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NORCAL Group 2014 Annual Report

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<strong>2014</strong> <strong>Annual</strong> <strong>Report</strong><br />

The Year of ______________


Our Mission<br />

To provide our policyholders the highest quality<br />

medical professional liability insurance products<br />

and services at the lowest responsible cost,<br />

while maintaining a financially sound company.<br />

To anticipate and influence changing industry<br />

and policyholder trends and respond to those<br />

trends in a manner which allows <strong>NORCAL</strong> Mutual<br />

to maintain its financial stability for the benefit<br />

of the policyholders.


A Message from the Chair and the CEO<br />

In Service of You, Our Policyholders<br />

Over the years, the <strong>NORCAL</strong> <strong>Group</strong> of companies has seen many changes<br />

in the practice of medicine and we have continually adapted to meet those<br />

evolving needs—introducing new products, refining operations, improving<br />

services, and now expanding to a national scale. Even as we continue our<br />

evolution, our priorities are as clear today as they were at our founding.<br />

We are a policyholder-focused company—there are no shareholders, no quarterly<br />

earnings calls, and no analysts’ projections to meet. For <strong>NORCAL</strong> it has always<br />

been and will always be about serving the best interests of you—our policyholders.<br />

StAYIng Ahead to Better Serve You<br />

The landscape of our healthcare system continues to change and become more complex.<br />

From new healthcare laws and the rise of cybercrime to the persistent threats against tort<br />

reform, the impacts to the practice of medicine are pervasive and unrelenting. <strong>NORCAL</strong><br />

works continuously to anticipate this dynamic environment by remaining at the forefront<br />

of emerging issues and adapting to meet your changing needs.<br />

For <strong>NORCAL</strong> it has always been and will always be about serving<br />

the best interests of you—our policyholders.<br />

In <strong>2014</strong>, we introduced a versatile new policy to better protect your practice with<br />

enhanced cyber liability and administrative defense coverage. We continued to be<br />

a staunch advocate for physicians’ rights and tort reform, serving as the largest<br />

contributor to the No On 46 coalition, to help defeat Proposition 46 in California<br />

along with our 700-strong coalition partners.<br />

We defend your community and we vigorously defend you. In <strong>2014</strong>, 89% of claims<br />

against our insureds were resolved without indemnity payments—one of the highest<br />

rates in the industry.<br />

* Includes physician completions only. Source: Accreditation Council for Continuing Medical Education (ACCME),<br />

List of All Currently Accredited CME Providers.<br />

4 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


Our Risk Management services continued to be among the strongest in the industry. Our<br />

continuing medical education (CME) participation is more than double that of the closest<br />

competitor.* In <strong>2014</strong>, we awarded over 35,470 CME certificates.<br />

Strength and Stability to Better Protect You<br />

Our ability to support and defend the critical issues that impact your practice can be<br />

attributed to our years of stability, strength and solid financial position. We are proud that<br />

we were again affirmed with an “A” (Excellent) rating by A.M. Best, a rating <strong>NORCAL</strong> Mutual<br />

has held for more than 30 years. In <strong>2014</strong>, we returned more than $14 million in dividends to<br />

our members due to their practice of good medicine and the sound business practices<br />

of the <strong>NORCAL</strong> <strong>Group</strong> of companies. To date, more than $500 million in dividends have<br />

been declared and paid.<br />

We are building on the strength of our foundation and growing and changing for you,<br />

moving from three regional companies to one national medical professional liability<br />

insurance (MPLI) company that is large enough and agile enough to serve the complex and<br />

varied needs of our policyholders. From the solo practitioner to the large multi-specialty<br />

group, we are committed to you every day, and are unwavering when you need us most.<br />

We are proud that you have put your trust in us and we look forward to another great<br />

year together.<br />

Thank you very much for your business and your confidence in our company.<br />

Jaan Sidorov, MD, MHSA, FACP<br />

Chair<br />

Scott Diener<br />

President &<br />

Chief Executive Officer


Arl Van Moore, Jr., MD<br />

The year of ___________________________<br />

Arl Van Moore, Jr., MD | Chairman and CEO of Strategic Radiology | Charlotte, NC<br />

“Strategic Radiology is always looking at innovative ways to approach our business<br />

needs. <strong>NORCAL</strong> Mutual understands the complete requisite of our members. The<br />

<strong>NORCAL</strong> team crafted a progressive program that brings significant benefits at<br />

a group level, but also enough flexibility to address the needs of our individual<br />

member groups.”<br />

6 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


<strong>2014</strong> — The Year of You<br />

Building a Better COMPAny for You<br />

We are changing because the needs of our members are changing.<br />

The complex and varied requirements for physicians, medical groups,<br />

and facilities are driving the need for flexible coverage options that<br />

meet the unique demands of each practice. Our strategic integration<br />

and expansion addresses these varied needs with the introduction of<br />

a versatile new policy, as well as improvements to our service model<br />

to further enhance our customers’ experience.<br />

Our national expansion continued throughout the year with the addition of more states<br />

to the <strong>NORCAL</strong> Mutual coverage area. We also introduced a new policy that offers greater<br />

flexibility and increased coverage of cyber liability and administrative defense. In <strong>2014</strong>,<br />

<strong>NORCAL</strong> began writing business in Illinois, Kansas, Missouri, Nevada and Texas, all states<br />

that were previously written by our subsidiary Medicus Insurance Company. Additionally,<br />

Delaware and Pennsylvania insureds were transitioned from PMSLIC Insurance Company<br />

to <strong>NORCAL</strong> Mutual in the second half of the year.<br />

We are changing because the needs of our policyholders are changing.<br />

Underpinning our expansion was the continued integration of our operations for greater<br />

efficiencies and continued service enhancements. A dedicated product development<br />

team was established to focus on new coverage offerings; our underwriting and operations<br />

processes were further streamlined; a national policyholder services strategy was<br />

implemented to provide extended support; and a mobile app to access risk management<br />

and CME benefits is under development to launch in early 2015.<br />

<strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong> 7


<strong>2014</strong> — The Year of You<br />

A COMPAny as Diverse as You<br />

Diversity remains a strategic advantage for us. Our physician-led board of directors is<br />

one of the most diverse in the industry, ensuring a wider perspective on matters that<br />

are important to you. Across our company, we cultivate an environment that embraces<br />

diversity of thought, cultural experiences and individual differences. This is essential to<br />

better understand the wide-ranging perspectives of a growing policyholder base that<br />

may differ in geography, size, specialty or needs.<br />

Through our Supplier Diversity program we are committed to pursuing business<br />

relationships with enterprises owned by individuals of diverse backgrounds. Those<br />

enterprises include women-, LGBT-, veteran-, disabled veteran- and minority-owned<br />

businesses that share our commitment to delivering outstanding value to our customers.<br />

Our physician-led board of directors is one of the most diverse<br />

in the industry, ensuring a wider perspective on matters that are<br />

important to you.<br />

National Experience with Local Attention<br />

Even as we broaden our reach as a national organization, we are committed to honoring<br />

our roots of localized attention and service. <strong>NORCAL</strong> <strong>Group</strong> now includes multiple offices<br />

in every major U.S. time zone to best serve your needs.<br />

Our local expertise also extends to the strong partnerships with our national network<br />

of local agent/brokers. Our partners continue to be a trusted source of information<br />

and support for our policyholders and for <strong>NORCAL</strong>.<br />

8 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


Carol Davis<br />

The year of ___________________________<br />

Carol Davis | Practice Administrator, Creekside Medical | Vancouver, WA<br />

“Clarity and openness were big selling points for moving to Medicus. Everyone has<br />

been readily available and responsive. We get prompt, thorough service from any<br />

department, and that is so important. The risk management service in particular<br />

is excellent. This is exactly what we needed from our provider.”<br />

<strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong> 9


A Note from Our CFO<br />

In <strong>2014</strong>, the healthcare sector continued to transform and change, and we<br />

are proud that the financial condition of <strong>NORCAL</strong> Mutual and its subsidiary<br />

companies has remained consistently strong throughout. Policyholder<br />

counts and renewal retention rates have both trended favorably as we<br />

have begun to transition PMSLIC and Medicus policyholders onto <strong>NORCAL</strong><br />

Mutual paper. <strong>NORCAL</strong> <strong>Group</strong>’s “A” (Excellent) rating and stable outlook<br />

was again affirmed by A.M. Best for the 31 st consecutive year.<br />

We are very pleased to maintain a healthy policyholder surplus of<br />

$642 million, which has been consistent over the past several years.<br />

<strong>NORCAL</strong> experienced solid claim results, and written premium grew even as the competitive<br />

environment endured. The growth of our Excess & Surplus (E&S) line also helped contribute<br />

to our success in <strong>2014</strong>. We are very pleased to maintain a healthy policyholder surplus of<br />

$642 million, which has been consistent over the past several years.<br />

We remain confident and optimistic about the future and our ability to protect our<br />

policyholders for years to come.<br />

Mark D. Johnson<br />

Senior Vice President & Chief Financial Officer


$1,556,058B<br />

$1,556,058B $1,551,482B<br />

1.5B<br />

500M<br />

400M<br />

2012 2012<br />

300M 2011 2011<br />

1B<br />

200M<br />

At-a-Glance: Financial Strength 100M and Stability<br />

.5B<br />

0<br />

0<br />

$1,565M<br />

$1,551M<br />

$1,556M<br />

$642M<br />

$634M<br />

$608M<br />

2012 2013 <strong>2014</strong><br />

2012 2013 <strong>2014</strong><br />

tOtal Admitted ASSEts<br />

for <strong>NORCAL</strong> <strong>Group</strong> remained stable at<br />

$1.5 billion over the past three years.<br />

Direct Earned Premium<br />

Policyholder Surplus<br />

continued to grow to $642 million<br />

due to sound business practices<br />

and solid investment returns.<br />

Direct Earned Premium<br />

300000 $289M $285M $293M<br />

30000 <strong>2014</strong><br />

<strong>2014</strong><br />

250000<br />

25000 2013<br />

23,536<br />

25,600<br />

27,390<br />

2013<br />

200000<br />

150000<br />

100000<br />

50000<br />

20000 2012<br />

15000<br />

10000<br />

5000<br />

2012<br />

0<br />

2012<br />

2013<br />

<strong>2014</strong><br />

0<br />

2012 2013 <strong>2014</strong><br />

Direct Written Premium<br />

increased to $293 $285,236M million as<br />

policyholder counts $285,236M and new<br />

business opportunities $294,318M rose in <strong>2014</strong>.<br />

2012 2013 <strong>2014</strong><br />

Policyholder Count<br />

has exceeded 27,000 as <strong>NORCAL</strong><br />

<strong>Group</strong> has expanded into new<br />

2013<br />

markets and offered new products.<br />

2012<br />

2011<br />

<strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong> 11


<strong>NORCAL</strong> <strong>Group</strong> Consolidated Financial Results<br />

The growth of the <strong>NORCAL</strong> <strong>Group</strong>, which includes <strong>NORCAL</strong> Mutual,<br />

Medicus and PMSLIC, has led to a better diversified MPLI option to<br />

protect physicians throughout the country. At year’s end, <strong>NORCAL</strong> <strong>Group</strong><br />

represented $295 million of MPLI premium across the nation, making<br />

<strong>NORCAL</strong> Mutual one of the largest mutual carriers.<br />

We are well capitalized with $1.56 billion in assets and have conservatively<br />

retained more than $642 million in policyholders’ surplus, ensuring the<br />

ability to protect our policyholders for many years to come. In <strong>2014</strong>, we<br />

declared more than $14 million in dividends to eligible <strong>NORCAL</strong> Mutual<br />

and PMSLIC policyholders.<br />

DoLLArs in ThouSAnDS as of 12/31<br />

StatutORY-BASIS Income Statements <strong>2014</strong> 2013<br />

Income<br />

Net premiums earned 275,523 289,187<br />

Net investment income 35,412 31,967<br />

Net realized gains on investments 30,285 45,852<br />

Total Income $ 341,220 $ 367,006<br />

Expenses<br />

Losses & loss adjustment expenses incurred 217,347 235,809<br />

Other underwriting expenses 47,756 49,553<br />

Acquisition costs, net 22,155 16,433<br />

Other expenses 3,415 3,010<br />

Total Expenses $ 290,673 $ 304,805<br />

Income before dividends & federal income taxes 50,547 62,201<br />

Dividends declared to policyholders, net 14,477 15,108<br />

Income before federal income taxes 36,070 47,093<br />

Federal income tax expense 9,844 11,644<br />

Net Income $ 26,226 $ 35,449<br />

12 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


DoLLArs in ThouSAnDS as of 12/31<br />

StatutORY-BASIS Balance Sheets <strong>2014</strong> 2013<br />

Admitted ASSEts<br />

Debt securities 1,052,124 1,026,648<br />

Equity securities 262,558 291,713<br />

Cash, cash equivalents & short-term investments 66,570 58,012<br />

Other invested assets 64,541 62,842<br />

Total Cash & Investments $ 1,445,793 $ 1,439,215<br />

Investment income receivable 11,222 12,277<br />

Premiums receivable 57,090 48,783<br />

Reinsurance recoverables 1,060 1,825<br />

Federal income tax recoverable – 4,753<br />

Deferred tax assets 28,557 20,780<br />

Other admitted assets 21,134 23,849<br />

total Admitted Assets $ 1,564,856 $ 1,551,482<br />

Liabilities<br />

Losses & loss adjustment expenses 652,257 673,625<br />

Unearned premiums 133,615 124,462<br />

Premiums collected for future renewals 31,095 31,053<br />

Dividends payable to policyholders 15,488 16,422<br />

Reinsurance premiums payable – 70<br />

Federal income tax payable 3,907 –<br />

Funds held under reinsurance treaties 9,519 14,071<br />

Notes payable 9,375 9,155<br />

Other liabilities 67,465 48,422<br />

total Liabilities $ 922,721 $ 917,280<br />

Policyholders’ Surplus<br />

Unassigned surplus 642,135 634,202<br />

Total Policyholders’ Surplus $ 642,135 $ 634,202<br />

Total Liabilities & Policyholders’ Surplus $ 1,564,856 $ 1,551,482<br />

<strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong> 13


<strong>NORCAL</strong> <strong>Group</strong> National Footprint<br />

WA<br />

MT<br />

ND<br />

OR<br />

Carol Davis<br />

Practice Administrator,<br />

Creekside Medical<br />

Vancouver, WA<br />

ID<br />

WY<br />

SD<br />

NE<br />

NV<br />

CA<br />

UT<br />

CO<br />

KS<br />

AZ<br />

NM<br />

TX<br />

AK<br />

HI<br />

David Pittman, JD, MBA<br />

CEO,<br />

Bay Area Surgical Specialists (BASS)<br />

Walnut Creek, CA<br />

14 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


Ira Thal, MD<br />

Internal Medicine<br />

Paoli, PA<br />

ME<br />

MN<br />

VT<br />

NH<br />

WI<br />

MI<br />

NY<br />

MA<br />

CT<br />

RI<br />

IA<br />

IL<br />

IN<br />

OH<br />

PA<br />

MD<br />

NJ<br />

DE<br />

WV<br />

MO<br />

KY<br />

VA<br />

DC<br />

OK<br />

AR<br />

TN<br />

SC<br />

NC<br />

Arl Van Moore, Jr., MD<br />

Chairman and CEO,<br />

Strategic Radiology<br />

Charlotte, NC<br />

MS<br />

AL<br />

GA<br />

LA<br />

FL<br />

Active, Writing<br />

States with Certificate<br />

of Authority (COA)<br />

Prabhdeep Brar, MD<br />

Pediatrician<br />

Milledgeville, GA<br />

<strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong> 15


The year of ___________________________<br />

Ira Thal, MD | Internal Medicine | Paoli, PA<br />

Ira Thal, M D<br />

“We greatly appreciated all of the efforts and support from the beginning and in the<br />

updates, preparation, and daily support during trial. We never felt alone. <strong>NORCAL</strong><br />

supported us during our darkest moments when we were losing faith. It was an<br />

emotional week and we were very glad they were there every step of the way. We felt<br />

that they went above and beyond, and we greatly appreciate everything they did for us.”<br />

16 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


Urology 353<br />

Dermatology Plastic Surgery 461 218<br />

Policyholders by Specialty<br />

Urgent Urology Care 353 555<br />

Gastroenterology Dermatology 570<br />

Plastic Surgery 461 218<br />

Neurology Urgent 584<br />

Urology Care 353 555<br />

Orthopedics Gastroenterology 729<br />

Dermatology 570<br />

Plastic Surgery<br />

461<br />

218<br />

Emergency Neurology Medicine 818<br />

Urgent 584<br />

Urology<br />

Care<br />

353<br />

555<br />

General Orthopedics Surgery 820<br />

Gastroenterology 729<br />

Dermatology<br />

570<br />

Plastic Surgery 461 218<br />

Cardiology Emergency Medicine 907<br />

Neurology 818<br />

Urgent<br />

584<br />

Urology Care 353 555<br />

Hospitalist General Surgery 1,004<br />

Orthopedics 820<br />

Gastroenterology<br />

729<br />

570<br />

TOTAL<br />

Dermatology Plastic Surgery 461 218<br />

OB/GYN Cardiology 1,140 Policyholders<br />

Emergency 907<br />

Neurology<br />

Medicine 818<br />

Urgent Urology Care 353<br />

584 555<br />

Anesthesiology Hospitalist 1,0041,49927,390<br />

General<br />

Orthopedics<br />

Surgery 820<br />

Gastroenterology Dermatology<br />

729 570<br />

Pediatrics OB/GYN Plastic Surgery<br />

461<br />

1,140 1,636218<br />

Cardiology<br />

Emergency<br />

907<br />

Neurology Urgent 584 Medicine 818<br />

Radiology Anesthesiology Urology<br />

Care<br />

353<br />

555<br />

2,213<br />

Hospitalist 1,0041,499<br />

General Orthopedics Gastroenterology<br />

Surgery 729820<br />

Internal Pediatrics Dermatology<br />

570<br />

Medicine 1,636 2,960<br />

OB/GYN Plastic Surgery 461<br />

Cardiology<br />

1,140 218<br />

Emergency Neurology Medicine 907 818<br />

Family Radiology Urgent<br />

584<br />

Practice 2,2133,520<br />

Anesthesiology Urology Care 353 555<br />

Hospitalist 1,004<br />

1,499<br />

General Orthopedics Surgery 820<br />

Other Internal Gastroenterology<br />

729<br />

7,405<br />

Pediatrics Dermatology Medicine 1,636 2,960 570<br />

OB/GYN Plastic Surgery<br />

461<br />

Cardiology 1,140 218<br />

Emergency 907<br />

Family Neurology<br />

Medicine 818<br />

Radiology Urgent Practice 584<br />

2,2133,520<br />

Anesthesiology Urology<br />

Care<br />

353<br />

555<br />

Hospitalist General 1,0041,499<br />

Other Orthopedics<br />

Surgery 820<br />

Internal Gastroenterology 7,405 729<br />

Pediatrics Dermatology Medicine<br />

1,636 461 2,960 570<br />

OB/GYN Cardiology 1,140<br />

Emergency<br />

907<br />

Family Neurology Medicine 818<br />

Radiology Urgent Practice Care<br />

584<br />

2,213 5553,520<br />

Anesthesiology Hospitalist 1,0041,499<br />

General<br />

Other Orthopedics Surgery 820<br />

Internal Gastroenterology 7,405 729<br />

Pediatrics OB/GYN<br />

Medicine<br />

1,140 1,636 2,960 570<br />

Cardiology Emergency 907<br />

Family Neurology<br />

Radiology Anesthesiology<br />

Practice 584<br />

Medicine 818<br />

2,2133,520<br />

Hospitalist 1,004<br />

1,499<br />

General<br />

Other Orthopedics<br />

Surgery<br />

Internal Pediatrics<br />

7,405 729<br />

820<br />

Medicine 1,636 2,960<br />

OB/GYN Cardiology 1,140<br />

Emergency Medicine<br />

907<br />

818<br />

Family Radiology Practice 2,2133,520<br />

Anesthesiology Hospitalist 1,0041,499<br />

General Surgery 820<br />

Other Internal 7,405<br />

Pediatrics<br />

Medicine<br />

1,636<br />

2,960<br />

OB/GYN<br />

Cardiology<br />

1,140<br />

907<br />

Family<br />

Radiology<br />

Practice<br />

2,213<br />

3,520<br />

Anesthesiology<br />

Hospitalist 1,004<br />

1,499<br />

Other<br />

Internal<br />

7,405<br />

Pediatrics Medicine 1,636 2,960<br />

OB/GYN 1,140<br />

Family Radiology Practice 2,2133,520<br />

Anesthesiology 1,499<br />

Other Internal 7,405<br />

Pediatrics<br />

Medicine<br />

1,636<br />

2,960<br />

Family<br />

Radiology<br />

Practice<br />

2,213<br />

3,520<br />

Other<br />

Internal<br />

7,405<br />

Medicine 2,960<br />

Plastic Surgery 218<br />

Urology 353<br />

Dermatology Plastic Surgery 461 218<br />

Urgent Urology Care 353 555<br />

Gastroenterology Dermatology Plastic Surgery 461 218<br />

570<br />

Neurology Urgent Urology Care 353<br />

584 555<br />

Plastic Surger<br />

Urology 353<br />

Dermatology<br />

Urgent Care<br />

Gastroentero<br />

Neurology 58<br />

Orthopedics Gastroenterology Dermatology<br />

729 570<br />

Plastic Surgery 461 218<br />

Emergency Neurology Urgent 584 Medicine 818<br />

Urology Care 353 555<br />

General Orthopedics Gastroenterology<br />

Surgery 729820<br />

Dermatology 570<br />

Plastic Surgery 461 218<br />

Cardiology Emergency Neurology Medicine 907 818<br />

Urgent 584<br />

Urology Care 353 555<br />

Hospitalist General Orthopedics Surgery 1,004820<br />

Gastroenterology 729<br />

Dermatology Plastic Surgery 461 218<br />

570<br />

OB/GYN Cardiology Emergency<br />

1,140 907<br />

Neurology Medicine 818<br />

Urgent Urology Care 353<br />

584 555<br />

Anesthesiology Hospitalist General 1,0041,499<br />

Orthopedics Surgery 820<br />

Gastroenterology Dermatology<br />

729 570<br />

Pediatrics OB/GYN<br />

Plastic Surgery<br />

461<br />

Cardiology 1,140 1,636218<br />

Emergency 907<br />

Neurology Urgent 584 Medicine 818<br />

Radiology Anesthesiology<br />

Urology<br />

Care<br />

353<br />

555<br />

Hospitalist<br />

2,213<br />

1,0041,499<br />

General Orthopedics Gastroenterology<br />

Surgery 729820<br />

Internal Pediatrics<br />

Dermatology<br />

570<br />

OB/GYN Plastic Surgery Medicine<br />

1,140 1,636<br />

461 2182,960<br />

Cardiology Emergency Neurology Medicine 907 818<br />

Family Radiology<br />

Urgent<br />

584<br />

Anesthesiology Urology Practice Care 353 2,213<br />

5553,520<br />

Hospitalist 1,0041,499<br />

General Orthopedics Surgery 820<br />

Other Internal<br />

Gastroenterology<br />

729<br />

Pediatrics Dermatology 7,405 Medicine 1,636 2,960<br />

570<br />

OB/GYN Plastic Surgery 461<br />

Cardiology 1,140 218<br />

Emergency 907<br />

Family<br />

Neurology<br />

Medicine 818<br />

Radiology Urgent Practice<br />

584<br />

2,2133,520<br />

Anesthesiology Urology Care 353 555<br />

Hospitalist General 1,0041,499<br />

Other<br />

Orthopedics<br />

Surgery 820<br />

Internal Gastroenterology 7,405<br />

729<br />

Pediatrics Dermatology Medicine 1,636 461 2,960 570<br />

OB/GYN Cardiology 1,140<br />

Emergency<br />

907<br />

Family Neurology Medicine 818<br />

Radiology Urgent Practice Care 584<br />

2,213 5553,520<br />

Anesthesiology Hospitalist 1,0041,499<br />

General<br />

Other Orthopedics Surgery 820<br />

Internal Gastroenterology 7,405 729<br />

Pediatrics OB/GYN<br />

Medicine<br />

1,140 1,636 2,960 570<br />

Cardiology Emergency 907<br />

Family Neurology<br />

Radiology Anesthesiology<br />

Practice 584 Medicine 818<br />

3,520<br />

<strong>2014</strong> <strong>NORCAL</strong><br />

2,213<br />

Hospitalist 1,004 <strong>Group</strong> 1,499<strong>Annual</strong> <strong>Report</strong> 17<br />

General Surgery 820<br />

Other Orthopedics<br />

Internal Pediatrics<br />

7,405 729<br />

Medicine 1,636 2,960<br />

Orthopedics<br />

Emergency M<br />

General Surge<br />

Cardiology 9<br />

Hospitalist 1,<br />

OB/GYN 1,14<br />

Anesthesiolog<br />

Pediatrics 1,6<br />

Radiology 2,<br />

Internal Medic<br />

Family Practic<br />

Other 7,405


Endorsing & Sponsoring Organizations<br />

County Medical<br />

Societies<br />

California:<br />

Butte-Glenn<br />

Fresno-Madera<br />

Humboldt-Del Norte<br />

Imperial<br />

Inyo-Mono<br />

Kern<br />

Kings<br />

Lassen-Plumas-<br />

Modoc-Sierra<br />

Mendocino-Lake<br />

Merced-Mariposa<br />

Monterey<br />

Napa<br />

Placer-Nevada<br />

Riverside<br />

San Benito<br />

San Bernardino<br />

San Joaquin<br />

San Luis Obispo<br />

San Mateo<br />

Santa Clara<br />

Santa Cruz<br />

Sierra Sacramento<br />

Valley<br />

Sonoma<br />

Stanislaus<br />

Tehama<br />

Tulare<br />

Tuolumne<br />

Yuba-Sutter-Colusa<br />

PennsylVANia:<br />

Allegheny<br />

Berks<br />

Dauphin<br />

Delaware<br />

Lancaster<br />

Montgomery<br />

Philadelphia<br />

York<br />

State Medical<br />

Societies<br />

Medical Society<br />

of Delaware<br />

Pennsylvania<br />

Medical Society<br />

Rhode Island<br />

Medical Society<br />

Professional<br />

Organizations<br />

Alaska Physicians &<br />

Surgeons, Inc.<br />

American Academy<br />

of Pediatrics —<br />

Pennsylvania Chapter<br />

Osteopathic Physicians &<br />

Surgeons of California<br />

Pennsylvania Academy<br />

of Family Physicians<br />

Pennsylvania Osteopathic<br />

Medical Association<br />

Urological Association<br />

of Pennsylvania<br />

18 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


Prabhdeep Brar, MD<br />

The year of ____________________________<br />

Prabhdeep Brar, MD | Pediatrician | Milledgeville, GA<br />

“ the policyholder services and risk management teams always know exactly what I need.<br />

Claims Rx has been a big plus, a good way of learning via real-time claims. I even share it with<br />

the medical students who rotate with me. I attended a CME event that focused on treatment<br />

methods practiced by other cultures and how I could apply them to my practice. I thought that<br />

was so interesting. That educational diversity is very important to me.”<br />

<strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong> 19


David Pittman, JD, MBA<br />

The year of _____________________________<br />

David Pittman, JD, MBA | CEO, Bay Area Surgical Specialists (BASS) | Walnut Creek, CA<br />

“BASS grew over the last two years from a single specialty surgical group with 16 physicians<br />

to a specialty group with over 60 physicians, representing 10 surgical and non-surgical<br />

specialties. <strong>NORCAL</strong> Mutual has been able to adapt and partner with us as we have grown<br />

in size and complexity, providing us outstanding risk management and defense advice that<br />

helped BASS minimize the risks of litigation. <strong>NORCAL</strong> carries the expertise needed to work<br />

with both our group’s centralized administration and our individual providers. <strong>NORCAL</strong> is<br />

our trusted professional liability coverage provider because they work tirelessly with our<br />

organization to assure nothing slips through the cracks.”<br />

20 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


<strong>NORCAL</strong> Mutual Officers<br />

Scott Diener<br />

President & Chief Executive<br />

Officer<br />

Julie L. Burns<br />

Vice President,<br />

Human Resources<br />

Timothy J. Friers, Jr.<br />

Senior Vice President &<br />

Chief Underwriting Officer<br />

Karen J. Frisella<br />

Vice President,<br />

Claims<br />

Douglas M. Hall<br />

Vice President,<br />

Information Technology<br />

Mark D. Johnson<br />

Senior Vice President &<br />

Chief Financial Officer<br />

Ronald C. Rumin<br />

Senior Vice President,<br />

Strategic Development<br />

Joy E. Corso<br />

Vice President,<br />

Marketing &<br />

Communications<br />

Denis J. Dillon<br />

Vice President,<br />

Finance & Treasurer<br />

Keith A. Hui<br />

Vice President,<br />

Strategic Partnerships<br />

Thomas J. Lownik<br />

Vice President,<br />

Underwriting<br />

Dennis A. Meisel<br />

Vice President,<br />

Finance & Controller<br />

Tina L. Orndorff<br />

Vice President,<br />

Associate General Counsel &<br />

Assistant Secretary<br />

Michael G. Roque<br />

Vice President,<br />

Sales & Business<br />

Development<br />

Dustin A. Shaver<br />

Vice President,<br />

Risk Management<br />

Neil E. Simons<br />

Vice President,<br />

Product Development<br />

Jeffrey J. Smith<br />

Vice President &<br />

Chief Actuary<br />

Cobie Buchman<br />

Associate Vice President,<br />

Claims<br />

Christoph L. Dugré<br />

Associate Vice President,<br />

Claims<br />

Joseph S. Giulivo<br />

Associate Vice President,<br />

Underwriting Operations<br />

Annie E. Matincheck<br />

Associate Vice President,<br />

Underwriting<br />

Michael C. Osborne<br />

Associate Vice President,<br />

Claims<br />

Lucy D. Sam<br />

Associate Vice President,<br />

Underwriting<br />

Kevin W. Smith<br />

Associate Vice President,<br />

Underwriting<br />

Bruce P. Williams<br />

Associate Vice President,<br />

Actuarial<br />

<strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong> 21


Board of Directors<br />

A: Jaan E. Sidorov, MD, MHSA, FACP<br />

Chair — Internal Medicine<br />

Dr. Sidorov has been a Director since<br />

2009 and Chair since 2011. He serves on<br />

the Board of Trustees for the Pennsylvania<br />

Medical Society. He was a primary care<br />

physician for more than 24 years while<br />

also authoring more than 45 peerreviewed<br />

publications.<br />

D: Fabiola Cobarrubias, MD, MBA<br />

Hospitalist<br />

Dr. Cobarrubias has been a Director<br />

since 2012, and serves as a hospitalist<br />

consultant to <strong>NORCAL</strong> Mutual’s Claims<br />

Advisory Committee. She is a hospitalist<br />

at California Pacific Medical Center, and<br />

a founder/current board member of<br />

Pacific Inpatient Medical <strong>Group</strong>.<br />

B: Patricia A. Dailey, MD<br />

Vice Chair — Anesthesiology<br />

Dr. Dailey has been a Director since<br />

2004. She has served as President of the<br />

California Society of Anesthesiologists,<br />

and has practiced as an anesthesiologist<br />

in San Mateo County for more than 27<br />

years. She is a Director of the Mills-<br />

Peninsula Medical <strong>Group</strong> and Anesthesia<br />

Care Associates Medical <strong>Group</strong>.<br />

E: Alice H. Gannon, FCAS, MAAA, CPCU<br />

Actuary<br />

Ms. Gannon has been a Director since<br />

2009. As an actuary, she has worked in<br />

the insurance industry for more than<br />

39 years. She serves on the Board<br />

for the Texas Windstorm Insurance<br />

Association and the Insurance Institute<br />

of Highway Safety and Highway Loss<br />

Data Institute.<br />

C: Sandra L. Beretta, MD<br />

Secretary of the Board —<br />

Obstetrics & Gynecology<br />

Dr. Beretta has been a Director since<br />

2011, as well as a member of the Claims<br />

Advisory Committee since 2003. She<br />

is a managing partner of a private<br />

practice partnership in San Mateo, CA,<br />

and has been a practicing OB-GYN for<br />

nearly 24 years.<br />

F: Roger M. Hayashi, MD<br />

Vascular Surgery<br />

Dr. Hayashi has been a Director since<br />

2004, and served as a surgical consultant<br />

to the Claims Advisory Committee since<br />

1996. He has retired from practice as a<br />

vascular surgeon in Santa Clara County<br />

after 33 years. He served as Chair of<br />

the Department of Surgery and Chair<br />

of Cardiovascular Services at Good<br />

Samaritan Hospital.<br />

22 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


G: M. Diane Koken, JD<br />

Legal Consultant<br />

Ms. Koken has been a Director since<br />

2009. She has been an attorney and<br />

insurance professional for more than<br />

39 years, and served as the Pennsylvania<br />

Insurance Commissioner from 1997 to<br />

2007. Ms. Koken is past President of<br />

the National Association of Insurance<br />

Commissioners and a past member of<br />

the Advisory Board for the Center for<br />

Ethics in Financial Services.<br />

H: Steven J. Packer, MD<br />

President and CEO,<br />

Community Hospital Foundation<br />

Dr. Packer has been a Director since 2013.<br />

He is President and CEO of Community<br />

Hospital Foundation and its related<br />

companies. He previously served as Chair<br />

of the California Hospital Association.<br />

I: Rebecca J. Patchin, MD<br />

Anesthesiology<br />

Dr. Patchin has been a Director since<br />

2011. She has been an anesthesiologist<br />

and pain management specialist in<br />

Riverside–San Bernardino counties for<br />

20 years. She serves on the Board for<br />

The Center for Transforming Health Care.<br />

J: Scott C. Syphax<br />

President & CEO,<br />

Nehemiah Corporation of America<br />

Mr. Syphax has been a Director since<br />

2011. He leads the Nehemiah Corporation<br />

of America (NCA), a not-for-profit<br />

community development corporation<br />

based in Sacramento, CA. Mr. Syphax<br />

also serves on the board of directors<br />

for the Federal Home Loan Bank of San<br />

Francisco and is Chair of Valley Vision.<br />

C J G D B<br />

A E H I F


Your Needs Today and Tomorrow<br />

The <strong>NORCAL</strong> <strong>Group</strong> of companies has many moving parts, and this past<br />

year we took great strides to move as one. In 2015, we will introduce our new<br />

policy into even more markets and launch new tools to help our insureds<br />

access policy, claims and risk management information. We have a solid<br />

foundation on which to grow because you have helped guide our company<br />

for nearly 40 years. We continually look for opportunities to improve our<br />

service and products to meet your needs, and we remain committed to<br />

providing the highest quality products and services at a responsible price.<br />

In 2015, we will introduce our new policy into even more markets<br />

and launch new tools to help our policyholders access policy,<br />

claims and risk management information.<br />

24 <strong>2014</strong> <strong>NORCAL</strong> <strong>Group</strong> <strong>Annual</strong> <strong>Report</strong>


A National MPLI COMPANY<br />

Large and agile enough to serve the complex<br />

and varied needs of our policyholders


norcalmutual.COM<br />

560 Davis Street, Suite 200 | San Francisco, CA 94111-1974 | 844.4<strong>NORCAL</strong><br />

©2015 <strong>NORCAL</strong> Mutual Insurance Company. All rights reserved. ng0537

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