2014 Assessment Rate of 23% as published in the Pennsylvania Bulletin.
The annual assessment to be levied for calendar year 2014 will be 23% applied to the prevailing primary premium for each participating health care provider. The Mcare Act defines “prevailing primary premium” as the schedule of occurrence rates approved by the Insurance Commissioner for the Joint Underwriting Association (JUA).
For purposes of the 2014 annual assessment, the rates shall be those currently approved for use by the JUA. Participating health care providers having approved self-insurance plans shall be assessed an amount equal to the assessment imposed on a participating health care provider of like class, size, risk and kind as determined by the Department.
Assessment Payment Option Available
Effectively immediately, Mcare will accept assessment payments through an electronic funds transfer (EFT) payment process. The EFT may be a wire transfer or an ACH. The EFT process provides Mcare and primary insurers another payment method, as an alternative to a paper check. We strongly recommend the use of EFTs when assessment payments are made.
To learn more about this new payment option and the minimum standards, please send an email to Mcare’s Fiscal Unit at firstname.lastname@example.org expressing your interest. We will have an Mcare representative call you to explain the program. We thank you in advance for considering Mcare's preferred method of payment.
2014 Assessment Manual v.3 Published 6.18.2014 | Cover Letter
Cancellation and Endorsements: Update of the exceptions to the no credit rule as found on page 16.
Facilities Only: Effective January 1, 2014, complete a worksheet for each territory in which the facility provides medical or healthcare services, under the same license, listing the visit counts separately for each territory and submit with completed Form e-216. See revised pages 7 and 22-27 of the manual.
The 2014 Mcare Assessment Manual ("Manual") is intended to assist in calculating Mcare assessments pursuant to Act 13 of 2002. Please be certain to read it in its entirety to determine how changes may alter your processes.
Exhibit 1 Rates for 2014 Individual Health Care Providers
Exhibit 2 Rates for 2014 Hospitals, Nursing Homes and Primary Health Care Centers
Exhibit 3 JUA's Specialty Classification Codes for Physicians, Surgeons and Other Health Care Providers
e-216 Remittance Advice Form v9 Published 1.30.2015
IMPORTANT PROCESSING UPDATE - ELECTRONIC SUBMISSIONS of e-216: 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 email@example.com Payment must be sent to Mcare on or about the same time as the e-216 is e-mailed, but within 60 days of the effective date. For complete details, please refer to Section 1 of the 2014 Assessment Manual.
Refer to the 2014 Assessment Manual for rating information.
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.