MO SB710

Requires medical malpractice insurance associations to file a plan of operation or feasibility study including coverages, rates, loss experience, financial projections, and qualified actuary opinions.

Establishes minimum policyholder surplus requirement of $100,000 and requires associations to deposit $100,000 in cash or securities with the director for policyholder and creditor protection.

Creates premium-to-surplus ratio limits for associations, with stricter ratios (6:1 to 3:1) for new associations licensed after August 28, 2010, and more flexible limits (6:1 to 3:1) for existing associations through 2012.

Changes surplus restoration threshold from zero dollars to $100,000, requiring associations to submit corrective plans if surplus falls below this amount after the first full calendar year of operation.

Modifies medical malpractice rate review standards, changing the evidentiary standard from "compelling" to "substantial" evidence and removing restrictions on director's rulemaking authority regarding premium amounts and coverage limits.