise regarding the liability profile of your surgical field of practice. With negotiation support and analytical guidance, a broker ensures you get the best coverage at the best price

At SURGPLI, we help surgeons get the exact coverage they need from the best available A-rated medical malpractice insurance carrier. We pride ourselves on low rates and sky-high customer service. 

To speak with a knowledgeable malpractice insurance broker committed to serving your best interests, email info@medpli.com or call our Illinois office at 800-969-1339.

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