E
Tower Health Reciprocal RRG
Rating Date
June 2026
NAIC
Classification
Risk Adjusted
Capital Ratio #1
Risk Adjusted
Capital Ratio #2
Loss
Ratio
Total
Assets
Capital
Net
Premiums
Net
Income
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Major Rating Factors: Poor long-term capitalization index (0.1 on a scale of 0 to 10) based on weak current risk adjusted capital (severe and moderate loss scenarios). A history of deficient reserves (0.2) that places pressure on both capital and profits. In four of the last five years, reserves (one year development) were between 16.3% and 650.9% deficient. Weak profitability index (0.4) with operating losses during 2021, 2023, 2024 and 2025.
Other Rating Factors: Weak overall results on stability tests (0.0) including weak risk adjusted capital in prior years and negative cash flow from operations for 2025. The largest net exposure for one risk is excessive at 54.9% of capital. Excellent liquidity (7.0) with ample operational cash flow and liquid investments.
Stability Factors: C - Past results on our Risk-Adjusted Capital tests. D - Limited diversification of general business, policy, and/or investment risk. F - Negative cash flow.
Principal Lines of Business: Med mal (93.4%), other (6.6%)
Licensed in: SC
Principal Investments: Cash (65.5%), other (34.5%)
Ratios
Premium to Surplus
Reserve to Surplus
1-Year Reserve Development
2-Year Reserve Development
Expense Ratio
Combined Ratio
Cash From Underwriting
Net Premium Growth
Investments in Affiliates
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Corporate Info
Group Affiliation
Tower Health
Investment Rating
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Company Address
151 Meeting Street
Charleston, SC 29401
Phone Number
(843) 577-1035
NAIC Number
16224
Website
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Largest Affiliates
E
Charleston, SC - P&C