Professional Liability (In thousands) Loss and Loss Expenses Incurred, Net of Reinsurance As of December 31, 2018 For the Year Ended December 31, Unaudited Accident Year 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 IBNR Cumulative Number of Reported Claims 2009 $ 134,784 $ 139,091 $ 145,515 $ 148,899 $ 147,994 $ 150,452 $ 150,783 $ 153,492 $ 152,711 $ 157,451 $ 1,087 3 2010 — 147,649 165,755 179,383 177,957 176,723 172,585 174,883 177,844 182,818 1,807 4 2011 — — 179,875 165,233 186,918 190,096 177,128 173,545 176,865 175,963 3,185 4 2012 — — — 238,233 241,944 264,808 250,457 238,704 245,076 243,893 9,507 7 2013 — — — — 269,280 247,320 242,792 248,974 270,449 279,092 15,395 7 2014 — — — — — 253,284 246,668 259,964 243,936 239,555 19,315 8 2015 — — — — — — 259,569 258,251 274,950 276,406 47,934 9 2016 — — — — — — — 310,678 324,979 361,929 90,872 10 2017 — — — — — — — — 333,803 333,194 178,091 9 2018 — — — — — — — — — 335,751 260,095 9 Total $ 2,586,052 Cumulative Paid Claims and Claim Adjustment Expenses, Net of Reinsurance For the Year Ended December 31, Unaudited Accident Year 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2009 $ 12,604 $ 52,583 $ 85,902 $ 117,683 $ 127,728 $ 138,876 $ 143,950 $ 144,713 $ 147,599 $ 151,499 2010 — 14,832 58,916 108,566 129,757 144,474 160,598 165,018 171,330 178,879 2011 — — 18,779 62,442 103,097 134,608 150,840 159,014 167,286 168,874 2012 — — — 21,875 87,008 128,281 159,183 190,295 214,315 223,424 2013 — — — — 24,232 64,030 119,552 177,343 206,655 248,520 2014 — — — — — 19,545 83,856 138,753 176,181 199,245 2015 — — — — — — 20,478 85,561 139,952 187,767 2016 — — — — — — — 28,702 102,853 202,131 2017 — — — — — — — — 36,733 96,814 2018 — — — — — — — — — 28,307 Total $ 1,685,460 Reserves for loss and loss adjustment expenses before 2009, net of reinsurance 4,198 Reserves for loss and loss adjustment expenses, net of reinsurance $ 904,790 82