2019 ASSESSMENT - 19%

2019 Assessment Rate of 19% as published in the  Pennsylvania Bulletin Published 11.13.18

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 2019 remains at 19%.

RATING

 2019 Mcare Assessment Manual.pdf  Published 11.13.18   2019 Assessment Manual Cover Letter.pdf

The 2019 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.               

         2019 EXHIBIT 1.pdf    Rates for 2019 Individual Health Care Providers

         2019 EXHIBIT 2.pdf    Rates for 2019 Hospitals, Nursing Homes and Primary Health Care Centers       

     2019 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.

2019 e-216 Remittance Advice Form V3.1.9.xlsm  Updated 02.05.21

The "Submit e-216" button is a new enhancement.  Please refer to Section I of the 2019 Assessment Manual for details.                              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. 

2019 Nonparticipating Transmittal Form e-316 V1.0.3.xlsm   Updated 08.25.20

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 2019 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

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.htmlOpens In A New Window

Click hereOpens In A New Window for Mcare regulations published in the Pennsylvania Code.