AM Best Revises Outlooks to Positive for KAMMCO, Kansas Medical Mutual Group
November 13, 2025
byAM Best has revised the outlooks to positive from stable and affirmed the Financial Strength Rating of B++ (Good) and the Long-Term Issuer Credit 
Ratings of “bbb+” (Good) of Kansas Medical Mutual Insurance Company and its subsidiary, KAMMCO Casualty Company, Inc. These companies are collectively referred to as Kansas Medical Mutual Group or the group.
The Credit Ratings reflect Kansas Medical Mutual Group’s balance sheet strength, which AM Best assesses as very strong, as well as its marginal operating performance, limited business profile and appropriate enterprise risk management.
The revision of the outlooks to positive from stable reflects continued favorable trends in the group’s overall operating performance measures following corrective actions taken by management that have led to improved pre-tax operating earnings and overall net income in recent years. The improvement in operating earnings is driven by favorable trends in underwriting and operating metrics, which continue to improve compared with peers that are assessed as adequate from an operating performance standpoint.
Prospectively, AM Best expects the group’s favorable underwriting and operating trends to continue in the near-term, supported by favorable frequency and modest severity levels across the book of business. KAMMCO’s return to operating profitability is largely attributable to refocused efforts in its core insurance operations, expense management initiatives and significant rate increases over the last five years. Operating performance metrics continue to improve and are expected to trend in line with the group’s medical professional liability (MPL) peers assessed at the adequate level. The group’s investment income continued to improve through the first half of 2025, following an increase in investment yields and less interest expense on borrowed funds.
The group’s balance sheet strength assessment remains at the very strong level, supported by its strongest level of risk-adjusted capitalization, as measured by Best’s Capital Adequacy Ratio (BCAR), a conservative investment portfolio and prudent reserving philosophy. Kansas Medical Mutual Group has reported favorable surplus growth, historically driven by realized capital gains, and in more recent periods, profitable operating earnings. Loss reserve development has been favorable in nine of the past 10 calendar years and across most accident years.
The limited business profile reflects Kansas Medical Mutual Group’s market position as a primarily single state writer of MPL insurance. A 2019 judicial ruling resulted in the removal of noneconomic damage caps on personal injury cases in Kansas; however, uncertainty remains as to whether this applies to medical malpractice actions until further clarification from the Kansas Supreme Court. The group’s portfolio is subject to the Health Care Stabilization Fund (the Fund), which expanded basic coverage limits from $200,000 to $500,000 per occurrence, and $600,000 to $1.5 million in aggregate beginning in 2022. While the Fund tenders loss and loss adjustment expenses above $500,000 to $1 million, uncertainty remains as claims experience on expanded coverage limits is minimal.
directorships, expanding the protection it offers to nurse practitioners, physician assistants and other healthcare providers.
in its 2025 report recognizing the nation’s top providers. The annual “5-Star Professional Liability” report highlights a select group of insurers that brokers identified as offering exceptional products, service and claims support across the professional liability market.
officer and executive vice president of medical professional liability. According to Risk & Insurance, her career reflects a rare blend of technology expertise and business acumen that has strengthened the organization’s agility and physician focus.
purchasers focused on healthcare safety and quality, has approved WTW’s Culture of Safety Survey for use in healthcare organizations to assess patient safety practices.
submissions are now automatically underwritten — without human involvement — through Indigo’s proprietary AI platform, Lux. According to Indigo, this achievement underscores its ability to scale underwriting capacity while maintaining efficiency and rigor.
Carlson is a physician executive with 25 years of experience in C-suite positions. He previously served as chief physician officer at MultiCare Health System in Washington state, Hospital Sisters Health System in Illinois and Conemaugh Health System in Pennsylvania. He currently serves as chief medical officer and vice president of medical operations for King County at Virginia Mason Franciscan Health in Washington state.
“Our financial strength and broad footprint on the West Coast allow us to provide high-quality services to our geographically diverse customers,” said Corey Grove, CEO of BETA Healthcare Group. “BETA’s exclusive focus on healthcare and commitment to patient and employee safety make us a distinctive partner in the industry. We are agile and leverage our deep expertise to deliver innovative, leading-edge risk management solutions that help healthcare organizations achieve quality care, positive patient outcomes, and safe workplace environments.”
he has concluded his tenure as President and Chief Executive Officer earlier this year.