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2020 ASSESSMENT - 19%

2020 Assessment Rate of 19% as published in the  Pennsylvania Bulletin Published 10.26.19

The Pennsylvania Joint Underwriting Association's (JUA) prevailing primary premium specialty and territory classes have not changed from last year and the assessment percentage for 2020 remains at 19%.

RATING

 2020 Mcare Assessment Manual.pdf  Published 11.01.19    2020 Assessment Manual Cover Letter.pdf 

The 2020 Mcare Assessment 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.               

 2020 EXHIBIT 1.pdf    Rates for 2020 Individual Health Care Providers

 2020 EXHIBIT 2.pdf   Rates for 2020 Hospitals, Nursing Homes and Primary Health Care Centers       

 2020 EXHIBIT 3.pdf   JUA's Specialty Classification Codes for Physicians, Surgeons and Other Health Care Providers 

REPORTING

Mcare e-216 Tools Manual V3.3.pdf  Published 02.25.20

This manual describes the functions of the enhanced e-216 including the new Review Tool.

 2020 e-216 Remittance Advice Form V1.1.xlsm  Published  02.11.20 

Since Mcare periodically makes improvements to the Form e-216, downloading a new Form e-216 each time will ensure you are using the most current version. 

 2020 Nonparticipating Transmittal Form e-316 V1.0.0.xlsm  Published 11.01.19

ELECTRONIC SUBMISSIONS: Electronic submission of the Form e-216 is the preferred method of reporting basic professional liability insurance coverage to Mcare.  The Form e-216 must be sent to the following e-mail address                        ra-in-remittance@pa.gov. Payment must be sent to Mcare on or about the same time as the Form e-216 is e-mailed, but within 60 days of the effective date.  For complete details, please refer to Section I of the 2020 Assessment Manual.  

   ·   Submitting electronically increases Mcare's ability to process coverage information 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                   assessments collected, payable and refundable.  A health care provider may not complete this form except for an                      approved self-insured health care provider.

   ·   All payments due should be received by Mcare within 60 days from the effective date of coverage.

ASSESSMENT PAYMENT OPTION AVAILABLE

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 request the use of EFTs when assessment payments are made. 

 To learn more about this payment option and the minimum standards, please send an email to Mcare's Fiscal Unit at            ra-in-mcare-exec-web@pa.gov expressing your interest.  We will have an Mcare representative call you to explain the program.  

LAWS, REGULATIONS, STATEMENTS OF POLICY AND NOTES

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.