California Medical Malpractice Insurance 2025 Guide image

Your time is best spent with patients, not insurance companies.

MEDPLI advocates for doctors to find the best rates in California, managing the entire process from quote to coverage.

Top 5 Malpractice Insurance Carriers in California

We recommend carriers with an AM Best “A” or higher rating. An A-rating indicates financial strength, long-term solvency, and an established history of protecting California physicians.

  • The Doctor’s Company

  • MedPro Group

  • Lone Star Alliance RRG

  • Admiral Insurance Co

  • Coverys

MEDPLI’s multi-quote approach saves an average of 20% on insurance premiums.

2025 California Malpractice Insurance Rates by Specialty

These rate estimates are for informational purposes only and are based on the CA standard limits of $1,000,000 for Each Claim / $3,000,000 Aggregate per year in coverage.

Quotes require a completed application and underwriter approval. Contact us for a custom estimate if you don’t see your specialty.

Specialty 2025
Annual Premium
2025
Tail Premium
Anesthesiology $18,000 $36,000
Cardiovascular Disease– Minor Surgery $23,000 $46,000
Dermatology– No Surgery $9,000 $18,000
Emergency Medicine $35,000 $70,000
Family Practice– No Surgery $14,000
$28,000
Gastroenterology– No Surgery $17,000 $34,000
General Practice– No Surgery $15,000 $30,000
General Surgery $48,000 $96,000
Internal Medicine– No Surgery $18,000 $30,000
Neurology– No Surgery $15,000 $30,000
Obstetrics and Gynecology– Major Surgery $67,000 $134,000
Occupational Medicine $7,000 $14,000
Ophthalmology– No Surgery $7,000 $14,000
Orthopedic Surgery– No Spine $42,000 $84,000
Pathology– No Surgery $9,000 $18,000
Pediatrics– No Surgery $14,000 $28,000
Pulmonary Disease– No Surgery $17,000 $34,000
Psychiatry $7,000 $14,000
Radiology – Diagnostic $18,000 $36,000

Have a question? Get fast answers from a U.S.-based MEDPLI agent. Call 1-800-969-1339 or email info@medpli.com.

California Medical Malpractice Payouts From 2015-2023

Rising Home Insurance Rates: The Hidden Impact on Medical Malpractice Costs

When wildfires, hurricanes, and other severe weather events hit, the damage isn’t just physical—it drives up insurance costs nationwide. As extreme weather events become more frequent, insurers across the country must raise rates to cover growing risks. But the impact goes beyond homeowners insurance—businesses, especially medical professionals, also feel the squeeze.

 Why Are Insurance Rates Rising?

  • Reinsurance Costs Are Rising
    Insurers rely on reinsurance (insurance for insurers) to spread risk. If reinsurers face significant losses due to natural disasters, they may increase premiums across all insurance lines. This is particularly true for the medical malpractice industry, which saw a six-year premium price hike in many states and specialties from 2019-2024.

  • Bigger Disasters, Bigger Costs
    More frequent and severe storms put financial strain on the entire insurance system, making coverage more expensive across all sectors.

  • Fewer Insurers, Less Competition
    In many states, insurance providers are withdrawing from high-risk markets as risks grow, reducing competition and leaving fewer options. In California, homeowners insurance providers are pulling out due to wildfire risks. With less competition, the remaining insurers raise premiums to balance their exposure.

How the Cost of California’s Medical Malpractice Insurance Is Affected

Nationwide, reinsurance providers now charge higher premiums and impose stricter payout conditions. In response, primary insurers, including those offering medical malpractice coverage, are increasing premiums.

California is an Exception
California remains an exception to the increased premiums trend, likely because California noneconomic damage caps have kept prices down and organizations like Consumer Watchdog have challenged proposed premium increases.

Could this Change?
California is not immune to the impacts of major weather events. With the number of insurers pulling out due to wildfire risk, homeowners insurance premiums continue to increase, leaving other insurance industries vulnerable to the impact.

Severe weather is reshaping insurance costs for everyone. California physicians could feel the impact in the near future.

How California Favors Physicians

Despite the uncertainty of future medical malpractice premiums, California remains a physician-friendly state due to its strong legal protections, competitive pay, and work-life balance.

Benefits for Physicians in California:

California’s legal landscape balances patient rights while maintaining a physician-friendly malpractice environment.

 Types of Professional Liability Insurance for California Physicians

Physicians in California can choose between these two primary types of medical malpractice insurance:

  • Provides coverage for incidents that occurred during the policy period IF the claim is filed while the policy is still active. If a claim is filed after the policy ends, that claim is NOT covered.
  • Typically, it offers lower premiums at the start of the policy, but rates increase yearly as the policy matures.
  • Physicians need to obtain tail insurance coverage when a claims-made policy ends to ensure protection against future claims related to incidents that occurred during the policy period. Tail insurance premiums require a one-time cash payment equal to approximately 200% of the claims-made policy annual premium.
  • Provides coverage for incidents that occurred during the policy period, regardless of when a claim is reported to the carrier.
  • Typically, it offers more costly premiums at the start of the policy, but the rate stays constant for the entire policy length.
  • Physicians do not need tail coverage when an occurrence policy ends.

In 2024, California physicians were held liable for 1,101 medical malpractice payouts.

  • Average Payout: $351,674
  • Total Payout: $387,193,800

(Source: National Practitioner Data Bank)

Does California Have Damage Caps for Medical Malpractice Lawsuits?

While California does not limit economic damages, non-economic damages are capped according to claim type.

As of January 2024, non-economic damages shall not exceed:

  • $390,000 | Non-Fatal Claims
  • $550,000 | Fatal Claims

Each year, these limits will increase by $40,000 and $50,000, respectively, until they reach $750,000 and $1,000,000.

California Statute of Limitations for Medical Malpractice Claims

According to California CCP Section 340.5, the statute of limitations for medical malpractice claims is the earlier of:

  • 3 years from the date of the alleged injury, or
  • 1 year from when the alleged injury is discovered.

Exceptions to the limitations include:

  • Intentional concealment.
  • Proof of fraud.
  • The presence of a foreign object in the body of the plaintiff.
  • Minors under age six can submit actions within three years of injury or until their eighth birthday, whichever is longer.

Canceled or Non-Renewed? MEDPLI Is Your Best Ally.

We’ve helped over 5,000 doctors eliminate liability risk with comprehensive coverage & affordable rates.

Why California Doctors Partner with MEDPLI

We exclusively broker medical malpractice insurance, focusing daily on making the professional liability process less burdensome and expensive for doctors.

With MEDPLI, California physicians:

  • Save Time & Money
    We submit application paperwork to multiple carriers on your behalf and compare quotes to find you the best rate from an A-rated carrier.

  • Stress Less
    We navigate the specific requirements of your medical specialty and individual risk profile to evaluate carriers and policy details to identify underwriters whose risk appetite aligns with your needs.


MEDPLI helps doctors in every specialty.

Whether you’re a Radiologist in San Diego or an OB/GYN in Sacramento, MEDPLI will find you premier coverage at a competitive rate. Call 800-969-1339 or Request a Quote.