60 Notice of and amount of surcharge

MEDICAL PROFESSIONAL LIABILITY CATASTROPHE LOSS FUND

Notice of and Amount of Surcharge

[27 Pa.B. 222]

   The Medical Professional Liability Catastrophe Loss Fund, under the authority granted by section 701(e) of the Health Care Services Malpractice Act, 40 P. S. § 1301.701(e), as amended by Act 135 of 1996, has determined that the annual surcharge to be assessed for calendar year 1997 shall be 75% applied to the prevailing primary premium for each health care provider.

   Act 135 of 1996 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 1997 annual surcharge, the JUA rates to be used are $200,000/$600,000 for health care providers other than hospitals, and $200,000/$1,000,000 for hospitals, as set forth in Exhibits ''1'' and ''2'' within this notice.

   Health care providers having approved self-insurance plans shall be surcharged an amount equal to the surcharge imposed on a health care provider of like class, size, risk and kind as determined by the Fund's Director.

JOHN H. REED,   
Director

Exhibit 1

Medical Professional Liability Catastrophe Loss fund

Prevailing Primary Premium*
for Physicians, Surgeons and other Health Care Professionals

	Territory***
Class**	1	2	3	4	5
006	3,582	1,752	1,870	3,228	2,326
007	4,358	2,130	2,274	3,926	2,828
010	6,352	3,106	3,316	5,724	4,122
015	7,864	3,846	4,104	7,086	5,104
020	12,164	5,948	6,350	10,960	7,894
030	16,224	7,934	8,468	14,616	10,528
035	17,640	8,626	9,208	15,894	11,448
050	23,452	11,468	12,242	21,130	15,220
060	27,904	13,646	14,566	25,142	18,110
070	35,844	17,528	18,710	32,296	23,262
080	39,960	19,540	20,860	36,004	25,934
100	55,104	26,946	28,764	49,648	35,762
120	2,788	1,364	1,456	2,512	1.810
130	12,510	6,118	6,530	11,272	8,118
900	3,176	1,554	1,658	2,862	2,062

 
* Fund surcharges will be assessed on annualized JUA rates
** As defined by J.U.A. (see Fund Exhibit 3)
*** As defined by J.U.A.:
            Territory 1:  Delaware, Montgomery, Philadelphia
Territory 2:  Remainder of State
Territory 3:  Allegheny
Territory 4:  Bucks, Schuylkill
Territory 5:  Chester, Mercer, Monroe, Lackawanna, Westmoreland
 
 

Exhibit 2

Medical Professional Liability Catastrophe Loss Fund

Prevailing Primary Premium*
for Hospitals, Nursing Homes and Primary Health Centers

		Specialty		Prevailing
Territory**	Exposure Base	Code	Exposure Type***	Primary Premium
Hospitals ($200,000/$1,000,000 Limits)
1, 4	Per Occupied Bed	80611/80612	Hospital (acute care)	3,026.00
1, 4	Per Occupied Bed	80611/80612	Mental Health/Mental Rehabilitation	1,514.00
1, 4	Per Occupied Bed	80611/80612	Extended Care	136.00
1, 4	Per Occupied Bed	80611/80612	Out Patient Surgical	3,026.00
1, 4	Per Occupied Bed	80611/80612	Health Institution	606.00
1, 4	Per 100 Visits	80611/80612	Emergency	302.62
1, 4	Per 100 Visits	80611/80612	Other	121.05
1, 4	Per 100 Visits	80611/80612	Mental Health/Mental Rehabilitation	75.66
1, 4	Per 100 Visits	80611/80612	Extended Care	6.72
1, 4	Per 100 Visits	80611/80612	Out Patient Surgical	302.62
1, 4	Per 100 Visits	80611/80612	Health Institution	45.39
1, 4	Per 100 Visits	80611/80612	Home Health Care	75.66
2, 3	Per Occupied Bed	80611/80612	Hospital (acute care)	1,514.00
2, 3	Per Occupied Bed	80611/80612	Mental Health/Mental Rehabilitation	756.00
2, 3	Per Occupied Bed	80611/80612	Extended Care	68.00
2, 3	Per Occupied Bed	80611/80612	Out Patient Surgical	1,514.00
2, 3	Per Occupied Bed	80611/80612	Health Institution	304.00
2, 3	Per 100 Visits	80611/80612	Emergency	151.32
2, 3	Per 100 Visits	80611/80612	Other	60.52
2, 3	Per 100 Visits	80611/80612	Mental Health/Mental Rehabilitation	37.82
2, 3	Per 100 Visits	80611/80612	Extended Care	3.36
2, 3	Per 100 Visits	80611/80612	Out Patient Surgical	151.32
2, 3	Per 100 Visits	80611/80612	Health Institution	22.70
2, 3	Per 100 Visits	80611/80612	Home Health Care	37.82
Nursing Homes ($200,000/$600,000 Limits)
All	Per Occupied Bed	80923/80924	Convalescent	44.00
All	Per Occupied Bed	80923/80924	Skilled Nursing	38.00
All	Per Occupied Bed	80923/80924	Personal Care	14.00
Primary Health Centers ($200,000/$600,000 Limits)
1, 4	Per 100 Visits	80614	Emergency	297.78
1, 4	Per 100 Visits	80614	Other	119.12
1, 4	Per 100 Visits	80614	Mental Health/Mental Rehabilitation	74.45
1, 4	Per 100 Visits	80614	Out Patient Surgical	297.78
1, 4	Per 100 Visits	80614	Home Health Care	74.45
2, 3	Per 100 Visits	80614	Emergency	148.88
2, 3	Per 100 Visits	80614	Other	59.55
2, 3	Per 100 Visits	80614	Mental Health/Mental Rehabilitation	37.22
2, 3	Per 100 Visits	80614	Out Patient Surgical	148.88
2, 3	Per 100 Visits	80614	Home Health Care	37.22

 
* Fund surcharges will be assessed on annualized JUA rates
** As defined by PHICO Insurance Company, and adopted by J.U.A.:
            Territory 1:  Delaware, Montgomery, Philadelphia
Territory 2:  Remainder of State
Territory 3:  Allegheny
Territory 4:  Bucks, Chester
*** As defined by PHICO Insurance Company, and adopted by J.U.A.
**** Based on PHICO Insurance Company rates as of 9/1/94, as adopted and modified by J.U.A.

[Pa.B. Doc. No. 97-60. Filed for public inspection January 10, 1997, 9:00 a.m.]