2025 Assessment Rate- 29%
The 2025 Assessment Rate of 29% as published in the Pennsylvania Bulletin.
The annual assessment to be levied for calendar year 2025 shall be 29% applied to the 2025 prevailing primary premium for each participating healthcare 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).
Rating
The 2025 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.
- 2025 Mcare Assessment Manual (Published 12/10/2024)
- 2025 Assessment Manual Cover letter (Published 12/10/2024)
- 2025 Exhibit 1 – Rates for 2025 Individual Health Care Providers
- 2025 Exhibit 2 – Rates for 2025 Hospitals, Nursing Homes & Primary Care Centers
- Exhibit 3 – JUA's Specialty Classification 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.
- 2025 e-216 Remittance Advance Form V1.0.0
- Mcare e-216 Tools Manual V3.9 - This manual describes the functions of the enhanced e-216 including the Review Tool
- Nonparticipating Transmittal Form e-316 V1.0.26
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.