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About PPM

Anesthesia Focused Since 1987

  • Established in 1987, PPM pioneered the concept of a specialty-specific insurance company
  • Policyholder owned
  • A member of ProAssurance Group
  • Registered to insure anesthesia practices in all 50 states & District of Columbia

PPM is Unique

  • Premium dollars are not used to subsidize the claims experience of other specialties
  • PPM’s staff spends 100% of its time serving the professional liability needs of anesthesia practices with a laser focus on patient safety and risk management
  • PPM’s anesthesia-specific attorneys have:
    • Investigated more than 16,000 anesthesia adverse outcomes
    • Defended more than 4,600 anesthesia claims & litigation files
    • Delivered over 500 anesthesia-specific risk management seminars
    • Over 100 years combined experience defending exclusively anesthesia providers

What That Means to You

  • PPM has an unparalleled ability to identify and address anesthesia loss trends
  • PPM has experience to effectively manage anesthesia losses and provide anesthesia-specific patient safety and risk management advice through on-site seminars and our popular risk management newsletter, Anesthesia & the Law


  • PPM is a mutual insurance company, owned by its policyholder members


  • PPM has an outstanding record of sound financial results and stable management
  • PPM’s staff and management team have an average tenure with our company of over 20 years


  • PPM policyholders only share risk with other highly qualified anesthesia practices
  • Underwriting selectivity helps avoid costly malpractice litigation, improves operating results and ultimately lowers premiums

Patient Safety/Philanthropic

  • PPM is a Corporate Donor to:
    • Anesthesia Patient Safety Foundation (APSF) - Gold Level
    • Foundation for Anesthesia Education and Research (FAER)
  • PPM’s Vice President-Risk Management serves on the APSF Board of Directors, Newsletter Editorial Board, and Corporate Advisory Council
  • PPM is a major contributor of data to the important work of the ASA Closed Claims Project