A.M. Best Reaffirms ProMutual Group's A- (Excellent) Rating

Market Wire, November, 2008

One of the leading medical liability insurance companies in the Northeast, ProMutual Group, recently received its thirteenth consecutive A- (Excellent) rating from A.M. Best Company. The nation's most recognized insurance rating organization based its independent opinion on the company's financial history, overall capitalization, underwriting practices and conservative reserving practices.

"Thirteen uninterrupted years of an A- (Excellent) rating from A.M. Best Company is an outstanding accomplishment and one that we are very proud of," said Richard W. Brewer, president and CEO of ProMutual Group. "The reaffirmation of ProMutual Group's A.M. Best rating attests to the company's formidable strength and the success of its conservative management and underwriting practices. Looking ahead, we are committed to maintaining our financial stability and providing the high quality resources, services and protection healthcare providers have come to expect from our company."

The financial stability that has influenced A.M. Best's decision is the direct result of adherence to prudent underwriting standards, the strong defense of good medicine, effective risk management and conservatively managed investments. This philosophy has served the company well and allowed it to safely weather market disruptions. The company also cites the resources and support services available to policyholders that enhance patient safety and minimize risk, thereby controlling losses.

"By working with our policyholders and providing them with resources to assist in the practice of excellent medicine, we are able to do our part in promoting patient safety and improving the delivery of healthcare," said Anne Huben-Kearney, ProMutual Group's vice president of risk management. "In the future, we plan to enhance and expand services and benefits for policyholders while continuing to provide the protection that more than 18,000 healthcare providers and facilities across New England, Pennsylvania and New Jersey depend on."

The full A.M. Best report is available on the A.M. Best web site at www.ambest.com . For more information about ProMutual Group, visit www.promutualgroup.com , or to speak with a company representative, contact Nina Akerley at (617) 946-8665 or nakerley@promutualgroup.com .

About ProMutual Group

ProMutual Group is one of the leading providers of medical liability insurance in the Northeast, insuring more than 18,000 physicians, surgeons, and dentists as well as a large number of hospitals, health centers and clinics. It is one of the top 10 medical liability insurance providers in the country based on direct written premium.* ProMutual Group has in excess of $2.2 billion in net admitted assets, more than $600 million in policyholder surplus and over $300 million in direct written premium as of 2007. ProMutual Group has a Best's Rating of A- (Excellent), and is acknowledged as a leader in providing risk management and claim services to the healthcare community.

Based in Massachusetts, ProMutual Group member companies also operate in Connecticut, Maine, New Hampshire, New Jersey, Pennsylvania, Rhode Island and Vermont. ProMutual Group distributes its products through independent agents. For more information, visit ProMutual Group's web site at www.promutualgroup.com .

* U.S. Medical Malpractice - 2007 Direct Premiums Written, Best's Review, August 2008.

Media Contact: Nina Akerley (617) 946-8665