Missouri Medical Malpractice Insurance

House Bill 393

In 2005, House Bill 393 was signed and approved to designate tort reform for the state of Missouri. The bill made several changes to the medical malpractice insurance market in the state. It capped punitive damages and revised the cap placed on non-economic damages. The limit on punitive damages is set as the greater of $500,000 or five times the full amount to be paid to the claimant. Non-economic damages have been lowered the inflation-adjusted cap of $570,000 to $350,000.

Missouri's tort reform also places certain stipulations for defendants to have joint and several liability. Joint and several liability only applies to defendants who are 51% or more at fault. Any defendant found less than 51% at fault is not liable. Defendants found to have joint and several liability are responsible for proportionate damages bases on their liability. In addition, joint and several liability is not taken into account for punitive damages.

House Bill 393 has affected the rule regarding the venue. In order to protect the physician from an unfair trial that is typically in the claimant's favor, the location of the trial must be where the individual resided in when the injury first occurred.

Chapter 383 RsMO

The Missouri medical malpractice insurance market has remained stagnant for the past decade. However, Chapter 383 of the Missouri Revisited Statutes has made a distinct change in the market, allowing new competition to arise. This new competition, known as a mutual insurance company, is a nonprofit that provides malpractice insurance to physicians.

Chapter 383 of the Missouri Revised Statutes covers a series of topics including:

  • The Healthcare Stabilization Fund Feasibility Board
  • The annual publication of market rates
  • Reporting medical malpractice claims

Major Carriers

  • ProAssurance Indemnity Company, Inc.
  • Medical Protective Company
  • Missouri Professionals Mutual (MPM)
  • The Doctors Company
  • NORCAL Mutual Insurance Company
  • Medical Liability Alliance (MLA)
  • Missouri Doctors Mutual Insurance Co.
  • Medical Liability Alliance
  • MMIC Insurance, Inc.
  • Keystone Mutual Insurance Company
  • ISMIE Mutual Insurance Company
  • ISMIE Mutual Insurance Company

Missouri Medical Malpractice Insurance Rates By Specialty (Top 20)

Rates depend greatly on specialty. Physicians offering high-risk care, such as surgeons, have higher rates than doctors in lower-risk areas. Prices will vary, though, based on your claim history and location in addition to your specialty. Always talk to an insurance expert to get a more specific quote for your malpractice insurance.

Below are undiscounted state filed rate data averages across all territories for 1,000,000/3,000,000 limits.

Specialty Average Rate Lowest Rate Greatest Rate Count
Internal Medicine No Surgery $15,204 $8,741 $24,266 2,696
Family Practice No Surgery $13,751 $7,309 $24,266 2,414
Occupational Medicine $9,902 $5,084 $13,933 1,871
Pediatrics No Surgery $11,892 $7,309 $24,266 1,464
Emergency Medicine $32,868 $19,068 $53,385 1,128
Anesthesiology $17,252 $9,217 $24,956 1,060
Radiology - Diagnostic $18,001 $9,217 $30,333 919
Obstetrics and Gynecology Major Surgery $69,954 $31,781 $121,330 828
Psychiatry $10,302 $5,084 $19,413 827
General Surgery $47,235 $19,068 $72,798 706
Orthopedic Surgery No Spine $42,842 $19,068 $60,665 608
Cardiovascular Disease Minor Surgery $20,084 $12,077 $33,972 466
Ophthalmology No Surgery $10,427 $4,450 $19,413 431
Neurology No Surgery $19,464 $10,806 $30,333 393
Pathology No Surgery $12,021 $6,356 $19,413 360
Gastroenterology No Surgery $15,548 $10,269 $24,266 332
Pulmonary Disease No Surgery $16,684 $9,162 $30,333 258
Otorhinolaryngology Major Surgery $28,006 $10,806 $42,466 254
Dermatology No Surgery $10,284 $5,084 $16,986 230
Nephrology No Surgery $13,083 $7,309 $21,839 222

* Please note that the above rates are state filed rates. It is not uncommon for Gallagher Healthcare clients to receive up to 50% or more in discounts from state filed rates. Please Request a Quote to receive a custom premium indication.

Rate Range by Specialty

This chart compares the range of possible state filed medical malpractice premium rates by admitted markets and a few Gallagher Select markets broken out by the top 20 specialties in Missouri.

Missouri medical malpratice premium by specialty chart.

USA Ranking Map

The map below provides a visual display of the nation and compares what a typical primary care physician might pay compared to each individual state and county. This research is based on the average rate for a single specialty, the most common limits in that state, and the mature claims made premium. The darker the blue, the higher the average premium, see how Missouri compares to other states.

Malpractice Rate Heat Map - United States
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