Claims Administration
IMPORTANT NOTICE - Effective 2.3.2012
The Medical Care Availability and Reduction of Error Fund’s (Mcare) Rosemont Office of the Pennsylvania Insurance Department is closed effective February 3, 2012. Notice of closure can be found in the February 4, 2012 edition of the Pennsylvania Bulletin.
All notices and communications should be referred to the following address, as soon as possible.
Pennsylvania Insurance Department
Bureau of Mcare
Claims Administration
PO Box 12030
Harrisburg, PA 17108-2030
or
30 North 3rd Street, 8th Floor
Harrisburg, PA 17101
Telephone: 717-783-3770 | Fax: 717-787-0651
Questions or comments regarding this notice may be directed to Dee McHugh, Special Advisor, 30 N. 3rd Street, Harrisburg PA 17101, phone 717.783.3770 x258 or faxed to 717.705.7341.
Media calls should be directed to 717.787.3289.
C-416 Claims Reporting
Reminder concerning Section 715 claim status:
Pursuant to Section 715 (a) of Act 13, which requires receipt by Mcare of a written request for Section 715 coverage within 180 days of the date on which notice of the claim was first given to a health care provider or its insurer, Mcare is providing this reminder due to the passing of the first 180 days in calendar year 2010.
We remind insurers that Section 715(d) of Act 13 states that notwithstanding subsections (a), (b) and (c), all medical professional liability insurance policies issued on or after January 1, 2006, shall provide indemnity and defense for claims asserted against a health care provider for a breach of contract or tort which occurs four or more years after the breach of contract or tort occurred and after December 31, 2005.
For purposes of this subsection, Mcare accepts Section 715 claim status if the dates of criticized treatment are both before and after December 31, 2005, and the last date of criticized treatment is more than four years before notice of the claim was given to the health care provider or their insurer. Accepted Section 715 claims have a coverage limit of $1,000,000 and may have other restrictions OR when certain requirements are met. The acceptance of a claim is subject to all other applicable provisions of the Act and its regulations.
Guidelines: C-416 Claim Reporting in accordance with NPDB Codes PDF
Last Update October 2011
Form: C-416 Claim Reporting PDF
Last Update 2/04: Includes Preparer's e-Mail Address
Form: C-416 Claim Reporting Word
Last Update 2/04: Includes Preparer's e-Mail Address
Reporting of Exhaustian of Primary Aggregate Limits
Instructions to Complete Exhaustian of Primary Aggregate Limits Form - 3.6.2013
Exhaustion of Primary Aggregate Limits - Fill-in PDF Form - 3.6.2013
Exhaustian of Primary Aggregate Limits - PDF Form - 3.6.2013
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