2023 Assessment - 19%
The 2023 Assessment Rate of 19% as published in the Pennsylvania Bulletin. (Published 10/29/22)
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 2023 is 19%.
Rating
The 2023 Mcare Assessment Manual is intended to assist in calculating Mcare assessments pursuant to Act 13 of 2002. Please read it in its entirety to determine how changes may alter your processes.
- 2023 Mcare Assessment Manual -IHM.pdf (Updated 07/21/23)
- 2023 Mcare Assessment Manual.pdf (Updated 01/27/23)
- 2023 Assessment Manual Cover Letter - Revised.pdf (Published 07/21/23)
- 2023 Exhibit 1 - Rates for 2023 Individual Health Care Providers
- 2023 Exhibit 2 - Rates for 2023 Hospitals, Nursing Homes, and Primary Health Care Centers
- 2023 Exhibit 3 - JUA's Specialty Classification Codes for Physicians, Surgeons, and Other Health Care Providers
Reporting
Since Mcare periodically makes improvements to Form e-216, downloading a new Form e-216 each time will ensure you are using the most current version.
This form is to be used by basic professional liability insurance carriers and approved self-insurers for summarizing assessment collected, payable and refundable. A healthcare provider may not complete this form except for an approved self-insured healthcare provider.
- 2023 e-216 Remittance Advice Form - Updated 07/24
- Mcare e-216 Tools Manual V3.7 - This manual describes the functions of the enhanced e-216 including the Review Tool
- Nonparticipating Transmittal Form e-316 - Updated 07/24
Electronic Submissions
Electronic submission of Form e-216 is the preferred method of reporting basic professional liability insurance coverage to Mcare as it increases Mcare's ability to process coverage information more efficiently and expeditiously.
E-mail the completed Form e-216 to: 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 from the effective date of coverage. For complete details, please refer to Section I of the 2023 Assessment Manual.
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. We will have an Mcare representative call you to explain the program.
Laws and Regulations
The Pennsylvania Code is the official repository for all Commonwealth regulations. The Insurance Department and Mcare's regulations can be viewed in the PA Code & Bulletin.