Medical Malpractice
Catlin is a significant lead market in London for US healthcare business, and leads approximately 70% of the business written by premium volume and risk count. Catlin’s healthcare pedigree stands out amongst its peers as being the longest writer of the class and the only market in Lloyd’s that has traded through the last two underwriting cycles.
The hospital professional liability book is written on an excess basis (where the insured retains significant self insured retentions of between $3m and $10m), which is in contrast to the allied healthcare, long term care and miscellaneous E&O which is almost entirely primary business.
The book is written entirely in Lloyd’s and is essentially two thirds facultative, and one third US coverholders. The facultative book consists of the larger institutional insured’s (US hospitals) and larger capacity risks whereas the coverholder book consists of esoteric business with insureds buying smaller limits (generally capped at $1m/$3m policy limits). Physician business is written out of the Houston office.