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of the Commonwealth of Pennsylvania

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    Pennsylvania Insurance Department

    MCARE 2026 Assessment

    The 2026 Assessment Rate of 29% was published in the Pennsylvania Bulletin on October 25, 2025.

    2026 Assessment Rate: 29%

    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).

    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.