Best Medical Malpractice Insurance (2026)

We read what The Doctors Company, MedPro Group, ProAssurance, and Coverys publish about their physician malpractice policies: policy types, tail terms, consent to settle, credits, and where they write. Cunningham Group, a broker, is covered separately. No carrier publishes premiums, so this review doesn’t invent them.

EDITOR-IN-CHIEFJoshua Dunigan, DO

Sources cited

Updated September 27, 2026

MedMoneyGuide is committed to editorial integrity.

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Key takeaways

•ProAssurance is now part of The Doctors Company (closed June 26, 2026). It still writes policies under its own name, but its insureds will most likely be offered renewal with The Doctors Company.
•Want occurrence, so there’s no tail to buy? MedPro, Coverys, and The Doctors Company publish occurrence policies. ProAssurance publishes only claims-made.
•Tail terms differ the most. Coverys’s modified claims-made policy includes tail; ProAssurance gives it on retirement after five claims-made years; The Doctors Company gives it free to qualified members and lets you pay for purchased tail over two years.
•Only The Doctors Company publishes its consent-to-settle promise (written consent, subject to policy terms and law). Ask the others for the specimen policy.
•Ratings, as the carriers state them: MedPro A++ from AM Best; the other three A (Excellent). None publishes premiums.

Most of us first read about malpractice coverage in an employment contract: one line saying the employer provides it, and maybe a sentence about tail. The details behind that line decide what happens if a claim arrives after you leave and whether anyone can settle it without asking you. This review compares four carriers on those details, using only what each one publishes, read September 27, 2026. Where a carrier leaves something out, we say so.

An earlier version of this page gave each carrier a badge, a price tier, and a “bottom line,” none of which came from the carriers, so we removed them. It also credited The Doctors Company with an 80% claims-closed-without-payment figure that is actually MedPro’s published number, and it missed The Doctors Company’s purchase of ProAssurance.

Four carriers, side by side

Tick up to 3 carriers to compare them side by side.

AM Best A (Excellent)Claims-made, modified claims-made, occurrenceCompare

AM Best A (Excellent), Fitch AClaims-made and occurrenceCompare

AM Best A++Occurrence and claims-madeCompare

AM Best A (Excellent)Claims-made (occurrence not published)Compare

Carrier	Policy types	Tail	Consent to settle	Financial strength	Where it writes
Coverys	Claims-made, modified claims-made, occurrence	Included with modified claims-made	Not published	AM Best A (Excellent)	Admitted in all 50 states and D.C.
The Doctors Company	Claims-made and occurrence	Free for qualified members at retirement, disability, or death	Written consent, subject to policy terms and law	AM Best A (Excellent), Fitch A	Nationwide
MedPro Group	Occurrence and claims-made	Not published	Not published	AM Best A++	50 states, D.C., and Puerto Rico
ProAssurance	Claims-made (occurrence not published)	Included on death, disability, or retirement after five claims-made years	Not published for standard policies	AM Best A (Excellent)	46 states and D.C.

Coverys

Policy types: Claims-made, modified claims-made, occurrence
Tail: Included with modified claims-made
Consent to settle: Not published
Financial strength: AM Best A (Excellent)
Where it writes: Admitted in all 50 states and D.C.

The Doctors Company

Policy types: Claims-made and occurrence
Tail: Free for qualified members at retirement, disability, or death
Consent to settle: Written consent, subject to policy terms and law
Financial strength: AM Best A (Excellent), Fitch A
Where it writes: Nationwide

MedPro Group

Policy types: Occurrence and claims-made
Tail: Not published
Consent to settle: Not published
Financial strength: AM Best A++
Where it writes: 50 states, D.C., and Puerto Rico

ProAssurance

Policy types: Claims-made (occurrence not published)
Tail: Included on death, disability, or retirement after five claims-made years
Consent to settle: Not published for standard policies
Financial strength: AM Best A (Excellent)
Where it writes: 46 states and D.C.

Each carrier’s own website and carrier-hosted documents, read September 27, 2026. Ratings are as each carrier states them on its site. “Not published” means the carrier’s public material is silent, not that the term is unfavorable.

Claims-made, occurrence, and tail

•Occurrence covers care you gave during the policy year, whenever the claim is filed, so there is no tail to buy. MedPro notes it can cost more at first.
•Claims-made covers claims reported while the policy is in force, for care given on or after your retroactive date. MedPro notes it can start cheaper and rise over the first several years before leveling off. When it ends, you need either tail (an extended reporting endorsement) or a new claims-made policy that keeps your old retroactive date, which carriers call prior acts or “nose” coverage.
•Limits are written as two numbers, such as $1 million per claim and $3 million per policy period. Under claims-made, this year’s limits cover every claim reported this year, including ones from older care. Under occurrence, each year’s limits stay attached to that year’s care.
•Tail is expensive. The Doctors Company puts it anywhere from one year’s premium to a multiple of it, MedPro says it can reach twice the annual premium, and Cunningham Group says about twice is typical. MedPro and The Doctors Company both warn that “free” tail usually comes with conditions, such as full retirement, a minimum age, or years with the same carrier.
•Consent to settle decides whether the carrier can settle a claim without your agreement. A paid settlement is reported to the National Practitioner Data Bank, so this clause matters. MedPro’s guide says to make sure the clause lets you refuse and has no hidden exceptions.
•If your employer covers you, Coverys suggests asking whether your limits are shared with everyone on the employer’s policy, whether the employer needs your consent to settle, what happens when you leave, and whether outside work is covered.

The trade-offs are laid out in more detail in claims-made vs. occurrence malpractice insurance, tail coverage explained, and what tail coverage costs.

Carrier by carrier

Coverys

Term	What Coverys publishes
Company	Medical Professional Mutual Insurance Company (a Boston mutual) and its subsidiaries Preferred Professional Insurance Company and ProSelect Insurance Company. Founded in 1975.
Financial strength	AM Best A (Excellent) for its five underwriting companies. Net admitted assets $3.8 billion and policyholder surplus $1.7 billion (unaudited, December 31, 2025).
Policy types	Claims-made, modified claims-made, and occurrence.
Tail coverage	Modified claims-made includes an indefinite extended reporting (tail) endorsement at no additional premium. On standard claims-made, you can buy tail or have it attached if you meet eligibility criteria Coverys doesn’t list. Occurrence needs no tail.
Consent to settle	Not published
States	Preferred Professional and ProSelect are admitted in all 50 states and D.C. New York policies are issued by Coverys Risk Retention Group; California policies by Preferred Professional or Coverys Insurance Company. Coverys notes that not all products are available in all states.
Specialty programs	Not published
Credits and discounts	Not published
Residents and new physicians	Not published
Included with the policy	RiskRx PRO policyholder services: risk consultants, claims analytics, the REACT program after adverse events, and Med-IQ courses that can earn CME. Cyber Liability and Protection Plus is offered as added coverage.
Claims record	Not published

Company

What Coverys publishes: Medical Professional Mutual Insurance Company (a Boston mutual) and its subsidiaries Preferred Professional Insurance Company and ProSelect Insurance Company. Founded in 1975.

Financial strength

What Coverys publishes: AM Best A (Excellent) for its five underwriting companies. Net admitted assets $3.8 billion and policyholder surplus $1.7 billion (unaudited, December 31, 2025).

Policy types

What Coverys publishes: Claims-made, modified claims-made, and occurrence.

Tail coverage

What Coverys publishes: Modified claims-made includes an indefinite extended reporting (tail) endorsement at no additional premium. On standard claims-made, you can buy tail or have it attached if you meet eligibility criteria Coverys doesn’t list. Occurrence needs no tail.

Consent to settle

What Coverys publishes: Not published

States

What Coverys publishes: Preferred Professional and ProSelect are admitted in all 50 states and D.C. New York policies are issued by Coverys Risk Retention Group; California policies by Preferred Professional or Coverys Insurance Company. Coverys notes that not all products are available in all states.

Specialty programs

What Coverys publishes: Not published

Credits and discounts

What Coverys publishes: Not published

Residents and new physicians

What Coverys publishes: Not published

Included with the policy

What Coverys publishes: RiskRx PRO policyholder services: risk consultants, claims analytics, the REACT program after adverse events, and Med-IQ courses that can earn CME. Cyber Liability and Protection Plus is offered as added coverage.

Claims record

What Coverys publishes: Not published

•Not published: The consent-to-settle wording, tail eligibility on standard claims-made policies, premium credits or discounts, resident or new-to-practice terms, and claims statistics.

Sources: Coverys: medical professional liability insurance; Coverys: physicians and surgeons; Coverys: financial strength; Coverys: company information; Coverys: A Guide to Purchasing Medical Professional Liability Insurance (PDF); Coverys: RiskRx PRO.

The Doctors Company

Term	What The Doctors Company publishes
Company	Physician-owned (The Doctors Company, an Interinsurance Exchange), part of TDC Group. Founded in 1976; completed its acquisition of ProAssurance on June 26, 2026.
Financial strength	AM Best A (Excellent) and Fitch A (Strong). $12 billion in assets after the ProAssurance acquisition and $3.4 billion in member surplus.
Policy types	Claims-made and occurrence; its policy notice describes both. When you move to it on claims-made, you can ask for a retroactive date so earlier work stays covered.
Tail coverage	Free tail for qualified members on retirement from medicine, disability, or death; the qualifying terms aren’t on its site. Purchased tail can be paid over two years without interest.
Consent to settle	Will not settle a case without your written consent, subject to your policy terms and applicable law.
States	Describes itself as nationwide; its agent search covers all 50 states and D.C. Florida has its own page with state-specific credits.
Specialty programs	Premium credits and discounts through specialty programs (amounts not published). Endorsed by AAO-HNS, AANS, ACC, ACS, ASPS, and SHM. An OB Patient Safety Credit Program for obstetricians, family physicians who deliver, and midwives.
Credits and discounts	OB Patient Safety Credit of up to 10% for each completed phase, applied to one to three renewals depending on the phase. In Florida: a claims-free credit of up to 25%, 5% for its CME, and 5% for members of endorsed societies, each subject to underwriting. Dividends for qualifying members when losses come in better than expected.
Residents and new physicians	Not published
Included with the policy	MediGuard (defense for licensing board, Medicare/Medicaid, credentialing, EMTALA, and DEA actions) and cyber liability come with the malpractice policy. The Tribute Plan, currently funded at 10% of eligible premium, pays a lump sum when you permanently retire at 55 or older with five continuous years of coverage, or on death or permanent disability. You forfeit the balance if you leave (unless you return within 12 months), and the board can amend or end the plan.
Claims record	Not published

Company

What The Doctors Company publishes: Physician-owned (The Doctors Company, an Interinsurance Exchange), part of TDC Group. Founded in 1976; completed its acquisition of ProAssurance on June 26, 2026.

Financial strength

What The Doctors Company publishes: AM Best A (Excellent) and Fitch A (Strong). $12 billion in assets after the ProAssurance acquisition and $3.4 billion in member surplus.

Policy types

What The Doctors Company publishes: Claims-made and occurrence; its policy notice describes both. When you move to it on claims-made, you can ask for a retroactive date so earlier work stays covered.

Tail coverage

What The Doctors Company publishes: Free tail for qualified members on retirement from medicine, disability, or death; the qualifying terms aren’t on its site. Purchased tail can be paid over two years without interest.

Consent to settle

What The Doctors Company publishes: Will not settle a case without your written consent, subject to your policy terms and applicable law.

States

What The Doctors Company publishes: Describes itself as nationwide; its agent search covers all 50 states and D.C. Florida has its own page with state-specific credits.

Specialty programs

What The Doctors Company publishes: Premium credits and discounts through specialty programs (amounts not published). Endorsed by AAO-HNS, AANS, ACC, ACS, ASPS, and SHM. An OB Patient Safety Credit Program for obstetricians, family physicians who deliver, and midwives.

Credits and discounts

What The Doctors Company publishes: OB Patient Safety Credit of up to 10% for each completed phase, applied to one to three renewals depending on the phase. In Florida: a claims-free credit of up to 25%, 5% for its CME, and 5% for members of endorsed societies, each subject to underwriting. Dividends for qualifying members when losses come in better than expected.

Residents and new physicians

What The Doctors Company publishes: Not published

Included with the policy

What The Doctors Company publishes: MediGuard (defense for licensing board, Medicare/Medicaid, credentialing, EMTALA, and DEA actions) and cyber liability come with the malpractice policy. The Tribute Plan, currently funded at 10% of eligible premium, pays a lump sum when you permanently retire at 55 or older with five continuous years of coverage, or on death or permanent disability. You forfeit the balance if you leave (unless you return within 12 months), and the board can amend or end the plan.

Claims record

What The Doctors Company publishes: Not published

•Ownership change: ProAssurance is now part of The Doctors Company. ProAssurance insureds will most likely be offered renewal with The Doctors Company, and a claims-made insured who renews there keeps the retroactive date, so no tail is needed for the switch.
•Not published: The conditions for free tail, specialty credit amounts, resident or new-to-practice discounts outside Florida, and claims statistics.

MedPro Group

Term	What MedPro Group publishes
Company	A Berkshire Hathaway company since 2005. Founded in 1899. Physician policies are written by The Medical Protective Company or an affiliate, depending on the state.
Financial strength	AM Best A++, as MedPro states it.
Policy types	Occurrence and claims-made; MedPro says it offers both and suggests quoting both.
Tail coverage	Occurrence needs no tail. MedPro doesn’t publish its own tail price or free-tail conditions; it says tail on a claims-made policy can cost as much as twice the annual premium.
Consent to settle	Not published
States	Its carrier territory schedule lists physician and surgeon business in all 50 states, D.C., and Puerto Rico, through The Medical Protective Company, National Fire & Marine, MedPro RRG, PLICO, or Princeton, depending on the state.
Specialty programs	Not published
Credits and discounts	Risk management premium credit for its on-demand CE courses: 2 to 3 credits earn a one-year credit, 4 to 5 a two-year credit, 6 or more a three-year credit. The amount depends on state filings and policy type. MedPro also mentions savings for avoiding claims.
Residents and new physicians	Says it may offer discounts or credits for new practitioners; amounts not published.
Included with the policy	Risk consultations, CE courses, and premium payment plans.
Claims record	More than 500,000 claims handled, 90% of trials won, and 80% of claims closed without payment. MedPro doesn’t give the time period for these figures.

Company

What MedPro Group publishes: A Berkshire Hathaway company since 2005. Founded in 1899. Physician policies are written by The Medical Protective Company or an affiliate, depending on the state.

Financial strength

What MedPro Group publishes: AM Best A++, as MedPro states it.

Policy types

What MedPro Group publishes: Occurrence and claims-made; MedPro says it offers both and suggests quoting both.

Tail coverage

What MedPro Group publishes: Occurrence needs no tail. MedPro doesn’t publish its own tail price or free-tail conditions; it says tail on a claims-made policy can cost as much as twice the annual premium.

Consent to settle

What MedPro Group publishes: Not published

States

What MedPro Group publishes: Its carrier territory schedule lists physician and surgeon business in all 50 states, D.C., and Puerto Rico, through The Medical Protective Company, National Fire & Marine, MedPro RRG, PLICO, or Princeton, depending on the state.

Specialty programs

What MedPro Group publishes: Not published

Credits and discounts

What MedPro Group publishes: Risk management premium credit for its on-demand CE courses: 2 to 3 credits earn a one-year credit, 4 to 5 a two-year credit, 6 or more a three-year credit. The amount depends on state filings and policy type. MedPro also mentions savings for avoiding claims.

Residents and new physicians

What MedPro Group publishes: Says it may offer discounts or credits for new practitioners; amounts not published.

Included with the policy

What MedPro Group publishes: Risk consultations, CE courses, and premium payment plans.

Claims record

What MedPro Group publishes: More than 500,000 claims handled, 90% of trials won, and 80% of claims closed without payment. MedPro doesn’t give the time period for these figures.

•Not published: The consent-to-settle wording, tail pricing and free-tail conditions, specialty programs for physicians, and the size of any discount.

Sources: MedPro Group: home and claims figures; MedPro Group: occurrence or claims-made coverage; MedPro Group: malpractice insurance guide; MedPro Group: cost of malpractice insurance; MedPro Group: continuing education and premium credits; MedPro Group: carrier territory schedule; MedPro Group: about; MedPro Group: claims defense.

ProAssurance

Term	What ProAssurance publishes
Company	Part of The Doctors Company since June 26, 2026. Still writes new physician business through its own appointed agents.
Financial strength	AM Best A (Excellent) for ProAssurance Group, per its site (financial figures as of June 30, 2025).
Policy types	Claims-made; its tail page describes only its claims-made policy. Occurrence availability isn’t published. Large organizations can buy prior acts reporting policies.
Tail coverage	Claims-made policies include automatic tail on death or disability, and tail on full retirement after at least five years of continuous claims-made coverage with ProAssurance. In other cases tail is available, for a premium or at no added cost depending on the situation.
Consent to settle	Not published
States	Posts physician new-business applications for 46 states and D.C.; none are posted for Hawaii, Massachusetts, North Dakota, or Wisconsin.
Specialty programs	Ob-Gyn Risk Alliance (OBRA), for ob-gyns only; Preferred Physicians Medical RRG (PPM), for anesthesia; Optimal Practice, for non-surgical family medicine and pediatric practices in Arizona, Colorado, North Carolina, and Tennessee; and an excess and surplus lines division for telemedicine, locum tenens, emergency medicine, and multistate groups, which lists consent to settle among the terms it can structure.
Credits and discounts	Up to a 5% premium credit for completing its two-hour Loss Prevention Seminar and scoring 75% or better on the post-test, applied at renewal and subject to state approval. Other online seminars may qualify. OBRA members can get a profit-sharing renewal credit when the program’s losses are favorable.
Residents and new physicians	A six-episode Resident Rundown podcast for residents and fellows; no resident or new-to-practice discount is published.
Included with the policy	A risk management helpline and seminars that earn CME.
Claims record	For 2021 to 2025: 76.2% of claims closed with no payment to the plaintiff, and 95.5% of closed claims resolved without trial.

Company

What ProAssurance publishes: Part of The Doctors Company since June 26, 2026. Still writes new physician business through its own appointed agents.

Financial strength

What ProAssurance publishes: AM Best A (Excellent) for ProAssurance Group, per its site (financial figures as of June 30, 2025).

Policy types

What ProAssurance publishes: Claims-made; its tail page describes only its claims-made policy. Occurrence availability isn’t published. Large organizations can buy prior acts reporting policies.

Tail coverage

What ProAssurance publishes: Claims-made policies include automatic tail on death or disability, and tail on full retirement after at least five years of continuous claims-made coverage with ProAssurance. In other cases tail is available, for a premium or at no added cost depending on the situation.

Consent to settle

What ProAssurance publishes: Not published

States

What ProAssurance publishes: Posts physician new-business applications for 46 states and D.C.; none are posted for Hawaii, Massachusetts, North Dakota, or Wisconsin.

Specialty programs

What ProAssurance publishes: Ob-Gyn Risk Alliance (OBRA), for ob-gyns only; Preferred Physicians Medical RRG (PPM), for anesthesia; Optimal Practice, for non-surgical family medicine and pediatric practices in Arizona, Colorado, North Carolina, and Tennessee; and an excess and surplus lines division for telemedicine, locum tenens, emergency medicine, and multistate groups, which lists consent to settle among the terms it can structure.

Credits and discounts

What ProAssurance publishes: Up to a 5% premium credit for completing its two-hour Loss Prevention Seminar and scoring 75% or better on the post-test, applied at renewal and subject to state approval. Other online seminars may qualify. OBRA members can get a profit-sharing renewal credit when the program’s losses are favorable.

Residents and new physicians

What ProAssurance publishes: A six-episode Resident Rundown podcast for residents and fellows; no resident or new-to-practice discount is published.

Included with the policy

What ProAssurance publishes: A risk management helpline and seminars that earn CME.

Claims record

What ProAssurance publishes: For 2021 to 2025: 76.2% of claims closed with no payment to the plaintiff, and 95.5% of closed claims resolved without trial.

•Ownership change: The Doctors Company says ProAssurance insureds will most likely be offered renewal with The Doctors Company, and that it plans to adopt ProAssurance’s lower rates where possible in states where ProAssurance’s are lower.
•Not published: Whether it sells occurrence policies, the consent-to-settle wording on standard policies, and resident discounts.

Sources: ProAssurance: physicians and physician groups; ProAssurance: tail coverage; ProAssurance: about (rating and claims figures); ProAssurance: applications by state; ProAssurance: Loss Prevention Seminar (premium credit); ProAssurance: Resident Rundown podcast.

Using a broker: Cunningham Group

Broker, not a carrier

An independent insurance agency, founded in 1947, focused on physician practices. It doesn’t issue policies; the carrier you choose issues the policy and stands behind it.

Carriers it quotes: Its published list includes The Doctors Company, ProAssurance, Medical Protective, National Fire and Marine, and Princeton (the last three are MedPro Group companies), among more than 50 names. Coverys isn’t on the list.

•Malpractice quotes from several carriers at once, and separate tail quotes
•A resident program in nearly every state, covering observation and hands-on work, bought for one month up to a year
•Moonlighting, telemedicine, and medical director coverage
•A tail coverage calculator

Cunningham says tail typically costs about twice your final annual premium. A broker has no financial strength rating of its own; the rating that matters is the one on the carrier that issues your policy.

Not published: How it is paid, and which of its carriers write in your state.

Sources: Cunningham Group: home; Cunningham Group: insurance companies it quotes; Cunningham Group: about; Cunningham Group: medical residents; Cunningham Group: tail coverage.

Which one, for whom

•You’re buying your own policy and want no tail later: quote occurrence from MedPro, Coverys, and The Doctors Company. MedPro suggests quoting claims-made at the same time so you can compare the cost over a whole career. Coverys’s modified claims-made, which includes tail, is the third option to price.
•You care most about who decides to settle: The Doctors Company is the only carrier here that publishes a written-consent promise. With the others, ask for the specimen policy and read the consent clause before you sign.
•You plan to stay with one carrier until you retire: The Doctors Company’s Tribute Plan pays a lump sum at permanent retirement at 55 or older after five continuous years, but you lose the balance if you leave. ProAssurance’s retirement tail needs five continuous claims-made years.
•Obstetrics, including family physicians who deliver: The Doctors Company’s OB Patient Safety Credit Program publishes credits of up to 10% per phase. Ob-gyns can also ask about ProAssurance’s OBRA program, which pays a renewal credit when its losses are favorable.
•Anesthesiologists: ProAssurance owns PPM, a risk retention group built for anesthesia.
•Non-surgical family medicine or pediatrics in Arizona, Colorado, North Carolina, or Tennessee: ask about ProAssurance’s Optimal Practice program.
•Surgeons: The Doctors Company is endorsed by the American College of Surgeons, AANS, ASPS, and AAO-HNS and publishes specialty program credits, though not their size. Also ask about course credits: MedPro’s risk management CE can earn up to three years of premium credit, and ProAssurance’s loss prevention seminar up to 5%. Our guide to what surgeons pay for malpractice insurance covers the premiums themselves.
•Already insured with ProAssurance: nothing to do now. At renewal you’ll likely be offered a policy from The Doctors Company, which says it will carry over your retroactive date, so the switch doesn’t require tail.
•Residents who moonlight: Cunningham Group offers a resident program you can buy for as little as one month, up to a year. MedPro says it may offer new practitioners discounts or credits.
•You want one broker to shop everything: check which carriers the broker represents in your state. Cunningham Group’s list includes The Doctors Company, ProAssurance, and MedPro’s companies, but not Coverys, so get a Coverys quote from Coverys or one of its agents or brokers.

What about price?

None of the four carriers posts physician premiums. MedPro lists what goes into its price: your specialty, where you practice, whether the policy is occurrence or claims-made, how many hours you work, and your claims history. Limits and tail terms change the price too, so compare quotes with the same limits and policy type.

Before you sign, ask each carrier or broker:

1.“Is this occurrence or claims-made? If claims-made, what is my retroactive date?”
2.“What are the limits, and are they mine alone or shared with a group?”
3.“Can you settle a claim without my written consent? Are there exceptions?”
4.“What will tail cost, who pays for it, and exactly when is it free?”
5.“What else is included: licensing board defense, cyber liability?”
6.“Which credits can I get: risk management courses, claims-free, new practitioner?”

Frequently asked questions

Is ProAssurance still a separate company?

It is now owned by The Doctors Company; the purchase closed on June 26, 2026. ProAssurance still writes policies through its own agents, and existing policies stay in force. The Doctors Company says ProAssurance insureds will most likely be offered renewal with The Doctors Company, and that a claims-made insured who renews there keeps the retroactive date, so the switch doesn’t require buying tail.

Which malpractice carriers sell occurrence policies?

MedPro Group and Coverys both publish occurrence policies, and The Doctors Company’s policy notice describes occurrence alongside claims-made. ProAssurance’s site describes only its claims-made policy. Coverys also sells a modified claims-made policy that includes an indefinite tail at no additional premium.

Is tail coverage ever free?

Sometimes, with conditions. ProAssurance’s claims-made policy provides tail automatically on death or disability, and on full retirement after at least five years of continuous claims-made coverage with it; its tail page says tail comes at no additional cost in some cases and for a premium in others. The Doctors Company offers free tail to qualified members on retirement, disability, or death, but doesn’t publish the qualifying terms; if you buy tail from it, you can spread the cost over two years without interest. Coverys’s modified claims-made policy includes tail. MedPro doesn’t publish its terms. Otherwise you pay for it: The Doctors Company says tail can cost from one year’s premium to a multiple of it, and MedPro says it can reach twice the annual premium.

What does consent to settle mean?

It decides whether the carrier can settle a claim against you without your agreement. The Doctors Company publishes that it will not settle without your written consent, subject to your policy terms and applicable law. MedPro, ProAssurance, and Coverys don’t publish the wording for their standard physician policies; MedPro’s own guide says to check that the clause lets you refuse and has no hidden exceptions. Ask any carrier for the specimen policy before you sign.

Do I need my own malpractice policy if my employer covers me?

Often not, but read what the employer’s policy says. Coverys suggests asking whether your limits are your own or shared with everyone on the employer’s policy, whether the employer needs your consent to settle, what happens to your coverage when you leave, and whether it covers work outside your job, such as moonlighting. If the coverage is claims-made, get the tail terms in your contract. Our tail coverage guide walks through it.

Should I buy through a broker or go direct?

Either works. The Doctors Company, MedPro, and Coverys take quote requests on their own sites and also work with agents and brokers; ProAssurance takes applications through its appointed agents. A broker such as Cunningham Group can quote several carriers at once, but only the ones it represents: its published list includes The Doctors Company, ProAssurance, and MedPro’s Medical Protective, and not Coverys.

Why doesn’t this page rank the carriers or show prices?

None of these carriers publishes physician premiums. Your price depends on your specialty, state, policy type, limits, and claims history, and it comes from a quote. A score we made up wouldn’t tell you which contract fits you, so this page compares the terms each carrier publishes instead.

Sources

Every page and document above was read September 27, 2026. Logos are from each company’s own website. Policy terms vary by state; the policy you are issued governs.