Elliott points out that managed care organizations like HMOs and PPOs are requiring members to have coverage. In addition, a number of states have adopted more stringent licensing requirements for chiropractors that include mandatory malpractice coverage. There's a real need in the marketplace for a strong company with experience in professional liability. The National Union program offers both claims-made and occurrence policies, with defense costs provided outside the limits. Coverage is provided for manipulation under anesthesia, where allowed.
State laws are pretty strict.
After that, claims are pretty spread out. Currently loss ratios are running in the 70s, but they've been as high as 120s and down to the 30s and 40s over the years.