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Founder, Chairman and Chief Executive Officer

MDAdvantage Insurance Co. of New Jersey

Lawrenceville, N.J.

Age: 50

At a time when state policymakers considered the medical professional liability insurance market in New Jersey in crisis, Patricia A. Costante, then president and CEO of Lawrenceville, N.J.-based professional liability company MIIX Group Inc., developed a plan in 2002 to form a medical professional liability insurance company to ensure availability of insurance for New Jersey physicians. Facing doubts on all fronts, it took her just six weeks to raise the nearly $30 million--in individual physician contributions of $25,000 or less--required by New Jersey state regulators to form MDAdvantage Insurance Co. of New Jersey. Since then, her company has become one of the leading providers of medical professional liability insurance in the state--protecting and defending its physician policyholders should the need arise as well as serving physicians as an advocate, an educator and a partner in the delivery of health care. In 2006, the company received an Outstanding Employer Award from the New Jersey Business & Industry Assn.

Advice to young women: "My first advice is to encourage young women to enter the field. I am often struck by the paucity of women in high-level insurance and reinsurance positions. It is a field that values a myriad of business skills and offers wonderful opportunities for advancement."