MCARE 2026 Assessment

The annual assessment to be levied for calendar year 2026 shall be 29% applied to the prevailing primary premium for each participating health care provider. The Mcare Act defines “prevailing primary premium” as the schedule of occurrence rates approved by the Insurance Commissioner for the Joint Underwriting Association (JUA).

The 2026 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.

• 2026 Mcare Assessment Manual
• 2026 Assessment Manual Cover Letter
• 2026 Exhibit 1: Rates for Individual Health Care Providers
• 2026 Exhibit 2: Rates for Hospitals, Nursing Homes, and Primary Care Centers
• 2026 Exhibit 3: JUA's Specialty Classification for Physicians, Surgeons, and Other Health Care Providers    

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.

• 2026 e-216 Remittance Advice Form
• Mcare e-216 Tools Manual: This manual describes the functions of the enhanced e-216, including the Review Tool.
• Nonparticipating Transmittal Form e-316

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 email  Mcare's Fiscal Unit at ra-in-mcare-exec-web@pa.gov. We will have an Mcare representative call you to explain the program.

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.