PCORI fees
The PCORI fee is a small annual per-person fee that funds health outcomes research. For self-funded plans and HRAs, the employer files and pays it.
A small yearly fee with a firm deadline. We'll get it filed right.
What is the PCORI fee?
The Patient-Centered Outcomes Research Institute (PCORI) fee is an annual fee set by the Affordable Care Act. Carriers pay it for fully insured plans. Sponsors of self-funded health plans, including level-funded plans and most HRAs, pay it themselves by filing IRS Form 720 by July 31, based on the average number of covered lives and a per-life rate the IRS updates each year.
How we help
Who owes it
Sponsors of self-funded and level-funded plans, and of HRAs. Carriers pay for fully insured plans.
How it's calculated
Average covered lives for the plan year times the IRS per-life rate in effect for that year.
Counting methods
Actual count, snapshot or Form 5500 method; we help you pick the right one.
Filing
Second-quarter IRS Form 720, due July 31, for plan years ending in the prior calendar year.
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Frequently asked questions
Do fully insured plans pay PCORI?
The carrier pays it. Employers with fully insured medical plans owe PCORI only for a separate self-funded plan, such as an HRA.
Is the PCORI fee paid every year?
Yes, on IRS Form 720 by July 31, using the per-life rate for the plan year being reported.
Where do I find the current rate?
The IRS announces the adjusted per-life amount each year. We confirm it when we help you file.
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