NORCAL Group 2015 Annual Report

norcalgroup

2015 ANNUAL REPORT

40

N O R C A L M U T U A L

I N S U R A N C E C O M PA N Y

YEARS

S I N C E 1 9 7 5


I N S U R A N C E C O M PA N Y

YEARS

S I N C E 1 9 7 5

N O R C A L M U T U A L

40


OUR MISSION

To provide our policyholders the highest

quality medical professional liability

insurance products and services at the

lowest responsible cost, while maintaining

a financially sound company.

To anticipate and influence changing

industry and policyholder trends and

respond to those trends in a manner

which allows NORCAL Mutual to maintain

its financial stability for the benefit of the

policyholders.

Our Mission................................................................................... 1

A Message from the Chair and the CEO........................ 3

Year in Review............................................................................ 5

A Message from the CFO.....................................................12

NORCAL Group Consolidated Financial Results......14

NORCAL Group Officers.......................................................17

Board of Directors...................................................................18

Our Vision................................................................................. 20


NORCAL GROUP NATIONAL FOOTPRINT

AS OF YEAR-END 2015

WA

CA

OR

NV

ID

UT

MT

WY

CO

ND

SD

NE

KS

MN

IA

MO

WI

IL

IN

MI

KY

OH

WV

NY

PA

MD

VA

ME

VT

NH

MA

CT

RI

NJ

DE

DC

AZ

NM

OK

AR

MS

TN

AL

GA

SC

NC

TX

LA

AK

HI

FL

ACTIVE, WRITING

STATES WITH CERTIFICATE

OF AUTHORITY (COA)

0

500 Miles

0 500 KM


A MESSAGE FROM THE CHAIR AND THE CEO

Serving Generations of Physicians

It seems like only yesterday that a group of physicians in

Northern California — faced with a crisis in the liability

insurance industry that threatened their practices — banded

together to start a new policyholder-owned and physiciandirected

insurance company for the betterment of their

fellow physicians. That company was NORCAL Mutual.

Forty years later, we’re a national company serving multiple

generations of physicians and we’re still holding true to our

roots and still innovating in the medical professional liability

insurance industry.

Forty Years of an Unwavering Mission

When we issued our first policy on November 1, 1975,

we could have only imagined the advancements in the

practice of medicine that we see today. While NORCAL

has seen many changes in the medical professional liability

insurance (MPLI) industry, our philosophy expressed at our

founding has remained consistent even as we’ve grown

and evolved to stay ahead of our industry’s changing

needs. Even today, in historically soft market conditions,

we continue to succeed by maintaining this focus. Whether

you call this “constancy and change” as we did in our 1987

Annual Report or “tradition and transformation” as we

called it in 2007, it comes down to this: anticipating

and influencing a changing industry while retaining our

unwavering commitment to financial strength and stability

for the benefit of our policyholders. This is who we are.

This is our unwavering mission.

Diverse healthcare professionals embrace our commitment

to honoring tradition and advancing necessary change, as

evidenced by the multiple generations of policyholders who

offer their testimonials throughout this report. What would

lead policyholders to recommend NORCAL to their children

or grandchildren? The confidence that our financial strength

means we’ll be there when they need us, now and for years

to come, and the belief that our policyholders are the focus

of all that we do.

Our first president, Dr. Ivan C. Neubauer, expressed this

founding philosophy succinctly in 1975: “to represent the

physician [while keeping] our Company financially sound

for the benefit of all its members.” Compare that simple

yet powerful idea with our first official company mission

statement in 1987 — which built on that founding vision —

and our current mission statement shown on the opening

page that expresses the same ideals today.

Strength and Stability for Generations to Come

Even as market and industry pressures continue, from soft

pricing and industry consolidation to Affordable Care Act

impacts and tort reform, we’ve remained squarely focused

on executing against our strategy. Our integration work

bringing four regional companies under one national banner

remains on track, driving further scale and efficiency to our

operations and a common policy to all our insureds. We’ve

also taken advantage of opportunistic growth strategies

in the form of the strategic acquisition of FD Insurance on

December 31, 2015, bringing 2,200 insureds and significant

premium, which we’ll recognize in 2016. FD Insurance is a

well-respected carrier based in Jacksonville, FL, which will

now become NORCAL’s Southeast hub.

All of these efforts have been purposeful steps on

our journey, while maintaining a sharp focus on fiscal

responsibility. A testament to this focus is to once again

earn A.M. Best’s “A” (Excellent) rating for the 32nd

consecutive year — an achievement we’re very proud of.

Our mission is as powerful now as it was when we began

40 years ago. As we report on our 40th full year as a

policyholder-owned, physician-directed company, we

recommit ourselves to this mission of serving you —

our policyholders — and the generations of policyholders

to come.

We thank you for the trust that you continue to place in us.

Scott Diener

President & Chief Executive Officer

Jaan Sidorov, MD, MHSA, FACP

Chair

2015 ANNUAL REPORT 3


Forty-Year Policyholder Extends Legacy through Daughter

Dr. Michael N. Cowan, board certified allergist and immunologist, was one of NORCAL’s first policyholders in

1975. He was also the first allergist in the peninsula region, when he and his wife established Peninsula Allergy

Associates in 1966. They later opened the Pleasanton Allergy and Asthma Clinic, where today, he and his

daughter, Dr. Beth Cowan, practice together. The duo have worked together, building a practice of varying

complementary specialties that meet the broad healthcare needs of the community. Their clinic is comprised

of allergy, dermatology and OB/GYN.

Beth says she wanted to be a doctor like her dad, but the practice of medicine today is much different than

it used to be. “Medicine marches forward in some ways in good and some ways in very frivolous directions,”

she says. Technological advances, regimented documentation and the amount of knowledge that must be

maintained are just some of the major differences that have changed the face of medicine between these

two generations.

They choose to entrust their practice to NORCAL for the consistent, responsive service they receive. Their

practice has also benefited from an onsite assessment from a NORCAL risk management specialist who

helped provide guidance in training staff on better record keeping, which has helped their practice.

Dr. Michael N. Cowan and Dr. Beth Cowan


YEAR IN REVIEW

A Legacy of

Supporting Generations

As a policyholder-owned and physician-directed

company, we are very proud to have insureds

who have been with NORCAL for many years

and whose children — and grandchildren — are

now part of the NORCAL family. Some of their

stories are shared throughout this report. We

are thankful for the trust these generations of

policyholders — and all our policyholders — have

placed in us, and are pleased to be celebrating

40 years of serving you.

From planting our roots in Northern California in 1975, we expanded across

the state and into Alaska in 1991. In 1994 we began writing in Rhode Island, and

continued into Pennsylvania in 1998 and Delaware in 2007. Our growth accelerated

in 2011 with the addition of 24 new states with the acquisition of Medicus Insurance

Company. And now, to close out 2015, we finalized the acquisition of FD Insurance,

Florida’s fourth largest MPLI carrier, and established Jacksonville as NORCAL’s

Southeast hub. Our national growth has brought together more than 27,000

policyholders with diverse locations and specialties. At year-end 2015, the

NORCAL Group of companies was actively writing in a total of 35 states and

the District of Columbia, with plans to enter additional markets in 2016.

Expertise and Trust Built Over Decades

Since our early years, NORCAL Mutual has been a leader in risk management,

launching a joint effort with California hospitals in 1978 to help advance patient safety.

Our risk management efforts expanded in 1980 with the launch of Claims Rx and

the initiation of claims prevention seminars to guide policyholders in ways to reduce

risk and enhance patient safety. This industry-leading program is moving the dial in

helping practices identify liability risks and has a history of recognized excellence.

Beginning in 1982, NORCAL produced a series of five educational risk management

and claims videos that would eventually win a total of seven national awards. In 2015,

Claims Rx received an “Award of Excellence” for innovative work by the Insurance

Marketing and Communications Association, and further national recognition with our

Medical Liability Risk Management Series winning PR Daily’s Content Marketing

Award for “Best Content Series,” besting notable Fortune 500 companies.

2015 ANNUAL REPORT 5


Three Generations of Physicians Work to Improve

Access to Medicine in Rural West Virginia

Dr. Samuel Muscari, Sr., established Family Healthcare Associates, Inc. in 1986 with the goal of improving

access to healthcare services in rural West Virginia. Today, there are three generations of Muscari physicians

practicing medicine together, including his two sons and a grandson. This Medicus-insured practice operates

six rural health clinics across four counties in the state and includes Dr. Anthony Flaim and several mid-level

practitioners.

Samuel Sr. had always hoped his sons would follow in his footsteps and is proud to have a family of

physicians helping the underserved in West Virginia. His grandson Dr. Nicholas Muscari says the shortage

of physicians in West Virginia has created a barrier for patients. “One of my grandfather’s catchphrases

has been ‘You don’t get sick by appointment.’ We try to offer ease of access versus having to call in and

get an appointment. Providing the ease of care is extremely beneficial to the population.”

Each generation in the Muscari family has seen tremendous changes in the practice of medicine, including

the shift to electronic health records (EHR). Even though the shift to EHRs was intended to improve

communication between practices, the ability to obtain information remains a challenge in rural parts

of the state, making it difficult for physicians to keep accurate documentation. Through the changes,

Dr. Samuel Muscari, Jr., says they have entrusted their family practice to Medicus Insurance Company

because they feel safe practicing medicine under the protection of an efficient insurance carrier and

for the quality service at a competitive price they receive.

Dr. Michael Muscari says he feels lucky to practice medicine in his home state. “I could not ask for more than

the opportunity to work with my family and serve our community.”

(Left to Right) Dr. Samuel Muscari, Jr., Dr. Nicholas Muscari, Dr. Samuel Muscari, Sr., Dr. Anthony Flaim and Dr.

Michael Muscari.


YEAR IN REVIEW

Our continuing medical education (CME) program remains among the most robust in

the industry, awarding 30,356 CME certificates to participants in 2015. In 1997, NORCAL

was among the first MPLI carriers to earn accreditation from the Accreditation

Council for Continuing Medical Education (ACCME) and, in 2015, NORCAL earned

ACCME Accreditation with Commendation — the highest level of designation —

for the third consecutive six-year cycle. To stay on top of emerging trends and needs,

we launched the MyNORCAL® app to conveniently bring exclusive CME learning

opportunities to policyholders whenever and wherever they need it, including

current and past issues of the now exclusively-digital Claims Rx.

Protecting Practices Today and Tomorrow

Our history of influencing and identifying emerging trends and adapting our products

and services to meet the changing needs of generations of physicians is a hallmark

of NORCAL. Over the years, we have delivered innovative coverage options, such

as administrative defense and protection for group practices in 1987, then added

additional coverage options including tail, entity, prior acts, and information and

network security coverages, to name a few.

Today we continue this legacy, ensuring that we offer coverages to meet the complex

needs of today’s practice. By year-end 2015, our common national policy — NORCAL

Mutual Health Care Professional (HCP) — was active in 13 of our 35 active states,

reaching 89.7% of our policyholders. Fourteen additional states are approved by state

departments of insurance to roll out in 2016 and three other states have applications

pending. This policy offers enhancements to areas that are crucial to today’s practices

such as cyber liability, administrative defense, health care general liability, non-owned

auto and hired auto, and administration of your employee benefits program.

Additionally, in response to the growing complexities of changing practice structures,

NORCAL formed the Custom Accounts group to focus specifically on coverage for

the unique requirements of insureds not served by our standard policy such as special

programs, multi-state and multi-specialty practices.

Our ability to serve and support our policyholder-owners is directly related to the

purposeful strategic steps we have taken. Our growth plans are carefully balanced

with our fiduciary responsibility, ensuring that we retain our strength and stability

while delivering innovative products and outstanding service to our policyholders.

Forty years of experience means that we bring the longevity and stability to manage

through a variety of market fluctuations, to ensure that we will be there when you —

and the next generation of policyholders — need us most.

2015 ANNUAL REPORT 8


Mother and Daughter Share the Journey of Being Physicians

Pediatrician Dr. Shahida Mohammad has trusted her practice to NORCAL Mutual for 21 years. When her

daughter Dr. Sophia Mohammad joined Evergreen Family Practice in 2013, the mother-daughter team chose

to stay with NORCAL for the coverage and reliable services. Shahida says she always knew NORCAL was on

her side and was happy to recommend the company to her daughter. For Sophia, the choice was clear from

the start. “NORCAL really focuses on its physicians, and I know they will keep me as a first priority.”

The practice also enjoys NORCAL’s risk management offerings. Sophia uses the monthly Claims Rx to teach

residents about current malpractice cases and to stay up to date in her practice. She says the company’s

resources and customer accessibility make running a practice easier. “I have always received a quick

response, and I never feel like I am taking a number with NORCAL. It’s very individualized and I think

that approach makes a difference whether it’s a policyholder or a patient.”

Shahida continues to offer pediatric services, while Sophia focuses on family medicine. Even though they

have different specialties, Shahida and Sophia often collaborate on cases to strengthen the quality of care

provided to patients.

Dr. Shahida Mohammad (L) and Dr. Sophia Mohammad


40 YEARS

NORCAL GROUP MILESTONES

1975:

Northern California physicians band together

to form NORCAL Mutual Insurance Company —

first policy written on November 1, 1975.

1985:

NORCAL expands into Southern California.

1978:

NORCAL launches its first

Patient Safety Program,

consolidating two years

of research on NORCAL

claims loss data.

1980:

The launch of Claims Rx provides

policyholders with risk management

insight based on claims experience

and loss trends.

NORCAL becomes the only

physician-owned company to

maintain a complete staff of its

own claims investigators.

1991:

NORCAL expands into Alaska.

1994:

NORCAL establishes a foothold on

the East Coast in Rhode Island.

1982:

NORCAL begins producing a series

of award-winning educational risk

management and claims videos.

1984:

A.M. Best affirms NORCAL with an

“A” rating, a distinction maintained

every year since.


1997:

NORCAL is among the first MPLI carriers to earn

accreditation from the Accreditation Council for

Continuing Medical Education (ACCME).

2013:

NORCAL expands into Maryland,

Louisiana and DC through Medicus.

1998:

NORCAL expands into Pennsylvania

through PMSLIC.

2000:

NORCAL offers Administrative Defense

coverage for the first time.

2011:

NORCAL expands into 24

additional states with the

acquisition of Medicus.

2003:

ACCME awards NORCAL the first of three

consecutive six-year Accreditation with

Commendation terms, most recently in 2015.

2007:

NORCAL expands into

Delaware through PMSLIC.

2010:

Cyber liability becomes

standard for NORCAL,

PMSLIC and Medicus

policies.

2014:

NORCAL’s Health Care Professional

(HCP) policy is launched — begins

to rollout across the country.

2015:

MyNORCAL mobile app launches.

Claims Rx wins an “Award of Excellence” for innovative work from the IMCA.

NORCAL’s Medical Liability Risk Management Series wins PR Daily’s Content

Marketing Award for “Best Content Series,” besting notable Fortune 500 companies.

NORCAL acquires FD Insurance, Florida’s fourth largest MPLI carrier,

and establishes Jacksonville as NORCAL’s Southeast hub.


A MESSAGE FROM THE CFO

Financial Strength and Stability

For more than 40 years NORCAL Mutual has upheld its mission of

providing a financially strong MPLI option for physicians, hospitals,

facilities and other healthcare professionals. We continue to maintain

a strong balance sheet with historically positive operating results,

even with the continued headwinds from changes in the healthcare

industry and market fluctuations. This is reflected in NORCAL earning

an A.M. Best “A” (Excellent) rating for 32 consecutive years and

securing our position as the ninth largest MPLI carrier in the nation,

based on direct written premium in 2015.

NORCAL Group has a strong financial profile with a healthy

policyholders’ surplus of $670 million. Sound underwriting and

claims practices, as well as the development of our Excess &

Surplus (E&S) lines, contributed to our success in 2015. We will

continue to maintain our focus on operational efficiency to help

lower expenses and ensure that NORCAL remains in a strong

position to navigate these historically soft market conditions

to serve our policyholders for many years to come.

Mark D. Johnson

Senior Vice President &

Chief Financial Officer

2015 ANNUAL REPORT 12


300,000

2B 2013

250,000

$1,556,058B

$1,556,058B $1,551,482B

2012

1.5B

200,000

2011

150,000

1B

AT A GLANCE

100,000

$289M 2013

$285M $293M

2012

2011

.5B

50,000

0

STABILITY

0

CONSISTENCY

2012

2013

2014

$1,560M

$1,565M

$1,551M

$290M

$293M

$285M

2013 2014 2015

2013 2014 2015

TOTAL ADMITTED ASSETS for NORCAL Group remained

stable at $1.5 billion over the past three years.

DIRECT WRITTEN PREMIUM remained relatively flat as

soft market conditions continued into 2015.

STRENGTH

GROWTH

$634M

$642M

$670M

25,600

27,390

27,736

2013

2014

2015

2013

2014

2015

POLICYHOLDER SURPLUS continued to grow to $670

million due to sound business practices and solid

investment returns.

POLICYHOLDER COUNT has exceeded 27,000 as

NORCAL Group has expanded into new markets

and offered new products.


NORCAL GROUP CONSOLIDATED FINANCIAL RESULTS

NORCAL Group, which included NORCAL Mutual, Medicus

Insurance Company and PMSLIC Insurance Company in 2015,

remained consistent through another historically soft market year —

seeing competitive decreases in premium and striving to lower

expenses. The NORCAL Group, including its growth in the E&S

market, closed the year with $290 million of direct written premium.

We remain well capitalized with $1.5 billion in assets and $670

million in policyholders’ surplus, ensuring our ability to protect

our policyholders into the future.

All numbers in thousands

STATUTORY-BASIS INCOME STATEMENTS 2015 2014

INCOME

Net premiums earned 283,117 275,523

Net investment income 38,194 35,412

Net realized gains on investments 17,904 30,285

Total Income $ 339,215 $ 341,220

EXPENSES

Losses & loss adjustment expenses incurred 223,197 217,347

Other underwriting expenses 39,190 39,369

Acquisition costs, net 29,374 30,541

Other expenses (4,248) 3,416

Total Expenses $ 287,513 $ 290,673

Income before dividends & federal income taxes 51,702 50,547

Dividends declared to policyholders, net 35 14,477

Income before federal income taxes 51,667 36,070

Federal income tax expense 10,229 9,844

Net Income $ 41,438 $ 26,226

2015 ANNUAL REPORT 14


All numbers in thousands

STATUTORY-BASIS BALANCE SHEETS 2015 2014

ADMITTED ASSETS

Debt securities 1,060,311 1,062,760

Equity securities 228,609 251,921

Cash, cash equivalents & short-term investments 52,193 66,570

Other invested assets 45,281 64,541

Subsidiaries and affiliates 53,026 –

Total Cash & Investments $ 1,439,420 $ 1,445,792

Investment income receivable 11,387 11,222

Premiums receivable 57,123 57,090

Reinsurance recoverables 1,081 1,060

Deferred tax assets 32,860 28,557

Other admitted assets 18,886 21,135

Total Admitted Assets $ 1,560,757 $ 1,564,856

LIABILITIES

Losses & loss adjustment expenses 630,234 652,257

Unearned premiums 128,885 133,615

Premiums collected for future renewals 26,493 31,095

Dividends payable to policyholders 1,241 15,488

Federal income tax payable 2,053 3,907

Funds held under reinsurance treaties 9,905 9,519

Notes payable 37,000 9,375

Other liabilities 54,798 67,465

Total Liabilities $ 890,609 $ 922,721

POLICYHOLDERS’ SURPLUS

Unassigned surplus 670,148 642,135

Total Policyholders’ Surplus $ 670,148 $ 642,135

Total Liabilities & Policyholders’ Surplus $ 1,560,757 $ 1,564,856


TESTIMONIALS


I was one of the original policyholders with NORCAL. We have received all

sorts of solicitations from others [MPLI companies] but I’ve always felt it

extremely important to establish a relationship with one company and

maintain it. Fortunately, we have not had any issues but I am very

comfortable that if there were any issues that I could count on the


support of NORCAL.

- Dr. Michael N. Cowan


I don’t ever want to change from NORCAL because they are very


courteous and helpful. I am happy with NORCAL.

- Dr. Shahida Mohammad


Medicus is excellent because we get efficient malpractice insurance.

A lot of times when you are practicing you lose sight of the risk you take

every day in going in a room to see a patient. I feel safer knowing we have


Medicus on our side.

- Dr. Samuel Muscari, Jr.


NORCAL GROUP OFFICERS

Scott Diener

President & Chief

Executive Officer

Julie L. Burns

Senior Vice President &

Chief Human Resources Officer

Timothy J. Friers

Senior Vice President &

Chief Operating Officer

Mark D. Johnson

Senior Vice President &

Chief Financial Officer

Kara M. Ricci

Senior Vice President,

Chief Legal Officer &

Corporate Secretary

Ronald C. Rumin

Senior Vice President &

Chief Business Development Officer

Andre J. Stewart

Senior Vice President,

Underwriting – Custom Accounts

Joy E. Corso

Vice President,

Marketing & Communications

Denis J. Dillon

Vice President,

Finance & Treasurer

Thomas J. Lownik

Vice President,

Underwriting

Dennis A. Meisel

Vice President,

Finance & Controller

Michael W. Perkins

Vice President,

Information Technology

Michael G. Roque

Vice President,

Sales & Business Development

Dustin A. Shaver

Vice President,

Risk Management

Neil E. Simons

Vice President,

Product Development

Jeffery J. Smith

Vice President &

Chief Actuary

Cobie Buchman

Associate Vice President,

Claims

Mark C. Cachia-Riedl

Associate Vice President,

National Claims Operations

Christoph L. Dugre

Associate Vice President,

Claims

Joseph S. Giulivo Jr.

Associate Vice President,

Underwriting Operations

Annie E. Matincheck

Associate Vice President,

Underwriting

Michael C. Osborne

Associate Vice President,

Claims

Lucy D. Sam

Associate Vice President,

Underwriting

Kevin W. Smith

Associate Vice President,

Underwriting

Bruce P. Williams

Associate Vice President,

Actuarial

2015 ANNUAL REPORT 17


BOARD OF DIRECTORS

Jaan E. Sidorov, MD, MHSA, FACP

Chair

Internal Medicine

Dr. Sidorov has been a Director since

2009 and Chair since 2011. He was a

primary care physician for more than

24 years, while also authoring more

than 50 peer-reviewed publications.

He serves on the Executive Committee

of the Dauphin County Medical Society

and is on the Board of the Pennsylvania

Medical Society. He is also a member of

the California Medical Society.

Patricia A. Dailey, MD

Vice Chair

Anesthesiology

Dr. Dailey has been a Director since 2004.

She has served as President of the

California Society of Anesthesiologists,

and has practiced as an anesthesiologist

in San Mateo County for more than 27

years. She is a Director of Mills-Peninsula

Medical Group.

Sandra L. Beretta, MD

Secretary of the Board

Obstetrics & Gynecology

Dr. Beretta has been a Director since

2011, as well as a member of the Claims

Advisory Committee since 2003. She

is a managing partner of a private

practice partnership in San Mateo,

CA and has been a practicing

OB/GYN for 24 years.

Fabiola Cobarrubias, MD, MBA

Hospitalist

Dr. Cobarrubias has been a Director

since 2012, and serves as a hospitalist

consultant to NORCAL Group’s Claims

Advisory Committee. She is a hospitalist

at California Pacific Medical Center,

where she held the position of Medical

Director - Hospitalist Service from

2004 to 2011. She is also a founder, past

president and current board member of

Pacific Inpatient Medical Group.

Scott Diener

President & CEO,

NORCAL Mutual

Mr. Diener has been a Director since

2015, and has served as President and

Chief Executive Officer for the NORCAL

Group of companies since 2011. He is a

37-year veteran of the insurance industry,

specializing in medical professional

liability. His work has spanned several

areas of the industry including claims, risk

management and business development.

Alice H. Gannon, FCAS, MAAA, CPCU

Actuary

Ms. Gannon has been a Director since

2009. As an actuary, she has worked in

the insurance industry for more than 39

years. She serves on the Board for the

Texas Windstorm Insurance Association

and the Insurance Institute of Highway

Safety and Highway Loss Data Institute.

2015 ANNUAL REPORT 18


Roger M. Hayashi, MD

Vascular Surgery

Dr. Hayashi has been a Director

since 2004, and served as a surgical

consultant to the Claims Advisory

Subcommittee since 1996. He has

retired from practice as a vascular

surgeon in Santa Clara County after

34 years. He served as Chair of the

Department of Surgery and Chair

of Cardiovascular Services at Good

Samaritan Hospital. He has also

served as a Councilor to the Northern

California Vascular Surgery Society.

M. Diane Koken, JD

Legal Consultant

Ms. Koken has been a Director since

2008. She has been an attorney and

insurance professional for more than

30 years, and served as the Pennsylvania

Insurance Commissioner from 1997 to

2007. Ms. Koken is currently a consultant

and Director of Nationwide Mutual

Insurance Company and Nationwide

Mutual Fire.

Steven J. Packer, MD

President & CEO,

Community Hospital Foundation

Dr. Packer has been a Director since

2013. He is President and CEO of

Community Hospital Foundation and

its related companies. He previously

served as Chair of the California

Hospital Association.

Rebecca J. Patchin, MD

Anesthesiology

Dr. Patchin has been a Director since

2011. She has been an anesthesiologist

and pain management specialist in

Riverside-San Bernardino counties for

20 years. She serves on the Board for

The Center for Transforming Health Care.

Scott C. Syphax

President & CEO,

Nehemiah Corporation of America

Mr. Syphax has been a Director

since 2011. He leads the Nehemiah

Corporation of America (NCA), a notfor-profit

community development

corporation based in Sacramento, CA.

Mr. Syphax also serves on the Board of

Directors for the Federal Home Loan

Bank of San Francisco and is Chairman

of Valley Vision.


OUR VISION

We will be a top-tier national medical

professional liability company by being a

dynamic organization whose commitment

to innovative products and services keeps

us an integral part of healthcare delivery.

2015 ANNUAL REPORT 20


NORCAL-GROUP.COM

560 Davis Street, Suite 200 | San Francisco, CA 94111-1974 | 844.4NORCAL

©2016 NORCAL Mutual Insurance Company. All rights reserved. NG0676-1

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