2005 Assessment - 39%
2005 Assessment rate of 39% as published in the Pennsylvania Bulletin.
The Manual has been updated to include information and calculations regarding the 2005 Abatement Program, including the podiatrists. In particular, please note page 7 has been updated to reflect changes to specialty codes available for slot rating.
PMSLIC Tail Rates - Tail rates for primary insurance companies who did not have approved rates in PA prior to 1997. These rates are to be used for physicians, podiatrists, certified nurse midwives, professional corporations and birth centers.
PHICO Tail Rates - These rates are to be used for hospitals, nursing homes, and primary health centers.
IMPORTANT PROCESSING UPDATE - ELECTRONIC SUBMISSIONS: Effective January 1, 2013, electronic submission of Excel type e-216 is the preferred method of reporting basic professional liability insurance coverage to Mcare. No longer is a hardcopy 216 required when submitting your e-216 with or without payment. This change applies to all submissions, regardless of the assessment year, with a run date on or after January 1, 2013. The e-216 must be sent to the following e-mail address firstname.lastname@example.org If payment is due, the check must be mailed to Mcare at the same time the e-216 is emailed. For complete details, please refer to page 8 of the 2013 Assessment Manual.
The standard for submitting new and renewal business to Mcare is to do so electronically via Form e-216, or one of the other two approved formats listed in the manual. Submitting electronically increases Mcare's ability to process coverage information and payment in a more efficient and expeditious manner.
This form is to be used by basic professional liability insurance carriers and approved self-insurers for summarizing surcharges/assessments collected, payable and refundable. Except for an approved self-insured health care provider, a health care provider may not complete this form.
Laws, Regulations, Statements of Policy and Notices:
Click here to access Laws, Regulations, Statements of Policy and Notices that may assist your understanding and reporting of Mcare coverage and/or claims.
The Pennsylvania Code is the official repository for all Commonwealth regulations. The Insurance Department's regulations are available at http://www.pacode.com/secure/data/031/031toc.html.
Click here for Mcare regulations published in the Pennsylvania Code.
FAQs This documents combines all prior Abatement Program Questions and Answers Recent 2005 Reminder Notice dated January 9, 2006
Unreported Mcare Coverage Reminder to primary insurers and agencies of their fiduciary and legal responsibility under the Mcare Act to make certain that Mcare coverage is collected, reported and remitted to Mcare within 60 calendar days of the issuance of a basic insurance coverage policy.
Health Care Providers Practicing Less Than 50% in Pennsylvania must secure basic insurance coverage limits as required by and consistent with Act 13 of 2002. Current coverage limits are $1 million per occurrence or claim/$3 million per annual aggregate. Health care providers who practice less than 50% may choose to participate in Mcare. If a health care provider practicing less than 50% chooses not to participate in Mcare, they must secure basic insurance coverage limits of $1 million per occurrence or claim/$3 million per annual aggregate. For those health care providers practicing 50% or more, Mcare participation is mandatory.