31 Pa. Code § 242.2

Current through Register Vol. 54, No. 49, December 7, 2024
Section 242.2 - Definitions

The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

Act-The Health Care Services Malpractice Act (40 P. S. §§ 1301.101-1301.1006).

Basic insurance coverage-Insurance or self-insurance with limits of liability which comply with the occurrence-based requirements of the act in section 701 of the act (40 P. S. § 1301.701). In the case of a claims made policy permitted under sections 103 and 807 of the act (40 P. S. §§ 1301.103 and 1301.807), the insurance requirements of the act require purchase of the reporting endorsement (that is, tail coverage) or prior acts coverage or its substantial equivalent by the health care provider, upon cancellation or termination of the claims made policy.

Cost to each health care provider-The gross premium, including experience and schedule rating for basic coverage professional liability insurance.

Department-The Insurance Department of the Commonwealth.

Director-The Office of the Director of the Medical Professional Liability Catastrophe Loss Fund.

Emergency surcharge-A surcharge levied by the Insurance Commissioner under section 701(e) of the act (40 P. S. § 1301.701(e)).

Fund-The Medical Professional Liability Catastrophe Loss Fund established by section 701 of the act (40 P. S. § 1301.701).

Gross premium-The entire premium charged the insured, including, but not limited to, binder charges and policy fees, as is generated to secure an occurrence-based policy. In the case of a claims made policy, the gross premium shall be computed as the sum of all the premiums charged for the claims made policy including the reporting endorsement (that is, tail coverage) or prior acts coverage or its substantial equivalent. Payment of the surcharge shall be made at the time that the respective premium is collected subject to the limitation of § 242.6(a)(3) (relating to reporting forms and procedures).

Health care provider-Health care provider as defined by the act.

Insurer-The insurance company providing basic coverage insurance.

31 Pa. Code § 242.2

The provisions of this § 242.2 adopted October 15, 1976, effective 10/16/1976, 6 Pa.B. 2565; amended October 7, 1977, effective 10/8/1977, 7 Pa.B. 2893; renumbered February 9, 1979, 9 Pa.B. 498; amended August 29, 1980, effective 8/30/1980, 10 Pa.B. 3514; amended September 30, 1983, effective 10/1/1983, 13 Pa.B. 2969; amended through April 27, 1984, effective 4/28/1984, 14 Pa.B. 1453.

The provisions of this § 242.2 issued under sections 206 and 506 of The Administrative Code of 1929 (71 P. S. §§ 66 and 186); and sections 701(e)(4) and 702(a) of the Health Care Services Malpractice Act (40 P. S. §§ 1301.701(e)(4) and 1301.702(a)).