Top 5 Medical Malpractice Insurance Carriers in New Hampshire
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 New Hampshire physicians.
- The Doctors Company
- Medical Protective Group
- Coverys Group
- ProAssurance Group
- MagMutual

2025 New Hampshire Malpractice Insurance Rates by Specialty
These rate estimates are for informational purposes only and are based on the NH standard limits of $1,000,000 per claim / $3,000,000 aggregate per year in coverage.
Quotes require a completed application and approval from the underwriter. Contact us for a custom estimate if you don’t see your specialty.
| Specialty | 2025 Annual Premium |
2025 Tail Premium |
|---|---|---|
| Anesthesiology | $25,000 | $50,000 |
| Cardiovascular Disease– Minor Surgery | $24,000 | $48,000 |
| Dermatology– No Surgery | $12,000 | $24,000 |
| Emergency Medicine | $35,000 | $70,000 |
| Family Practice– No Surgery | $14,000 | $28,000 |
| Gastroenterology– No Surgery | $16,000 | $32,000 |
| General Practice– No Surgery | $14,000 | $28,000 |
| General Surgery | $48,000 | $96,000 |
| Internal Medicine– No Surgery | $14,000 | $28,000 |
| Neurology– No Surgery | $16,000 | $32,000 |
| Obstetrics and Gynecology– Major Surgery | $80,000 | $160,000 |
| Occupational Medicine | $12,000 | $24,000 |
| Ophthalmology– No Surgery | $12,000 | $24,000 |
| Orthopedic Surgery– No Spine | $52,000 | $104,000 |
| Pathology– No Surgery | $10,000 | $20,000 |
| Pediatrics– No Surgery | $11,000 | $22,000 |
| Pulmonary Disease– No Surgery | $19,000 | $38,000 |
| Psychiatry | $9,000 | $18,000 |
| Radiology – Diagnostic | $23,000 | $46,000 |
Have a question? Get fast answers from a U.S.-based MEDPLI agent. Call or contact us here today.
New Hampshire Malpractice Payouts From 2015-2024
How Extreme Weather Is Driving Up Malpractice Insurance in New Hampshirex`
When flooding, coastal storms, and other severe weather events strike New Hampshire, the financial fallout extends beyond damaged homes and infrastructure. It drives up insurance costs statewide. As these events grow more frequent and intense, insurers face mounting losses and respond by raising premiums across the board – and not just for homeowners insurance. Medical malpractice insurance feels the hit, too, and healthcare professionals must shoulder the cost of a destabilized market.
What’s Causing Insurance Rates to Climb?
How New Hampshire’s Medical Malpractice Rates Are Impacted
Medical malpractice insurers are now grappling with surging reinsurance premiums and tougher payout conditions. To offset their rising costs, they’ve raised premiums for physicians nationwide.
Although New Hampshire saw fewer large malpractice premium spikes in 2024 compared to other states, 13.3% of its doctors saw double-digit increases between 2019 and 2020. With severe weather events becoming more frequent, New Hampshire physicians should prepare for future premium increases.
Severe weather is reshaping insurance costs for everyone.
Types of Professional Liability Insurance for New Hampshire Physicians
Types of Professional Liability Insurance for New Hampshire Physicians
Doctors in New Hampshire 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 has ended, 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 must 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 to the expiring carrier equal to approximately 200% of the claims-made policy’s annual premium.
- New Hampshire physicians may opt to purchase nose coverage, or prior acts coverage, instead of tail coverage. Nose coverage can be purchased through a new carrier to protect physicians from claims that occurred before the effective date of the new policy, back to a specified date.

- 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 throughout the policy’s duration.
- Physicians do not need tail coverage when an occurrence policy ends.
In 2024, New Hampshire physicians were held liable for 42 medical malpractice payouts.
- Average Payout: $511,138
- Total Payout: $21,467,800
(Source: National Practitioner Data Bank)
Does New Hampshire Have Damage Caps for Medical Malpractice Lawsuits?
Unlike many other states, New Hampshire does not impose economic or non-economic damage caps in medical malpractice cases after the New Hampshire Supreme Court ruled that damage caps violated equal protection.
Key Rules & Exceptions
- Punitive Damages: Not allowed in New Hampshire.
- Burden of Proof: Plaintiffs carry the burden of proof in New Hampshire malpractice cases. They must show, with affirmative evidence and testimony from a qualified medical expert in the same specialty, that the provider breached the accepted standard of care and that the breach caused the injury.
- Comparative Fault: Juries assign responsibility in proportion to each party’s fault. A defendant found more than 50% at fault can be held jointly and severally liable for the entire award, while a defendant under 50% at fault is only liable for their share.
New Hampshire Statute of Limitations for Medical Malpractice Claims
New Hampshire Statute 507-C:4 declares a 2-year statute of limitations for medical malpractice cases, with few exceptions. However, RSA 507-C has been subject to repeated constitutional challenges for violating the U.S. Equal Protection Clause by singling out medical malpractice plaintiffs from general personal injury plaintiffs, who have 3 years from the date of injury (or date of discovery) to file their case in court.
Is New Hampshire a Physician-Friendly Place to Practice?
New Hampshire ranks among the top 10 states to practice medicine.
Notable advantages for physicians include:
In addition, malpractice premiums in New Hampshire remain steadier than in many other states, in part thanks to the New Hampshire Medical Malpractice Joint Underwriting Association (NHMMJUA). However, as national trends, including more frequent severe weather events and nuclear verdicts in malpractice cases, continue to drive up insurance costs, physicians should prepare for future increases.
To manage rising costs, New Hampshire doctors can benefit from working with a knowledgeable malpractice insurance broker. MEDPLI helps physicians find the right coverage at the best possible rate, bringing peace of mind through malpractice market uncertainty.
New Hampshire 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, New Hampshire physicians:
MEDPLI helps physicians in every specialty.
Whether you’re a Gastroenterologist in Concord or a Cardiologist in Lebanon, MEDPLI will find you premier coverage at a competitive rate.
Call 800-969-1339 or Request a Quote.
About the Author
Max Schloemann is a medical malpractice insurance broker helping physicians and surgeons secure Medical Professional Liability coverage. A Magna Cum Laude graduate of Southern Illinois University’s College of Business, he was named Outstanding Management Senior.
Max began his career in 2008 at an industry-leading firm and founded MEDPLI in 2017 to guide private practice doctors and physicians in transition through the complexities of malpractice insurance.
Outside of work, Max, his wife Kristen (a Physician Assistant), and their four kids enjoy the outdoors and attending the kids’ sporting events. For malpractice insurance questions, you can contact Max here.
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