2008 Assessment Rating - 20%




2008 Assessment Notice as published in the Pennsylvania Bulletin                                               
 
2008 Assessment Manual v.2* - The manual reflects current law as of December 21, 2007; however, various legislative bills are pending which, if passed, may alter the information and instructions contained herein.  We strongly suggest you visit our website for any updates to this manual.
 
Frequently Asked Questions regarding reporting of 2008 assessment coverage, etc.
 
The manual is intended to provide guidance and clarify procedures with regards to calculating the 2008 Mcare assessment and does not include abatement-related information.  The manual should be read thoroughly in order to understand the entire assessment calculation process.  Please check our website often for updates, changes or clarifications.
 
Carrier Workshop Training Guide ~ Reporting Procedures and Guidelines Review v.1 PDF
 
Rating:
Exhibit 1 2008 Rating for Individual Health Care Providers
Tail:
PMSLIC Tail Rates - Tail rates for primary insurers 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.
Reporting:
e-216 Remittance Advice Form v.4 - 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.
 
The 216 Remittance Advice Form, accompanied by a check in the amount of the sum of all surcharges/assessments due, should be received in Mcare’s Office within 60 days from the effective date of coverage, cancellation or endorsement.
Reporting Form Updates:
  • Updated to include JUA Specialty Code 01559 Radiation Oncology including Deep Radiation - No Surgery 2.28.07 
  • Corrects the Hospital (acute care) Bed rate for Territory 2 6.23.08
  • Allows the reporting of an inactive claims-made policy when the carrier will provide coverage for a claim during a period when the claims-made policy is inactive but not cancelled.  (Provider called to active military)  6.23.08