Abstract: Medical insurance specialty of medical colleges as the main source of medical insurance personnel, the rationality of its professional curriculum directly influences the professional talents cultivation and development. This article analyzed the current situation and problems of curriculum design based on a survey of graduates' and current students' approval degree of the courses, who come from medical insurance major of certain medical college. Through an analysis on the survey data, the article found that approval degree of the students had be shown in descending order by curriculums of management specialty, medicine specialty and insurance specialty. Then the causes were explored, including complex curriculum system, unclear curriculum positioning, and unreasonable core curriculum. Finally, the countermeasures how to solve the problems were provided.