Major Rating Factors:
Fair profitability index (4.5 on a scale of 0 to 10) with operating losses during 2021, 2022 and 2023. Fair overall results on stability tests (4.5) including negative cash flow from operations for 2025. Strengths include potentially strong support from affiliation with National Chiropractic Mutual Holding Co. The largest net exposure for one risk is conservative at 1.5% of capital. Strong long-term capitalization index (7.0) based on excellent current risk adjusted capital (severe and moderate loss scenarios) reflecting improvement over results in 2022.
Other Rating Factors:
History of adequate reserve strength (7.0) as reserves have been consistently at an acceptable level. Superior liquidity (9.7) with ample operational cash flow and liquid investments.
Stability Factors:
D - Limited diversification of general business, policy, and/or investment risk.
F - Negative cash flow.
R - Concerns about the financial strength of its reinsurers.
Principal Lines of Business:
Med mal (35.5%), other (64.5%)
Licensed in:
All states except ID, ME
Principal Investments:
Investment grade bonds (88.3%), cash (4.4%), other (7.3%)
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
National Chiropractic Mutual Holding Co
Investment Rating
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Company Address
14001 University Avenue
Clive, IA 50325
Clive, IA 50325
Phone Number
(515) 313-4500
NAIC Number
11127
Website
Largest Affiliates