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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-K

(Mark One)
[X] Annual report pursuant to section 13 or 15(d) of the Securities
Exchange Act of 1934 [Fee Required] for the fiscal year ended December
31, 2003, or

[ ] Transition report pursuant to section 13 or 15(d) of the Securities
Exchange Act of 1934 [No Fee Required] for the transition period from
________ to _________.

Commission file number: 001-16533

ProAssurance Corporation*
---------------------------------
(Exact name of registrant as specified in its charter)

Delaware 63-1261433
- ------------------------ ------------------------------------
(State of incorporation (I.R.S. Employer Identification No.)
or organization)

100 Brookwood Place, Birmingham, AL 35209
-------------------------------------------------------
(Address of principal executive offices) (Zip Code)

(205) 877-4400
----------------------------------------------------
(Registrant's Telephone Number, Including Area Code)

Securities registered pursuant to Section 12(b) of the Act:

Name of Each Exchange
Title of Each Class On Which Registered
------------------- -------------------

Common Stock, par value $0.01 per share New York Stock Exchange

Securities registered pursuant to Section 12(g) of the Act:
None.

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes [X] No [ ]

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. [ ]

Indicate by check mark whether the registrant is an accelerated filer (as
defined in Exchange Act Rule 12b-2). Yes [ ] No [ ]

The aggregate market value of voting stock held by non-affiliates of the
registrant at June 30, 2003 was $715,617,853.

As of March 1, 2004, the registrant had outstanding approximately 29,105,971
shares of its common stock.

Exhibit Index at page 108
Page 1 of 110 pages



Documents incorporated by reference in this Form 10-K:

(i) The definitive proxy statement for the 2004 Annual Meeting of
the Stockholders of ProAssurance Corporation (File No.
001-16533) is incorporated by reference into Part III of this
report.

(ii) The Registration Statement on Form S-4 of ProAssurance
Corporation (File No. 333-49378) is incorporated by reference
into Part IV of this report.

(iii) Registration Statement on Form S-4 of MAIC Holdings, Inc.
(File No. 33-91508) is incorporated by reference into Part IV
of this report.

(iv) The MAIC Holdings, Inc. Definitive Proxy Statement for the
1996 Annual Meeting (File No. 0-19439) is incorporated by
reference into Part IV of this report.

(v) The Registration Statement on Form S-4 of Professionals Group,
Inc. (File No. 333-3138) is incorporated by reference into
Part IV of this report.

(vi) The Registration Statement on Form S-4 of MEEMIC Holdings,
Inc. (File No. 333-66671) is incorporated by reference into
Part IV of this report.

(vii) The ProAssurance Corporation Quarterly Report on Form 10-Q for
the quarter ended June 30, 2001 (Commission File No.
001-16533) is incorporated by reference into Part IV of this
report.

(viii) The ProAssurance Corporation Quarterly Report on Form 10-Q for
the quarter ended September 30, 2001 (Commission File No.
001-16533) is incorporated by reference into Part IV of this
report.

(ix) The ProAssurance Corporation Annual Report on Form 10-K for
the year ended December 31, 2001 (Commission File No.
001-16533) is incorporated by reference into Part IV of this
report.

(x) The ProAssurance Corporation Quarterly Report on Form 10-Q for
the quarter ended June 30, 2002 (Commission File No.
001-16533) is incorporated by reference into Part IV of this
report.

(xi) The Registration Statement on Form S-3 of ProAssurance
Corporation (Commission File No. 333-100526) is incorporated
by reference into Part IV of this report.

(xii) The ProAssurance Annual Report on Form 10-K for the year ended
December 31, 2002 (File No. 001-16533) is incorporated in Part
IV of this report.

(xiii) The ProAssurance Corporation Quarterly Report on Form 10-Q for
the quarter ended June 30, 2003 (File No. 001-16533) is
incorporated in Part IV of this report.

(xiv) The Registration Statement on Form S-3 of ProAssurance
Corporation (File No. 333-109972) is incorporated by reference
in Part IV of this report.

2


PART I

ITEM 1. BUSINESS

GENERAL

We are a holding company for specialty property and casualty insurance
companies focused on the professional liability and the personal lines insurance
markets. Our executive offices are located at 100 Brookwood Place, Birmingham,
Alabama 35209 and our telephone number is (205) 877-4400. Our stock trades on
the New York Stock Exchange under the symbol "PRA."

Our website is www.ProAssurance.com. On our website we make available
all of the reports that we file with the Securities and Exchange Commission (the
"SEC"), including our annual report on Form 10K, our quarterly reports on Form
10Q and our current reports on Form 8K. We provide access to these reports, as
well as Forms 3, 4 and 5 detailing stock trading by corporate insiders, through
our website as soon as reasonably practical after they are filed with the SEC.
We provide access to these reports for at least one year after their filing. We
also provide similar access to news releases issued by the Company, and to major
investor presentations made by our executives.

We have a regional orientation, applying a focused underwriting
strategy to local markets where we have built a strong reputation among our
customers and producers. Our professional liability business is concentrated in
the southeast and midwest and serves physicians, dentists, other healthcare
providers and healthcare facilities. We believe we are the fourth largest active
writer of medical professional liability insurance in the United States. Our
personal lines segment focuses on educators and their families in Michigan. We
believe we are the tenth largest writer of personal automobile insurance in
Michigan.

By concentrating on specialty markets where customers have specialized
needs, we seek to provide value added solutions through our underwriting
expertise and our emphasis on strong customer service. Our regional presence
allows us to maintain active relationships with our customers and be more
responsive to their needs. We seek to maintain a strong financial position to
protect our customers. We believe these factors have allowed us to establish a
leading position in our markets, enabling us to compete on a basis other than
just price.

For the year ended December 31, 2003, we generated $740.1 million of
gross premiums written, $623.5 million of net premiums earned and $709.6 million
of total revenues. As of December 31, 2003, we had cash and invested assets of
$2.1 billion, total assets of $2.9 billion and stockholders' equity of $546.3
million.

CORPORATE ORGANIZATION AND HISTORY

We were incorporated in Delaware to serve as the holding company for
Medical Assurance, Inc. (Medical Assurance) in connection with its acquisition
of Professionals Group, Inc. (Professionals Group) in June 2001. Our principal
operating subsidiaries are The Medical Assurance Company, Inc., ProNational
Insurance Company, Red Mountain Casualty Insurance Company, Inc., and MEEMIC
Insurance Company. Our financial statements and other financial information
include Professionals Group only from the date of acquisition in compliance with
purchase accounting rules. We also write professional liability insurance
through Medical Assurance of West Virginia.

We are the successor to 11 insurance organizations. Our predecessor
company, Medical Assurance, was founded by physicians as a mutual company in
Alabama and began in 1977. We demutualized and became a public company in 1991.
Medical Assurance expanded through internal growth and the acquisition of
professional liability insurance companies with strong regional identities in
West Virginia, Indiana and Missouri, along with books of business in Ohio and
Missouri.

3


Professionals Group traces its roots to Brown-McNeeley Fund, which was
founded by the State of Michigan in 1975 to provide medical professional
liability insurance to physicians. Physicians Insurance Company of Michigan,
which ultimately became ProNational, was founded in 1980 to assume the business
of the Fund. That company also expanded through internal growth and the
acquisition of books of business in Illinois and Indiana and the acquisition of
a professional liability insurer in Florida.

MEEMIC Insurance Company was founded as a mutual company by Michigan
teachers and has provided personal lines insurance to the educational community
in that state since 1950. Professionals Group became affiliated with MEEMIC in
1997 and acquired majority ownership of MEEMIC Holdings, Inc. (MEEMIC Holdings)
in 1999.

In each acquisition we retained key personnel, allowing us to maintain
a local presence and preserve important institutional knowledge in claims
management and underwriting. We believe that this ability to utilize local
knowledge in claims and underwriting is a critical factor in the operation of
our companies. Our successful integration of each organization demonstrates our
ability to grow effectively through acquisitions.

SEGMENT OVERVIEW

We conduct our business through two operating segments, each of which
maintains a strong position in its local markets:

- Our professional liability segment, which represents our commercial
lines business, primarily focuses on providing medical professional
liability insurance. We provide protection against claims arising out
of the death, injury or disablement of a person resulting from a
negligent deviation from the standard of care by the professionals we
insure.

- Our personal lines segment offers personal automobile, and to a lesser
extent, homeowners, boat and umbrella insurance primarily to teachers,
administrators, professors and other members of the educational
community and their families in Michigan. Personal lines insurance
provides policyholders with protection against claims resulting from
bodily injury and property damage liability and physical damage to
property.

The following table illustrates our gross premiums written for our two
primary segments for each of the periods indicated:



Year Ended December 31
2003 2002 2001
--------------------------------------------------------------

Professional liability $ 543,323 73% $ 461,715 73% $ 315,698 81%
Personal lines 196,787 27% 174,441 27% 73,285 19%
--------------------------------------------------------------
Total $ 740,110 100% $ 636,156 100% $ 388,983 100%
==============================================================


4


Professional Liability Segment

In our professional liability segment, our top five states represented
74% of gross premiums written for the year ended December 31, 2003. The
following table displays the distribution of those gross premiums.



Year Ended December 31
2003 2002 2001
--------------------------------------------------------------

Ohio $ 123,205 23% $ 91,571 20% $ 51,520 16%
Alabama 106,437 20% 83,818 18% 74,917 24%
Florida 80,549 15% 71,366 15% 29,519 9%
Michigan 54,727 10% 52,203 11% 22,404 7%
Missouri 33,987 6% 23,786 5% 13,348 4%
All other states 144,418 26% 138,971 31% 123,990 40%
--------------------------------------------------------------
Total $ 543,323 100% $ 461,715 100% $ 315,698 100%
==============================================================


For the year ended December 31, 2003, our professional liability
segment produced a combined ratio of 112%. The combined ratio is the sum of the
underwriting expense ratio (the ratio of underwriting expenses to earned
premiums) and net loss ratio (the ratio of net losses and loss adjustment
expenses to net earned premiums).

A combined ratio below 100% generally indicates profitable underwriting
prior to the consideration of investment income. However, if investment income
is considered, companies writing professional liability insurance may be
profitable with combined ratios above 100%. Thus, the combined ratio may not
always be indicative of our ultimate results because of the "long tail" nature
of the professional liability business.

The term "long-tail" refers to the long period of time between
collecting the premium for insuring a risk and the ultimate payment of losses,
often exceeding five years. This "long tail" allows us to invest the premiums we
collect until we pay losses, which results in a higher level of invested assets
and investment income as compared to other lines of property and casualty
business.

In order to measure the effect of investment income, we also measure
our results by calculating our operating ratio, which is the combined ratio
offset by the benefit of investment income generated from our cash and invested
assets. This ratio is expressed as a percentage of net premiums earned. For the
year ended December 31, 2003 our professional liability segment produced an
operating ratio of 98%. A ratio below 100% indicates profitability for the
segment.

Personal Lines Segment

Business in our personal lines segment is currently confined to
Michigan. The following table displays gross premiums written in this segment.



Year Ended December 31
2003 2002 2001 (1)
--------------------------------------------------------------

Michigan $ 196,787 100% $ 174,441 100% $ 73,285 100%
==============================================================


(1) The year ended December 31, 2001 includes gross premiums written since
June 27, 2001, the date of consolidation of Professionals Group and
Medical Assurance.

5


Personal lines insurance is generally referred to as "short tail", due
to shorter time periods between insuring the risk and the ultimate payment of
claims. As a result, there is less time to invest premiums collected, which
makes it necessary to achieve an underwriting profit in order to generate a
satisfactory return on equity. For the year ended December 31, 2003, MEEMIC
reported a combined ratio of 88%.

RECENT EVENTS

Details of Financing Transactions

In early July 2003 we received $104.6 million from the issuance of 3.9%
Convertible Debentures, due June 2023, having a face value of $107.6 million. We
utilized a substantial portion of the net proceeds to repay our outstanding term
loan. We are using the balance of the net proceeds for general corporate
purposes, including contributions to the capital of our insurance subsidiaries
to support the growth in insurance operations. See Note 11 to our Consolidated
Financial Statements for more information regarding the Convertible Debentures.

In the fourth quarter of 2002 ProAssurance sold 3,025,000 shares of
common stock at a price of $16.55 per share in an underwritten public offering.
ProAssurance received net proceeds from the offering in the amount of
approximately $46.5 million. ProAssurance used the proceeds from the offering to
support the growth of the professional liability insurance business and for
general corporate purposes.

Purchase of Minority Shares of MEEMIC

On January 29, 2003 MEEMIC Holdings, the parent company of MEEMIC
Insurance Company, purchased all of the issued and outstanding shares of its
common stock, other than those held by ProAssurance's subsidiary, ProNational
Insurance Company (ProNational). MEEMIC Holdings used its internal funds in the
approximate amount of $34.1 million to acquire all of the 1,062,298 shares of
its common stock not owned by ProNational, to pay for outstanding options for
120,000 shares, and to pay the expenses of the transaction. The funds were
derived from MEEMIC Holdings' cash and investment resources. As a result of the
transaction, MEEMIC Holdings was delisted from the NASDAQ stock market and
became a wholly-owned subsidiary of ProNational.

MANAGEMENT

Our senior management team is led by A. Derrill Crowe, M.D., our
Chairman and Chief Executive Officer, and Victor T. Adamo, Esq., our President
and Chief Operating Officer. Dr. Crowe has acted as the Chief Executive Officer
of Medical Assurance since its founding in 1977. He has applied a hands-on
management style in developing our underwriting and claims strategies and was
instrumental in establishing us as a leading professional liability specialist.
Mr. Adamo has held various positions with Professionals Group since 1985,
becoming its CEO in 1987 and being named President in 1989. He is largely
responsible for building Professionals Group into a successful regional
professional liability company.

Dr. Crowe practiced medicine as his principal occupation for more than
25 years and Mr. Adamo was in the private practice of law for 10 years,
providing them with knowledge of medical and legal issues that are critical to
our insurance operations. We also have a knowledgeable and experienced
management team with established track records in building and managing
successful insurance operations. In total, our senior management team has
average experience in the insurance industry of 23 years.

6


PRODUCTS AND SERVICES

Professional Liability Segment

We offer professional liability insurance for providers of medical and
other healthcare services. Although we generate a majority of our premiums from
individual and small group practices, we also insure several major physician
groups as well as several hospitals. We also offer professional liability
insurance for providers of legal services, and we offer professional office
package and workers' compensation insurance products in connection with our
professional liability products. We believe our size, financial strength and
flexibility of distribution differentiates us from our competitors. The
following table illustrates the distribution of our gross premiums written of
our professional liability segment by type of coverage for the periods
indicated.



Year Ended December 31
2003 2002 2001
----------------------------------------------------------------

Professional Liability-
Physicians & Dentists $ 488,625 90% $ 410,560 89% $ 228,139 72%
Professional Liability--Other (1) 42,408 7% 37,576 8% 39,080 12%
----------------------------------------------------------------
Total Medical Professional Liability 531,033 97% 448,136 97% 267,219 84%
Professional Liability--Legal 8,567 2% 5,968 1% 2,134 1%
Other Commercial Lines (2) $ 3,723 1% 7,611 2% 46,345 15%
----------------------------------------------------------------
Total Commercial Liability 12,290 3% 13,579 3% 48,479 16%
----------------------------------------------------------------
Professional Liability Total $ 543,323 100% $ 461,715 100% $ 315,698 100%
================================================================


(1) Primarily includes miscellaneous healthcare providers, hospitals and other
health care facilities.

(2) Primarily includes workers' compensation and commercial multi-peril
coverages. Prior to 2000 we marketed this coverage to a wide range of
accounts, primarily through fronting arrangements. However, in 2000 we began
non-renewing these coverages for any insured who was not a professional
liability policyholder. Our exit from this business allowed us to redeploy
needed capital to professional liability and allowed management to focus its
attention on our core professional liability business.

There are two predominant types of professional liability insurance
policies, occurrence and claims-made. Occurrence coverage provides permanent
insurance protection against claims arising from incidents that occur during the
policy period, regardless of when these claims may be reported. Due to the
long-tail nature of the professional liability business, it may be many years
before insurers become aware of claims under occurrence policies.

7


Claims-made coverage provides protection against only those claims
reported during the policy period, resulting from incidents that occurred while
continuously insured on a claims-made basis. Therefore, most claims are known,
although not resolved, at the end of the policy period. This allows us to
estimate our loss reserves for claims-made coverage with more certainty. The
basic claims-made policy does not provide protection against claims which are
reported after the policy period ends; the insured must either continue to renew
the claims-made policy or purchase extended reporting coverage in order to have
permanent protection. In the event of death, disability or qualified retirement,
most insureds receive extended reporting coverage as part of the policy terms.

In October 2002, we started offering professional liability insurance
to medical and other healthcare professionals who generally do not qualify for
standard coverage because of their claim history or other factors. This business
is written on an excess and surplus lines basis, which provides us with greater
flexibility in establishing prices and terms of coverage. Red Mountain Casualty
Insurance Company, Inc. is the main subsidiary in which this business is written
and we believe it provides profitable opportunities to expand our business. In
2002 this line of business produced $3.0 million in premiums and in 2003 this
line of business produced $20 million in premiums.

Personal Lines Segment

Our personal lines business is written through our subsidiary, MEEMIC,
which primarily serves educational employees and their families in Michigan.
Private passenger automobile insurance is our primary line of business. To
provide for the other insurance needs of our auto customers, we also offer
homeowners, boat and umbrella policies. The following table illustrates our
gross premiums written for each of our personal lines classes of business for
each of the periods indicated.



Year Ended December 31
2003 2002 2001 (1)
-----------------------------------------------------------------

Personal Automobile $ 161,399 82% $ 147,168 84% 62,422 85%
Homeowners 34,571 18% 26,600 16% 10,637 15%
Boat (2) 616 - 497 - 163 -
Umbrella (2) 201 - 176 - $ 63 -
-----------------------------------------------------------------
Total $ 196,787 100% $ 174,441 100% $ 73,285 100%
=================================================================


(1)The year ended December 31, 2001 includes gross premiums written since June
27, 2001, the date of consolidation of Professionals Group and Medical
Assurance.

(2) Less than 1%

MARKETING

Professional Liability Segment

We primarily write insurance in the southeast and midwest and are
licensed to do business in every state but Connecticut, Maine, New Hampshire,
New York and Vermont. Based on gross premiums written in 2003, Ohio, Alabama,
Florida, Michigan, and Missouri represented our five largest states.

We utilize direct marketing and independent agents to write business.
In Alabama, we rely solely on direct marketing, and in Florida and Missouri,
direct marketing accounts for a majority of our business. We use independent
agents to market our professional liability insurance products in other markets.
For the year ended December 31, 2003, we estimate that approximately 62% of our
gross professional liability premiums written were produced through independent
insurance agencies. These local agencies usually have one to three producers who
specialize in professional liability insurance and who we believe are able to
convey the factors that differentiate our professional liability insurance
product. No single agent or agency accounts for more than 10% of our total
direct premiums written.

8


We focus our marketing efforts on sole practitioners and small groups
of physicians. We generally do not target large groups or facilities because of
the difficulty in underwriting the individual risks and because their purchasing
decision is more focused on price. Our marketing efforts differentiate our
professional liability insurance products by emphasizing:

- excellent claims service and the other services and communications we
provide to our customers,

- the sponsorship of risk management education seminars as an accredited
provider of continuing medical education,

- risk management consultation, loss prevention seminars and other
educational programs,

- legislative oversight and active support of proposed legislation we
believe will have a positive effect on liability issues affecting the
healthcare industry,

- the preparation and dissemination of newsletters and other printed
material with information of interest to the healthcare industry, and

- endorsements by, and attendance at meetings of, the state and local
medical societies and related organizations.

These communications and services have helped us gain exposure among
potential insureds and demonstrate our understanding of the insurance needs of
the healthcare industry and promote a commonality of interest among us and our
insureds.

Personal Lines Segment

Our personal lines insurance products are personal automobile,
homeowners, boat and umbrella policies. We market these products to members of
the educational community and their families in Michigan. Our policies are sold
through our exclusive agents who are typically current or former teachers,
school administrators or other education professionals. We refer to this sales
method as peer-to-peer selling. We currently are licensed in Michigan,
Minnesota, Ohio and Wisconsin, but write insurance only in Michigan. Our plans
include expansion into at least one neighboring state within the next 18 months.

Our sales representatives also have access to other insurance products
underwritten by other carriers in Michigan who pay us commissions for their
sales. In general, these carriers offer products that we do not currently offer,
or insure a class of business that does not meet our underwriting guidelines. By
offering complementary insurance products, our sales representatives provide our
customers with the convenience of being able to purchase a full range of
insurance products through a single agent, thus allowing our representatives to
compete with independent agents. We also benefit by having potential customers
for products we may offer in the future.

We conduct quarterly meetings with our sales representatives, establish
benchmarks and goals, and conduct technical training and sponsor continuing
education programs. Our representatives provide us with important information
about market conditions and feedback from our customers regarding their
insurance requirements and our level of service provided. This information is
used to develop new products and new product features. We recruit and train new
sales representatives to work in under-represented areas of the state. Sales
representatives are paid a fixed commission with some opportunity for contingent
bonuses, based upon the representative's production and loss ratios.

For the year ended December 31, 2003, one sales representative
accounted for approximately 5% of our direct premiums written within our
personal lines segment. The top 10 sales representatives accounted for
approximately 34% of our direct premiums written in 2003.

9


UNDERWRITING

Professional Liability Segment

Because we focus our primary efforts on sole practitioners and small
groups, our underwriting process is driven by individual risk selection rather
than by account, and our pricing decisions are focused on achieving rate
adequacy. We assess the quality and pricing of the risk, primarily emphasizing
loss history, practice specialty and location of practice in making our
underwriting decision. Our underwriters work closely with our local claims
departments. This includes consulting with staff about claims histories and
patterns of practice in a particular locale as well as monitoring claims
activity.

Our underwriting focuses on knowledge of local market conditions and
legal environment. Through our five regional underwriting offices located in
Alabama, Florida, Indiana, Missouri and Michigan, we have established a local
presence within our targeted markets to obtain better information more quickly.

Our underwriting department establishes guidelines to classify risks by
practice specialty and by location. Our underwriters work with our field
marketing force to identify business that meets these established underwriting
standards and to develop specific strategies to write the desired business. In
performing this assessment, our underwriters may also consult with internal
actuaries regarding loss trends and pricing and utilize loss-rating models to
assess the projected underwriting results of certain insured risks. Our agents
are permitted to bind professional liability coverage within our underwriting
guidelines, but binding authority is exercised only after authorization from our
underwriting staff.

Our underwriters are also assisted by our local medical advisory
committees that we have established in our key states. These committees are
comprised of local physicians, dentists and representatives of hospitals and
healthcare entities and help us maintain close ties to the medical communities
in these states, provide information on the practice of medicine in each state
and provide guidance on critical underwriting and claims issues.

Personal Lines Segment

As we evaluate risks, we rely to a significant degree on information
provided by our sales representatives in underwriting risks. The majority of our
sales representatives are, or were, teachers. This enhances the sales
representatives' ability to act as field underwriters since they have a general
understanding of lifestyles and insurance needs within the educational community
to effectively pre-screen applicants. We believe that the educational community
in Michigan provides better than average risk-selection, which contributes to
our historically profitable underwriting results.

Our underwriters then evaluate and accept applications for insurance
submitted by the sales representatives based on consistently applied
underwriting guidelines. Our system allows for some flexibility in the
application of these guidelines by individual underwriters, and underwriting
supervisors regularly audit their work and ensure exceptions fall within
acceptable limits. Our underwriters monitor policyholder deviations from the
underwriting guidelines to assist in decisions related to cancellation and
non-renewal.

CLAIMS MANAGEMENT

Professional Liability Segment

We have claims offices throughout the states in which we write business
in order to provide localized and timely attention to claims. Our claims
department investigates the circumstances surrounding a medical incident from
which a covered claim arises against an insured. Upon investigation, and in
consultation with the insured and appropriate experts, we evaluate the merit of
the claim and either seek reasonable settlement or aggressively defend the
claim. If the claim is defended, our claims

10


department manages the case, including selecting defense attorneys who
specialize in medical liability cases, planning the defense and obtaining
medical and/or other professional experts to assist in the analysis and defense
of the claim.

Our claims department establishes the appropriate case reserves for
each claim and monitors the level of each case reserve as circumstances require.

The department also decides when and if to settle all but the most
significant claims, which are currently reviewed by an internal committee made
up of our Chairman and Chief Executive Officer, our Senior Vice President -
Claims, and our outside legal counsel. In each of the states in which we
operate, we meet regularly with our local medical advisory committees to examine
claims, attempt to identify potentially troubling practice patterns and make
recommendations to our staff.

We aggressively defend claims against our insureds that we believe have
no merit or those we believe cannot be reasonably settled. As a result of this
policy, many of our claims are litigated, and we engage experienced trial
attorneys in each venue to handle the litigation in defense of our
policyholders.

Our aggressive claims management approach generally results in
increased loss adjustment expenses compared to those of other property and
casualty lines or other companies specializing in professional liability
insurance. However, we believe that our approach contributes to lower overall
loss costs and results in greater customer loyalty. The success of this claims
philosophy is based on our ability to develop relationships with attorneys who
have significant experience in the defense of professional liability claims and
who are able to defend claims in an aggressive, cost-efficient manner.

We began offering our professional liability claims management to
self-insuring entities on a fee-for-service basis in 2003. While we do not
expect this to become a major source of revenue for us, we believe it will allow
us to leverage our claims-management expertise to produce some additional income
as larger groups and facilities decide to self-insure their malpractice risk.

Personal Lines Segment

In responding to claims, we emphasize timely investigation, evaluation
and fair settlement while controlling claims expense and maintaining adequate
reserves. We have a year-round, 24-hour claim reporting telephone service for
insureds and third-party claimants. This reporting methodology enables us to
more quickly complete initial claim handling and ultimately reduce indemnity
payments such as rental and storage.

Our claims operation is centralized in Auburn Hills, Michigan, but we
also employ resident adjusters located in cities throughout Michigan. These
employee adjusters settle a majority of our claims, and independent multi-line
adjusters are used on a contract basis when claim volume rises. We have also
established a network of auto repair shops and other repair facilities that
provide damage appraisals and repairs according to established company
guidelines. An inspection audit program ensures that repairs are completed
timely, economically and to the satisfaction of the customer.

Audits of liability claim files are conducted regularly by claims
department managers and reinsurers. We decide which claims we seek to settle and
which claims we defend. Historically, less than 1% of all claims result in
litigation.

Our claims department actively monitors all litigation including
selecting defense attorneys who specialize in insurance defense cases, planning
the defense, and obtaining professional experts to assist in the analysis and
defense of the claim. The department establishes the appropriate case reserves
for each claim and monitors the level of each case reserve as circumstances
require.

11


INVESTMENTS

Our overall investment strategy is to focus on maximizing current
income from our investment portfolio while maintaining safety, liquidity,
duration of liabilities and portfolio diversification. The portfolio is
generally managed by professional third party asset managers whose results are
evaluated periodically by management and its consultants. The asset managers
typically have the authority to make investment decisions, subject to investment
policies, within the asset class they are responsible for managing.

RATING AGENCIES

Our principal insurance subsidiaries are rated "A-" (Excellent) by A.M.
Best, its fourth highest category out of 15 categories. Standard & Poor's rates
our principal insurance subsidiaries "A-" (Strong), its seventh highest category
out of 21 categories, and maintained a negative outlook on the rating at
December 31, 2003.

In developing these ratings, A.M. Best and Standard & Poor's evaluate
an insurer's ability to meet its obligations to policyholders, and are not
directed toward the protection of stockholders. These ratings are neither
ratings of securities nor a recommendation to buy, hold or sell any security.

Our West Virginia-based subsidiary, Medical Assurance of West Virginia
(MAWV), which accounts for less than two percent of ProAssurance's book of
business, is rated "B" (Fair) by Best. Best downgraded MAWV on December 24, 2003
as a result of our decision to terminate a reinsurance contract between MAWV and
our Alabama-based subsidiary, The Medical Assurance Company, Inc. Standard &
Poor's downgraded MAWV on December 19, 2003, then withdrew the rating at our
request.

COMPETITION

Competition depends on several factors including pricing, size, name
recognition, service quality, market commitment, breadth and flexibility of
coverage, method of sale, financial stability and ratings assigned by A.M. Best
and Standard & Poor's. Many of these factors, such as market conditions, the
ratings assigned by rating agencies, and regulatory conditions are out of our
control. However, for those factors over which we do have control, such as
service quality, market commitment, financial strength and stability, we believe
we have competitive strengths that make us a viable competitor in those states
where we are currently writing insurance.

Professional Liability Segment

We compete with insurance companies and self-insuring entities in the
medical professional liability market. Many of the competing companies
concentrate on a single state and have an extensive knowledge of the local
markets. We also compete with large national insurers that may have greater
financial strength and other resources than we do.

Self-insuring entities are emerging as an alternative to the
traditional insurance market as insureds seek greater control over the
professional liability premiums. We assist groups with the formation and
administration of self-insuring entities, and earn fee income for the management
and services we provide. We do not expect this to become a major source of
revenue for us, but we hope to produce additional income to offset some of the
potential lost business as growth in this segment of the market removes
potential insureds from the traditional insurance market.

We believe that we have a competitive advantage in the current market
due to our size, geographic scope and name recognition, as well as our heritage
as a policyholder-founded company with a long-term commitment to the
professional liability insurance industry. These advantages have been achieved
through our balance sheet strength, claims defense expertise, strong ratings and
ability to deliver a high level of service to our insureds and agents. We
believe that these competitive strengths make us a viable competitor in those
states where we are currently writing insurance.

12


Since 1999, insurance companies focused on medical professional
liability coverage have experienced higher claim costs on business written in
prior years than they had reserved for initially. This has resulted in
significant losses, reduced capital to support current and future business, and
higher premium rates to meet expected higher claims costs.

Reduced profitability, reductions in surplus and capacity constraints
have led many professional liability carriers focused on medical professional
liability coverages to withdraw from, or limit new business in, one or more
markets. For example, in 2002 The St. Paul Companies, then the leading writer of
medical professional liability insurance withdrew from the market and in 2003
Farmers Insurance Company exited medical professional liability insurance.

In 2002 several medical liability insurance companies were forced from
the market due to financial difficulties and in 2003 The Reciprocal of America
was placed under regulatory supervision. The failure of these companies placed
hundreds of physicians at personal risk in the event of a judgment against them.
We believe these events have heightened the sensitivity of our target market to
this issue.

Given the continued reduction in capacity and the uncertainty
surrounding several writers in the medical professional liability market, we
believe there will be a "flight to quality" as insurers place greater emphasis
on financial strength and stability. We believe this trend will continue through
2004 and into at least the first half of 2005.

Personal Lines Segment

Personal lines insurance is highly competitive and some of these
competitors are substantially larger than we are and have much greater
financial, technical and operating resources. Competition depends on several
factors including the price and quality of insurance products, the quality and
speed of service and claims response, financial strength, sales and marketing
capability, technical expertise and ratings assigned by A.M. Best and Standard &
Poor's.

We believe we have a competitive advantage because of our peer-to-peer
sales model. Our approach of "teachers serving teachers and their families" as
well as management's emphasis on high quality customer service have contributed
to high customer loyalty with a long-term policyholder retention rate of nearly
95%.

INSURANCE REGULATORY MATTERS

We are subject to regulation under the insurance and insurance holding
company statutes, of various jurisdictions, including the domiciliary states of
our insurance subsidiaries and other states in which our insurance subsidiaries
do business.

General

Insurance companies are also affected by a variety of state and federal
legislative and regulatory measures and judicial decisions that define and
qualify the risks and benefits for which insurance is sought and provided. These
include redefinitions of risk exposure in such areas as medical liability,
product liability, environmental damage and workers' compensation. In addition,
individual state insurance departments may prevent premium rates for some
classes of insureds from reflecting the level of risk assumed by the insurer for
those classes. Although there is limited federal regulation of the insurance
business, each state has a comprehensive system for regulating insurers
operating in that state. In addition, these insurance regulators periodically
examine each insurer's financial condition, adherence to statutory accounting
practices, and compliance with insurance department rules and regulations.

Our operating subsidiaries are required to file detailed annual
reports with the state insurance regulators in each of the states in which they
do business. The laws of the various states establish supervisory agencies with
broad authority to regulate, among other things, licenses to transact business,
premium rates for certain types of coverage, trade practices, agent licensing,
policy forms, underwriting and

13


claims practices, reserve adequacy, transactions with affiliates, and insurer
solvency. Many states also regulate investment activities on the basis of
quality, distribution and other quantitative criteria. States have also enacted
legislation regulating insurance holding company systems, including
acquisitions, the payment of dividends, the terms of affiliate transactions, and
other related matters. Our insurance subsidiaries are domiciled in Michigan,
Alabama and West Virginia.

Applicable state insurance laws, rather than federal bankruptcy laws,
apply to the liquidation or reorganization of insurance companies.

Insurance Regulation Concerning Change or Acquisition of Control

The insurance regulatory codes in our operating subsidiaries'
respective domiciliary states each contain similar provisions (subject to
certain variations) to the effect that the acquisition of "control" of a
domestic insurer or of any person that directly or indirectly controls a
domestic insurer cannot be consummated without the prior approval of the
domiciliary insurance regulator. In general, a presumption of "control" arises
from the direct or indirect ownership, control, possession with the power to
vote or possession of proxies with respect to 10% (5% in Alabama) or more of the
voting securities of a domestic insurer or of a person that controls a domestic
insurer. A person seeking to acquire control, directly or indirectly, of a
domestic insurance company or of any person controlling a domestic insurance
company must generally file an application for approval of the proposed change
of control with the relevant insurance regulatory authority.

In addition, certain state insurance laws contain provisions that
require pre-acquisition notification to state agencies of a change in control of
a non-domestic insurance company admitted in that state. While such
pre-acquisition notification statutes do not authorize the state agency to
disapprove the change of control, such statutes do authorize certain remedies,
including the issuance of a cease and desist order with respect to the
non-domestic admitted insurer's doing business in the state if certain
conditions exist, such as undue market concentration.

Statutory Accounting and Reporting

Insurance companies are required to file detailed annual reports with
the state insurance regulators in each of the states in which they do business,
and their business and accounts are subject to examination by such regulators at
any time. The financial information in these reports is prepared in accordance
with the accounting requirements of the state regulatory authorities. The
accounting principles differ from Generally Accepted Accounting Principles
("GAAP") and are referred to as Statutory Accounting Practices ("SAP").
Insurance regulators periodically examine each insurer's financial condition,
adherence to SAP, and compliance with insurance department rules and
regulations.

Regulation of Dividends and Other Payments from Our Operating Subsidiaries

We are a legal entity separate and distinct from our subsidiaries. As a
holding company with no other business operations, our primary sources of cash
to meet our obligations, including principal and interest payments with respect
to indebtedness, are available dividends and other statutorily permitted
payments, such as tax allocation payments and management and other fees, from
our operating subsidiaries.

Our operating subsidiaries are subject to various state statutory and
regulatory restrictions, applicable generally to any insurance company in its
state of domicile, which limit the amount of dividends or distributions an
insurance company may pay to its stockholders without prior regulatory approval.
The restrictions are generally based on certain levels or percentages of
surplus, investment income and operating income, as determined in accordance
with SAP. Generally, dividends may be paid only out of earned surplus. In every
case, surplus subsequent to the payment of any dividends must be reasonable in
relation to an insurance company's outstanding liabilities and must be adequate
to meet its financial needs.

14


State insurance holding company acts generally require domestic
insurers to obtain prior approval of extraordinary dividends. Under the
insurance holding company acts governing our principle operating subsidiaries, a
dividend is considered to be extraordinary if the combined dividends and
distributions to the parent holding company in any 12 month period are more than
the greater of either the insurer's net income for the prior fiscal year or 10%
of its surplus at the end of the prior fiscal year.

If insurance regulators determine that payment of a dividend or any
other payments to an affiliate (such as payments under a tax-sharing agreement
or payments for employee or other services) would, because of the financial
condition of the paying insurance company or otherwise, be a detriment to such
insurance company's policyholders, the regulators may prohibit such payments
that would otherwise be permitted without prior approval.

Risk-Based Capital

In order to enhance the regulation of insurer solvency, the National
Association of Insurance Commissioners (NAIC) specifies risk-based capital (RBC)
requirements for property and casualty insurance companies. These RBC
requirements are designed to monitor capital adequacy and to raise the level of
protection that statutory surplus provides for policyholders. The NAIC's RBC
model law stipulates four levels of regulatory action with the degree of
regulatory intervention increasing as the level of surplus falls below a minimum
amount as determined under the model law. At December 31, 2003, all
ProAssurance's insurance subsidiaries exceeded the minimum level and, as a
result, no regulatory response or action was required.

Investment Regulation

Our operating subsidiaries are subject to state laws and regulations
that require diversification of investment portfolios and that limit the amount
of investments in certain investment categories. Failure to comply with these
laws and regulations may cause non-conforming investments to be treated as
non-admitted assets for purposes of measuring statutory surplus and, in some
instances, would require divestiture. We believe our operating subsidiaries are
in compliance with state investment regulations.

Guaranty Funds

All fifty states have separate insurance guaranty fund laws requiring
admitted property and casualty insurance companies doing business within their
respective jurisdictions to be members of their guaranty associations.

These associations are organized to pay covered claims (as defined and
limited by the various guaranty association statutes) under insurance policies
issued by insurance companies that become insolvent. Such guaranty association
laws create post-assessment associations, which make assessments against member
insurers to obtain funds to pay association covered claims after the insolvency
of an insurer occurs. These associations levy assessments (up to prescribed
limits) on all member insurers in a particular state on the basis of the
proportionate share of the premiums written by member insurers in the covered
lines of business in that state. Maximum assessments permitted by law in any one
year generally vary between 1% and 2% of annual premiums written by a member in
that state. Some states permit member insurers to recover assessments paid
through surcharges on policyholders or through full or partial premium tax
offsets, while other states permit recovery of assessments through the rate
filing process.

Shared Markets

Our operating subsidiaries are required to participate in mandatory
property and casualty shared market mechanisms or pooling arrangements that
provide certain insurance coverage to individuals or other entities that are
otherwise unable to purchase such coverage in the commercial insurance
marketplace. Our operating subsidiaries' participation in such shared markets or
pooling mechanisms is not material to our business at this time.

15


Possible Legislative and Regulatory Changes

In recent years, the insurance industry has been subject to increased
scrutiny by regulators and legislators. The NAIC and a number of state
legislatures have considered or adopted legislative proposals that alter and, in
many cases, increase the authority of state agencies to regulate insurance
companies and insurance holding company systems.

In addition, several committees of Congress have made inquiries and
conducted hearings as part of a broad study of the regulation of insurance
companies, and legislation has been introduced in several of the past sessions
of Congress which, if enacted, could result in the federal government assuming
some role in the regulation of the insurance industry. Although the federal
government does not regulate the business of insurance directly, federal
initiatives often affect the insurance business in a variety of ways. Current
and proposed federal measures that may significantly affect the insurance
business include changes in medical patient protection laws such as the
"Patients Bill of Rights," tort reform and environmental laws.

The Legislatures in various states are currently considering, or being
asked to consider, changes to the laws governing medical liability lawsuits. The
changes are collectively called Tort Reforms. There are also Tort Reform
proposals being considered at the Federal level. In general, the changes would
place limits of non-economic damages, allow insurers more flexibility in paying
large judgments, and would alter some of the rules governing legal proceedings
and qualification of expert witnesses. In certain states, Tort Reform
legislation may also place limits on the ability of medical liability insurers
to raise or maintain rates at adequate levels.

We do not believe it is possible to predict the outcome of any of the
foregoing legislative, administrative or congressional activities or the
potential effects thereof on us.

16


EMPLOYEES

At December 31, 2003, we employed 617 persons, including 424 employees
in our Professional Liability segment and 193 employees at MEEMIC. None of our
employees is represented by a labor union. We consider our employee relations to
be good.

FORWARD-LOOKING STATEMENTS

Any written or oral statements made by us or on our behalf may include
forward-looking statements that reflect our current views with respect to future
events and financial performance. Forward-looking statements (identified by
words such as, but not limited to, "believe", "expect", "intend", "anticipate",
"estimate", "project" and other analogous expressions) include among other
things statements concerning: liquidity and capital requirements, return on
equity, financial ratios, net income, premiums, losses and loss reserves,
premium rates and retention of current business, competition and market
conditions, the expansion of product lines, the development or acquisition of
business in new geographical areas, the availability of acceptable reinsurance,
actions by regulators and rating agencies, payment or performance of our
obligations under the debenture agreement, payment of dividends, and other
matters.

These forward-looking statements are based upon our estimates and
anticipation of future events that are subject to certain risks and
uncertainties that could cause actual results to vary materially from the
expected results described in the forward-looking statements. Due to such risks
and uncertainties, you are urged not to place undue reliance on forward-looking
statements. All forward-looking statements included in this document are based
upon information available to us on the date hereof, and we undertake no
obligation to publicly update or revise any forward-looking statements, whether
as a result of new information, future events or otherwise.

Risks that could adversely affect our operations or cause actual
results to differ materially from anticipated results include, but are not
limited to, the following:

- underwriting losses on the risks we insure are higher or lower than
expected,

- unexpected changes in loss trends and reserving assumptions which might
require the reevaluation of the liability for loss and loss adjustment
expenses, thus resulting in an increase or decrease in the liability
and a corresponding adjustment to earnings,

- our ability to retain current business, acquire new business, expand
product lines and a variety of other factors affecting daily operations
such as, but not limited to, economic, legal, competitive and market
conditions which may be beyond our control and are thus difficult or
impossible to predict,

- changes in the interest rate environment and/or the securities markets
that adversely impact the fair value of our investments or our income,

- inability on our part to achieve continued growth through expansion
into other states or through acquisitions or business combinations,

- general economic conditions that are worse than anticipated,

- inability on our part to obtain regulatory approval of, or to
implement, premium rate increases,

- the effects of weather-related events,

- changes in the legal system, including retroactively applied decisions
that affect the frequency and severity of claims,

17


- significantly increased competition among insurance providers and
related pricing weaknesses in some markets,

- changes in the availability, cost, quality or collectibility of
reinsurance,

- changes to our ratings by rating agencies,

- regulatory and legislative actions or decisions that adversely affect
us, and

- our ability to utilize loss carryforwards and other deferred tax
assets.

ITEM 2. PROPERTIES

We own a 156,000 square foot office building located in Birmingham,
Alabama where we currently occupy approximately 55,000 square feet and plan to
occupy approximately 14,500 square feet of additional office space. The
remaining office space is leased to unaffiliated persons or is available to be
leased. We also own a 53,000 square foot office building in Okemos, Michigan
that we fully occupy. Both buildings are currently unencumbered. MEEMIC leases
its principal executive offices in Auburn Hills, Michigan. MEEMIC owns,
primarily for investment purposes, an 11.5-acre vacant parcel of land in Auburn
Hills, Michigan. We lease other office facilities in various locations and lease
computer and operating equipment under cancelable and non-cancelable agreements.

18


ITEM 3. LEGAL PROCEEDINGS

Our insurance subsidiaries are involved in various legal actions, a
substantial number of which arise from claims made under insurance policies.
While the outcome of all legal actions is not presently determinable, management
and its legal counsel are of the opinion that these actions will not have a
material adverse effect on our financial position or results of operations.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

Not applicable.

EXECUTIVE OFFICERS OF PROASSURANCE CORPORATION

The executive officers of ProAssurance serve at the pleasure of the
Board of Directors. Set forth below are the current executive officers of
ProAssurance and a brief description of their principal occupation and
employment during the last five years.

A. DERRILL CROWE, M.D. Dr. Crowe has served as Chairman of our Board and our
Chief Executive Officer since we began operations in
June 2001. Dr. Crowe has also served as President,
Chairman of the Board and Chief Executive Officer of
Medical Assurance since its formation in 1995, and as
President, Chief Executive Officer, and a director of
Medical Assurance Company since its founding in 1977.
Dr. Crowe also serves as chairman of the board of
MEEMIC Holdings. (Age 67)

VICTOR T. ADAMO, ESQ. Mr. Adamo has served as our Vice Chairman, President,
and Chief Operating Officer since we began operations
in June 2001. Mr. Adamo also serves as President,
Chief Executive Officer and a director of
Professionals Group. Mr. Adamo has served as a
director of ProNational since 1990, and was its Chief
Executive Officer since 1987. Mr. Adamo is the Chief
Executive Officer and a director of MEEMIC Holdings.
(Age 56)

19


PAUL R. BUTRUS Mr. Butrus has served as our Vice Chairman and a
director of ProAssurance since we began operations in
June 2001. Mr. Butrus has been Executive Vice
President and a director of Medical Assurance since
its incorporation in 1995. Mr. Butrus has been
employed by Medical Assurance Company and its
subsidiaries since 1977, most recently as Executive
Vice President and Chief Operating Officer since
1993. (Age 63)

HOWARD H. FRIEDMAN Mr. Friedman was appointed as our Senior Vice
President, Chief Financial Officer, and Secretary in
June 2001. Mr. Friedman has served in a number of
positions for Medical Assurance since 1996, most
recently as Senior Vice President, Corporate
Development of Medical Assurance. Mr. Friedman is an
Associate of the Casualty Actuarial Society. He also
serves as a director of MEEMIC. (Age 45)

JAMES J. MORELLO Mr. Morello was appointed as our Senior Vice
President, Chief Accounting Officer and Treasurer in
June 2001. Mr. Morello has been Senior Vice President
and Treasurer for Medical Assurance since its
formation in 1995. Mr. Morello has been employed as
Treasurer and Chief Financial Officer of Medical
Assurance Company since 1984. He also serves as a
director of Medical Assurance's insurance
subsidiaries and as treasurer for ProNational. Mr.
Morello is a certified public accountant. (Age 55)

20


FRANK B. O'NEIL Mr. O'Neil was appointed as our Senior Vice President
of Corporate Communications and Investor Relations in
September 2001. Mr. O'Neil has been Senior Vice
President of Corporate Communications for Medical
Assurance since 1997 and employed by Medical
Assurance Company and its subsidiaries since 1987.
(Age 50)

LYNN M. KALINOWSKI Mr. Kalinowski has been President of MEEMIC Holdings
and MEEMIC since September 2001. Mr. Kalinowski
previously served as President of MEEMIC from January
1993 to May 1997 and as Executive Vice President of
MEEMIC from May 1997 to September 2001. Prior to
joining MEEMIC in 1993, Mr. Kalinowski was the
President of Southern Michigan Mutual Insurance
Company and previously served as Director of
Financial Analysis for the Michigan Insurance Bureau
(now the State of Michigan Office of Financial and
Insurance Services). Mr. Kalinowski has been a
director of MEEMIC Holdings since 1998. (Age 52)


20

PART II

ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS

At March 1, 2004, ProAssurance Corporation (PRA) had 3,605 stockholders
of record and 29,105,971 shares of common stock outstanding. ProAssurance's
common stock currently trades on The New York Stock Exchange (NYSE) under the
symbol "PRA".



2003 2002

-------------------------------------------------
Quarter HIGH LOW High Low
- ------- -------------------------------------------------

First $ 23.92 $ 20.69 $ 18.22 $ 15.99
Second 30.50 23.40 19.70 16.01
Third 28.90 24.50 18.00 14.20
Fourth 32.97 26.86 21.11 15.78



ProAssurance has not paid any cash dividends on its common stock and
does not currently have a policy to pay regular dividends.

ProAssurance's insurance subsidiaries are subject to restrictions on
the payment of dividends to the parent. Information regarding restrictions on
the ability of the insurance subsidiaries to pay dividends is incorporated by
reference from the paragraphs under the caption "Insurance Regulatory Matters --
Regulation of Dividends and Other payments from Our Operating Subsidiaries" in
Item 1 on page 14 of this 10-K.

21



ITEM 6. SELECTED FINANCIAL DATA



Year ended December 31
SELECTED FINANCIAL DATA 2003 2002 2001 2000 1999
------------------------------------------------------------------------
(in thousands, except per share amounts)

Gross premiums written (1) $ 740,110 $ 636,156 $ 388,983 $ 223,871 $ 201,593
Net premiums written (1) 668,909 537,123 310,291 194,279 156,923

Premiums earned (1) 698,347 576,414 381,510 216,297 207,492
Premiums ceded (1) (74,833) (99,006) (68,165) (38,701) (43,068)
Net premiums earned (1) 623,514 477,408 313,345 177,596 164,424
Net investment income (1) 73,619 76,918 59,782 41,450 39,273
Net realized investment gains (losses) (1) 5,992 (5,306) 5,441 913 1,787
Other income (1) 6,515 6,747 3,987 2,630 2,545
Total revenues 709,640 555,767 382,555 222,589 208,029
Net losses and loss adjustment expenses (1) 551,376 448,029 298,558 155,710 104,657
Income before cumulative effect
of accounting change 38,703 10,513 12,450 24,300 46,700
Net income (1) (3) 38,703 12,207 12,450 24,300 46,700
Income per share before cumulative
effect of accounting change (1) (2)
Basic $ 1.34 $ 0.40 $ 0.51 $ 1.04 $ 1.95
Diluted $ 1.33 $ 0.39 $ 0.51 $ 1.04 $ 1.95
Net income per share: (1) (2) (3)
Basic $ 1.34 $ 0.47 $ 0.51 $ 1.04 $ 1.95
Diluted $ 1.33 $ 0.46 $ 0.51 $ 1.04 $ 1.95
Weighted average number of
shares outstanding: (2)
Basic 28,956 26,231 24,263 23,291 23,992
Diluted 29,144 26,254 24,267 23,291 24,008

BALANCE SHEET DATA (as of December 31)

Total investments $2,055,672 $1,679,497 $1,521,279 $ 796,526 $ 761,918
Total assets 2,879,352 2,586,650 2,238,325 1,122,836 1,117,668
Reserve for losses and loss
adjustment expenses 1,814,584 1,622,468 1,442,341 659,659 665,792
Long-term debt 104,789 72,500 82,500 - -
Total liabilities 2,333,047 2,055,086 1,802,606 777,669 791,944
Total capital 546,305 505,194 413,231 345,167 325,724
Total capital per share of common
stock outstanding (2) $ 18.77 $ 17.49 $ 16.02 $ 15.22 $ 13.92
Common stock outstanding at
end of year (2) 29,105 28,877 25,789 22,682 23,401


(1) Operating results include the operating results of Professionals Group
since the date of consolidation, June 27, 2001. See Note 2 to the
Consolidated Financial Statements.

(2) The Board of Directors declared a special stock dividend in December 1999
(5%). All net income per share and total capital per share data on this
page have been restated as if the dividends had been declared on January 1,
1999. Additionally, treasury stock is excluded from the date of acquisition
for purposes of determining the weighted average number of shares
outstanding used in the computation of net income per share of common
stock.

(3) Net income for the year ended December 31, 2002 was increased by $1.7
million due to the adoption of SFAS 141 and 142. See Note 14 to our
consolidated financial statements. In accordance with SFAS 142, we wrote
off the unamortized balance of deferred credits that related to business
combinations completed prior to July 1, 2001. The cumulative effect
increased net income per share (basic and diluted) by $0.07 per share.

22



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

The following discussion should be read in conjunction with the
consolidated financial statements and notes to the consolidated financial
statements appearing elsewhere in this report. Throughout the discussion,
references to ProAssurance, "we," "us" and "our" refers to ProAssurance
Corporation and its subsidiaries. The discussion contains certain
forward-looking information that involves risks and uncertainties. As discussed
under "Forward-Looking Statements," our actual financial condition and operating
results could differ significantly from these forward-looking statements.

CRITICAL ACCOUNTING POLICIES

Our consolidated financial statements have been prepared in accordance
with accounting principles generally accepted (GAAP) in the United States of
America. Preparation of these financial statements requires us to make estimates
and assumptions in certain circumstances that affect the amounts reported in our
consolidated financial statements and related footnotes. We evaluate these
estimates and assumptions on an on-going basis based on historical developments,
market conditions, industry trends and other information that we believe to be
reasonable under the circumstances. There can be no assurance that actual
results will conform to our estimates and assumptions, and that reported results
of operations will not be materially adversely affected from time-to-time by the
need to make accounting adjustments reflecting changes in these estimates and
assumptions. Management considers an accounting estimate to be critical if:

- it requires assumptions to be made based on data that was not
final at the time the estimate was made; and

- changes in the estimate, or the selection of a different estimate,
could have a material effect on our consolidated results of
operations or financial condition.

We believe the following policies used in the preparation of the
consolidated financial statements are the most sensitive to estimates and
judgments.

Reserve for Losses and Loss Adjustment Expenses (reserve for losses)

Our reserve for losses represents our estimate of the future amounts
necessary to pay claims and expenses associated with investigation and
settlement of claims. These estimates consist of case reserves and bulk
reserves. Case reserves are estimates of future losses and loss adjustment
expenses (losses) for reported claims and are established by our claims
departments. Bulk reserves, which include a provision for insured events that
have occurred but have not been reported to us as well as development on
reported claims, are the difference between (i) the sum of case reserves and
paid losses and (ii) an actuarially determined estimate of the total losses
necessary for the ultimate settlement of all reported claims and incurred but
not reported claims, including amounts already paid. The estimates take into
consideration our past loss experience, available industry data and projections
as to future claims frequency, severity, inflationary trends and settlement
patterns. Independent actuaries review our reserves for losses each year and
prepare reports that include recommendations as to the level of reserves. We
consider these recommendations as well as other factors, such as known,
anticipated or estimated changes in frequency and severity of claims and loss
retention levels and premium rates, in establishing the amount of our reserves
for losses Estimating casualty insurance reserves, and particularly professional
liability reserves, is a complex process. These claims are typically resolved
over an extended period of time, often five years or more, and estimating loss
costs for these claims requires multiple judgments involving many uncertainties
made over an extended period of time. Our reserve estimates may vary
significantly from the eventual outcome. The assumptions used in establishing
our reserves are regularly reviewed and updated by management as new data
becomes available. Any

23


adjustments necessary are reflected in then current operations. Due to the size
of our reserves, even a small percentage adjustment to these estimates could
have a material effect on our results of operations for the period in which the
change is made. See the discussion under "Overview" in this section for a
history of our loss reserve development.

Reinsurance

Our receivable from reinsurers represents our estimate of the amount of
our future loss payments that will be recoverable from our reinsurers. These
estimates are based upon our estimates of the ultimate losses that we expect to
incur and the portion of those losses that we expect to be allocable to
reinsurers based upon the terms of our reinsurance agreements. We also estimate
premiums ceded under reinsurance agreements wherein the premium due to the
reinsurer, subject to certain maximums and minimums, is a percentage of the
losses reimbursed under the agreement. Given the uncertainty of the ultimate
amounts of our losses, these estimates may vary significantly from the eventual
outcome. Our estimates of the amounts receivable from and due to reinsurers are
regularly reviewed and updated by management as new data becomes available. Our
assessment of the collectibility of the recorded amounts receivable from
reinsurers is based primarily upon public financial statements and rating agency
data. Any adjustments necessary are reflected in then current operations. Due to
the size of our receivable from reinsurers, even a small adjustment to these
estimates could have a material effect on our results of operations for the
period in which the change is made. At December 31, 2003, we considered all of
our receivable from reinsurers to be collectible.

Investments

We consider our fixed maturity securities as available-for-sale and our
equity securities as either available-for-sale or trading portfolio securities.

Our available-for-sale securities are available to be sold in response
to a number of issues, including our liquidity needs, changes in market interest
rates and investment management strategies, among others. Available-for-sale
securities are recorded at fair value. The related unrealized gains and losses,
net of income tax effects, are excluded from net income and reported as a
component of stockholders' equity.

We evaluate the securities in our available-for-sale investment
portfolio on at least a quarterly basis for declines in market value below cost
for the purpose of determining whether these declines represent other than
temporary declines. Some of the factors we consider in the evaluation of our
investments are:

- the extent to which the market value of the security is less than
its cost basis,

- the length of time for which the market value of the security has
been less than its cost basis,

- the financial condition and near-term prospects of the security's
issuer, taking into consideration the economic prospects of the
issuers' industry and geographical region, to the extent that
information is publicly available, and

- our ability and intent to hold the investment for a period of time
sufficient to allow for any anticipated recovery in market value.

24


A decline in the fair value of an available-for-sale security below
cost that we judge to be other than temporary is realized as a loss in the
current period and reduces the cost basis of the security. In subsequent
periods, we base any measurement of gain or loss or decline in value upon the
adjusted cost basis of the security.

Since January 1, 2003, we have designated certain of our equity
security purchases as trading portfolio securities. A trading portfolio is
carried at fair value with the holding gains and losses included in realized
investment gains and losses in the current period. Therefore results of current
operations reflect both positive and negative changes in the market value of
these securities.

LIQUIDITY AND CAPITAL RESOURCES AND FINANCIAL CONDITION

Our primary need for liquid funds is to pay losses and operating
expenses in the ordinary course of business and to meet our debt service
requirements.

Our operating activities provided positive cash flow of $283 million
during 2003. Our operating cash flows are primarily derived from net investment
income received and from the excess of premiums collected over paid net losses
and operating costs. Timing delays exist between the collection of premiums and
the payment of losses, particularly so with regard to our professional liability
premiums. In periods of premium growth such as in 2003, premium collections
generally exceed losses paid in the calendar year.

We believe that premium adequacy is critical to our long-term
liquidity. We continually review rates, particularly professional liability
rates, and submit requests for rate increases to state insurance departments as
we consider necessary to maintain rate adequacy. We achieved average overall
rate increases of 28% in 2003 and 2002. We are unable to predict whether we will
continue to receive approval for our requests for higher rates.

We transfer most of the cash generated from operations into our
investment portfolio, primarily into investment grade fixed maturity securities.
Our investments, cash and cash equivalents at December 31, 2003 total $2.103
billion, an increase of $280 million as compared to December 31, 2002. At
December 31, 2003, our investment portfolio includes net before-tax unrealized
gains of $53.0 million. Our fixed maturity portfolio has a market value of
$1.791 billion, including net before-tax unrealized gains of $48.8 million.

Substantially all of our fixed maturities are either United States
government or agency obligations or investment grade securities as determined by
national rating agencies. The fixed maturity securities in our investment
portfolio had a dollar weighted average rating of "AA," at December 31, 2003.
Our fixed maturities are purchased with the intent to hold such investments to
maturity; however, we consider these securities as available-for-sale because we
may dispose of the securities prior to their maturity in order to meet the
Company's then current objectives. Our investment policies implement an asset
allocation that uses length to maturity as one method of managing our long term
rate of return. The weighted average modified duration of our fixed maturity
securities at December 31, 2003 is 3.5 years. The average length to maturity of
the fixed maturity portfolio was shortened somewhat during 2003. Throughout 2003
longer term fixed maturity securities were available only at historically low
rates, and we maintained a shorter portfolio so as to provide additional
investment flexibility should market interest rates rise. We regularly evaluate
the interest rate environment, and adjust our duration targets to maximize
investment yield.

Changes in market interest rate levels generally affect our net income
to the extent that reinvestment yields are different than the original yields on
maturing securities. Additionally, changes in market interest rates may also
affect the fair value of our fixed maturity securities. For a more detailed
discussion of the effect of changes in interest rates on our investment
portfolio see "Item 7A - Quantitative and Qualitative Disclosures about Market
Risk."

25


Our current investment policy requires that the market value of our
equity investment portfolio not exceed 50% of our capital at the end of the
prior year. At December 31, 2003, equity investments represented approximately
2% of our total investments, and approximately 9% of our capital. Our equity
investments are diversified primarily among domestic growth and value holdings
through common and preferred stock.

Our net reserves for losses (net of amounts receivable from reinsurers)
at December 31, 2003 are approximately $1.370 billion, an increase of $209.3
million over net reserves at December 31, 2002. Substantially all of this
increase is in our professional liability segment, a "long tailed" business. A
characteristic of a "long tailed" business is that there is a long length of
time between the occurrence of an insured event and significant payment on that
event. Because of this characteristic, it is not unusual for reserves to
increase, especially during periods of business growth. Activity in the net
reserve for losses during 2003 and 2002 is summarized below:



Year Ended December 31
2003 2002 2001
--------------------------------------------------
In Thousands

Balance, beginning of year $ 1,622,468 $ 1,442,341 $ 659,659
Less reinsurance recoverables 462,012 374,056 166,202
--------------------------------------------------
Net balance, beginning of year 1,160,456 1,068,285 493,457
Net reserves acquired from Professionals Group - - 557,284
Incurred related to:
Current year 562,256 439,600 303,387
Prior years (10,880) 8,429 13,818
Change in death, disability, and retirement
reserve - - (18,647)
--------------------------------------------------
Total incurred 551,376 448,029 298,558
Paid related to:
Current year (94,824) (84,376) (137,121)
Prior years (247,235) (271,482) (143,893)
--------------------------------------------------
Total paid (342,059) (355,858) (281,014)
--------------------------------------------------
Net balance, end of year 1,369,773 1,160,456 1,068,285
Plus reinsurance recoverables 444,811 462,012 374,056
--------------------------------------------------
Balance, end of year $ 1,814,584 $ 1,622,468 $ 1,442,341
==================================================


As of December 31, 2003, our insurance subsidiaries had consolidated
reserves for losses and loss adjustment expenses on a GAAP basis that exceeded
those on a statutory basis by approximately $19.7 million, which is principally
due to the portion of GAAP reserves that are reflected for statutory accounting
purposes as unearned premiums. These unearned premiums are applicable to
extended reporting endorsements ("tail" coverage) issued without a premium
charge upon death, disability, or retirement of an insured.

We use reinsurance to provide capacity to write large limits of
liability, to reduce losses of a catastrophic nature and to stabilize
underwriting results in those years in which such losses occur. The purchase of
reinsurance does not relieve us from the ultimate risk on our policies, but it
does provide reimbursement from the reinsurer for certain losses paid by us.

The effective transfer of risk is dependent on the credit-worthiness of
the reinsurer. We purchase reinsurance from a number of companies to mitigate
concentrations of credit risk. Our reinsurance brokers assist us in the analysis
of the credit quality of our reinsurers. We base our reinsurance buying
decisions on an evaluation of the then-current financial strength and stability
of prospective reinsurers. However, the financial strength of our reinsurers,
and their corresponding ability to pay us, may change in the future due to
forces or events we cannot control or anticipate.

26

At December 31, 2003 our receivable from reinsurers approximated $444.8
million. The following table identifies our reinsurers from which our
recoverables (net of amounts due to the reinsurer) are $10 million or more as
of December 31, 2003:



Net
A. M. Best Amounts Due
Reinsurer Company Rating From Reinsurer
- ------------------------------------------- -------------- --------------

Michigan Catastrophic Claims Association Not rated $ 86,470
Hannover RuckvericherungsAG A $ 53,776
General Reinsurance Corp A++ $ 43,661
PMA Capital Insurance Company B++ $ 28,893
Gerling Global Reins Corp NR-3 $ 20,933
American Rein Co A+ $ 13,511
Lloyd's Syndicate 435 A- $ 13,474
St. Paul Reinsurance Company Ltd (Uk Corp) A $ 12,299
Transatlantic Reinsurance, SA A++ $ 10,745
AXA Reinsurance SA A- $ 10,458


We have not experienced any difficulties in collecting amounts due from
reinsurers due to financial instability of the reinsurer. As of December 31,
2003 we do not believe we have any reinsurance recoverables that are
uncollectible. Should future events lead us to believe that any reinsurer is
unable to meet its obligations to us, adjustments to the amounts recoverable
would be reflected in the results of current operations.

The Michigan Catastrophic Claims Association (MCCA) is an
unincorporated nonprofit association created by Michigan law, and every insurer
engaged in writing personal protection automobile insurance coverage in Michigan
is required to be a member of the MCCA. The MCCA charges an annual assessment,
based on the number of vehicles for which coverage is written, to cover the
losses reported by all member companies. Michigan law provides that the MCCA
assessments charged to member companies for this protection can be recognized in
the rate-making process and passed on to policyholders. We treat any amounts due
from the MCCA as reinsurance and the assessments due to MCCA as ceded premiums.

Two of our reinsurers, Gerling Global Reinsurance Corporation of
America (Gerling) and PMA Capital Insurance Company (PMA) have discontinued
reinsurance operations and are no longer accepting new business. Neither company
participates in our current reinsurance treaties but both have been part of
previous reinsurance programs. Approximately 58% of recorded receivables from
these reinsurers relates to our estimates of loss development and its allocation
to the various reinsurance treaties. Based upon information available to us,
including statements made by Gerling and PMA, we anticipate that both companies
will meet their obligations to us.

As our premiums have grown, so has our need for capital to support our
insurance operations and maintain our ratings. We have experienced significant
growth with respect to our professional liability premiums and expect continued
growth in 2004. This growth has primarily come as a result of increased prices
but is also a result of reduced competition in the professional liability
market. We have taken actions to obtain additional capital in order to support
growth by our insurance subsidiaries and believe we have the ability to raise
the capital required to support our current plans for growth.

In late 2002, we raised $46.5 million through the sale of our common
stock in an underwritten public offering. In early July 2003 we received $104.6
million from the issuance of 3.9% Convertible Debentures, due June 2023, having
a face value of $107.6 million. We utilized $67.5 million of the net proceeds to
repay our term loan and did not replace the related line of credit.

27


Through December 31, 2003 approximately $36.0 million of the net
proceeds have been contributed to the capital of our professional liability
insurance subsidiaries to support the growth in insurance operations. In
February 2004 we contributed an additional $20.0 million to the capital of our
insurance subsidiaries. After making those contributions to our subsidiaries, we
have $15.0 million available at the parent holding company for general corporate
purposes.

On February 9, 2004 we filed a universal shelf registration statement
with the Securities and Exchange Commission (SEC) that would allow us to offer
from time-to-time up to $250 million in common stock, preferred stock or debt
securities. We may sell any class of the registered securities or combinations
thereof in one or more separate offerings at a total price up to the amount
registered with the amount, price and terms of the securities sold in each
offering to be determined at the time of sale. We have no present commitments to
sell securities under the shelf registration. Our ability to sell any of these
securities will depend in part on our ability to continue profitable operations
and maintain the credit ratings assigned to us by A. M. Best and Standard &
Poor's. Any sale would require us to file a supplemental prospectus that
specifies the terms of the securities to be sold. If securities are sold, we
expect that the net proceeds will be used for general corporate purposes, which
may include contributions to the capital and surplus of our subsidiaries, the
repurchase of outstanding debt securities, or the repayment of other
indebtedness.

On January 29, 2003 ProAssurance's subsidiary, MEEMIC Holdings
repurchased 1,062,298 outstanding common shares and 120,000 vested options for
its common stock that were not owned by ProAssurance's subsidiary, ProNational.
The total cost of the transaction approximated $34.1 million. The funds used for
the purchase were derived from MEEMIC Holdings' cash and investment resources.
As a result of the transaction MEEMIC Holdings is now a wholly-owned indirect
subsidiary of ProAssurance. Goodwill of approximately $7.6 million was recorded
related to the transaction.

Off Balance Sheet Arrangements / Contractual Obligations

We have no off-balance sheet arrangements that have or are reasonably
likely to have a material current or future effect on our financial condition,
changes in financial condition, revenues or expenses, results of operations,
liquidity, capital expenditures or capital resources.

A schedule of our contractual obligations at December 31, 2003 follows:



Payments due by period
-----------------------------------------------------------------------
Less than More than
Total 1 year 1-3 years 3-5 years 5 years
-----------------------------------------------------------------------
In Thousands

Contractual Obligations
Long-term debt obligations $ 104,600 $ - $ - $ - $ 104,600
Operating lease obligations 9,487 3,655 4,898 880 54
-------------------------------------------------------------------------
Total $ 114,087 $ 3,655 $ 4,898 $ 880 $ 104,654
=======================================================================


Our operating lease obligations are primarily for the rental of office
space, office equipment, and communications lines and equipment.


Parent Holding Company

The parent holding company is a legal entity separate and distinct from
its subsidiaries. Because the parent holding company has no other business
operations, dividends from its operating subsidiaries represent a significant
source of funds for its obligations, including debt service. The ability of
those insurance subsidiaries to pay dividends is subject to limitation by state
insurance regulations. See our discussions under "Regulation of Dividends...
from Our Operating Subsidiaries" in Part I, and in Note 17 of our Notes to
Consolidated Financial Statements for additional information regarding dividend
limitations.

28


OVERVIEW

ProAssurance Corporation is an insurance holding company and its
operating results are almost entirely derived from the operations of its
insurance subsidiaries. ProAssurance operates in two industry segments:
professional liability insurance and personal lines insurance.

The professional liability segment is our largest segment, representing
over 73% of 2003 written premiums and 84% of total assets. This segment
principally provides liability insurance for providers of health care services
in the south and midwest, and, to a limited extent, providers of legal services
in the midwest. The principal operating insurance subsidiaries of this segment
are: The Medical Assurance Company, Inc., ProNational Insurance Company and Red
Mountain Casualty Insurance Company, Inc. We also write professional liability
insurance through Medical Assurance of West Virginia, Inc.

Our personal lines segment provides personal property and casualty
insurance primarily to members of the educational community and their families
in the state of Michigan. Our personal lines segment includes the operations of
a single insurance company, MEEMIC Insurance Company (MEEMIC), which we acquired
in June 2001 as a part of the Professionals Group consolidation transaction.

Corporate Strategy

Our objective is to build value for our stockholders through superior
underwriting of classes of business in which we have a comprehensive
understanding and which offer us the opportunity to generate competitive returns
on capital. We target a return on equity of 12% to 14% over the long term. Over
the five years ending December 31, 2003, however, we achieved an average return
on equity of 6.9%, with a high of 14.4% in 1999 and a low of 2.3% in 2002.

We emphasize disciplined underwriting and do not manage our business to
achieve a certain level of premium growth or market share. In our professional
liability business, we apply our local knowledge to individual risk selection,
and determine the appropriate price based on our assessment of the specific
characteristics of each risk. In our personal lines business, we target the
educational community, which we believe provides a preferred, stable and
predictable group of risks.

In addition to prudent risk selection, we seek to control our
underwriting results through effective claims management. We investigate each
professional liability claim and have fostered a strong culture of aggressively
defending those claims that we believe have no merit. We manage these claims at
the local level, tailoring claims handling to the legal climate of each state,
which we believe differentiates us from national writers. In our personal lines
business, we seek to quickly and efficiently resolve claims through an
established network of auto repair shops and other repair facilities, focusing
on minimizing the cost of handling each claim.

By concentrating on specialty markets where customers have specialized
needs, we seek to provide value added solutions through our underwriting
expertise and our emphasis on strong customer service. Through our regional
underwriting and claims office structure, we are able to gain a strong
understanding of local market conditions and efficiently adapt our underwriting
and claims strategies to regional conditions. Our regional presence also allows
us to maintain active relationships with our customers and be more responsive to
their needs. We believe these factors have allowed us to establish a leading
position in our markets, enabling us to compete on a basis other than just
price. We also believe that our presence in local markets allows us to monitor
and understand changes in the liability climate and thus develop better business
strategies in a more timely manner than our competitors.

Our goal is to build upon our position as a leading writer of
professional liability and personal lines insurance and expand within a defined
geographic area, while maintaining our commitment to disciplined underwriting
and aggressive claims management. According to A.M. Best, we are the fourth
largest active medical liability insurance writer in the nation, and we believe
we are the largest medical liability writer in

29


our states of operation. The withdrawal and reduced capacity of several
competitors in the medical professional liability market has provided new
business opportunities. We believe that our strong reputation in our regional
markets, combined with our financial strength, strong customer service and
proven ability to manage claims, should enable us to profitably expand our
position in select states. In our personal lines business, we estimate that we
currently insure approximately 16% of the educational community (active and
retired teaching professionals and service employees) in Michigan. We expect to
increase our penetration of the educational community by appointing additional
agents and broadening our existing relationships with educational institutions
and their employees.

We have successfully acquired and integrated companies and books of
business in the past and believe our financial size and strength make us an
attractive acquirer. The current professional liability climate may also provide
us with the opportunity to undertake additional mergers or acquisitions of
companies or books of business within or adjacent to, our states of operation.
We continually evaluate these opportunities to leverage our core underwriting
and claims expertise.

We have sustained our financial stability during difficult market
conditions through responsible pricing and loss reserving practices. We are
committed to maintaining prudent operating and financial leverage and
conservatively investing our assets. We recognize the importance our customers
and producers place on the strong ratings of our principal insurance
subsidiaries and we intend to manage our business to protect our financial
security.

Growth Opportunities and Outlook

We expect to achieve our growth in our Professional Liability segment
primarily as a result of (i) the withdrawal of competitors from actively writing
business in certain states, and (ii) increased prices in our professional
liability business.

We believe we are viewed as a market leader because of our financial
strength and stability, and our ability to deliver excellent service at the
local level. This reputation allows us to take advantage of marketing conditions
that are improving as price increases are implemented and earned. Our stability
also makes us an attractive insurer in light of the highly publicized
insolvencies in our industry, as well as the regulatory actions taken against
several former competitors.

In 2003 and in 2002, our professional liability segment achieved
average gross price increases of approximately 28% on renewal business (weighted
by premium volume). In 2004 we expect professional liability pricing to continue
to increase, although not at the levels of 2002 and 2003. We expect to increase
the number of policies written as our competitors' withdraw from markets and
their capacity becomes increasingly constrained. We also expect our balance
sheet strength to become a further differentiating factor in the market.
Additionally, we plan to appoint new agents in underserved areas in the states
where we write business and we believe that will bring us additional business as
well.

We expect our future growth in professional liability will be supported
by controlled expansion in states where we are already writing business. This
includes states we recently entered such as Arkansas, Delaware, North Carolina
and Virginia, that we believe have relatively favorable medical and legal
climates. We also expect to expand into additional states within, or adjacent
to, our existing business footprint as opportunities present themselves.

We also believe there will be additional opportunities for profitable
expansion of our professional liability business as insurers continue
experiencing financial difficulties, requiring them to reduce their business or
completely exit the marketplace. This may also lead to opportunities to expand
through the acquisition of other companies or books of business.

In the Personal Lines segment, our strong capitalization provides
operational flexibility allowing growth and expansion capabilities for current
and new product lines in Michigan, and expansion outside of the state.

30


We believe we can achieve our growth in both segments while improving
our combined ratio. As with all property and casualty companies, we expect the
beneficial impact of price increases and any development of losses to be fully
reflected in our financial results over time. We recognize the effect of higher
prices as the associated premiums are earned which generally occurs over the
course of the year after the policy is written.

Segments

Revenues and expenses are attributable to the operating segments with
the exception of corporate income, which consists of investment income earned
directly by the parent holding company and interest expense related to long-term
debt held by the parent. We experienced a significant improvement in earnings
during the year ended December 31, 2003 as compared to the years ended December
31, 2002 and 2001, primarily due to improvement by the professional liability
segment, as shown in the table below:



2003 2002
vs vs
2002 2001
Increase Increase
2003 2002 2001 (Decrease) (Decrease)
------------------------------------------------------------
In Thousands

Income before income taxes, minority interest
and cumulative effect:
Professional Liability Segment $20,657 $(14,637) $ 1,547 $ 35,294 $ (16,184)
Personal Lines Segment 33,124 31,065 11,573 2,059 19,492
Corporate (unallocated to segments) (3,447) (2,818) (2,151) (629) (667)
------------------------------------------------------------
Consolidated $50,334 $ 13,610 $10,969 $ 36,724 $ 2,641
============================================================


Our professional liability segment operates in a challenging
environment. Beginning in 2000, virtually all providers of medical professional
liability began to recognize adverse trends in claim severity, causing increased
estimates of current and prior losses. Throughout the industry, premiums
previously considered adequate to cover expected losses and provide some profit
were found to be inadequate. We began to address these trends in 2000 by seeking
to increase premium rates in order to more closely align revenues with expected
losses. We have implemented rate increases in all states, even when this has
resulted in non-renewal of business. We have been more selective in our
underwriting criteria and have elected to not-renew business that we did not
expect to write profitably. At the same time, we have also worked to contain
losses and to improve operating efficiencies. Our ability to successfully
implement premium rate increases has been the most significant factor in
improving the underwriting results of this segment.

Investment income is a substantial revenue source for the professional
liability segment because, on average, premiums are collected several years
before the related losses are paid. Additionally, we consider realized capital
gains to be a significant part of our investment strategy and realized capital
gains and losses can have a substantial effect on our revenues. Prevailing
market interest rates have been at historically low levels in recent years which
has reduced our investment income. The decline in investment income somewhat
offsets any improvement that results from premium increases. In an attempt to
mitigate that risk, state regulators require us to take interest rates into
account as we develop our rates.

Our personal lines segment operates in a highly competitive environment
dominated by larger insurance organizations. We must provide a high level of
service while operating efficiently in order to competitively price our products
and obtain positive financial results. The personal lines segment has
contributed significantly to our consolidated profits since the segment was
acquired in June 2001.

Investment income is a less significant component of revenues for the
personal lines segment than for the professional lines segment because the
length of time between the collection of premiums

31


and the settlement of claims is generally short; approximately 75% of claims
are paid within one year after the claim is filed. Investment income has
increased only slightly because increases in the investment portfolio have
been offset by declines in yields.

Losses and Reinsurance

Losses are the largest component of expense for both the professional
liability segment and the personal lines segment. In 2003, the consolidated net
loss ratio (the income statement line "Net losses and loss adjustment expenses"
divided by the income statement line "Net premiums earned") is 88.4%, reflecting
a net loss ratio of 96.9 % for the professional liability segment and 65.8% for
the personal lines segment. As discussed in critical accounting policies, net
losses in any period reflects our estimate of net losses related to the premiums
earned in that period as well as any changes to our estimates of reserves
required for net losses of prior periods.

The estimation of losses is particularly difficult for our professional
liability segment. Loss reserves associated with medical professional liability
coverage tend to be higher than those associated with most other types of
property and casualty insurance for two primary reasons. First, overall costs of
providing professional liability insurance coverage historically have been among
the highest of the property and casualty insurance lines. These costs can be
attributed principally to increases in both the frequency and severity of
professional liability claims. Second, the complexity of professional liability
claims increases losses. In addition, delays between the collection of premiums
and the payment of losses are generally longer for professional liability
insurance than other property and casualty lines. Frequently, injuries are not
discovered until years after an incident, or the claimant may delay pursuing the
recovery of damages. As a result of the delay, a component of the loss reserves
for occurrence coverage and "tail" coverage includes an estimate of the claims
that have been incurred but not yet reported (IBNR).

Medical professional liability loss experience is volatile and
cyclical. Over the past twenty-five years, the industry has experienced several
periods of increasing claim frequency and severity, followed by periods of
relative stability. At other times, due to tort reform, favorable judicial
decisions, favorable economic conditions or other unknown factors, claim
frequency or severity have decreased. Malpractice claims generally require an
extended period of time to resolve, and the average life of a claim can be five
years or more. The combination of changing conditions and the extended time
required for claim resolution result in a loss cost estimation process that
requires actuarial skill and the application of judgment, and such estimates
require periodic revision. We believe it is prudent to establish initial losses
that are based on historical experience as well as on facts and circumstances
known at the balance sheet date. To the extent that actual results deviate from
expectations, reserve estimates are subsequently adjusted.

Losses for the personal lines segment are delineated between property
and liability loss due to their differing characteristics. Losses for property
claims comprise approximately 70% of the personal lines loss expense. Such
claims are typically settled and paid without litigation within one year after
the claim is reported. Losses for personal liability claims more closely
resemble medical professional liability losses and are more complex to estimate.
Injuries and their severity may not be discovered until several years after an
incident and the delay between the collection of premium and the payment of
losses is also longer than property losses and subject to litigation.

We reinsure professional liability risks under treaties pursuant to
which the reinsurer agrees to assume all or a portion of all risks that we
insure above our individual risk retention of $1 million per claim, up to the
maximum individual limit offered (currently $16 million). Historically, per
claim retention levels have varied between the first $200,000 and the first $2
million depending on the coverage year and the state in which business was
written. Periodically, we provide insurance to policyholders above the maximum
limits of our reinsurance treaties. In those situations, we reinsure the excess
risk above the limits of our reinsurance treaties on a facultative basis,
whereby the reinsurer agrees to insure a particular risk up to a designated
limit.

32


We currently reinsure our personal lines risks in excess of $250,000
per loss. Individual property risks are covered up to $1 million per risk and
casualty risks are covered on an excess of loss basis up to $3 million per
occurrence. Our Personal Lines segment is also covered by Catastrophe
reinsurance which provides additional protection from significant aggregate loss
exposure arising from a single event such as windstorm, hail, tornado,
earthquake, riot, blizzard, freezing temperatures or other extraordinary events.
We have purchased catastrophe reinsurance for automobile physical damage,
homeowners and boat property damage in five layers up to $29.5 million in excess
of $1.5 million with each layer subject to a retention of 5%. Since we began
offering umbrella policies in 2000, we have a quota share reinsurance
arrangement under which we retain 5% and cede 95% of our liability on these
policies.

Our risk retention level is dependent upon numerous factors including
the price and availability of reinsurance, volume of business, level of
experience, our analysis of the potential underwriting results within each state
and our assessment of our financial capacity to assume greater risk. Our
2003-2004 reinsurance treaties renewed with no change in terms or conditions
from the prior year. We have structured the program to include a broader
participation of reinsurers to further diversify our credit risk.

The following table, known as the Loss Reserve Development Table,
presents information over the preceding ten years regarding the payment of our
losses as well as changes to (the development of) our estimates of losses during
that time period. The table includes losses on both a direct and an assumed
basis and is net of reinsurance recoverables. The gross liability for losses
before reinsurance, as shown on the balance sheet, and the reconciliation of
that gross liability to amounts net of reinsurance are reflected below the
table. We do not discount our reserves to present value.

The following definitions may be helpful in understanding the Loss
Reserve Development Table:

- The line entitled "Reserve for losses, undiscounted and net of
reinsurance recoverables" reflects the Company's reserve for losses and
loss adjustment expense, less the receivables from reinsurers, each as
showing in the Company's consolidated financial statements at the end
of each year (the Balance Sheet Reserves).

- The section entitled "Cumulative net paid, as of" reflects the
cumulative amounts paid as of the end of each succeeding year with
respect to the previously recorded Balance Sheet Reserves.

- The section entitled "Re-estimated net liability as of" reflects the
re-estimated amount of the liability previously recorded as Balance
Sheet Reserves that includes the cumulative amounts paid and an
estimate of additional liability based upon claims experience as of the
end of each succeeding year (the Net Re-estimated Liability).

- The line entitled "Net cumulative redundancy, (deficiency)" reflects
the difference between the previously recorded Balance Sheet Reserve
for each applicable year and the Net Re-estimated Liability relating
thereto as of the end of the most recent fiscal year.

Information presented in the following table is cumulative and,
accordingly, each amount includes the effects of all changes in amounts for
prior years. The table presents the development of our balance sheet reserves;
it does not present accident year or policy year development data. Conditions
and trends that have affected the development of liabilities in the past may not
necessarily occur in the future. Accordingly, it may not be appropriate to
extrapolate future redundancies or deficiencies based on this table.

33


ANALYSIS OF LOSSES AND LOSS RESERVE DEVELOPMENT
(IN THOUSANDS)



DECEMBER 31,
1993 (a) 1994 (a) 1995 (a) 1996 (a) 1997 (a) 1998 (a) 1999 (a)
- -------------------------------------------------------------------------------------------------------------------

Reserve for losses
undiscounted and net of
reinsurance recoverables $ 272,392 $ 295,541 $ 352,521 $ 440,040 $ 464,122 $ 480,741 $ 486,279

Cumulative net paid
as of:

One Year Later 21,296 24,102 27,532 48,390 67,383 89,864 133,832
Two Years Later 40,988 42,115 58,769 98,864 128,758 192,716 239,872
Three Years Later 53,186 58,793 80,061 136,992 194,139 257,913 313,993
Four Years Later 61,153 65,520 107,005 173,352 227,597 308,531 358,677
Five Years Later 66,419 76,291 120,592 191,974 252,015 331,796
Six Years Later 73,308 81,722 129,043 204,013 266,056
Seven Years Later 76,716 82,605 135,620 212,282
Eight Years Later 76,821 84,649 138,534
Nine Years Later 77,713 85,008
Ten Years Later 77,825

Re Estimated Net
Liability As Of:

End of Year $ 272,392 $ 295,541 $ 352,521 $ 440,040 $ 464,122 $ 480,741 $ 486,279
One Year Later 251,445 268,154 325,212 393,363 416,814 427,095 463,779
Two Years Later 220,385 239,243 280,518 347,258 364,196 398,308 469,934
Three Years Later 194,213 200,311 237,280 294,675 333,530 400,333 488,426
Four Years Later 159,096 157,836 190,110 264,714 323,202 414,008 487,366
Five Years Later 126,379 122,570 173,148 259,195 320,888 415,381
Six Years Later 106,403 105,779 168,828 248,698 321,232
Seven Years Later 92,954 99,787 160,784 250,927
Eight Years Later 88,828 94,192 161,717
Nine Years Later 83,251 95,625
Ten Years Later 83,960

Net cumulative
redundancy (deficiency) 188,432 199,916 190,804 189,113 142,890 65,360 (1,087)
=====================================================================================

Original gross liability -
end of year 355,735 432,937 548,732 614,720 660,631 665,786
Less: reinsurance
recoverables (60,194) (80,416) (108,692) (150,598) (179,890) (179,507)
-------------------------------------------------------------------------------------
Original net liability -
end of year 295,541 352,521 440,040 464,122 480,741 486,279
=====================================================================================

Gross re-estimated liability
- latest 124,451 186,758 298,576 421,751 530,449 598,120
Re-estimated reinsurance
recoverables (28,826) (25,041) (47,649) (100,519) (115,068) (110,754)
-------------------------------------------------------------------------------------
Net re-estimated liability
- latest 95,625 161,717 250,927 321,232 415,381 487,366
=====================================================================================

Gross cumulative redundancy
(deficiency) 231,284 246,179 250,156 192,969 130,182 67,666
=====================================================================================


DECEMBER 31,
2000 (a) 2001 (b) 2002 2003
- ----------------------------------------------------------------------------------

Reserve for losses
undiscounted and net of
reinsurance recoverables $ 493,457 $ 1,068,285 $ 1,160,456 $ 1,369,773

Cumulative net paid
as of:

One Year Later 143,892 271,482 247,235 0
Two Years Later 251,855 468,630
Three Years Later 321,957
Four Years Later
Five Years Later
Six Years Later
Seven Years Later
Eight Years Later
Nine Years Later
Ten Years Later

Re Estimated Net
Liability As Of:

End of Year $ 493,457 $ 1,068,285 1,160,456
One Year Later 507,275 1,076,714 1,149,576
Two Years Later 529,698 1,069,435
Three Years Later 527,085
Four Years Later
Five Years Later
Six Years Later
Seven Years Later
Eight Years Later
Nine Years Later
Ten Years Later

Net cumulative
redundancy (deficiency) (33,628) (1,150) 10,880
=======================================

Original gross liability -
end of year 659,659 1,442,341 1,622,468
Less: reinsurance
recoverables (166,202) (374,056) (462,012)
---------------------------------------
Original net liability -
end of year 493,457 1,068,285 1,160,456
=======================================

Gross re-estimated liability
- latest 630,069 1,419,583 1,568,773
Re-estimated reinsurance
recoverables (102,984) (350,148) (419,197)
---------------------------------------
Net re-estimated liability
- latest 527,085 1,069,435 1,149,576
=======================================

Gross cumulative redundancy
(deficiency) 29,590 22,758 53,695
=======================================


(a) Reflects reserves of Medical Assurance excluding Professionals Group
reserves, which were acquired on June 27, 2001. Accordingly, the gross
and net reserve development (reserves recorded at the end of the year,
as originally estimated, less reserves re-estimated as of subsequent
years) relates only to the operations of Medical Assurance and does not
include Professionals Group.

(b) Reflects reserves of PRA following the consolidation of Medical
Assurance and Professionals Group. Accordingly, the gross and net
reserve development (reserves recorded at the end of the year, as
originally estimated, less reserves re-estimated as of subsequent
years) does not include any development related to Professionals Group
reserves since these reserves were acquired on June 27, 2001.

In each year reflected in the table, we have utilized actuarial
methodologies, including incurred loss development, paid loss development and
frequency-severity projections, to estimate reserves. These techniques are
applied to the data and the resulting projections are evaluated by management to
establish the estimate of reserves.

34


Prior to 2001, our reserve for losses was solely for our Professional
Liability Segment; beginning in 2001 our reserves also include our Personal
Lines segment. Our reserve for losses developed favorably in many prior years
for several reasons:

- Substantially all of our business was derived from medical professional
liability insurance written in Alabama until we began to geographically
expand our business in the mid to late 1990s. We utilized a rigorous
and disciplined approach to investigating, managing and defending
claims. This philosophy generally produced results in Alabama that were
better than industry averages in terms of loss payments and the
proportion of claims closed without indemnity payment.

- Our volume of business in the late 1980's and early 1990's, while
substantial, was not of a sufficient size to fully support the
actuarial projection process; thus, our data was supplemented with
industry-based data. Ultimately, actual results proved better than the
industry data, creating redundancies.

- Our reserves established in the late 1980's and early 1990's were
strongly influenced by the dramatically increased frequency and
severity that we, and the industry as a whole, experienced during the
mid-1980s. Some of these trends moderated, and in some cases, reversed,
by the late 1980s or early 1990s. However, the ability to recognize the
improved environment was delayed due to the extended time required for
claims resolution. When these negative trends moderated, the reserves
we established during those periods proved to be redundant.

- We establish our initial reserves in the Personal Lines segment at a
level to give consideration to our estimate of rising costs and
increasingly unpredictable litigation trends. Because losses in this
segment mature sooner than in Professional Liability, we are able to
recognize reserve development earlier if these anticipated costs and
trends do not materialize as expected.

The professional liability legal environment deteriorated once again
during the past several years. Beginning in 2000, we recognized adverse trends
in claim severity, causing increased estimates of certain loss liabilities. As a
result, favorable development of prior year loss reserves slowed in 2000 and
reversed in 2001 and 2002. We have addressed these trends through increased
rates, stricter underwriting and modifications to claims handling procedures.

Due to the size of our reserves, even a small percentage adjustment can
have a material effect on our results of operations for the period in which the
change is made.

35


RESULTS OF OPERATIONS - YEAR ENDED DECEMBER 31, 2003 COMPARED TO YEAR ENDED
DECEMBER 31, 2002

Our consolidated net income is $38.7 million, or $1.33 per diluted
share, for the year ended December 31, 2003 as compared to $12.2 million or
$0.46 per diluted share for the year ended December 31, 2002. Selected financial
data for each period is summarized in the table below.



Year Ended December 31 Increase
2003 2002 (Decrease)
---------------------------------------------
In Thousands

Revenues:
Gross premiums written $ 740,110 $ 636,156 $ 103,954
=============================================
Net premiums written $ 668,909 $ 537,123 $ 131,786
=============================================
Premiums earned $ 698,347 $ 576,414 $ 121,933
Premiums ceded (74,833) (99,006) 24,173
---------------------------------------------
Net premiums earned 623,514 477,408 146,106
Net investment income 73,619 76,918 (3,299)
Net realized investment gains (losses) 5,992 (5,306) 11,298
Other income 6,515 6,747 (232)
---------------------------------------------

Total revenues 709,640 555,767 153,873

Expenses:
Losses and loss adjustment expenses 576,043 569,099 6,944
Reinsurance recoveries (24,667) (121,070) 96,403
---------------------------------------------
Net losses and loss adjustment expenses 551,376 448,029 103,347
Underwriting, acquisition and insurance expenses 104,216 91,253 12,963
Loss on early extinguishment of debt 305 - 305
Interest expense 3,409 2,875 534
---------------------------------------------

Total expenses 659,306 542,157 117,149
---------------------------------------------

Income before income taxes 50,334 13,610 36,724

Income taxes (benefit) 11,450 (188) 11,638
---------------------------------------------

Income before minority interest and
cumulative effect of accounting change 38,884 13,798 25,086

Less: Minority interest 181 3,285 (3,104)
---------------------------------------------
Income before cumulative effect of
accounting change 38,703 10,513 28,190

Cumulative effect of accounting change,
net of tax - 1,694 (1,694)
---------------------------------------------

Net Income $ 38,703 $ 12,207 $ 26,496
=============================================

Net loss ratio * 88.4% 93.8% (5.4%)
Underwriting expense ratio * 16.7% 19.1% (2.4%)
---------------------------------------------
Combined ratio 105.1% 112.9% (7.8%)
Less: Investment income ratio * 11.8% 16.1% (4.3%)
---------------------------------------------
Operating ratio 93.3% 96. 8% (3.5%)
=============================================




December 31
2003 2002
-----------------------------

Total assets $ 2,879,352 $ 2,586,650
=============================
Net reserves for losses $ 1,369,773 $ 1,160,456
=============================


* Ratios shown are expressed as a ratio of net premiums earned.

36


The operating results of each of our reportable industry segments are
discussed separately in the following sections. Revenues and expenses are
attributed to the operating segments with the exception of corporate income,
which consists of investment income earned directly by the parent holding
company and interest expense related to long-term debt held by the parent.

Our effective tax rates for both years is significantly lower than the
expected 35% statutory rates because we earned approximately 23% of our
investment income from tax-exempt sources in 2003 and 25% in 2002. After
adjustment for tax exempt income, we experienced a taxable loss for the year
ended December 31, 2002.

Minority interest in both 2003 and 2002 relates entirely to the
minority interest in the income of MEEMIC Holdings. As discussed under
"Liquidity and Capital Resources" we purchased this minority interest on January
29, 2003. In 2003, earnings were allocable to the minority interest only for the
period from January 1 to January 29. In 2002, earnings were allocable to the
minority interest for the entire period.

37


PROFESSIONAL LIABILITY SEGMENT

Operating results for our professional liability segment for the years
ended December 31, 2003 and 2002 are summarized in the table below.



Year Ended December 31 Increase
2003 2002 (Decrease)
---------------------------------------------
In Thousands

Revenues:
Gross premiums written $ 543,323 $ 461,715 $ 81,608
=============================================
Net premiums written $ 490,952 $ 376,702 $ 114,250
=============================================
Premiums earned $ 509,260 $ 412,656 $ 96,604
Premiums ceded (56,014) (85,011) 28,997
---------------------------------------------
Net premiums earned 453,246 327,645 125,601
Net investment income 63,099 66,790 (3,691)
Net realized investment gains (losses) 5,858 (6,099) 11,957
Other income 4,460 4,960 (500)
---------------------------------------------

Total revenues 526,663 393,296 133,367
---------------------------------------------
Expenses:
Loss and loss adjustment expenses 414,828 460,289 (45,461)
Reinsurance recoveries 24,540 (108,969) 133,509
---------------------------------------------
Net losses and loss adjustment expenses 439,368 351,320 88,048
Underwriting, acquisition and insurance expenses 66,638 56,613 10,025
---------------------------------------------

Total expenses 506,006 407,933 98,073
---------------------------------------------

Income (loss) before income taxes $ 20,657 $ (14,637) $ 35,294
=============================================

Net loss ratio * 96.9% 107.2% (10.3%)
Underwriting expense ratio * 14.7% 17.3% (2.6%)
---------------------------------------------
Combined ratio 111.6% 124.5% (12.9%)
Less: Investment income ratio * 13.9% 20.4% (6.5%)
---------------------------------------------
Operating ratio 97.7% 104.1% (6.4%)
=============================================




December 31
2003 2002
-----------------------------

Identifiable segment assets $ 2,413,043 $ 2,184,676
=============================
Net reserves for losses $ 1,298,458 $ 1,096,205
=============================


* Ratios shown are expressed as a percentage of net premiums earned.

38


PREMIUMS

Premiums written

Premiums written for the professional liability segment increased by
$81.6 million for the year ended December 31, 2003 as compared to the same
period in 2002, principally due to rate increases. We experienced premium growth
from new business in states where competitors have left the professional
liability market. The growth in new business has largely been offset by policies
that did not renew due to higher rates and our own underwriting decisions.

We have implemented and we plan to continue to implement rate increases
based on loss trends; however, our ability to implement those rate increases is
subject to regulatory approval. Renewals in 2003 were at rates that are
approximately 28% higher than 2002 rates. However, we do not expect premium
growth to reflect the full amount of the rate increases because retention of our
insureds may be reduced by the higher rates. Also during 2003 we converted most
of our remaining occurrence policies to claims-made policies. We believe that a
substantial majority of our occurrence policyholders accepted the conversion to
claims-made coverage. First-year claims-made coverage has a significantly lower
premium than occurrence coverage due to lower loss exposure, and the conversion
reduced 2003 premiums written as compared to 2002 by approximately $13.5
million. The conversion of occurrence to claims-made will be completed in 2004.

Premiums earned

Premiums earned for the professional liability segment increased $96.6
million for the year ended December 31, 2003 as compared to the same period in
2002. Premiums are earned pro rata over the entire policy period (generally one
year) after the policy is written. The increase in 2003 earned premiums
therefore reflects on a pro rata basis the changes in written premiums that
occurred during both 2003 and 2002. Thus earned premiums have increased for the
reasons discussed in the section on premiums written.

Premiums ceded

Premiums ceded represent the premiums we must ultimately pay to our
reinsurers for their assumption of a portion of our losses. Premiums ceded
decreased by $29.0 million for the year ended December 31, 2003 as compared to
the same period in 2002. This decrease is primarily because we have reduced the
portion of our losses that we cede to our reinsurers. Under reinsurance
contracts that became effective in October 2002, our retention levels for
insured medical liability events became $1.0 million in all states whereas
previously our retention in many states was as low as $250,000. Premiums ceded
have decreased both in total dollars and as a percentage of premiums earned
because we are ceding a smaller portion of our risk.

Some of our reinsurance agreements adjust the premium due to the
reinsurer based upon the losses reimbursed under the agreement. In 2003, as
discussed in more detail under "Losses and Loss Adjustment Expenses" we reduced
our estimates of certain prior year gross losses, as well as the related
reinsurance recoveries. Consequently the estimate of ultimate ceded premiums was
reduced by $5.4 million as a result of this change. As discussed in the section
on Critical Accounting Policies, adjustments in the estimates of ultimate ceded
premiums are reflected in current operations.

LOSSES AND LOSS ADJUSTMENT EXPENSES

Net Losses and Loss Adjustment Expenses

Calendar year losses may be divided into three components: (i)
actuarial evaluation of incurred losses for the current accident year; (ii)
actuarial re-evaluation of incurred losses for prior accident years; and (iii)
actuarial re-evaluation of the reserve for the death, disability and retirement
provision (DDR) in our claims-made policies.

39


Accident year refers to the accounting period in which the insured
event becomes a liability of the insurer. For occurrence policies the insured
event becomes a liability when the event takes place; for claims-made policies
the insured event becomes a liability when the event is first reported to the
insurer. We believe that measuring losses on an accident year basis is the most
indicative measure of the underlying profitability of the premiums earned in
that period since it associates policy premiums earned with our estimate of the
losses incurred related to those policy premiums. Calendar year results include
the operating results for the current accident year and, as discussed in
critical accounting policies, any changes in estimates related to prior accident
years.

The following table summarizes professional net losses and net loss
ratios for the years ended December 31, 2003 and 2002. The net loss ratios shown
are calculated by dividing the applicable net losses by calendar year net
premiums earned.



Year ended December 31
2003 2002
---------------------------
In Thousands

Net losses:
Current accident year $ 439,418 $ 333,160
Change in prior accident year net (50) 18,160
losses
Change in DDR reserves - -
---------------------------

Calendar year net Losses $ 439,368 $ 351,320
===========================

Net loss ratio attributable to:
Current accident year 96.9% 101.7%
Change in prior accident year losses - 5.5%
Change in DDR - -
---------------------------

Calendar year net loss ratio 96.9% 107.2%
===========================


Current Accident Year Net Losses

Net losses increased by $106.3 million for the year ended December 31,
2003 as compared to the year ended December 31, 2002. There is little change in
the number of insured risks during 2003 as compared to 2002; net losses
increased during 2003 primarily because of higher loss costs. The current
accident year net loss ratio for the year ended December 31, 2003 decreased to
96.9% as compared to 107.2% for the same period in 2002. The 2003 loss ratio is
lower than the 2002 ratio because premium rates increased at a faster pace than
did loss costs.

Change in Prior Accident Year Losses and Change in DDR Reserves

We decreased our estimate of professional liability prior year net
losses by $50,000 in 2003 and increased our estimates by $18.2 million in 2002.
These adjustments were in response to actuarial evaluations of loss reserves
performed during the period. No significant change was made to our estimates of
the reserves required for death, disability and retirement during 2003 or 2002.

Assumptions used in establishing our reserves are regularly reviewed
and updated by management as new data becomes available. Any adjustments
necessary are reflected in current operations. Due to the size of our reserves,
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.

40


Losses and Loss Adjustment Expenses / Reinsurance Recoveries

Our actuarial analysis indicates that our claims severity has continued
to increase as expected in our retained layers. However, we have not experienced
the high level of losses in our reinsured layers that we originally anticipated
and for which we established reserves. Accordingly we reduced our estimates of
prior accident year gross loss and loss adjustment expenses by approximately
$63.8 million during the year ended December 31, 2003. Since these losses were
reinsured, we reduced expected reinsurance recoveries by approximately the same
amount. The reduction of $74.2 million for prior accident years more than offset
current accident year recoveries of $49.4 million, thus creating a
non-traditional relationship between gross losses and recoveries for 2003. These
changes in estimates had a nominal effect on 2003 net losses.

NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)

Our professional liability segment investment income is primarily
derived from the interest income earned by our fixed maturity securities but
also includes interest income from short-term and cash equivalent investments,
dividend income from equity securities, increases in the cash surrender value of
business owned executive life insurance contracts, and rental income earned by
our commercial real estate holdings. Investment fees and expenses and real
estate expenses are deducted from investment income.

Investment income is a substantial revenue source for the professional
liability segment because, on average, premiums are collected some years before
the related losses are paid. However, prevailing market interest and equity
yields have been at historically low levels in recent years. Our net investment
income decreased by $3.7 million for the year ended December 31, 2003 as
compared to the same period in 2002. The decrease occurred even though our
average invested funds increased in 2003. The positive effect of additional
invested funds was more than offset by the effect of lower average yields. The
weighted average tax equivalent book yield (tax adjusted gross earnings divided
by the average quarterly ending book value) of our professional liability
segment fixed maturity investments is 4.7% for the year ended December 31, 2003
as compared to 6.1% for the same period in 2002. The average yield is reduced as
compared to 2002 because market rates available for the investment of new and
matured funds were lower in 2003. Also, in the fourth quarter of 2002 we sold a
significant portion of our fixed maturity portfolio in order to realize capital
gains and these proceeds were reinvested during 2003 at substantially lower
rates.

Investment income declined from 20.4% of premium earned in 2002 to
13.9% in 2003. The decline in investment income somewhat offset the improvement
in our combined ratio.

Net realized investment gains (losses) include gains and losses
realized on sales of investment securities and realized losses for other than
temporary impairments in the fair value of investment securities, as shown in
the following table.



Year ended December 31
2003 2002
--------------- ------------
In Thousands

Net gains (losses) from sales $ 5,857 $ 15,205
Other than temporary impairment losses (322) (21,304)
Holding gains (losses) on trading portfolio 323 -
---------------------------

Net realized investment gains (losses) $ 5,858 $ (6,099)
===========================


41


UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES

Underwriting, acquisition and insurance expenses increased by
approximately $10.0 million for the year ended December 31, 2003 as compared to
the same period in 2002. These expenses are comprised of variable costs, such as
commissions and premium taxes that are directly related to premiums earned, and
fixed costs that have no direct relationship to premium volume, such as
salaries, benefits, facility costs and guaranty fund assessments. The 2003
increase in expenses is primarily due to higher variable costs incurred as a
result of premium growth. Guaranty fund assessments were lower by approximately
$1.8 million during the year ended December 31, 2003 as compared to the same
period in 2002. Also, late in the second quarter of 2003 we ceased to provide
medical credentialing services. Expenses associated with this business activity
were $1.4 million for the year ended December 31, 2003 as compared to $2.8
million for the year ended December 31, 2002.

The underwriting expense ratio is the total of underwriting,
acquisition and insurance expenses divided by net premiums earned. This ratio is
14.7% for the year ended December 31, 2003 as compared to 17.3% for the same
period in 2002. The ratio decreased because there was no significant change in
our fixed costs, other than the previously discussed decrease in guaranty fund
assessments, while premiums earned increased in 2003.

Guaranty fund assessments are amounts we are required to contribute to
state insolvency or guaranty fund associations when so assessed by the state.
Such assessments can and do vary from year to year.

42


PERSONAL LINES SEGMENT

Our personal lines segment is comprised of the operations of a single
insurance company, MEEMIC Insurance Company. Selected financial data for our
personal lines segment is summarized in the table below.



Year ended December 31 Increase
2003 2002 (Decrease)
---------------------------------------
In Thousands

Revenues:
Gross premiums written $ 196,787 $ 174,441 $ 22,346
=======================================
Net premiums written $ 177,957 $ 160,421 $ 17,536
=======================================
Premiums earned $ 189,087 $ 163,758 $ 25,329
Premiums ceded (18,819) (13,995) (4,824)
---------------------------------------
Net premiums earned 170,268 149,763 20,505
Net investment income 10,253 10,071 182
Net realized investment gains (losses) 134 793 (659)
Other income 2,055 1,787 268
---------------------------------------

Total revenues 182,710 162,414 20,296
---------------------------------------

Expenses:
Loss and loss adjustment expenses 161,215 108,810 52,405
Reinsurance recoveries (49,207) (12,101) (37,106)
---------------------------------------
Net losses and loss adjustment expenses 112,008 96,709 15,299
Underwriting, acquisition and insurance expenses 37,578 34,640 2,938
---------------------------------------

Total expenses 149,586 131,349 18,237
---------------------------------------

Income before income taxes and minority interest $ 33,124 $ 31,065 $ 2,059
=======================================

Net Loss ratio * 65.8% 64.6% 1.2%
Underwriting expense ratio * 22.1% 23.1% (1.0%)
---------------------------------------
Combined ratio 87.9% 87.7% 0.2%
Less: Investment income ratio * 6.0% 6.7% (0.7%)
---------------------------------------
Operating ratio 81.9% 81.0% 0.9%
=======================================




December 31
2003 2002
------------------------

Identifiable segment assets $ 431,264 $ 372,086
========================
Net reserves for losses $ 71,315 $ 64,251
========================


* Ratios shown are expressed as a percentage of net premiums earned.

43


PREMIUMS

Premiums written

Gross premiums written for the year ended December 31, 2003, increased
by $22.3 million as compared to the year ended December 31, 2002. Premiums by
line of business for each period are as follows.



Year ended December 31
2003 2002
------------------------
In Thousands

Automobile $ 161,399 $ 147,168
Homeowners 34,571 26,600
Boat, umbrella, and other 817 673
------------------------
$ 196,787 $ 174,441
========================


Automobile premiums are higher during 2003 primarily due to increases
in the number of autos insured and increases in the value of those autos. The
number of insured vehicles increased from 181,280 at December 31, 2002 to
191,633 at December 31, 2003. Automobile premiums also grew due to a 2% rate
increase that became effective on October 1, 2002 and a 0.6% increase that
became effective on October 1, 2003.

Homeowners premiums are higher during 2003 primarily due to a 22% rate
increase that became effective on July 1, 2002 and a 7.6% rate increase that
became effective April 1, 2003. Homeowners premiums also grew due to increases
in the number of homes insured and the value of those homes. The number of
insured homes increased from 55,480 at December 31, 2002 to 61,864 at December
31, 2003.

Premiums earned

Premiums earned increased by $20.5 million for the year ended December
31, 2003 as compared to the same period in 2002. Premiums are earned pro rata
over the entire policy period after the policy is written. The increase in 2003
earned premiums therefore reflects on a pro rata basis the changes in written
premiums that occurred during both 2003 and 2002. Thus earned premiums have
increased as discussed in the section on premiums written.

Premiums ceded

Premiums ceded represent the premiums we must ultimately pay to our
reinsurers for their assumption of a portion of our losses. Premiums ceded
increased for the year ended December 31, 2003 as compared to the same period in
2002. The increase is due to the increased volume of our business and increased
rates charged by our reinsurers.

44


LOSSES AND LOSS ADJUSTMENT EXPENSES

The following table summarizes personal lines net losses and net loss
ratios for the years ended December 31, 2003 and 2002 by separating losses
between the current accident year and all prior accident years. The net loss
ratios shown are calculated by dividing the applicable net losses by calendar
year net premiums earned.



Year ended December 31
2003 2002
------------------------
In Thousands

Net losses:
Current accident year $ 122,838 $ 106,440
Change in prior accident years net losses (10,830) (9,731)
------------------------

Calendar year net losses $ 112,008 $ 96,709
========================

Net loss ratio attributable to:
Current accident year 72.2% 71.1%
Change in prior accident years losses (6.4%) (6.5%)
------------------------

Calendar year net loss ratio 65.8% 64.6%
========================


Current accident year net losses for the year ended December 31, 2003
are $122.8 million, an increase of $16.4 million as compared to the year ended
December 31, 2002. The 2003 increase is due to a greater number of insureds in
2003, higher loss cost per claim, and an increase in reported claims. The
current accident year net loss ratios for 2003 reflect rate increases for auto
and homeowners, offset by increases in auto liability claims, homeowners
property claims from an April 2003 isolated ice storm, increased frequency in
fires, and claims from the August 2003 Midwestern power outage.

We reduced net losses by $10.8 million and $9.7 million, respectively,
during the years ended December 31, 2003 and 2002, as a result of favorable
developments in our estimates of prior years' auto liability reserves. We
established initial reserves, particularly liability reserves, at levels that
considered our estimates of rising costs and unpredictable litigation
trends. More favorable results are recognized if and when they materialize.

NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)

Our net investment income is comprised of the interest and dividend
income from our fixed maturity, short-term, cash equivalents and equity
investments, net of investment expenses. There is no significant change in our
net investment income for year ended December 31, 2003 as compared to 2002,
primarily because increases in the size of the portfolio were offset by declines
in yields. Investment income declined from 6.7% of premiums earned in 2002 to
6.0% in 2003.

The weighted average tax equivalent book yield (tax adjusted gross
earnings divided by the average quarterly ending book value) of the personal
lines segment fixed maturity investments is 5.7% for the year ended December 31,
2003 as compared to 6.2%, for the year ended December 31, 2002. The average
yield is reduced as compared to 2002 because market rates available for the
investment of new and matured funds were lower in 2003.

Net realized investment gains and losses for the years ended December
31, 2003 and 2002 did not include any realized losses for other than temporary
impairments.

45


UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES

Underwriting, acquisition and insurance expenses consist of normal,
recurring expenses such as commissions, salaries and other expenses. These
expenses increased by approximately $2.9 million for the year ended December 31,
2003 as compared to the year ended December 31, 2002, primarily due to higher
underwriting and acquisition costs from premium growth. The underwriting expense
ratio is the total of underwriting, acquisition and insurance expenses divided
by net premiums earned. This ratio is 22.1% and 23.1% for the years ended
December 31, 2003 and 2002, respectively, and is lower for the year ended
December 31, 2003 due to operating efficiencies and a decrease in mandatory
statutory assessments.
Guaranty fund assessments total $221,000 in 2003 and $331,000 in 2002.

CORPORATE

We do not allocate certain revenues and expenses (investment income
earned directly by the parent holding company, interest expense and other debt
costs related to long-term debt held by the parent holding company) to our
operating segment. Unallocated amounts are summarized below.



Year Ended December 31 Increase
2003 2002 (Decrease)
---------------------------------
In Thousands

Revenues:
Investment income 267 56 211

Expenses:
Debt retirement loss 305 - 305
Interest expense 3,409 2,875 534
--------------------------------
Unallocated expense in excess
of unallocated revenues 3,447 2,819 628
================================


Interest expense increased to $3.4 million for the year ended December
31, 2003 as compared to $2.9 million for the same period in 2002. The increase
results from higher costs during the third and fourth quarters of 2003 as
compared to 2002 because the debentures issued in July 2003 carried a higher
rate than did the bank term loan and because the total outstanding amount of
debt increased. Management elected to replace the term loan with the debentures
because the debentures provided a longer-term source of capital at a fixed
interest rate. Interest expense was lower in the first six months of 2003 as
compared to 2002 because both the average outstanding balance on the term loan
and the variable interest rate on the term loan were lower in 2003.

46


RESULTS OF OPERATIONS - YEAR ENDED DECEMBER 31, 2002 COMPARED TO YEAR ENDED
DECEMBER 31, 2001

Our consolidated income before cumulative effect of accounting change
is $10.5 million, or $0.40 per share, for the year ended December 31, 2002. The
year ended December 31, 2002 includes Professionals Group activity for the
entire period, while the year ended December 31, 2001 includes Professionals
Group activity only since June 27, 2001. Thus, when the two periods are
compared, significant variances are created because 2001 operating results do
not include Professionals Group operating results for the first six months of
2001. Selected financial data for each period is summarized in the table below.



Year Ended December 31 Increase
2002 2001 (Decrease)
---------------------------------------------
in Thousands

Revenues:
Gross premiums written $ 636,156 $ 388,983 $ 247,173
=============================================
Net premiums written $ 537,123 $ 310,291 $ 226,832
=============================================
Premiums earned $ 576,414 $ 381,510 $ 194,904
Premiums ceded (99,006) (68,165) (30,841)
---------------------------------------------
Net premiums earned 477,408 313,345 164,063
Net investment income 76,918 59,782 17,136
Net realized investment gains (losses) (5,306) 5,441 (10,747)
Other income 6,747 3,987 2,760
---------------------------------------------

Total revenues 555,767 382,555 173,212
---------------------------------------------

Expenses:
Losses and loss adjustment expenses 569,099 344,202 224,897
Reinsurance recoveries (121,070) (45,644) (75,426)
---------------------------------------------
Net losses and loss adjustment expenses 448,029 298,558 149,471
Underwriting, acquisition and insurance expenses 91,253 70,437 20,816
Interest expense 2,875 2,591 284
---------------------------------------------

Total expenses 542,157 371,586 170,571
---------------------------------------------

Income before income taxes 13,610 10,969 2,641

Provision for income taxes (benefit) (188) (2,847) 2,659
---------------------------------------------
Income before minority interest and
cumulative effect of accounting change 13,798 13,816 (18)

Less: Minority interest (3,285) (1,366) (1,919)
---------------------------------------------
Income (loss) before cumulative effect of
accounting change 10,513 12,450 (1,937)
Cumulative effect of accounting change,
net of tax 1,694 - 1,694
---------------------------------------------
Net Income (loss) $ 12,207 $ 12,450 $ (243)
=============================================

Net loss ratio * 93.8% 95.3% (1.5%)
Underwriting expense ratio * 19.1% 22.5% (3.4%)
---------------------------------------------
Combined ratio 112.9% 117.8% (4.9%)
Less: Investment income ratio * 16.1% 19.1% (3.0%)
---------------------------------------------
Operating ratio 96.8% 98.7% (1.9%)
=============================================




December 31
2002 2001
-----------------------------

Total assets $ 2,586,650 $ 2,238,325
=============================

Net reserves for losses $ 1,160,456 $ 1,068,285
=============================


* Ratios shown are expressed as a percentage of net premiums earned.

47


We discuss the operating results of each of our reportable industry
segments separately in the following sections. Revenues and expenses are
allocated to the operating segments with the exception of corporate income,
which consists of investment income earned directly by the parent holding
company and interest expense related to long-term debt held by the parent.

We recognized tax benefits of $188,000 and $2.9 million for the years
ended December 31, 2002 and 2001, respectively. Our effective rate for both
years is significantly lower than the expected 35% statutory rate because
approximately 25% in 2002 and 37% in 2001 of our investment income was earned
from tax-exempt sources. After adjustment for tax-exempt income, we experienced
a taxable loss for the years ended December 31, 2002 and 2001.

Minority interest in both 2002 and 2001 relates entirely to the
minority interest in the income of MEEMIC Holdings.

PROFESSIONAL LIABILITY SEGMENT

Operating results for our professional liability segment for the years
ended December 31, 2002 and 2001 are summarized in the table below.



Year Ended December 31 Increase
2002 2001 (Decrease)
---------------------------------------------
in Thousands

Revenues:
Gross premiums written $ 461,715 $ 315,698 $ 146,017
=============================================
Net premiums written $ 376,702 $ 238,867 $ 137,835
=============================================
Premiums earned $ 412,656 $ 310,222 $ 102,434
Premiums ceded (85,011) (66,307) (18,704)
---------------------------------------------
Net premiums earned 327,645 243,915 83,730
Net investment income 66,790 54,339 12,451
Net realized investment gains (losses) (6,099) 5,441 (11,540)
Other income 4,960 3,130 1,830
---------------------------------------------

Total revenues 393,296 306,825 86,471
---------------------------------------------

Expenses:
Losses and loss adjustment expenses 460,289 279,246 181,043
Reinsurance recoveries (108,969) (28,989) (79,980)
---------------------------------------------
Net losses and loss adjustment expenses 351,320 250,257 101,063
Underwriting, acquisition and insurance expenses 56,613 55,021 1,592
---------------------------------------------

Total expenses 407,933 305,278 102,655
---------------------------------------------

Income (loss) before income taxes $ (14,637) $ 1,547 $ (16,184)
=============================================

Net loss ratio* 107.2% 102.6% 4.6%
Underwriting expense ratio* 17.3% 22.6% (5.3%)
---------------------------------------------
Combined ratio 124.5% 125.2% (0.7%)
Less: Investment income ratio* 20.4% 22.3% (1.9%)
---------------------------------------------
Operating ratio 104.1% 102.9% 1.2%
=============================================




December 31
2002 2001
----------------------------

Identifiable segment assets $ 2,184,676 $ 1,913,559
============================

Net reserves for losses $ 1,096,205 $ 1,004,462
============================


* Ratios shown are expressed as a percentage of net premiums earned.

48


PREMIUMS

Premiums written

Our professional liability segment principally provides liability
insurance for providers of medical and other healthcare services, and to a
limited extent providers of legal services (Professional Coverages). The
professional liability segment also includes accident and health and workers'
compensation insurance (Other Coverages).

Premiums written for the professional liability segment for the year
ended December 31, 2002 were $461.7 million, which is an increase of $146.0
million as compared to the same period of 2001. This increase is comprised of a
$184.7 million increase related to Professional Coverages offset by a $38.7
million decrease related to Other Coverages.

Professional Coverages premiums written increased to $457.2 million for
the year ended December 31, 2002. The increase is primarily due to the
consolidation with Professionals Group but also reflects the beneficial effect
of rate increases implemented during 2002 and 2001. We have implemented rate
increases based on loss trends and have experienced some loss of insureds due to
the higher rates. In 2002, our premium renewals and new business at the higher
rates have more than offset the effect of non-renewals. We estimate that, on
average, 2002 renewals were at rates that were approximately 28% higher than
2001 rates.

Gross written premiums for Other Coverages were approximately $4.5
million for the year ended December 31, 2002 as compared to $43.2 million for
the same period in 2001. Our Other Coverages premiums were primarily written in
conjunction with and through third parties as a means of utilizing our capital.
During the latter half of 2000 we decided to significantly decrease our
commitment to these programs and have since allowed existing contractual
relationships to expire. The decline in Other Coverages premiums is the expected
result of this decision.

Premiums earned

Premiums earned for the year ended December 31, 2002 increased by
$102.4 million as compared to the year ended December 31, 2001. As with written
premiums, this increase is comprised of an increase related to Professional
Coverages offset by a decrease related to Other Coverages.

Our Professional Coverages premiums earned for the year ended December
31, 2002 increased by $139.4 million to $404.0 million. The increase is
primarily due to the additional premiums earned as a result of the consolidation
but, as with written premiums, also reflects the beneficial impact of rate
increases. Rate increases implemented after January 1, 2002 are not fully
reflected in premiums earned since premiums are earned over the entire policy
period (usually one year) after the policy is written.

Other Coverages premiums earned for the year ended December 31, 2002
were $8.7 million, a decrease of $37.0 million as compared to the year ended
December 31, 2001, reflecting our decreased commitments to the programs that
generated these premiums, as previously discussed.

49


Premiums ceded

Premiums ceded for the year ended December 31, 2002 increased by $18.7
million as compared to the year ended December 31, 2001. The increase is
comprised of a $23.4 million increase related to Professional Coverages offset
by a $4.7 million decrease related to Other Coverages.

Professional Coverages premiums ceded were $78.4 million for the year
ended December 31, 2002. The primary reasons for the increase are the growth in
premiums earned that resulted from the consolidation with Professionals Group
and rate increases.

Other Coverages premiums ceded were $6.6 million for the year ended
December 31, 2002, reflecting the decline in related earned premiums, as
previously discussed.

LOSSES AND LOSS ADJUSTMENT EXPENSES (LOSSES)

The following table summarizes net losses and net loss ratios for 2002
and 2001 by type of coverage and by separating losses between the current
accident year and all prior years . The net loss ratios shown are calculated by
dividing the applicable net losses by net premiums earned.



Year ended December 31
2002 2001
------------------------------
In Thousands

Current accident year net losses:
Professional Coverages $ 331,494 $ 231,489
Other Coverages 1,666 23,597

Change in prior accident year net losses * 18,160 13,818
Change in DDR reserves - (18,647)
------------------------------
Calendar year net losses $ 351,320 $ 250,257
==============================
Current accident year net loss ratio:
Professional Coverages 101.8% 108.8%
Other Coverages 77.9% 75.9%

Net loss ratio attributable to:
Current accident year net losses 101.7% 104.6%
Prior accident year net losses 5.5 5.7%
Change in death, disability and retirement reserves - (7.7%)
------------------------------
107.2% 102.6%
==============================


* All losses incurred in 2001 related to the book of business acquired from
Professionals Group are considered to be current accident year losses because
there was no liability for these losses prior to the consolidation
transaction.

Professional Coverages

Current accident year net losses related to Professional Coverages for
the year ended December 31, 2002 increased by $100.0 million as compared to the
year ended December 31, 2001. Our consolidation with Professionals Group and the
resulting increase in premiums is the primary reason for the increase. The
current accident year net loss ratio for Professional Coverages for the year
ended December 31, 2002 as compared to the same period in 2001 has decreased
from 108.8% to 101.8 %. The improvement in the loss ratio primarily reflects the
effects of a more adequate premium structure as a result of rate increases
implemented during 2002 and 2001.

50


Other Coverages

Current accident year net losses related to Other Coverages decreased
by $21.9 million for the year ended December 31, 2002 as compared to the same
periods of 2001. The decrease resulted from the termination of the programs that
generated these losses, as previously discussed with respect to Other Coverages
premiums.

Change in Prior Accident Year Losses / Change in Death, Disability and
Retirement Reserves

We increased our current year net losses by $18.2 million during 2002.
In 2001, we increased our estimates of prior year losses by $13.8 million. In
both periods, our estimates of losses related to prior year were adjusted based
upon actuarial evaluations performed during the period.

In 2001, we decreased our estimate of the reserves required for death,
disability and retirement by $18.6 million. The decrease was primarily related
to the ProNational book of business and was principally the result of an
increase in the premium rate loads and a decrease in the number of insureds.

The assumptions used in establishing our reserves are regularly
reviewed and updated by management as new data becomes available. Any
adjustments necessary are reflected in then current operations. Due to the size
of our reserves, 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.

NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)

Our professional liability segment investment income is primarily
derived from the interest income earned by our fixed maturity securities but
also includes interest income from short-term and cash equivalent investments,
dividend income from equity securities, and rental income earned by our
commercial real estate holdings. Investment fees and expenses and real estate
expenses are deducted from investment income. Our net investment income for the
year ended December 31, 2002 increased by $12.5 million as compared to the same
period in 2001. The primary reason for the increase is the additional investment
income earned as a result of the consolidation with Professionals Group.

During 2002, we experienced a decline in overall investment yields as a
result of lower market interest rates, both short and long-term. Our investment
opportunities for new and matured funds have been at rates that are less
favorable than the rates available in recent years. Our average investment in
lower yielding short-term and overnight cash investments increased during 2002
due to a lack of more desirable long-term investment opportunities.

Interest income from fixed maturity investments comprised 93% of our
total investment income in 2002 and 88% of our total investment income in 2001.
The weighted average tax equivalent book yield (tax adjusted gross earnings
divided by the average quarterly ending book value) of our professional
liability segment fixed maturity investments was 6.1% for 2002 as compared to
6.6% for the year ended December 31, 2001.

51


Net realized investment gains (losses) includes gains and losses
realized on sales of investment securities and realized losses for other than
temporary impairments in the fair value of investment securities, as shown in
the following table.



2002 2001
--------- --------

Net gains from sales $ 15,205 $ 5,850
Other than temporary impairment losses (21,304) (409)
--------- --------
Net realized investment gains (losses) $ (6,099) $ 5,441
========= ========


Approximately $18.2 million of the impairments recognized during 2002
were related to our equity securities; approximately $3.1 million of the
impairments were related to fixed maturity securities.

Approximately $14.7 million of our net gains from sales were from sales
of fixed maturity securities. We purchase fixed maturity securities with the
initial intent to hold such securities until their maturity, however, we may
dispose of securities prior to their respective maturities if we believe such
disposals are consistent with our overall investment objectives, including
maximizing total yields over time, maximizing after-tax profits and disposing of
securities that no longer meet our risk management criteria. Throughout 2002,
but particularly in the latter half of 2002, bond prices increased
substantially, both in response to historically low market interest rates and in
response to uncertainty in the equity market. In response to these market
conditions we undertook a significant restructuring of our fixed maturity
portfolio during the fourth quarter. Most of the gains recognized for 2002
resulted from these restructuring activities.

UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES

Underwriting, acquisition and insurance expenses increased by $1.6
million for the year ended December 31, 2002 as compared to the same period in
2001. Expenses related to Professional Coverages premiums earned increased by
$15.9 million; however, this increase was largely offset by a $14.3 million
decrease in expenses related to Other Coverages premiums earned. The increase in
Professional Coverages expenses primarily reflects the additional six months of
Professionals Group activity that is included in 2002. The decrease in Other
Coverages expenses is due to the termination of these programs as previously
discussed.

The underwriting expense ratio (underwriting, acquisition and insurance
expenses divided by net premiums earned) decreased as compared to 2001. The
ratio for the year ended December 31, 2002 is 17.3% as compared to 22.6% for the
same period in 2001. Lower acquisition costs related to the decline in Other
Coverages premiums reduced the ratio by 3.5%. The remaining 1.8% decrease in the
ratio is primarily due to operating efficiencies realized in 2002 and the effect
of rate increases.

Guaranty fund assessments for the years ended December 31, 2002 and
2001 were approximately $1.9 million and $1.3 million, respectively.

52


PERSONAL LINES SEGMENT

Our personal lines segment is comprised of the operations of a single
insurance company, MEEMIC Insurance Company, acquired as a part of the
consolidation with Professionals Group. The year ended December 31, 2002
includes twelve months of MEEMIC operations while the year ended December 31,
2001 includes only six months of MEEMIC operations. Selected financial data for
our personal lines segment is summarized in the table below.



Year ended December 31 Increase
2002 2001 (Decrease)
----------------------------------------
In Thousands

Revenues:
Gross premiums written $ 174,441 $ 73,285 $ 101,156
========================================
Net premiums written $ 160,421 $ 71,424 $ 88,997
========================================
Premiums earned $ 163,758 $ 71,288 $ 92,470
Premiums ceded (13,995) (1,858) (12,137)
----------------------------------------
Net premiums earned 149,763 69,430 80,333
Net investment income 10,071 5,003 5,068
Net realized investment gains (losses) 793 - 793
Other income 1,787 857 930
----------------------------------------

Total revenues 162,414 75,290 87,124
----------------------------------------

Expenses:
Loss and loss adjustment expenses 108,810 64,956 43,854
Reinsurance recoveries (12,101) (16,655) 4,554
----------------------------------------
Net losses and loss adjustment expenses 96,709 48,301 48,408
Underwriting, acquisition and insurance expenses 34,640 15,416 19,224
----------------------------------------

Total expenses 131,349 63,717 67,632
----------------------------------------

Income (loss) before income taxes and minority interest $ 31,065 $ 11,573 $ 19,492
========================================

Net loss ratio * 64.6% 69.6% (5.0%)
Underwriting expense ratio * 23.1% 22.2% 0.9%
----------------------------------------
Combined ratio 87.7% 91.8% (4.1%)
Less: Investment income ratio * 6.7% 7.2% (.5%)
----------------------------------------
Operating ratio 81.0% 84.6% (3.6%)
========================================




December 31
2002 2001
------------------------

Identifiable segment assets $ 372,086 $ 324,719
========================

Net reserves for losses $ 64,251 $ 63,823
========================


* Ratios shown are expressed as a percentage of net premiums earned.

53


PREMIUMS

Premiums written

Gross written premiums increased by $101.2 million to $174.4 million
for the year ended December 31, 2002 as compared to the year ended December 31,
2001. For all lines, the principal reason for the increase is the inclusion of
an additional six months of MEEMIC activity in 2002. Premiums by line of
business for each year are as follows.



Year ended December 31
2002 2001
--------------------------
In Thousands

Automobile $ 147,168 $ 62,422
Homeowners 26,600 10,637
Boat, umbrella and other 673 226
--------------------------

$ 174,441 $ 73,285
==========================


Automobile premiums also increased due to growth in the number of
policyholders, an increase in the value of autos insured and an increase in the
MCCA mandatory statutory assessments that are passed through to automobile
policyholders. During 2002 the number of vehicles insured grew by approximately
4.5%.

Homeowner premiums also increased due to average rate increases of
approximately 20%, an increase in the value of homes insured and growth in the
number of policyholders. During 2002 the number of homes insured grew by
approximately 14.5%.

Premiums earned

Premiums earned for the year ended December 31, 2002 increased by $92.5
million as compared to the year ended December 31, 2001. As with written
premiums, this increase is primarily due to the inclusion of an additional six
months of MEEMIC activity in 2002 but also increased due to the effects of rate
increases and growth in the number of insureds.

Premiums ceded

Premiums ceded are the portion of our earned premiums due to reinsurers
in return for the transfer of a portion of our risk to them. Premiums ceded for
the year ended December 31, 2002 increased by $12.1 million as compared to the
year ended December 31, 2001. Approximately $11.2 million of this increase is
attributable to an increase in the premiums due to a single reinsurer, the MCCA.
The remainder of the increase is primarily attributable to the additional six
months of MEEMIC activity in 2002.

54


LOSSES AND LOSS ADJUSTMENT EXPENSES

The following table summarizes personal lines net losses and net loss
ratios for 2002 and 2001 by separating losses between the current accident year
and all prior accident years. The net loss ratios shown are calculated by
dividing the applicable net losses by current calendar year net premiums earned.



Year ended December 31
2002 2001
---------------------------
In Thousands

Net losses:
Current accident year $ 106,440 $ 48,301
Change in prior accident year net
losses * (9,731) -
---------------------------

Calendar year net losses $ 96,709 $ 48,301
===========================

Net loss ratio attributable to:
Current accident year net losses 71.1% 69.6%
Prior accident year net losses (6.5%) -
---------------------------

Calendar year net loss ratio 64.6% 69.6%
===========================


* All losses incurred in 2001 are considered to be current accident year
losses because there was no liability for personal lines losses prior to the
consolidation transaction.

Calendar year net losses increased from $48.3 million for the year
ended December 31, 2001 to $96.7 million for the year ended December 31, 2002,
an increase of $48.4 million. The principal reason for the increase is the
inclusion of an additional six months of MEEMIC activity in 2002. The 2002
current accident year net loss ratio (current accident year net Loss and LAE
divided by net earned premiums) is 71.1% and reflects our estimates regarding
the frequency and severity of auto liability claims and the positive effect of
mild weather conditions during 2002.

We reduced losses by $9.7 million during the year ended December 31,
2002 as a result of favorable developments in our estimates of prior years' auto
liability reserves. We established initial reserves, particularly liability
reserves, at levels that give consideration to rising costs and unpredictable
litigation trends. More favorable results are recognized if and when they
materialize.

55


NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)

Our net investment income is comprised of the interest and dividend
income from our fixed maturity, short-term, cash equivalent and equity
investments, net of investment expenses. Net investment income increased by
approximately $5.1 million for the year ended December 31, 2002 as compared to
the year ended December 31, 2001, primarily because 2001 includes only six
months of personal lines activity.

Interest income from fixed maturity investments represents more than
86% of our net investment income. The tax equivalent book yield (tax adjusted
gross earnings divided by the average quarterly ending book value) of the
personal lines segment fixed maturity investments for the year ended December
31, 2002 is 6.1% as compared to 6.2% for the year ended December 31, 2001. The
average yield is reduced because market rates available for the investment of
new and matured funds were lower in 2002.

Net realized investment gains and losses for the year ended December
31, 2002 of $793,000 did not include any realized losses for other than
temporary impairments.

UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES

Underwriting, acquisition and insurance expenses consist of normal,
recurring expenses such as commissions, salaries and other expenses.
Underwriting, acquisition and insurance expenses for the year ended December 31,
2002 were $34.6 million as compared to $15.4 million for the year ended December
31, 2001. The increase is primarily due to the additional six months of MEEMIC
activity in 2002 but also is due to higher underwriting and acquisition costs
resulting from premium growth. The underwriting expense ratio (underwriting,
acquisition and insurance expenses divided by net premiums earned) for the year
ended December 31, 2002 was 23.1% as compared to 22.2% for the year ended
December 31, 2001. The increase in the ratio is primarily due to an increase in
our statutory and guaranty fund assessments in 2002.

Guaranty fund assessments total $331,000 in 2002; there were no
guaranty fund assessments in 2001.

56


CORPORATE

We do not allocate certain revenues and expenses (investment income
earned directly by the parent holding company, interest expense and other debt
costs related to long-term debt held by the parent holding company) to our
operating segments. Unallocated amounts are summarized below.



Year Ended December 31 Increase
2002 2001 (Decrease)
----------------------------------
In Thousands

Revenues:
Investment income 57 440 (383)

Expenses:
Interest expense 2,875 2,591 284
-------------------------------

Unallocated expense in excess
of unallocated revenues 2,818 2,151 667
===============================


Interest expense of $2.9 million in 2002 and $2.6 million in 2001
relates entirely to the bank loan that provided financing for the consolidation
with Professionals Group. The debt bears interest at a variable rate based on
the London Interbank Offered Rate (LIBOR), or at our election, the bank's base
rate. The interest rate is 2.9% on December 31, 2002. We initially borrowed $110
million on June 27, 2001 to finance the consolidation. We repaid $22.5 million
on the loan in September 2001 because the cash requirements of the consolidation
were lower than we originally anticipated.

57


ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We believe that we are principally exposed to three types of market
risk related to our investment operations. These risks are interest rate risk,
credit risk and equity price risk.

The term market risk refers to the risk of loss arising from adverse
changes in market rates and prices, such as interest rates, equity prices and
foreign currency exchange rates.

As of December 31, 2003, our fair value investment in fixed maturity
securities was $1,791 million. These securities are subject primarily to
interest rate risk and credit risk. We have not and currently do not intend to
enter into derivative transactions.

Interest Rate Risk

Our fixed maturities portfolio is exposed to interest rate risk.
Fluctuations in interest rates have a direct impact on the market valuation of
these securities. As interest rates rise, market values of fixed income
portfolios fall and vice versa. We believe we are in a position to keep our
fixed income investments until maturity as we do not invest in fixed maturity
securities for trading purposes.




2003 2002
------------------------------------- -----------------------
Portfolio Change in Modified Portfolio Modified
Value Value Duration Value Duration
Interest Rates $ Millions $ Millions Years $ Millions Years
- --------------------------------------------- ---------- ---------- -------- ----------- ---------

200 basis point rise $1,664 $ (127) 3.73 $1,227 4.31
100 basis point rise $1,727 $ (64) 3.63 $1,281 4.00
Current rate * $1,791 $ - 3.54 $1,329 3.72
100 basis point decline $1,854 $ 63 3.45 $1,379 3.67
200 basis point decline $1,919 $ 128 3.52 $1,430 3.91


* Current rates are as of December 31, 2003 and 2002

At December 31, 2003, the fair value of our investment in preferred
stocks was $26.3 million, including net unrealized gains of $1.4 million.
Preferred stocks are primarily subject to interest rate risk because they bear a
fixed rate of return. The investments in the above table do not include
preferred stocks.

Computations of prospective effects of hypothetical interest rate
changes are based on numerous assumptions, including the maintenance of the
existing level and composition of fixed income security assets, and should not
be relied on as indicative of future results.

Certain shortcomings are inherent in the method of analysis presented
in the computation of the fair value of fixed rate instruments. Actual values
may differ from those projections presented should market conditions vary from
assumptions used in the calculation of the fair value of individual securities,
including non-parallel shifts in the term structure of interest rates and
changing individual issuer credit spreads.

ProAssurance's cash and short-term investment portfolio at December 31,
2003 was on a cost basis which approximates its fair value. This portfolio lacks
significant interest rate sensitivity due to its short duration.

58


Credit Risk

We have exposure to credit risk primarily as a holder of fixed income
securities. We control this exposure by emphasizing investment grade credit
quality in the fixed income securities we purchase.

As of December 31, 2003, 99.8% of our fixed income portfolio consisted
of securities rated investment grade. We believe that this concentration in
investment grade securities reduces our exposure to credit risk on these fixed
income investments to an acceptable level. However, in the current environment
even investment grade securities can rapidly deteriorate and result in
significant losses.

Equity Price Risk

At December 31, 2003 the fair value of our investment in common stocks
was $21.7 million, which included net unrealized gains of $2.9 million and net
holding gains of approximately $300,000. These securities are subject to equity
price risk, which is defined as the potential for loss in market value due to a
decline in equity prices. A hypothetical 10% increase in the market prices as of
December 31, 2003 would increase the fair value of these securities to $ 23.9
million; a hypothetical 10% decrease in the price of each of these marketable
securities would reduce the fair value to $19.5 million. The selected
hypothetical change does not reflect what could be considered the best or worst
scenarios.

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

The Consolidated Financial Statements and Financial Statement Schedules
of ProAssurance Corporation and subsidiaries listed in Item 15(a) have been
included herein beginning on page 63. The Supplementary Financial Information
required by Item 302 of Regulation S-K is included in Note 18 of the Notes to
Consolidated Financial Statements of ProAssurance and its subsidiaries.

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE.

Not Applicable.

ITEM 9A. CONTROLS AND PROCEDURES

Under the supervision and with the participation of management,
including the Chief Executive Officer and Chief Financial Officer, the Company
has evaluated the effectiveness of the design and operation of our disclosure
controls and procedures within ninety (90) days of the filing of this Annual
Report on Form 10-K. Based on that evaluation, the Chief Executive Officer and
Chief Financial Officer have concluded that these controls and procedures are
effective. There were no significant changes in the internal controls or in
other factors that could significantly affect these controls subsequent to the
date of their evaluation.

Disclosure controls and procedures are the Company's controls and other
procedures that are designed to ensure that information, required to be
disclosed by the Company in the reports that it files or submits under the
Exchange Act, is accumulated and communicated to management, including the Chief
Executive Officer and Chief Financial Officer, as appropriate, to allow timely
decisions regarding required disclosure.

59


PART III

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

The information required by this Item regarding executive officers is
included in Part I of the Form 10K (Pages 19, 20 and 21) in accordance with
Instruction 3 of the Instructions to Paragraph (b) of Item 401 of Regulation
S-K.

The information required by this Item regarding directors is
incorporated by reference pursuant to General Instruction G (3) of Form 10K from
ProAssurance's definitive proxy statement for the 2004 Annual Meeting of its
Stockholders to be filed with the Securities and Exchange Commission pursuant to
Regulation 14A on or before April 29, 2004.

ITEM 11. EXECUTIVE COMPENSATION

The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2004 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2004.

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT.

The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2004 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2004.

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.

The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2004 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2004.

ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES

The information required by this Item is incorporated by reference
pursuant to General Instruction G (3) of Form 10K from ProAssurance's definitive
proxy statement for the 2004 Annual Meeting of its Stockholders to be filed with
the Securities and Exchange Commission pursuant to Regulation 14A on or before
April 29, 2004.

60


PART IV

ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K.

(a) Financial Statements. The following consolidated financial statements
--------------------
of ProAssurance Corporation and subsidiaries are included herein in
accordance with Item 8 of Part II of this report.

Report of Independent Auditors

Consolidated Balance Sheets - December 31, 2003 and 2002

Consolidated Statements of Changes in Capital - years ended
December 31, 2003, 2002 and 2001

Consolidated Statements of Income - years ended December 31,
2003, 2002 and 2001

Consolidated Statements of Cash Flows - years ended December
31, 2003, 2002 and 2001

Notes to Consolidated Financial Statements

Financial Statement Schedules. The following consolidated financial
-----------------------------
statement schedules of ProAssurance Corporation and subsidiaries are
included herein in accordance with Item 14(d):

Schedule I - Summary of Investments - Other than Investments
in Related Parties

Schedule II - Condensed Financial Information of ProAssurance
Corporation (Registrant Only)

Schedule III - Supplementary Insurance Information

Schedule IV - Reinsurance

Schedule VI - Supplementary Property and Casualty Insurance
Information

All other schedules to the consolidated financial statements required
by Article 7 of Regulation S-X are not required under the related
instructions or are inapplicable and therefore have been omitted.

(b) Reports on Form 8-K.
-------------------

ProAssurance filed a Current Report on Form 8-K on November 12, 2003
that furnished information publicly released on that same day
announcing its financial results for its quarter ended September 30,
2003.

ProAssurance filed a Current Report on Form 8-K on December 19, 2003
that furnished the information publicly released on that same day
regarding its decision to terminate an inter-company reinsurance
agreement between two of the Company's subsidiaries, The Medical
Assurance, Inc., and Medical Assurance of West Virginia. The release
also reports on Standard & Poor's decision to downgrade the rating of
Medical Assurance of West Virginia.

(c) The exhibits required to be filed by Item 15(c) are listed herein in
the Exhibit Index.

61


SIGNATURES

Pursuant to the requirements of Section 13 of 15(d) of the Securities Exchange
Act of 1934, the Registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized, on this the 10th day of
March 2004.

PROASSURANCE CORPORATION

By:/s/ A. Derrill Crowe, M.D.
----------------------------------
A. Derrill Crowe, M.D.

Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been signed below by the following persons on behalf of the Registrant and
in the capacities and on the dates indicated.



Name Title Date
---- ----- ----

/s/A. Derrill Crowe, M.D. Chief Executive Officer March 10, 2004
- ------------------------- (principal executive officer)
A. Derrill Crowe, M.D. and Director

/s/Howard H. Friedman Chief Financial Officer March 10, 2004
- --------------------- (principal financial officer)
Howard H. Friedman

/s/Victor T. Adamo, Esq. Director March 10, 2004
- ------------------------
Victor T. Adamo, Esq.

/s/Paul R. Butrus Director March 10, 2004
- -----------------
Paul R. Butrus

/s/Lucian F. Bloodworth Director March 10, 2004
- -----------------------
Lucian F. Bloodworth

/s/Robert E. Flowers, M.D. Director March 10, 2004
- --------------------------
Robert E. Flowers, M.D.

/s/John J. McMahon, Jr., Esq. Director March 10, 2004
- -----------------------------
John J. McMahon, Jr., Esq.

/s/John P. North, Jr. Director March 10, 2004
- ---------------------
John P. North, Jr.

/s/Ann F. Putallaz, Ph.D. Director March 10, 2004
- -------------------------
Ann F. Putallaz, Ph.D.

/s/William H. Woodhams Director March 10, 2004
- ----------------------
William H. Woodhams

/s/Wilfred W. Yeargan, Jr. Director March 10, 2004
- --------------------------
Wilfred W. Yeargan, Jr.


62


ProAssurance Corporation and Subsidiaries
Consolidated Financial Statements
Years ended December 31, 2003, 2002 and 2001

TABLE OF CONTENTS



Report of Independent Auditors...................... 65

Audited Consolidated Financial Statements

Consolidated Balance Sheets......................... 66

Consolidated Statements of Changes in Capital....... 68

Consolidated Statements of Income................... 69

Consolidated Statements of Cash Flow................ 70

Notes to Consolidated Financial Statements.......... 71


63


This page is intentionally blank.

64


REPORT OF INDEPENDENT AUDITORS

The Board of Directors
ProAssurance Corporation

We have audited the accompanying consolidated balance sheets of
ProAssurance Corporation and subsidiaries (ProAssurance) as of December 31, 2003
and 2002, and the related consolidated statements of changes in capital, income
and cash flow for each of the three years in the period ended December 31, 2003.
Our audits also included the financial statement schedules listed in the Index
at Item 14(a). These financial statements and schedules are the responsibility
of ProAssurance's management. Our responsibility is to express an opinion on
these financial statements and schedules based on our audits.

We conducted our audits in accordance with auditing standards generally
accepted in the United States. Those standards require that we plan and perform
the audit to obtain reasonable assurance about whether the financial statements
are free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An
audit also includes assessing the accounting principles used and significant
estimates made by management, as well as evaluating the overall financial
statement presentation. We believe that our audits provide a reasonable basis
for our opinion.

In our opinion, the consolidated financial statements referred to above
present fairly, in all material respects, the consolidated financial position of
ProAssurance Corporation and subsidiaries at December 31, 2003 and 2002, and the
consolidated results of their operations and their cash flow for each of the
three years in the period ended December 31, 2003, in conformity with accounting
principles generally accepted in the United States. Also, in our opinion, the
related financial statement schedules, when considered in relation to the basic
financial statements taken as a whole, present fairly in all material respects
the information set forth therein.

As discussed in Note 14 to the consolidated financial statements, in 2002
ProAssurance changed its method of accounting for goodwill and intangible
assets.

Ernst & Young LLP

February 20, 2004
Birmingham, Alabama

65


PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT SHARE DATA)



DECEMBER 31 December 31
2003 2002
-------------- ------------

ASSETS
Investments:
Fixed maturities available for sale, at fair value $ 1,790,778 $ 1,328,897
Equity securities available for sale, at fair value 42,136 60,552
Equity securities, trading portfolio, at fair value 5,863 -
Real estate, net 17,262 17,549
Short-term investments 109,680 252,854
Other 38,247 19,645
Business owned life insurance 51,706 -
------------ -----------
Total investments 2,055,672 1,679,497

Cash and cash equivalents 47,132 143,306
Premiums receivable 132,255 111,028
Receivable from reinsurers on unpaid losses and loss
adjustment expenses 444,811 462,012
Prepaid reinsurance premiums 17,651 21,294
Deferred taxes 73,118 73,091
Other assets 108,713 96,422
------------ -----------
$ 2,879,352 $ 2,586,650
============ ===========


See accompanying notes.

66


PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT SHARE DATA)



DECEMBER 31 December 31
2003 2002
----------- -----------

LIABILITIES AND STOCKHOLDERS' EQUITY

Liabilities:

Policy liabilities and accruals:
Reserve for losses and loss adjustment expenses $ 1,814,584 $ 1,622,468
Unearned premiums 290,134 248,371
Reinsurance premiums payable 68,510 62,549
----------- -----------

Total policy liabilities 2,173,228 1,933,388

Other liabilities 55,030 49,198
Long-term debt 104,789 72,500
----------- -----------

Total liabilities 2,333,047 2,055,086

Minority interest -- 26,370

Commitments and contingencies -- -

Stockholders' Equity:

Common stock, par value $0.01 per share
100,000,000 shares authorized;
29,226,774 and 28,998,917 shares
issued, in 2003 and 2002, respectively 292 290
Additional paid-in capital 312,030 308,501
Accumulated other comprehensive income, net of deferred
tax expense of $18,537 and $19,612, respectively 34,422 35,545
Retained earnings 199,617 160,914
----------- -----------
546,361 505,250
Less treasury stock, at cost, 121,765 shares (56) (56)
----------- -----------
Total stockholders' equity 546,305 505,194
----------- -----------
$ 2,879,352 $ 2,586,650
=========== ===========


See accompanying notes.

67


PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN CAPITAL
(IN THOUSANDS)



Accumulated
Additional Other
Common Paid-in Comprehensive Retained Treasury
Stock Capital Income (Loss) Earnings Stock Total
--------- --------- ------------- --------- ---------- ----------

Balance at January 1, 2001 $ 25,107 $ 231,988 $ (854) $ 136,257 $ (47,331) $ 345,167
Common stock issued for compensation 1 184 -- -- -- 185
Purchase of treasury stock -- -- -- -- (1,337) (1,337)
Retirement of treasury stock (2,405) (46,207) -- -- 48,612 --
Conversion of par value to $0.01 (22,476) 22,476 -- -- -- --
Equity issued in consolidation:
Common stock issued to Professionals Group
shareholders 32 49,378 -- -- -- 49,410
Fair value of options assumed -- 2,952 -- -- -- 2,952
Stock options exercised -- 17 -- -- -- 17
Comprehensive income:
Change in fair value of securities available
for sale, net of deferred taxes,
reclassification adjustments and minority interest -- -- 4,387 -- -- --
Net income -- -- -- 12,450 -- --
Total comprehensive income 16,837
--------- --------- ---------- --------- ---------- ---------
Balance at December 31, 2001 259 260,788 3,533 148,707 (56) 413,231
Common stock issued for compensation -- 980 -- -- -- 980
Stock options exercised -- 265 -- -- -- 265
Offering of common stock 31 46,468 -- -- -- 46,499
Comprehensive income:
Change in fair value of securities available
for sale, net of deferred taxes, reclassification
adjustments and minority interest -- -- 32,012 -- -- --
Net Income -- -- -- 12,207 -- --
Total comprehensive income 44,219
--------- --------- ---------- --------- ---------- ---------
Balance at December 31, 2002 $ 290 $ 308,501 $ 35,545 $ 160,914 $ (56) $ 505,194
Common stock issued for compensation -- 1,061 -- -- -- 1,061
Stock options exercised 2 2,468 -- -- -- 2,470
Change in minority interest -- -- 886 -- -- 886
Comprehensive income:
Change in fair value of securities available for
sale, net of deferred taxes, and reclassification
adjustments -- -- (2,009) -- -- --
Net Income -- -- -- 38,703 -- --
Total comprehensive income 36,694
--------- --------- ---------- --------- ---------- ---------
Balance at December 31, 2003 $ 292 $ 312,030 $ 34,422 $ 199,617 $ (56) $ 546,305
========= ========= ========== ========= ========== =========


See accompanying notes.

68



PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(IN THOUSANDS, EXCEPT PER SHARE DATA)



Year ended December 31
2003 2002 2001
--------- ---------- ----------

Revenues:
Gross premiums written $ 740,110 $ 636,156 $ 388,983
========= ========== ==========
Net premiums written $ 668,909 $ 537,123 $ 310,291
========= ========== ==========
Premiums earned $ 698,347 $ 576,414 $ 381,510
Premiums ceded (74,833) (99,006) (68,165)
--------- ---------- ----------
Net premiums earned 623,514 477,408 313,345
Net investment income 73,619 76,918 59,782
Net realized investment gains (losses) 5,992 (5,306) 5,441
Other income 6,515 6,747 3,987
--------- ---------- ----------
Total revenues 709,640 555,767 382,555

Expenses:
Losses and loss adjustment expenses 576,043 569,099 344,202
Reinsurance recoveries (24,667) (121,070) (45,644)
--------- ---------- ----------
Net losses and loss adjustment expenses 551,376 448,029 298,558
Underwriting, acquisition and insurance expenses 104,216 91,253 70,437
Loss on early extinguishment of debt 305 -- --
Interest expense 3,409 2,875 2,591
--------- ---------- ----------
Total expenses 659,306 542,157 371,586
--------- ---------- ----------
Income before income taxes, minority interest and
cumulative effect of accounting change 50,334 13,610 10,969
Provision for income taxes:
Current expense (benefit) 11,357 (275) (4,567)
Deferred expense (benefit) 93 87 1,720
--------- ---------- ----------
11,450 (188) (2,847)
Income before minority interest and cumulative
effect of accounting change 38,884 13,798 13,816
Minority interest (181) (3,285) (1,366)
--------- ---------- ----------
Income before cumulative effect of accounting change 38,703 10,513 12,450
Cumulative effect of accounting change, net of tax -- 1,694 --
--------- ---------- ----------
Net income $ 38,703 $ 12,207 $ 12,450
========= ========== ==========
Earnings per share (basic):
Income before cumulative effect of accounting change $ 1.34 $ 0.40 $ 0.51
Cumulative effect of accounting change, net of tax -- 0.07 --
--------- ---------- ----------
Net income $ 1.34 $ 0.47 $ 0.51
========= ========== ==========
Earnings per share (diluted):
Income before cumulative effect of accounting change $ 1.33 $ 0.39 $ 0.51
Cumulative effect of accounting change, net of tax -- 0.07 --
--------- ---------- ----------
Net income $ 1.33 $ 0.46 $ 0.51
========= ========== ==========
Weighted average number of common share outstanding
Basic 28,956 26,231 24,263
========= ========== ==========
Diluted 29,144 26,254 24,267
========= ========== ==========


See accompanying notes.

69



PROASSURANCE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOW
(IN THOUSANDS)



Year ended December 31
2003 2002 2001
---------- ----------- -----------

OPERATING ACTIVITIES
Net income $ 38,703 $ 12,207 $ 12,450
Adjustments to reconcile net income to net cash provided by operating
activities
Depreciation 3,804 4,337 3,243
Amortization 19,708 10,707 8,603
Increase in cash surrender value of business owned life insurance (1,706) -- --
Net realized capital (gains) losses (5,992) 5,306 (5,441)
Deferred income taxes 93 87 1,720
Policy acquisition costs deferred, net of related amortization (874) (7,241) 545
Other (577) (812) (655)
Changes in assets and liabilities, net of the effects from the
consolidation with Professionals Group:
Trading portfolio securities, excluding net holding gains (5,540)
Premiums receivable (21,227) (32,963) 18,726
Receivable from reinsurers 17,201 (87,956) (8,633)
Prepaid reinsurance premiums 3,643 (1,029) (9,496)
Other assets (4,777) 8,275 4,109
Reserve for losses and loss adjustment expenses 192,116 180,127 21,148
Unearned premiums 41,763 59,742 7,471
Reinsurance premiums payable 5,961 13,845 12,236
Other liabilities 321 9,044 (6,131)
Minority interest in net income 181 3,285 1,366
---------- ----------- -----------
Net cash provided by operating activities 282,801 176,961 61,261

INVESTING ACTIVITIES
Purchases of:
Fixed maturities available for sale (1,082,573) (897,928) (656,101)
Equity securities available for sale (3,019) (10,932) (5,797)
Other investments (19,110) (15,000) --
Business owned life insurance (50,000) -- --
Proceeds from sale or maturities of:
Fixed maturities available for sale 612,480 900,641 681,219
Equity securities available for sale 26,296 20,235 25,286
Net decrease (increase) in short-term investments 143,174 (116,841) (15,801)
Cash used in consolidation, net of cash acquired of $72,245 -- -- (124,059)
Other (6,905) (2,785) (3,666)
---------- ----------- -----------
Net cash (used by) investing activities (379,657) (122,610) (98,919)

FINANCING ACTIVITIES
Proceeds from stock issuance -- 46,499 --
Proceeds from long-term debt 104,641 -- 110,000
Repayment of debt (72,500) (10,000) (27,500)
Purchases of treasury stock -- -- (1,337)
Purchase of minority interest (33,304) (707) --
Other 1,845 -- 1,108
---------- ----------- -----------
Net cash provided by financing activities 682 35,792 82,271
---------- ----------- -----------

Increase (decrease) in cash and cash equivalents (96,174) 90,143 44,613

Cash and cash equivalents at beginning of period 143,306 53,163 8,550
---------- ----------- -----------

Cash and cash equivalents at end of period $ 47,132 $ 143,306 $ 53,163
========== =========== ===========
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
Net cash paid (received) during the year for income taxes $ 14,312 $ (8,884) $ 706
========== =========== ===========
Net cash paid during the year for interest $ 3,136 $ 2,714 $ 2,442
========== =========== ===========


See accompanying notes.

70



PROASSURANCE CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2003

1. ACCOUNTING POLICIES

Principles of Consolidation

The accompanying consolidated financial statements include the accounts
of ProAssurance Corporation (a Delaware corporation) and its subsidiaries
("ProAssurance"). All significant intercompany accounts and transactions between
consolidated companies have been eliminated.

Basis of Presentation

The preparation of financial statements in accordance with accounting
principles generally accepted in the United States (GAAP) requires management to
make estimates and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities at the date of
the financial statements and the reported amounts of revenues and expenses
during the reporting period. Actual results could differ from those estimates.

Certain reclassifications have been made to conform the 2002 financial
statements to the 2003 presentation. These changes had no effect on previously
reported results of operations or shareholders' equity.

The significant accounting policies followed by ProAssurance that
materially affect financial reporting are summarized in these notes to the
consolidated financial statements.

Segment Information

ProAssurance operates in the United States of America (U.S.) in two
reportable industry segments. As discussed in Note 3, the professional liability
segment principally provides professional and general liability insurance for
providers of health care services, and to a lesser extent, providers of legal
services. The personal lines segment provides private passenger automobile,
homeowner, boat, and umbrella insurance products primarily for educational
employees and their families exclusively in the state of Michigan.

Investments

Fixed Maturities and Equity Securities Available for Sale

ProAssurance considers all fixed maturity securities as
available-for-sale. Equity securities are considered as either
available-for-sale or trading portfolio securities. Available-for-sale
securities are carried at fair value, and unrealized gains and losses on such
available-for-sale securities are excluded from earnings and included, net of
related tax effects, in stockholders' equity as "Accumulated other comprehensive
income (loss)" until realized.

Fair values for fixed maturity and equity securities are based on
quoted market prices, where available. For fixed maturity and equity securities
not actively traded, fair values are estimated using values obtained from
independent pricing services.

Investment income includes amortization of premium and accretion of
discount related to debt securities acquired at other than par value. Debt
securities and mandatorily redeemable preferred stock with maturities beyond one
year when purchased are classified as fixed maturities.

71



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

1. ACCOUNTING POLICIES (CONTINUED)

Equity Securities, Trading Portfolio

ProAssurance has designated certain equity security purchases as
trading portfolio securities. A trading portfolio is carried at fair value with
the holding gains and losses included in realized investment gains and losses in
the current period. Fair values are based on quoted market prices.

Real Estate

Real estate properties, including certain leasehold improvements, are
classified as investment real estate. All balances are reported at cost, less
allowances for depreciation. Depreciation is computed over the estimated useful
lives of the related property using the straight-line method. Rental income and
expenses are included in net investment income.

Short-term Investments

Short-term investments, which have an original maturity of one year or
less, are primarily composed of investments in U.S. Treasury obligations and
commercial paper. All balances are reported at cost, which approximates fair
value.

Other Investments

Other investments are primarily comprised of equity interests in
non-public investment partnerships/limited liability companies. Interests where
ProAssurance has virtually no influence over the operating and financial
policies of the entity and for which there is no readily determinable fair value
are accounted for using the cost method. Interests where ProAssurance has a
greater than minor interest in the entity are accounted for using the equity
method.

Business Owned Life Insurance (BOLI)

ProAssurance owns life insurance contracts on certain key management
employees. The life insurance contracts are carried at their current cash
surrender value. Changes in the cash surrender value are included in income in
the current period as investment income. Death proceeds from the contracts are
recorded when the proceeds become payable under the policy terms.

Cash and Cash Equivalents

For purposes of the consolidated balance sheets and statements of cash
flow, ProAssurance considers all demand deposits and overnight investments to be
cash equivalents.

Realized Gains and Losses

Realized gains and losses on sales of investments are recognized on the specific
identification basis.

72



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

1. ACCOUNTING POLICIES (CONTINUED)

Impairments

In accordance with Statement of Financial Accounting Standard (SFAS)
No. 115, "Accounting for Certain Investments in Debt and Equity Securities,"
ProAssurance evaluates its investment securities on at least a quarterly basis
for declines in market value below cost for the purpose of determining whether
these declines represent other than temporary declines. A decline in the fair
value of an available-for-sale security below cost judged to be other than
temporary is recognized as a loss in the then current period and reduces the
cost basis of the security. In subsequent periods, ProAssurance measures any
gain or loss or decline in value against the adjusted cost basis of the
security. The following factors are considered in determining whether an
investment's decline is other than temporary:

- the extent to which the market value of the security is less
than its cost basis,

- the length of time for which the market value of the security
has been less than its cost basis,

- the financial condition and near-term prospects of the
security's issuer, taking into consideration the economic
prospects of the issuer's industry and geographical region, to
the extent that information is publicly available, and

- ProAssurance's ability and intent to hold the investment for a
period of time sufficient to allow for any anticipated
recovery in market value.

Reinsurance

ProAssurance enters into reinsurance agreements whereby other insurance
entities agree to assume a portion of the risk associated with the policies
issued by ProAssurance. In return, ProAssurance agrees to pay a premium to the
reinsurer. ProAssurance purchases (cedes) reinsurance to provide for greater
diversification of business, allow management to control exposure to potential
losses arising from large risks, and provide additional capacity for growth.

Receivable from reinsurers is the estimated amount of future loss
payments that will be recoverable from reinsurers. Reinsurance recoveries are
the portion of losses incurred during the period that are estimated to be
allocable to reinsurers. Premiums ceded are the estimated premiums that will be
due to reinsurers with respect to premiums earned and losses incurred during the
period.

These estimates are based upon management's estimates of ultimate
losses and the portion of those losses that are allocable to reinsurers under
the terms of the related reinsurance agreements. Given the uncertainty of the
ultimate amounts of losses, these estimates may vary significantly from the
eventual outcome. Management regularly reviews these estimates and any
adjustments necessary are reflected in period in which the estimate is changed.
Due to the size of the receivable from reinsurers, even a small adjustment to
the estimates could have a material effect on ProAssurance's results of
operations for the period in which the change is made.

Reinsurance contracts do not relieve ProAssurance from its obligations
to policyholders. A contingent liability exists with respect to reinsurance
ceded to the extent that any reinsurer does not meet the obligations assumed
under the reinsurance agreements. ProAssurance continually monitors its
reinsurers to minimize its exposure to significant losses from reinsurer
insolvencies. Any amount found to be uncollectible is written off in the period
in which the uncollectible amount is identified.

73



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

1. ACCOUNTING POLICIES (CONTINUED)

Intangible Assets

Intangible assets consist primarily of the excess of cost over the fair
value of net assets acquired (i.e., goodwill). In accordance with SFAS No. 142,
"Goodwill and Other Intangible Assets", goodwill is not amortized. Goodwill is
tested annually for impairment. ProAssurance regularly reviews its goodwill and
other intangibles to determine if any adverse conditions exist that could
indicate impairment. Conditions that could trigger an impairment include, but
are not limited to, a significant adverse change in legal factors or business
climate that could affect the value of an asset or an adverse action or
assessment by a regulator. ProAssurance does not believe that any of its
recorded goodwill or intangible assets has suffered impairment.

Deferred Policy Acquisition Costs

Costs that vary with and are directly related to the production of new
and renewal premiums (primarily premium taxes, commissions and underwriting
salaries) are deferred to the extent they are recoverable against unearned
premiums and are amortized as related premiums are earned.

Reserve for Losses and Loss Adjustment Expenses ("Reserve for Losses")

ProAssurance establishes its reserve for loss and loss adjustment
expenses ("reserve for losses") based on estimates of the future amounts
necessary to pay claims and expenses ("losses") associated with the
investigation and settlement of claims. The reserve for losses is determined on
the basis of individual claims and payments thereon as well as actuarially
determined estimates of future losses based on past loss experience, available
industry data and projections as to future claims frequency, severity,
inflationary trends, judicial trends, legislative changes and settlement
patterns.

ProAssurance believes that the methods it uses to establish the reserve
for losses are reasonable and appropriate. Independent actuaries review the
reserve for losses of each insurance subsidiary at least semi-annually and
prepare reports that include recommendations as to the level of reserves.
ProAssurance considers these recommendations and other factors, such as known,
anticipated or estimated changes in frequency and severity of claims, loss
retention levels and premium rates in establishing its reserves. Estimating
casualty insurance reserves, and particularly liability reserves, is a complex
process. Claims may be resolved over an extended period of time, often five
years or more, and may be subject to litigation. Estimating losses for liability
claims requires ProAssurance to make and revise judgments and assessments
regarding multiple uncertainties over an extended period of time. As a result,
reserve estimates may vary significantly from the eventual outcome. Reserve
estimates and the assumptions on which these estimates are predicated are
regularly reviewed and updated as new information becomes available. Changes to
estimates of previously established reserves are included in earnings in the
period in which the estimate is changed. Due to the size of ProAssurance's
reserve for losses, even a small percentage adjustment to the actuarial or other
assumptions used to estimate reserves could have a material effect on earnings
in the period in which the change is made.

Recognition of Revenues

Insurance premiums are recognized as revenues pro rata over the terms
of the policies.

74



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

1. ACCOUNTING POLICIES (CONTINUED)

Stock-Based Compensation

ProAssurance accounts for stock options under the recognition and
measurement principles of Accounting Principles Board Opinion No. 25, Accounting
for Stock Issued to Employees, and related interpretations ("APB 25"). The
following table illustrates the effect on net income and earnings per share as
if ProAssurance had applied the fair value recognition provisions of SFAS No.
123, Accounting for Stock-Based Compensation, to outstanding options. See Note
13 for additional information regarding outstanding options.



YEAR ENDED DECEMBER 31
2003 2002 2001
----------- ---------- ---------
In Thousands, except per share data

Net income as reported $ 38,703 $ 12,207 $ 12,450

Add: Stock-based employee compensation expense
recognized under APB 25 related to the exercise of
options, net of tax 130 - --

Deduct: Total stock-based employee compensation
expense determined under fair value based method
for all awards, net of related tax effects (697) (564) --
----------- ---------- ---------
Pro forma net income $ 38,136 $ 11,643 $ 12,450
=========== ========== =========
Earnings per share:
Basic -- as reported $ 1.34 $ 0.47 $ 0.51
=========== ========== =========
Basic -- pro forma $ 1.32 $ 0.44 $ 0.51
=========== ========== =========

Diluted -- as reported $ 1.33 $ 0.46 $ 0.51
=========== ========== =========
Diluted -- pro forma $ 1.31 $ 0.44 $ 0.51
=========== ========== =========


Income Taxes

ProAssurance files a consolidated federal income tax return. Deferred
income taxes are provided for temporary differences between financial and income
tax reporting relating primarily to unrealized gains on securities, discounting
of losses for income tax reporting, and the limitation of the unearned premiums
deduction for income tax reporting.

75



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

1. ACCOUNTING POLICIES (CONTINUED)

Accounting Changes

In January 2003, the Financial Accounting Standards Board (FASB) issued
Financial Interpretation No. (FIN) 46, Consolidation of Variable Interest
Entities, An Interpretation of ARB No. 51. FIN 46 defines variable interest
entities (VIEs) as those entities or activities that distribute either profits
or losses to beneficiaries through established contractual, ownership, or other
interests. The interpretation introduced a new consolidation model which
determines control (and consolidation) based on primary beneficiary status of a
VIE. The primary beneficiary is defined as that interest that receives over half
the expected losses, or over half of the expected returns. ProAssurance has
adopted FIN 46.

The adoption of FIN 46 did not have a material impact on ProAssurance's
financial statements. ProAssurance holds passive investments in certain limited
partnerships/limited liability companies that are considered to be a VIE under
FIN 46 guidance. ProAssurance does not believe it is the primary beneficiary
relative to these entities and is not required to consolidate the entities under
FIN 46. These investments are included in Other Investments and total $37.1
million at December 31, 2003 and $19.6 million at December 31, 2002.

On May 15, 2003, the FASB issued SFAS No. 150, "Accounting for Certain
Financial Instruments with Characteristics of both Liabilities and Equity." SFAS
No. 150 requires certain financial instruments that embody obligations of the
issuer and have characteristics of both liabilities and equities to be
classified as liabilities. For public companies, SFAS No. 150 is effective for
all financial instruments created or modified after May 31, 2003 and for other
instruments at the beginning of the first interim period beginning after June
15, 2003. The adoption of SFAS 150 had no effect on ProAssurance's financial
condition or results of operations.

76



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

2. CONSOLIDATION OF MEDICAL ASSURANCE AND PROFESSIONALS GROUP

ProAssurance Corporation began operations on June 27, 2001 in a
transaction referred to hereafter as the consolidation ("consolidation").

The consolidation of Medical Assurance, Inc. ("Medical Assurance") into
ProAssurance was in the form of a corporate reorganization and was treated in a
manner similar to a pooling of interests. Upon consummation of the
consolidation, each outstanding share of Medical Assurance common stock, par
value $1.00 per share, was converted into one share of ProAssurance common
stock, par value $0.01 per share. Approximately 22.6 million ProAssurance shares
were issued to Medical Assurance shareholders.

The consolidation of Professionals Group, Inc. ("Professionals Group")
into ProAssurance was treated as a purchase transaction. Each outstanding share
of Professionals Group common stock was converted into the right to receive, at
the holder's election, either (a) 0.897 of a share of ProAssurance common stock
plus $13.47 in cash, or (b) $27.47 in cash. Aggregate consideration paid to the
Professionals Group shareholders consisted of approximately $196 million in cash
and 3.2 million shares of ProAssurance common stock, valued at approximately $50
million. The fair value of ProAssurance shares issued was $15.59 per share based
on the average Medical Assurance common stock price for a few days prior to June
27, 2001. ProAssurance funded the cash requirements of the consolidation with
the proceeds of a $110 million term loan facility and with internal funds
generated from dividends paid to ProAssurance by Medical Assurance and
Professionals Group at the time of closing. The term loan facility was repaid in
full in 2003, see Note 11.

The total cost of the purchase transaction of approximately $252
million has been allocated to the assets acquired and the liabilities assumed
based on estimates of their respective fair values. The estimated fair value of
identifiable assets acquired totaled $1,165 million and the estimated fair value
of the liabilities assumed totaled $931 million. The estimated excess of the
total cost of the acquisition over the fair value of net assets acquired of
approximately $18.4 million was recorded as goodwill.

77



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

2. CONSOLIDATION OF MEDICAL ASSURANCE AND PROFESSIONALS GROUP (CONTINUED)

ProAssurance was required to incorporate the activity of Professionals
Group commencing upon the effective date of the consolidation. The unaudited pro
forma information below presents combined results of operations as if the
consolidation had occurred on January 1, 2001 after giving effect to certain
adjustments, including increased interest expense on debt related to the
acquisition and lower investment income due to cash used to fund a portion of
the consolidation, and related tax effects. Professionals Group's nonrecurring
and transaction related expenses were excluded from the pro forma financial
information. The unaudited pro forma information is not necessarily indicative
of the results of operations of the combined company had the acquisition
occurred at the beginning of the periods presented, nor is it necessarily
indicative of future results (in thousands, except per share data).



ProForma Results
Year Ended
December 31, 2001
-----------------

Revenues $ 533,310
============
Net loss $ (4,992)
============
Net loss per share:
Basic and diluted $ (0.18)
============


78



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

3. SEGMENT INFORMATION

ProAssurance operates in the U.S. and, prior to the consolidation,
operated in only one reportable industry segment, the professional liability
insurance segment, that principally provides professional liability insurance
and reinsurance for providers of health care services, and to a limited extent
providers of legal services. The principal operating insurance subsidiaries of
this segment are: The Medical Assurance Company, Inc., ProNational Insurance
Company and Red Mountain Casualty Insurance Company, Inc. ProAssurance also
writes professional liability insurance through Medical Assurance of West
Virginia, Inc.

In June 2001, ProAssurance engaged in an additional segment, which is
providing personal property and casualty insurance to individuals (the personal
lines segment). MEEMIC Holdings, Inc. (MEEMIC Holdings) is an insurance holding
company that provides personal auto, homeowners, boat and umbrella coverages
primarily to educational employees and their families through its wholly-owned
subsidiary, MEEMIC Insurance Company ("MEEMIC"). As discussed in Note 10,
ProAssurance increased its ownership percentage of MEEMIC Holdings from 84% to
100% in January 2003.

The accounting policies of each segment are consistent with those
described in the summary of significant accounting policies in Note 1.
Identifiable assets of ProAssurance are primarily cash and marketable
securities. Other than cash and marketable securities owned directly by the
parent company, the identifiable assets of ProAssurance are attributable to the
reportable operating segments. Other than investment income earned directly by
the parent company and interest expense attributable to long-term debt held by
the parent company, all revenues and expenses of ProAssurance are attributable
to the operating segments for purposes of SFAS No. 131, Disclosures about
Segments of an Enterprise and Related Information. Revenue is primarily from
unaffiliated customers and the effect of transactions between segments has been
eliminated.

79



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

3. SEGMENT INFORMATION (CONTINUED)

The table below provides a reconciliation of segment information to
total consolidated information.



Year ended December 31
2003 2002 2001
-------- ------- --------
In Millions

Revenues:
Professional liability lines $ 526.6 $ 393.3 $ 306.8
Personal lines 182.7 162.4 75.3
Corporate investment income 0.3 0.1 0.5
-------- ------- --------
Total revenues $ 709.6 $ 555.8 $ 382.6
======== ======= ========
Income (loss) before cumulative effect
of accounting change:
Professional liability lines $ 17.5 $ (6.3) $ 6.8
Personal lines 23.4 18.6 7.1
Corporate (2.2) (1.8) (1.4)
-------- ------- --------

Total $ 38.7 $ 10.5 $ 12.5
======== ======= ========
Net income (loss):
Professional liability lines $ 17.5 $ (4.6) $ 6.8
Personal lines 23.4 18.6 7.1
Corporate (2.2) (1.8) (1.4)
-------- ------- --------
Net income $ 38.7 $ 12.2 $ 12.5
======== ======= ========




December 31
2003 2002
-------- --------

Identifiable assets:
Professional liability lines $2,413.1 $2,184.6
Personal lines 431.3 372.1
Corporate 35.0 30.0
-------- --------
Total assets $2,879.4 $2,586.7
======== ========


80



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

4. INVESTMENTS

The amortized cost and estimated fair value of available for sale fixed
maturities and equity securities are as follows:



DECEMBER 31, 2003
GROSS GROSS ESTIMATED
AMORTIZED UNREALIZED UNREALIZED FAIR
COST GAINS (LOSSES) VALUE
----------- ----------- ----------- ------------
IN THOUSANDS

Fixed Maturities
U.S. Treasury securities $ 305,564 $ 2,471 $ (839) $ 307,196
State and municipal bonds 377,833 18,053 (211) 395,675
Corporate bonds 597,514 26,919 (2,752) 621,681
Asset-backed securities 460,048 6,215 (1,107) 465,156
Other 1,069 1 -- 1,070
----------- ----------- ---------- -----------
1,742,028 53,659 (4,909) 1,790,778
Equity securities 37,923 4,303 (90) 42,136
----------- ----------- ---------- -----------
$ 1,779,951 $ 57,962 $ (4,999) $ 1,832,914
=========== =========== ========== ===========




December 31, 2002
Gross Gross Estimated
Amortized Unrealized Unrealized Fair
Cost Gains (Losses) Value
----------- ----------- ----------- ------------
In Thousands

Fixed Maturities
U.S. Treasury securities $ 131,542 $ 3,786 $ (12) $ 135,316
State and municipal bonds 399,899 17,370 (481) 416,788
Corporate bonds 396,510 23,986 (1,727) 418,769
Asset-backed securities 346,984 10,554 (84) 357,454
Other 570 -- -- 570
----------- ----------- ---------- -----------
1,275,505 55,696 (2,304) 1,328,897
Equity securities 58,718 3,594 (1,760) 60,552
----------- ----------- ---------- -----------
$ 1,334,223 $ 59,290 $ (4,064) $ 1,389,449
=========== =========== ========== ===========


ProAssurance held certain available for sale securities in an
unrealized loss position at December 31, 2003, as summarized in the following
table. After an evaluation of each security, Management concluded that these
securities have not suffered an other than temporary impairment in value. Each
fixed maturity security has paid all scheduled contractual payments. Management
believes that each issuer has the capacity to meet the remaining contractual
obligations of the security, including payment at maturity, and that
ProAssurance has the capacity to hold the security until the scheduled maturity
date. Management also believes each of the equity securities, given the
characteristics of the underlying company, industry, and price volatility of the
security, has a reasonable expectation of being valued at or above book value in
the near term.

81



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

4. INVESTMENTS (CONTINUED)



TOTAL LESS THAN 12 MONTHS MORE THAN 12 MONTHS
------------------------ --------------------- ------------------------
FAIR UNREALIZED FAIR UNREALIZED FAIR UNREALIZED
VALUE LOSS VALUE LOSS VALUE LOSS
---------- ----------- --------- ---------- -------- -----------
IN THOUSANDS

Fixed Maturities, available for sale
U.S. Treasury securities $ 80,945 $ (839) $ 80,945 $ (839) $ -- $ --
State and municipal bonds 19,643 (211) 18,672 (211) 971 --
Corporate bonds 123,252 (2,752) 121,478 (2,676) 1,774 (76)
Asset-backed securities 137,900 (1,107) 136,010 (1,100) 1,890 (7)
-------- ------- -------- ------- ------- ------
361,740 (4,909) 357,105 (4,826) 4,635 (83)
Equity securities available for sale 1,754 (90) -- -- 1,754 (90
-------- ------- -------- ------- ------- ------)
Available for sale securities
held with unrealized losses $363,494 $(4,999) $357,105 $(4,826) $ 6,389 $ (173)
======== ======= ======== ======= ======= ======


The amortized cost and estimated fair value of fixed maturities at
December 31, 2003, by contractual maturity, are shown below. Expected maturities
will differ from contractual maturities because borrowers may have the right to
call or prepay obligations with or without call or prepayment penalties.
ProAssurance uses the call date as the contractual maturity for prerefunded
state and municipal bonds which are 100% backed by U.S. Treasury obligations.



ESTIMATED
AMORTIZED FAIR
COST VALUE
----------- -----------
IN THOUSANDS

Due in one year or less $ 84,930 $ 85,686
Due after one year through five years 606,771 622,276
Due after five years through ten years 449,200 470,773
Due after ten years 141,079 146,887
Asset-backed securities 460,048 465,156
----------- -----------
$ 1,742,028 $ 1,790,778
=========== ===========


Excluding investments in bonds and notes of the U.S. Government, a U.S.
Government agency, or prerefunded state and municipal bonds which are 100%
backed by U.S. Treasury obligations, no investment in any person or its
affiliates exceeded 10% of stockholders' equity at December 31, 2003.

82



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

4. INVESTMENTS (CONTINUED)

At December 31, 2003 ProAssurance had available-for-sale securities
with a carrying value of $11.4 million on deposit with various state insurance
departments to meet regulatory requirements.

Business Owned Life Insurance

During 2003 ProAssurance purchased BOLI policies on certain executive
employees at a cost of approximately $50 million. The primary purpose of the
program is to offset future employee benefit expenses through earnings on the
cash value of the policies. ProAssurance is the owner and principal beneficiary
of these policies; however $50,000 of each death benefit is payable to
beneficiaries designated by the insured employee.

Real Estate

Real estate consists of land held for investment and income producing
properties. Accumulated depreciation was approximately $8.7 million and $7.9
million at December 31, 2003 and 2002, respectively.

83



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

4. INVESTMENTS (CONTINUED)

Net Investment Income / Net Realized Investment Gains (Losses)

Investment income by investment category is as follows:



Year ended December 31
2003 2002 2001
---------- --------- ----------
In Thousands

Fixed maturities $ 68,381 $ 73,008 $ 52,419
Equities 2,510 3,435 3,062
Real estate 1,120 1,428 1,496
Short-term investments 2,637 2,922 4,786
Other invested assets 1,664 -- --
Business owned life insurance 1,706 -- --
Other -- 174 1,237
---------- --------- ----------
78,018 80,967 63,000
Investment expenses (4,399) (4,049) (3,218)
---------- --------- ----------
Net investment income $ 73,619 $ 76,918 $ 59,782
========== ========= ==========


Gross investment gains and losses are primarily from sales of
investment securities. Net realized investment gains (losses) are as follows:



Year ended December 31
2003 2002 2001
---------- --------- ----------
In Thousands

Gross gains $ 9,388 $ 26,040 $ 8,619
Gross losses (3,397) (10,042) (2,769)
Other than temporary impairments (322) (21,304) (409)
Trading portfolio gains 323 -- --
---------- --------- ----------
Net realized investment gains (losses) $ 5,992 $ (5,306) $ 5,441
========== ========= ==========


Realized gains and losses from available-for-sale securities were
reclassified, net of related taxes, from "Accumulated other comprehensive income
(loss)" included in stockholders' equity to "Net realized investment gains
(losses)" in the Consolidated Statements of Income, as shown below:



Year ended December 31
2003 2002 2001
------- -------- -------
In Thousands

Net realized investment gains (losses) $ 5,992 $(5,306) $ 5,441
Related tax expense (benefit) 2,097 (1,857) 1,904
------- -------- -------
Reclassified gains (losses) $ 3,895 $(3,449) $ 3,537
======= ======== =======


Proceeds from sales (excluding maturities and paydowns) of
available-for-sale securities were $358.5 million, $646.4 million and $565.3
million during 2003, 2002, and 2001, respectively.

84



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

5. REINSURANCE

ProAssurance has various quota share, excess of loss assumption, and
cession reinsurance agreements. Historically, professional lines per claim
retention levels have varied between the first $200,000 and the first $2 million
depending on the coverage year and the state in which business was written.
ProAssurance insures some large professional liability risks that are above the
limits of its basic reinsurance treaties. These risks are reinsured on a
facultative basis, whereby the reinsurer agrees to insure a particular risk up
to a designated limit. Personal lines retention levels historically have been
$250,000 per loss. Individual property risks are covered up to $1 million per
risk and casualty risks are covered on an excess of loss basis up to $3 million
per occurrence.

The effect of reinsurance on premiums written and earned is as follows:



2003 PREMIUMS 2002 Premiums 2001 Premiums
WRITTEN EARNED Written Earned Written Earned
----------- ----------- ----------- ------------ ----------- -----------
In Thousands

Direct $ 737,602 $ 695,839 $ 634,142 $ 573,423 $ 368,804 $ 358,183
Assumed 2,508 2,508 2,014 2,991 20,179 23,327
Ceded (71,201) (74,833) (99,033) (99,006) (78,692) (68,165)
----------- ----------- ----------- ----------- ----------- -----------
Net Premiums $ 668,909 $ 623,514 $ 537,123 $ 477,408 $ 310,291 $ 313,345
=========== =========== =========== =========== =========== ===========


Reinsurance contracts do not relieve ProAssurance from its obligations
to policyholders. A contingent liability exists with respect to reinsurance
ceded to the extent that any reinsurer does not meet the obligations assumed
under the reinsurance agreements. ProAssurance continually monitors its
reinsurers to minimize its exposure to significant losses from reinsurer
insolvencies.

At December 31, 2003, all reinsurance recoverables are considered
collectible. As required by the various state insurance laws, reinsurance
recoverables totaling approximately $15.8 million are collateralized by letters
of credit or funds withheld.

At December 31, 2003 amounts due from individual reinsurers that exceed
5% of stockholders' equity are as follows:



Amount Due
Reinsurer From Reinsurer
- ---------------------------------------- --------------
In Millions

Michigan Catastrophic Claims Association $ 86.5
Hannover RuckvericherungsAG $ 53.8
General Reinsurance Corp $ 43.7
PMA Capital Insurance Company $ 28.9


85



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

6. INCOME TAXES

Deferred income taxes reflect the net tax effects of temporary
differences between the amount of assets and liabilities for financial reporting
purposes and the amounts used for income tax purposes. Significant components of
ProAssurance's deferred tax liabilities and assets are as follows:



December 31
2003 2002
----------- -----------
In Thousands

Deferred tax assets
Unpaid loss discount 64,843 60,737
Unearned premium adjustment 20,186 17,266
Net operating losses -- 3,526
Alternative Minimum Tax Credits 8,440 7,894
Tax basis in intangibles 9,588 10,337
Other 3,697 9,055
----------- -----------
Total deferred tax assets 106,754 108,815
----------- -----------
Deferred tax liabilities
Deferred acquisition costs $ 8,261 $ 7,727
Unrealized gains on investments, net 18,537 19,612
Other 6,838 8,385
----------- -----------
Total deferred tax liabilities 33,636 35,724
----------- -----------
Net deferred tax assets $ 73,118 $ 73,091
=========== ===========


In the opinion of management, it is more likely than not that
ProAssurance will realize the benefit of the deferred tax assets, and therefore,
no valuation allowance has been established.

86



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

6. INCOME TAXES (CONTINUED)

A reconciliation of "expected" income tax expense (35% of income before
income taxes) to actual income tax expense in the accompanying financial
statements follows:



Year ended December 31
2003 2002 2001
----------- ----------- -----------
In Thousands

Computed "expected" tax expense $ 17,617 $ 4,764 $ 3,839
Tax-exempt income (5,307) (5,757) (6,544)
Other (860) 805 (142)
----------- ---------- ----------
Actual tax (credit) $ 11,450 $ (188) (2,847)
=========== ========== ==========


ProAssurance, after adjustment for its tax liability for the year ended
December 31, 2003, has available approximately $8.4 million in Alternative
Minimum Tax (AMT) credit carryforwards that can be applied against any future
regular tax payable. The AMT credit carryforwards have no expiration date.

7. DEFERRED POLICY ACQUISITION COSTS

Underwriting and insurance costs directly related to the production of
new and renewal premiums are considered as acquisition costs and are capitalized
and amortized to expense over the period in which the related premiums are
earned. As is common practice within the industry, reinsurance ceding
commissions due ProAssurance are considered as a reduction of acquisition costs,
and therefore reduce the total amount capitalized.

Amortization of deferred acquisition costs amounted to approximately
$54.9 million, $41.8 million, and $37.8 million for the years ended December 31,
2003, 2002 and 2001, respectively. Unamortized deferred acquisition costs are
included in other assets on the consolidated balance sheets and amounted to
approximately $23.6 million and $22.7 million at December 31, 2003 and 2002,
respectively.

8. RESERVE FOR LOSSES AND LOSS ADJUSTMENT EXPENSES

ProAssurance establishes its reserve for losses based on estimates of
the future amounts necessary to pay claims and expenses associated with the
investigation and settlement of claims. These estimates consist of case reserves
and bulk reserves. Case reserves are estimates of future losses for reported
claims and are established by ProAssurance's claims department. Bulk reserves,
which include a provision for losses that have occurred but have not been
reported to ProAssurance as well as anticipated changes to losses on reported
claims, are the difference between (i) the sum of case reserves and paid losses
and (ii) an actuarially determined estimate of the total losses necessary for
the ultimate settlement of all reported and incurred but not reported claims,
including amounts already paid.

87



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

8. RESERVES FOR LOSSES AND LOSS ADJUSTMENT EXPENSES (CONTINUED)

The reserve for losses is established based on estimates of individual
claims and actuarially determined estimates of future losses based on
ProAssurance's past loss experience, available industry data and projections as
to future claims frequency, severity, inflationary trends and settlement
patterns. Estimating reserves, and particularly liability reserves, is a complex
process. Claims may be resolved over an extended period of time, often five
years or more, and may be subject to litigation. Estimating losses for liability
claims requires ProAssurance to make and revise judgments and assessments
regarding multiple uncertainties over an extended period of time. As a result,
reserve estimates may vary significantly from the eventual outcome. The
assumptions used in establishing ProAssurance's reserves are regularly reviewed
and updated by management as new data becomes available. Changes to estimates of
previously established reserves are included in earnings in the period in which
the estimate is changed.

ProAssurance believes that the methods it uses to establish reserves
are reasonable and appropriate. Each year, ProAssurance obtains an independent
actuarial review of the reserve for losses of each insurance subsidiary. The
independent actuaries prepare reports that include recommendations as to the
level of reserves. ProAssurance considers these recommendations as well as other
factors, such as known, anticipated or estimated changes in frequency and
severity of claims and loss retention levels and premium rates, in establishing
the amount of its reserve for losses. The statutory filings of each insurance
company with the insurance regulators must be accompanied by an actuary's
certification as to their respective reserves in accordance with the
requirements of the National Association of Insurance Commissioners (NAIC).

Activity in the reserve for losses and loss adjustment expenses is
summarized as follows (in thousands):




Year ended December 31
2003 2002 2001
------------ ------------ ------------
In Thousands

Balance, beginning of year $ 1,622,468 $ 1,442,341 $ 659,659
Less reinsurance recoverables 462,012 374,056 166,202
------------ ------------ ------------
Net balance, beginning of year 1,160,456 1,068,285 493,457

Net reserves acquired from Professionals Group -- -- 557,284

Net losses:
Current year 562,256 439,600 303,387
Unfavorable (favorable) development of reserves
established in prior years (10,880) 8,429 13,818
Decrease in death, disability and retirement reserve -- -- (18,647)
------------ ------------ ------------
Total 551,376 448,029 298,558

Paid related to:
Current year (94,824) (84,376) (137,121)
Prior year (247,235) (271,482) (143,893)
------------ ------------ ------------
Total paid (342,059) (355,858) (281,014)
------------ ------------ ------------
Net balance, end of year 1,369,773 1,160,456 1,068,285
Plus reinsurance recoverables 444,811 462,012 374,056
------------ ------------ ------------
Balance, end of year $ 1,814,584 $ 1,622,468 $ 1,442,341
============ ============ ============


88



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

8. RESERVES FOR LOSSES AND LOSS ADJUSTMENT EXPENSES (CONTINUED)

ProAssurance recognized changes to (development of) reserves
established in prior years in each of the three years presented. In 2003,
ProAssurance recognized $10.9 million of favorable development, substantially
all of which related to the personal lines segment. In 2002, ProAssurance
recognized unfavorable development of $18.1 related to its professional
liability segment which was partially offset by favorable development of
approximately $9.7 million related to ProAssurance's personal lines segment. In
2001, ProAssurance recognized unfavorable development of $13.8 million related
to its professional liability segment. These adjustments to the reserve for
losses are included in earnings in the period in which the estimates are
changed.

As discussed above, estimating reserves requires many assumptions. As
time passes and ultimate losses for prior years are either known or become
subject to a more definite estimation, ProAssurance increases or decreases the
reserve estimates established in prior periods. The development recognized in
2003, 2002 and 2001 increased (decreased) the net loss reserve at end or the
prior year by 0.9%, (0.9)%, and 2.8% , respectively, and reflect adjustments to
prior estimates. The favorable personal lines development primarily resulted
from loss costs for liability coverages that were lower than previously
estimated. The unfavorable professional lines development recognized in 2002 and
2001 was recognized in response to actuarial reviews that indicated loss costs
for prior years would be higher than the prior estimates of those loss costs.

89



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

9. COMMITMENTS AND CONTINGENCIES

ProAssurance is involved in various legal actions arising primarily
from claims related to insurance policies and claims handling, including but not
limited to claims asserted by policyholders. The legal actions arising from
these claims have been considered by ProAssurance in establishing its reserves.
While the outcome of all legal actions is not presently determinable,
ProAssurance's management is of the opinion, based on consultation with legal
counsel, that the resolution of these actions will not have a material adverse
effect on ProAssurance's financial position. However, to the extent that the
cost of resolving these actions exceeds the corresponding reserves, the legal
actions could have a material effect on ProAssurance's results of operations for
the period in which any such action is resolved.

ProAssurance is involved in a number of operating leases primarily for
office space, office equipment, and communication lines. The following is a
schedule of future minimum lease payments for operating leases that had initial
or remaining noncancelable lease terms in excess of one year as of December 31,
2003.



Operating Leases
- --------------------------------------------
In Thousands

2004 $ 3,655
2005 3,171
2006 1,727
2007 504
2008 376
Thereafter 54
--------
Total minimum lease payments $ 9,487
--------


ProAssurance had rent expense of $4.3 million in the years ended
December 31, 2003 and 2002 and $2.8 million in the year ended December 31,
2001.

90



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

10. MINORITY INTEREST

On January 29, 2003 ProAssurance's indirect subsidiary, MEEMIC
Holdings, Inc. (MEEMIC Holdings) repurchased all of the outstanding shares of
its common stock that were not owned by ProAssurance's subsidiary, ProNational
Insurance Company. MEEMIC Holdings used its internal funds in the approximate
amount of $34.1 million to acquire 1,062,298 shares of its common stock, to pay
for outstanding options representing 120,000 shares, and to pay the expenses of
the transaction. The funds were derived from MEEMIC Holdings' cash and
investment resources. As a result of the transaction MEEMIC Holdings is now a
wholly-owned indirect subsidiary of ProAssurance. ProAssurance recognized
goodwill of $7.6 million related to the transaction. Income for the year ended
December 31, 2003 was reduced by the income attributable (16%) to the MEEMIC
Holdings minority interest for the period from January 1, 2003 to January 29,
2003. MEEMIC Holdings is the 100% owner of MEEMIC Insurance Company.

11. LONG-TERM DEBT

In early July 2003, ProAssurance issued $107.6 million of 3.9%
Convertible Debentures ("Debentures") in a Private Offering transaction, net of
an initial purchaser's discount of $3.0 million. ProAssurance used the net
proceeds to pay off its existing term loan having an outstanding principal
balance of $67.5 million. The term loan was part of a credit facility provided
under the terms of a credit agreement that also provided for a line of credit in
the amount of $40 million. ProAssurance did not borrow any funds under the
revolving line of credit and did not renew the line when it expired in May 2003.

Summarized information regarding the structure and terms of the
Debentures follows:

Issue Price. The Debentures were issued at 97.25% of their principal
amount and each Debenture has a principal amount at maturity of $1,000.

Maturity Date. June 30, 2023.

Ranking. The Debentures are unsecured obligations and rank equally in
right of payment with all other existing and future unsecured and
unsubordinated obligations. The Debentures are not guaranteed by any of
ProAssurance's subsidiaries and, accordingly, the Debentures are
effectively subordinated to the indebtedness and other liabilities of
ProAssurance's subsidiaries, including insurance policy-related
liabilities.

Interest. Interest is payable on June 30 and December 30 of each year,
beginning December 30, 2003, at an annual rate of 3.90%. In addition,
ProAssurance may be required to pay contingent interest, as set forth
below under Contingent Interest.

Contingent Interest. Contingent interest is due to the holders of the
Debentures during any six-month period from June 30 to December 29 and
from December 30 to June 29 commencing with the six-month period
beginning June 30, 2008, if the average market price of a Debenture for
the five trading days ending on the second trading day immediately
preceding the relevant six-month period equals 120% or more of the
principal amount of the Debentures. The amount of contingent interest
payable in respect of any six-month period will equal 0.1875% of the
average market price of a Debenture for the five trading day period
referred to above.

91



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

11. LONG-TERM DEBT (CONTINUED)

Conversion Rights. At December 31, 2003 the debentures are not eligible
for conversion; however, holders may convert the Debentures at any time
prior to stated maturity from and after the date of the following
events:

- if the sale price of ProAssurance's common stock for
at least 20 trading days in the 30 trading-day period
ending on the last trading day of the immediately
preceding fiscal quarter exceeds 120% of the
conversion price on that 30th trading day,

- if ProAssurance calls the Debentures for redemption,
or

- upon the occurrence of certain corporate
transactions.

For each $1,000 principal amount of Debentures surrendered for
conversion, holders initially will receive 23.9037 shares of common
stock. This represents an initial conversion price of approximately
$41.83 per share of common stock. The conversion rate may be adjusted
for certain reasons, but will not be adjusted for accrued interest or
contingent interest, if any. Upon conversion, holders will generally
not receive any cash payment representing accrued interest or
contingent interest, if any. Instead, accrued interest and contingent
interest will be deemed paid by the common stock received by the
holders on conversion. Debentures called for redemption may be
surrendered for conversion until the close of business two business
days prior to the redemption date.

Upon conversion, ProAssurance has the right to deliver, in lieu of
common stock, cash or a combination of cash and shares of common stock.

Payment at Maturity. Each holder of $1,000 Debentures will be entitled
to receive $1,000 at maturity, plus accrued interest, including
contingent interest, if any.

Sinking Fund. None.

Optional Redemption. ProAssurance may not redeem the Debentures prior
to July 7, 2008. ProAssurance may redeem some or all of the Debentures
for cash on or after July 7, 2008, upon at least 30 days but not more
than 60 days notice by mail to holders at par.

Repurchase Right of Holders. Each holder of the Debentures may require
ProAssurance to repurchase all or a portion of the holder's Debentures
on June 30, 2008, June 30, 2013 and June 30, 2018 at a purchase price
equal to the principal amount of the Debentures plus accrued and unpaid
interest, including contingent interest, if any, to the date of
repurchase. ProAssurance may choose to pay the purchase price in cash,
shares of common stock, or a combination of cash and shares of common
stock. If ProAssurance elects to pay all or a portion of the repurchase
price in common stock, the shares of common stock will be valued at
97.5% of the average sale price for the 20 trading days immediately
preceding and including the third day prior to the repurchase date.

Change of Control. Upon a change of control of ProAssurance, holders
may require ProAssurance, subject to conditions, to repurchase all or a
portion of the Debentures. Depending upon the date at which the change
of control occurs, ProAssurance will pay a purchase price equal to a
varying percentage of the applicable principal amount of such
Debentures plus accrued and unpaid interest, including contingent
interest and additional

92



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

11. LONG-TERM DEBT (CONTINUED)

amounts, if any. The percentage ranges from 110% for dates before June
29, 2004 to 100% for dates after June 30, 2008. ProAssurance may choose
to pay the repurchase price in cash, shares of common stock, shares of
common stock of the surviving corporation or a combination of cash and
shares of the applicable common stock. If ProAssurance elects to pay
all or a portion of the repurchase price in shares of common stock, the
shares of the applicable common stock will be valued at 97.5% of the
average sale price of the applicable common stock for 20 trading days
commencing after the third trading day following notice of the
occurrence of a change of control.

Events of Default. If there is an event of default under the
Debentures, the principal amount of the Debentures, plus accrued
interest, including contingent interest, if any, may be declared
immediately due and payable. These amounts automatically become due and
payable if an event of default relating to certain events of
bankruptcy, insolvency or reorganization occurs.

Registration Rights. On December 15, 2003 ProAssurance filed a shelf
registration statement with the SEC with respect to the resale of the
Debentures and the shares of common stock issuable upon conversion of
the Debentures pursuant to a registration rights agreement.
ProAssurance has agreed to keep the shelf registration statement
effective until the earliest of:

- two years after the last date of original issuance of
any of the Debentures,

- the date when the holders of the Debentures and
common stock issuable upon conversion of the
Debentures are able to sell all such securities
immediately pursuant to Rule 144 under the Securities
Act,

- the date when all of the Debentures and common stock
issuable upon conversion of the Debentures are
registered upon the shelf registration statement and
sold in accordance with it, or

- the date when all of the Debentures and common stock
issuable upon conversion of the Debentures have
ceased to be outstanding.

The Debentures do not require ProAssurance to maintain minimum financial
covenants.

93


ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

12. STOCKHOLDERS' EQUITY

At December 31, 2003 ProAssurance had 100 million shares of authorized
common stock and 50 million shares of authorized preferred stock. The Board of
Directors has the authorization to determine the provisions for the issuance of
shares of the preferred stock, including the number of shares to be issued and
the designations, powers, preferences and rights and the qualifications,
limitations or restrictions of such shares. At December 31, 2003, the Board of
Directors had not authorized the issuance of any preferred stock nor determined
any provisions for the preferred stock.

At December 31, 2003 approximately 1.7 million of ProAssurance's
authorized shares of common stock are reserved by the Board of Directors of
ProAssurance for the award or issuance of shares under the ProAssurance
Incentive Compensation Stock Plan and the Professionals Group, Inc.'s 1996
Long-term Stock Incentive Plan, as discussed in Note 13.

"Accumulated other comprehensive income (loss)" shown in the
Consolidated Statements of Changes in Capital is solely comprised of net
unrealized gains (losses) on securities available for sale, net of taxes.

On November 13, 2002, ProAssurance sold 2.65 million shares at an
offering price of $16.55 per share. The offering generated net proceeds of $40.6
million. ProAssurance used the net proceeds from the sale of the newly issued
shares to support the growth of its professional liability insurance business
and for general corporate purposes. The underwriting agreement granted the
underwriters a thirty-day over-allotment option for up to 375,000 shares that
was exercised on December 4, 2002 and that generated additional net proceeds of
$5.9 million.

13. STOCK OPTIONS

ProAssurance has an Incentive Compensation Stock Plan (the
"ProAssurance Plan") available to provide performance-based compensation to
employees of ProAssurance and its subsidiaries. All terms and conditions of any
grants under the ProAssurance Plan are at the discretion of the compensation
committee. At December 31, 2003 there were approximately 923,000 options
outstanding under the ProAssurance Plan. All options have been granted at a
price equal to the market price of the stock on the date of grant. The stock
options that were granted in 2003 and 2002 expire after ten years and vest at a
rate of 20% each year, beginning six months after the grant date. The remaining
options expire in ten years and were fully vested at the grant date.

Additionally, as a part of the consolidation with Professionals Group,
ProAssurance assumed all options outstanding under Professionals Group, Inc.'s
1996 Long-term Stock Incentive Plan (the "Professionals Plan"). At December 31,
2003 there were approximately 71,000 options outstanding under the Professionals
Plan. The options assumed were fully vested. No additional options are expected
to be issued related to the Professionals Plan.

94



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

13. STOCK OPTIONS (CONTINUED)

Information regarding ProAssurance outstanding options under both plans
for the years ending December 31, 2003, 2002, and 2001 follows:



WEIGHTED Weighted Weighted
AVERAGE Average Average
EXERCISE Exercise Exercise
SHARES PRICE Shares Price Shares Price
-------------------- -------------------- -------------------
2003 2002 2001
-------------------- -------------------- -------------------

Outstanding at beginning of year 1,103,037 $ 19.46 719,313 $ 20.82 398,625 $ 24.28
Granted 303,000 $ 22.00 415,000 $ 16.80 -- --
Options assumed -- -- -- -- 458,680 16.74
Exercised (348,815) $ 18.23 (31,276) $ 15.54 (137,992) $ 17.23
Forfeited (63,646) $ 18.72 -- -- -- --
--------- --------- --------
Outstanding at end of year 993,576 $ 20.72 1,103,037 $ 19.46 719,313 $ 20.82
========= ========= ========
Options exercisable at end of year 552,176 $ 21.75 771,037 $ 20.60 719,313 $ 20.82
========= ========= ========


Outstanding ProAssurance options as of December 31, 2003 consisted of
the following:



OPTIONS OUTSTANDING OPTIONS EXERCISABLE
-------------------------------------- ------------------------
WEIGHTED
AVERAGE
REMAINING WEIGHTED WEIGHTED
RANGE OF CONTRACTUAL AVERAGE AVERAGE
EXERCISE PRICES NUMBERS LIFE EXERCISE PRICE NUMBER EXERCISE PRICE
- -------------------------------------------------------- ------------------------

$9.57-$14.27 26,256 6.7 YEARS $ 12.95 26,256 $ 12.95
$16.80-$18.66 361,716 7.6 YEARS $ 16.89 142,716 $ 17.04
$21.01-$26.03 605,604 6.5 YEARS $ 23.33 383,204 $ 24.11
-------------------------------------- ------------------------
ALL 993,576 6.9 YEARS $ 20.72 552,176 $ 21.75
====================================== ========================


The weighted average fair value of options granted during 2003 and 2002
was $8.46 and $6.97, respectively. The fair value of the options was estimated
on the date of grant using the Black-Scholes option pricing model with the
following weighted average assumptions.



2003 2002
----- ----

Risk-free interest rate 3.1% 4.6%
Expected volatility 0.34 0.34
Dividend yield 0% 0%
Expected average term (in years) 6 6


95



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

14. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE

SFAS No. 141 eliminated the pooling-of-interest method of accounting
for business combinations. This statement also includes guidance on the initial
recognition and measurement of goodwill and other intangible assets in a
business combination. SFAS No. 142 addresses how goodwill and other intangible
assets should be accounted for in financial statements upon acquisition and how
these items should be accounted for subsequent to acquisition. SFAS No. 142
requires goodwill and intangible assets that have indefinite useful lives to be
tested at least annually for impairment. If goodwill and intangible assets are
deemed to be impaired, the change is included in then current operations.
ProAssurance adopted SFAS Nos. 141 and 142 effective January 1, 2002.

In accordance with SFAS Nos. 141 and 142, in 2002 ProAssurance
discontinued amortizing its recorded goodwill and deferred credits and
recognized the unamortized balance of deferred credits of $1.7 million that
existed at December 31, 2001 related to business combinations completed prior to
July 1, 2001. The write-off has been recognized as the cumulative effect of a
change in accounting principle. There is no tax effect related to the write-off
because the deferred credits were not amortizable for tax purposes.

The table below presents comparative income for the years ended
December 31, 2003, 2002 and 2001, reflecting the pro forma effects of SFAS Nos.
141 and 142 on 2001 data:



Year ended December 31
2003 2002 2001
--------------------------------------
In Thousands

Reported income before cumulative effect of accounting change $ 38,703 $ 10,513 $ 12,450
Amortization of deferred credits, net of goodwill amortization -- -- 154
--------------------------------------
Adjusted income before cumulative effect of accounting change $ 38,703 $ 10,513 $ 12,604
======================================


Adoption of SFAS Nos. 141 and 142 did not have a significant per share
effect.

At December 31, 2003 goodwill and intangible assets from business
combinations, net of accumulated amortization, are approximately $29.2 million.
ProAssurance does not believe that any of its recorded goodwill or intangible
assets has suffered impairment.

15. PENSION PLANS

ProAssurance and its subsidiaries currently maintain several defined
contribution employee benefit plans that are intended to provide additional
income to eligible employees upon retirement. ProAssurance's contributions to
these plans are primarily based on various percentages of compensation, and in
some instances are based upon the amount of the employees' contributions to the
plans. ProAssurance's expense under all benefit plans was $3.1 million, during
each of the years ending December 31, 2003 and 2002 and $2.3 million during the
year ended December 31, 2001.

96



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

16. EARNINGS PER SHARE

The following represents a reconciliation from the basic to the diluted
numerator and denominator used in calculating the diluted earnings per share:



Year ended December 31
2003 2002 2001
--------------------------------------
In thousands, except per share data

Basic earnings per share calculation:

Numerator:
Income before cumulative effect of accounting change $ 38,703 $ 10,513 $ 12,450
Cumulative effect of accounting change -- 1,694 --
--------------------------------------
Net income $ 38,703 $ 12,207 $ 12,450
======================================

Denominator:
Weighted average number of common shares outstanding 28,956 26,231 24,263
======================================

Basic earnings per share:
Income before cumulative effect of accounting change $ 1.34 $ 0.40 $ 0.51
Cumulative effect of accounting change -- 0.07 --
--------------------------------------
Net income $ 1.34 $ 0.47 $ 0.51
======================================

Diluted earnings per share calculation:

Numerator:
Income before cumulative effect of accounting change $ 38,703 $ 10,513 $ 12,450
Effect of MEEMIC Holdings stock options held by
minority stockholders -- (210) (82)
Income before cumulative effect of accounting change --
diluted computation 38,703 10,303 12,368
Cumulative effect of accounting change -- 1,694 --
--------------------------------------
Net income--diluted computation $ 38,703 $ 11,997 $ 12,368
======================================

Denominator:
Weighted average number of common shares outstanding 28,956 26,231 24,263
Assumed conversion of dilutive stock options and awards 188 23 4
--------------------------------------
Diluted weighted average number of common shares outstanding 29,144 26,254 24,267
======================================

Diluted earnings per share:
Income before cumulative effect of accounting change $ 1.33 $ 0.39 $ 0.51
Cumulative effective of accounting change -- 0.07 --
--------------------------------------
Net income $ 1.33 $ 0.46 $ 0.51
======================================


In accordance with SFAS 128 "Earnings per Share", the diluted weighted
average number of shares outstanding includes an incremental adjustment for the
assumed conversion of dilutive stock options. The adjustment is computed
quarterly; the annual incremental adjustment is the average of the quarterly
adjustments. Stock options are considered dilutive stock options if the assumed
conversion of the options, using the treasury stock method as specified by SFAS
128, produces an increased number of outstanding shares. Typically, options are
not dilutive when the strike price of the option is very close to or below the
average share price during the quarter. During years ended December 31, 2003,
2002 and 2001 certain of ProAssurance's outstanding options were not considered
to be dilutive, primarily because the strike price of the options was below the
average ProAssurance share price during the quarter. The number of options not
considered to be dilutive during the years ended December 31, 2003, 2002, and
2001 averaged 83,500, 638,000 and 535,600, respectively.

97



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

17. STATUTORY ACCOUNTING AND DIVIDEND RESTRICTIONS

ProAssurance's insurance subsidiaries are required to file statutory
financial statements with state insurance regulatory authorities. GAAP differs
from statutory accounting practices prescribed or permitted by regulatory
authorities. Differences between financial statement net income and statutory
net income are principally due to: (a) policy acquisition costs which are
deferred under GAAP but expensed for statutory purposes; (b) statutory
accounting prescribes the method for valuing investments in affiliates and does
not permit consolidation; and (c) deferred income taxes which are recorded under
GAAP but not for statutory purposes.

The NAIC specifies risk-based capital requirements for property and
casualty insurance providers. At December 31, 2003, statutory capital for each
insurance subsidiary was sufficient to satisfy regulatory requirements.
Statutory surplus and net income (loss) for each of ProAssurance's insurance
subsidiaries for the years ended December 31, 2003 and 2002 are as follows:



STATUTORY
STATUTORY SURPLUS NET INCOME (LOSS)
AS OF FOR THE YEAR ENDED
DECEMBER 31, 2003 DECEMBER 31, 2003
--------------------------------------
In Thousands

The Medical Assurance Company, Inc. $ 238,740 $ 11,719
ProNational Insurance Company 187,937 (8,971)
Red Mountain Casualty Insurance Company Inc. 16,785 963
Medical Assurance of West Virginia, Inc 10,202 (42)
MEEMIC Insurance Company 116,780 17,677




Statutory
Statutory Surplus Net Income (Loss)
as of for the year ended
December 31, 2002 December 31, 2002
--------------------------------------
In Thousands

The Medical Assurance Company, Inc. $ 193,335 $ (19,096)
ProNational Insurance Company 196,955 9,915
Red Mountain Casualty Insurance Company Inc. 15,829 767
Medical Assurance of West Virginia, Inc. 9,998 563
MEEMIC Insurance Company 95,514 15,870


98



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

17. STATUTORY ACCOUNTING AND DIVIDEND RESTRICTIONS (CONTINUED)

Consolidated retained earnings are comprised primarily of subsidiaries'
retained earnings. ProAssurance's insurance subsidiaries are permitted to pay
dividends of approximately $62 million during the next year without prior
approval. However, the payment of any dividend requires prior notice to the
insurance regulator in the state of domicile and the regulator may prevent the
dividend if, in its judgment, payment of the dividend would have an adverse
effect on the surplus of the insurance subsidiary.

18. QUARTERLY RESULTS OF OPERATIONS (UNAUDITED)

The following is a summary of unaudited quarterly results of operations
(in thousands, except per share amounts) for 2003 and 2002:



2003
------------------------------------------------------
1ST 2ND 3RD 4TH
------------------------------------------------------

Net premiums earned $ 138,196 $ 147,684 $ 165,430 $ 172,204
Net losses and loss adjustment expenses 125,048 131,300 145,783 149,245
Net income 6,349 8,792 9,735 13,827
Basic earnings per share 0.22 0.30 0.34 0.48
Diluted earnings per share 0.22 0.30 0.33 0.47




2002
------------------------------------------------------
1st 2nd 3rd 4th
------------------------------------------------------

Net premiums earned $ 110,489 $ 113,594 $ 121,947 $ 131,378
Net losses and loss adjustment expenses 107,199 107,064 115,868 117,898
Income (loss) before cumulative effect 1,978 1,084 (4,524) 11,975
Net income (loss) 3,672 1,084 (4,524) 11,975
Basic earnings per share:
Income before cumulative effect 0.08 0.04 (0.18) 0.44
Net income 0.14 0.04 (0.18) 0.44
Diluted earnings per share:
Income before cumulative effect 0.08 0.04 (0.18) 0.43
Net Income 0.14 0.04 (0.18) 0.43


The sum of the above amounts may vary from the annual amounts because
of rounding.

99



ProAssurance Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2003

19. SUBSEQUENT EVENTS

On February 9, 2004 ProAssurance filed a universal shelf registration
statement with the Securities and Exchange Commission, allowing up to $250
million in common stock, preferred stock or debt securities. ProAssurance may
sell any class of the registered securities or combinations thereof in one or
more separate offerings at a total price up to the amount registered with the
amount, price and terms of the securities sold in each offering to be determined
at the time of sale. ProAssurance has no present commitments to sell securities
under the shelf registration.

100


ProAssurance Corporation and Subsidiaries
Schedule I -- Summary of Investments -- Other Than Investments in Related
Parties
December 31, 2003



COST AMOUNT
OR AT WHICH
AMORTIZED FAIR SHOWN IN THE
TYPE OF INVESTMENT COST VALUE BALANCE SHEET
- -------------------------------- -------------- ------------ -------------
In Thousands

Fixed Maturities:
U.S. Treasury securities $ 305,564 $ 307,196 $ 307,196
State and municipal bonds 377,833 395,675 395,675
Corporate bonds 597,514 621,681 621,681
Asset-backed securities 460,048 465,156 465,156
Certificates of deposit 1,069 1,070 1,070
-------------- ------------ -------------

Total fixed maturities 1,742,028 $ 1,790,778 1,790,778
============

Equity securities:
Available for sale 37,923 42,136 42,136
Trading 5,863 5,863 5,863
-------------- ------------ -------------
Total equity securities $ 43,786 $ 47,999 $ 47,999
============

Real Estate, net 17,262 17,262
Short-term investments 109,680 109,680
Other invested assets 38,247 38,247
Business owned life insurance 51,706 51,706
-------------- -------------

Total investments $ 2,002,709 $ 2,055,672
============== =============


101



PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE II -- CONDENSED FINANCIAL INFORMATION OF REGISTRANT

ProAssurance Corporation -- Registrant Only
Condensed Balance Sheet



December 31
----------------------
2003 2002
--------- ---------
In Thousands

ASSETS
Investment in subsidiaries, at equity $ 610,297 $ 532,119
Fixed maturities available for sale, at fair value 5,501 --
Equity securities, trading portfolio, at fair value 5,226 --
Short-term investments 23,440 --
Cash and cash equivalents 878 30,013
Other assets 30,215 19,467
--------- ---------
$ 675,557 $ 581,599
========= =========

LIABILITIES AND STOCKHOLDERS' EQUITY

Liabilities:
Payable to subsidiaries $ 23,868 $ 3,506
Other liabilities 595 399
Long-term debt 104,789 72,500
--------- ---------

129,252 76,405
Stockholders' Equity:
Common stock 292 290
Other stockholders' equity, including unrealized
gains (losses) on securities of subsidiaries 546,013 504,904
--------- ---------

Total stockholders' equity 546,305 505,194
--------- ---------

$ 675,557 $ 581,599
========= =========


ProAssurance Corporation -- Registrant Only
Condensed Statements of Income



Year ended December 31
----------------------
2003 2002
--------- ---------
In Thousands

Revenues:
Investment income $ 267 $ 57
Other Income 308 --
--------- ---------

575 57

Expenses:
Loss on early extinguishment of debt 305 --
Interest expense 3,409 2,875
Other expenses 1,703 1,441
--------- ---------

5,416 4,316
--------- ---------

Loss before income tax (benefit) and equity in
net income of subsidiaries (4,841) (4,259)
Income tax (benefit) (967) (1,491)
--------- ---------
Loss before equity in net income of subsidiaries (3,874) (2,768)
Equity in net income of subsidiaries 42,577 14,975
--------- ---------

Net income $ 38,703 $ 12,207
========= =========


102



PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE II -- CONDENSED FINANCIAL INFORMATION OF REGISTRANT (CONTINUED

ProAssurance Corporation -- Registrant Only
Condensed Statements of Cash Flow



Year ended December 31
----------------------
2003 2002
--------- ---------
In Thousands

Cash used by operating activities $ (9,733) $ (6,533)

Investing activities
Purchases of fixed maturities (134,661) --
Proceeds from sale or maturities of fixed maturities 129,160 --
Net purchases of short-term investments (23,440) --
Contribution of capital to subsidiaries (25,483) --
--------- ---------

(54,424) --
--------- ---------
Financing activities
Proceeds from long-term debt 104,641 --
Repayment of debt (72,500) (10,000)
Proceeds from stock offering -- 46,499
Other 2,881 --
--------- ---------

35,022 36,499
--------- ---------

Increase (decrease) in cash and cash equivalents (29,135) 29,966
Cash and cash equivalents, beginning of period 30,013 47
--------- ---------

Cash and cash equivalents, end of period $ 878 $ 30,013
========= =========


NOTES TO CONDENSED FINANCIAL STATEMENTS OF REGISTRANT

1. Basis of Presentation

ProAssurance Corporation (PRA Holding) was formed for the purpose of
consolidating Medical Assurance, Inc. (Medical Assurance) and Professionals
Group, Inc. (Professionals Group); the consolidation date was June 27, 2001. The
consolidation of PRA Holding and Medical Assurance was in the form of a
corporate reorganization and was accounted for in a manner similar to a pooling
of interests. The consolidation with Professionals Group was accounted for as a
purchase transaction.

PRA Holding's initial investment in Medical Assurance is valued at the net book
value of Medical Assurance on the consolidation date. PRA Holding's initial
investment in Professionals Group is valued at the fair value of the net assets
acquired as of the consolidation date. At December 31, 2003 and 2002 PRA
Holding's investment in subsidiaries is stated at the initial values described
plus equity in the undistributed earnings of subsidiaries since the date of
acquisition less dividends received from the subsidiaries. The registrant-only
financial statements should be read in conjunction with ProAssurance's
consolidated financial statements.

2. Other Assets

Other assets includes goodwill of $18.2 million related to PRA Holding's
acquisition of Professional's Group and goodwill of $7.6 million related to the
2003 acquisition of the minority interest of MEEMIC Holdings, Inc., a subsidiary
of Professionals Group.

3. Long-term Debt

PRA Holding issued $107.6 million of 3.9% Convertible Debentures ("Debentures")
in a Private Offering transaction, net of an initial purchasers discount of $3.0
million, in July 2003. The Debentures are due June 30, 2023 but may be repaid or
called prior to that date. See note 11 of the Notes to Consolidated Financial
Statements of ProAssurance and its subsidiaries included herein for a detailed
description of the terms of the Debentures. PRA Holding used the net proceeds of
the Debentures to pay off its existing term loan having an outstanding principal
balance of $67.5 million.

103


PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE II -- CONDENSED FINANCIAL INFORMATION OF REGISTRANT (CONTINUED

NOTES TO CONDENSED FINANCIAL STATEMENTS OF REGISTRANT (CONTINUED)

4. Related Party Transactions

PRA Holding received no cash dividends during 2003 or 2002. In 2003, PRA Holding
contributed capital of approximately $45 million to subsidiaries of its
professional liability segment.

All of PRA Holding's treasury shares are owned by its subsidiaries. In the
registrant-only financial statements, stockholders' equity has been reduced by
the cost of these treasury shares and PRA Holding's investment in subsidiaries
has been reduced by the cost of the treasury shares owned by the subsidiaries.

5. Income Taxes

Under terms of PRA Holding's tax sharing agreement with its subsidiaries, income
tax provisions for individual companies are allocated on a separate company
basis.

104



PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE III -- SUPPLEMENTARY INSURANCE INFORMATION
YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001



2003 2002 2001
---------- ---------- ----------
In Thousands

Deferred policy acquisition costs $ 23,603 $ 22,729 $ 15,489
Reserve for losses and loss adjustment expenses 1,814,584 1,622,468 1,442,341
Unearned premiums 290,134 248,371 188,630
Net premiums earned 623,514 477,408 313,345
Premiums assumed from other companies 2,508 2,991 23,327
Net investment income 73,619 76,918 59,782
Net losses and loss adjustment expenses 551,376 448,029 298,558
Underwriting, acquisition and insurance expenses:
Amortization of deferred policy acquisition costs 54,863 41,800 37,792
Other underwriting, acquisition and
insurance expenses 49,353 49,453 32,645
Net premiums written 668,909 537,123 310,291


105



PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE IV --REINSURANCE
YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001



2003 2002 2001
---------- ---------- ----------
In Thousands

PROPERTY AND CASUALTY
Premiums earned $ 695,839 $ 573,091 $ 357,394
Premiums ceded (74,833) (98,918) (67,650)
Premiums assumed 2,495 2,516 7,129
---------- ---------- ----------
Net premiums earned $ 623,501 $ 476,689 $ 296,873
========== ========== ==========
Percentage of amount assumed to net 0.40% 0.53% 2.40%
========== ========== ==========

ACCIDENT AND HEALTH
Premiums earned -- 332 789
Premiums ceded -- (88) (515)
Premiums assumed 13 475 16,198
---------- ---------- ----------

Net premiums earned $ 13 $ 719 16,472
========== ========== ==========

Percentage of amount assumed to net 100% 66.06% 98.34%
========== ========== ==========

Total net premiums earned $ 623,514 $ 477,408 $ 313,345
========== ========== ==========


106


PROASSURANCE CORPORATION AND SUBSIDIARIES
SCHEDULE VI -- SUPPLEMENTARY PROPERTY AND CASUALTY INSURANCE INFORMATION
YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001



2003 2002 2001
----------- ----------- -----------
In Thousands

Deferred policy acquisition costs ................. $ 23,603 $ 22,729 $ 15,489
Reserve for losses and loss adjustment expenses ... 1,814,584 1,622,468 1,442,341
Unearned premiums ................................. 290,134 248,371 188,630
Net premiums earned ............................... 623,514 477,408 313,345
Net investment income ............................. 73,619 76,918 59,782
Losses and loss adjustment expenses incurred
related to current year, net of reinsurance .... 562,256 439,600 284,740
Losses and loss adjustment expenses incurred
related to prior year, net of reinsurance ...... (10,880) 8,429 13,818
Amortization of deferred policy acquisition costs . 54,863 41,800 37,792
Paid losses and loss adjustment expenses related to
current year losses, net of reinsurance ........ (94,824) (84,376) (137,121)
Paid losses and loss adjustment expenses related to
prior year losses, net of reinsurance .......... (247,235) (271,482) (143,893)


107



EXHIBIT INDEX

Exhibit
Number Description

2.1 Agreement to Consolidate by and between Medical Assurance, Inc. and
Professionals Group, Inc. dated June 22, 2000 as amended as of November
1, 2000. (1)

2.2 Agreement and Plan of Merger dated as of July 9, 2002 among ProNational
Insurance Company, MEEMIC Merger Corp. and MEEMIC Holdings (2)

2.3 Amendment No. 1 to Agreement and Plan of Merger dated as of July 9,
2002 among ProNational Insurance Company, MEEMIC Merger Corp. and
MEEMIC Holdings, Inc. made on September 18, 2002 (3)

3.1(a) Certificate of Incorporation of ProAssurance (1)

3.1(b) Certificate of Amendment of ProAssurance (4)

3.2 Bylaws of ProAssurance (1)

4.1 Purchase Agreement, dated July 1, 2003, between Registrant and the
representatives of the initial purchasers of the Debentures (without
exhibits) (5)

4.2 Indenture dated July 7, 2003, between and among Registrant and the
initial purchasers of the Debentures (6)

4.3 Registration Rights Agreement, dated July 7, 2003, between and among
Registrant and the initial purchasers of the Debentures (6)

10.1(a) Amendment and Assumption Agreement by and between ProAssurance and
Medical Assurance, Inc. (4)

10.1(b) Medical Assurance, Inc. Incentive Compensation Stock Plan (formerly
known as the Mutual Assurance, Inc. 1995 Stock Award Plan) (7)

10.1(c) Amendment and Assumption Agreement by and between Mutual Assurance,
Inc. and MAIC Holdings, Inc. dated April 8, 1996 (8)

10.2 Professionals Insurance Company Management Group 1996 Long Term
Incentive Plan (9)

10.3 MEEMIC Holdings Stock Compensation Plan (10)

10.4 MEEMIC Incentive Plan Trust (4)

10.5(a) Release and Severance Agreement between Victor T. Adamo and
ProAssurance (11)

108


10.5(b) Amendment to Release and Severance Compensation Agreement of Victor T.
Adamo (12)

10.5(c) Release and Severance Agreement between Lynn M. Kalinowski and
ProAssurance (13)

10.5(d) Release and Severance Agreement between Howard H. Friedman and
ProAssurance (12)

10.5(e) Release and Severance Agreement between James J. Morello and
ProAssurance (12)

10.5(f) Release and Severance Agreement between Frank B. O'Neil and
ProAssurance (3)

10.6 Employment Agreement of A. Derrill Crowe, as amended (12)

10.7 Form of Indemnification Agreement between ProAssurance and each of the
following named executive officers and directors of ProAssurance: (3)

Victor T. Adamo
Lucian F. Bloodworth
Paul R. Butrus
A. Derrill Crowe
Robert E. Flowers
Howard H. Friedman
Lynn M. Kalinowski
John J. McMahon
James J. Morello
John P. North
Frank B. O'Neil
Ann F. Putallaz
William H. Woodhams
Wilfred W. Yeargan

10.8 Description of Registrant's Executive Supplemental Life Insurance Plan
(6)

21.1 Subsidiaries of ProAssurance Corporation

23.1 Consent of Ernst & Young - Report on Consolidated Financial Statements
of Registrant and Subsidiaries

31.1 Certification of Principal Executive Officer of ProAssurance as
required under SEC Rule 13a-14(a)

31.2 Certification of Principal Financial Officer of ProAssurance
Corporation required under SEC Rule 13a-14(a)

109


32.1 Certification of Principal Executive Officer of ProAssurance as
required under SEC Rule 13a-14(b) and Section 1350 of Chapter 63 of
Title 18 of the United States Code, as amended (18 U.S.C. 1350)

32.2 Certification of Principal Financial Officer of ProAssurance as
required under SEC Rule 13a-14(b) and Section 1350 of Chapter 63 of
Title 18 of the United States Code, as amended (18 U.S.C. 1350)

Footnotes:

(1) Filed as an Exhibit to ProAssurance's Registration Statement on Form
S-4 (File No. 333-49378) and incorporated herein by reference pursuant
to Rule 12b-32 of the Securities and Exchange Commission ("SEC").

(2) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10-Q for
the period ended June 30, 2002 (File No. 001-16533) and incorporated
herein by reference pursuant to SEC Rule 12b-32.

(3) Filed as an Exhibit to ProAssurance's Annual Report on Form 10-K for
the year ended December 31, 2002 (Commission File No. 001-16533) and
incorporated herein by reference pursuant to SEC Rule 12b-32.

(4) Filed as an Exhibit to ProAssurance's Annual Report on Form 10-K for
the year ended December 31, 2001 (File No. 001-16533) and incorporated
herein by reference pursuant to SEC Rule 12b-32.

(5) Filed as an Exhibit to ProAssurance's Registration Statement on Form
S-3 (File No. 333-109972) and incorporated by reference pursuant to SEC
Rule 12b-32.

(6) Filed as an Exhibit to ProAssurance's Quarterly Report on Form 10-Q for
the period ended June 30, 2003 (File No. 001-16533) and incorporated by
reference pursuant to SEC Rule 12b-32.

(7) Filed as an Exhibit to MAIC Holding's Registration Statement on Form
S-4 (File No. 33-91508) and incorporated herein by reference pursuant
to SEC Rule 12b-32.

(8) Filed as an Exhibit to MAIC Holding's Proxy Statement for the 1996
Annual Meeting (File No. 0-19439) is incorporated herein by reference
pursuant to SEC Rule 12b-32.

(9) Filed as an Exhibit to Professionals Group's Registration Statement on
Form S-4 (File No. 333-3138) and incorporated herein by reference
pursuant to SEC Rule 12b-32.

(10) Filed as an Exhibit to MEEMIC Holding's Registration Statement on Form
S-4 (File No. 333-66671) and incorporated herein by reference pursuant
to SEC Rule 12b-32.

(11) Filed as an Exhibit to ProAssurance's Form 10-Q (File No. 001-16533)
for the quarter ended June 30, 2001 and incorporated herein by
reference pursuant to SEC Rule 12b-32.

(12) Filed as an Exhibit to ProAssurance's Registration Statement on Form
S-3 (File No. 333-100526) and incorporated herein by reference pursuant
to SEC Rule 12b-32.

(13) Filed as an Exhibit to ProAssurance's Form 10-Q (File No. 001-16533)
for the quarter ended September 30, 2001 and incorporated herein by
reference pursuant to SEC Rule 12b-32.

110