2009 Assessment Manual
2009 Assessment Manual - This 2009 Mcare Assessment Manual ("Manual") is intended to assist in calculating Mcare assessments pursuant to Act 13 of 2002.
Exhibit 1 Rating for Individual Health Care Providers
Exhibit 2 Rating for Hospitals, Nursing Homes and Primary Health Care
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.
e-216 Remittance Advice Form V14 - posted 1.7.2013
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.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.
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.