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2009 Assessment - 18%

The annual assessment rate for 2009 has been updated from 19% to 18%.  This is as a result of the implementation of the lawsuit settlement.  Please begin to use the new lowered assessment rate documents as soon as possible.

2009 Assessment Rate of 19% as originally published in the Pennsylvania Bulletin.


2009 Assessment Manual v.2  Published 6.18.2014

  • This 2009 Mcare Assessment Manual ("Manual") is intended to assist in calculating Mcare assessments pursuant to Act 13 of 2002.
  •  Cancellations and Endorsements:  Update of the exceptions to the no credit rule as found on page 10.
Exhibit 1 Rating for Individual Health Care Providers - Updated 9.28.2015

Exhibit 2 Rating for Hospitals, Nursing Homes and Primary Health Care


When submitting coverage for 2009, please use the new lower assessment rates available in the following updated Form e-216:
2009 e-216 Remittance Advice Form -  Updated 9.28.2015

  • Exhibit 6A Hospital Roster - Discontinued as of 11.15.16
IMPORTANT PROCESSING UPDATE - ELECTRONIC SUBMISSIONS: Electronic submission of Excel type e-216 is the preferred method of reporting basic professional liability insurance coverage to Mcare.  No longer is a hardcopy 216 required when submitting your e-216 with or without payment.  This applies to all submissions, regardless of the assessment year or run date.  The e-216 must be sent to the following e-mail address  Payment must be sent to Mcare on or about the same time as the e-216 is e-mailed, but within 60 days of the effective date.    For complete details, please refer to Section I of the 2009 Assessment Manual. 
  • The standard for submitting new and renewal business to Mcare is to do so electronically via Form e-216, or one of the other two approved formats listed in the manual.  Submitting electronically increases Mcare's ability to process coverage information and payment in a more efficient and expeditious manner.   
  • This form is to be used by basic professional liability insurance carriers and approved self-insurers for summarizing surcharges/assessments collected, payable and refundable. Except for an approved self-insured health care provider, a health care provider may not complete this form.
  • All payments due, should be received by Mcare within 60 days from the effective date of coverage, cancellation or endorsement.
Please refer to the 2009 Assessment Manual for tail rating infomation.


Click here to access Laws, Regulations, Statements of Policy and Notices that may assist your understanding and reporting of Mcare coverage and/or claims.
The Pennsylvania Code is the official repository for all Commonwealth regulations. The Insurance Department's regulations are available at

 Click here for Mcare regulations published in the Pennsylvania Code.

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 new payment option and the minimum standards, please send an email to Mcare’s Fiscal Unit expressing your interest.  We will have an Mcare representative call you to explain the program.