The Patient-Centered Outcomes Research Institute (PCORI) fee is an annual charge imposed on issuers of specified health insurance policies and sponsors of self-insured health plans, established under the Affordable Care Act (ACA). This fee helps fund the PCORI, an independent, non-profit organization dedicated to conducting research that evaluates the effectiveness of medical treatments and healthcare services to improve patient outcomes and inform healthcare decisions. While insurance carriers are responsible for paying the PCORI fee for fully insured plans, employers sponsoring self-insured health plans (including HRAs) are responsible for calculating and remitting the fee to the IRS annually on Form 720 by July 31st, based on the average number of lives covered during the preceding plan year. The fee amount is adjusted annually for inflation.

PCORI fee compliance services assist employers and health plan sponsors in meeting their annual obligations for the Patient-Centered Outcomes Research Institute (PCORI) fee, a crucial component of the Affordable Care Act (ACA). These services typically involve accurately calculating the fee based on the average number of covered lives, preparing and submitting IRS Form 720 by the July 31st deadline, and advising on specific scenarios such as self-insured plans, HRAs, and FSAs. By leveraging expert guidance, organizations can ensure timely and accurate filings, mitigate the risk of IRS penalties, and confidently fulfill their regulatory responsibilities related to funding patient-centered health outcomes research.

The Patient-Centered Outcomes Research Institute (PCORI) fee is a significant consideration for Human Resources departments managing health plans. This fee, established under the Affordable Care Act (ACA), applies to plan sponsors of certain self-insured and fully insured health plans. HR professionals are responsible for ensuring accurate calculation, timely reporting on IRS Form 720, and payment of this fee by the annual deadline. Understanding the intricacies of who is subject to the fee, how to determine the average number of covered lives, and any applicable exemptions is crucial for maintaining compliance and avoiding penalties. Seeking assistance or utilizing resources that clarify these guidelines can greatly simplify the process for HR teams.

The Patient-Centered Outcomes Research Institute (PCORI) fee is an annual fee imposed on certain health insurance policies and self-insured health plans to fund comparative effectiveness research. For small businesses, understanding their obligation to file and pay this fee is crucial for compliance with the Affordable Care Act (ACA). The fee amount is calculated based on the average number of lives covered under the plan and is reported and paid using IRS Form 720, the Quarterly Federal Excise Tax Return. While primarily impacting self-insured plans, certain HRAs (Health Reimbursement Arrangements) offered by small businesses may also be subject to the fee. Businesses must accurately determine their covered lives and adhere to the filing and payment deadlines, typically by July 31st of the year following the last day of the policy or plan year.

The Patient-Centered Outcomes Research Institute (PCORI) fee is an annual excise tax imposed under the Affordable Care Act (ACA) on health insurers and sponsors of self-insured health plans, including many Health Reimbursement Arrangements (HRAs) and Flexible Spending Accounts (FSAs), to fund comparative effectiveness research. While health insurance carriers typically handle this fee for fully insured plans, employers sponsoring self-insured health plans are directly responsible for calculating, reporting, and paying the PCORI fee to the IRS using Form 720 by July 31st. Importantly, third-party administrators (TPAs) generally do not remit this fee on behalf of self-insured employers; instead, their role is often limited to providing the necessary data on covered lives, aiding employers in fulfilling their compliance obligations.

The Patient-Centered Outcomes Research Institute (PCORI) fee is an annual assessment levied on self-insured health plans to fund research aimed at improving healthcare quality and effectiveness. For self-insured employers, this means a direct obligation to calculate the fee based on the average number of covered lives within their plan, including dependents and certain HRAs, and report it annually to the IRS using Form 720. This fee, part of the Affordable Care Act, is due by July 31st of the year following the plan year end and is subject to annual adjustments for inflation, making ongoing compliance and accurate record-keeping essential for plan sponsors.

The IRS PCORI (Patient-Centered Outcomes Research Institute) fee is an annual charge imposed on issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans under the Affordable Care Act. To remain compliant, entities must calculate the fee based on the average number of covered lives and submit payment using IRS Form 720 by the July 31st deadline each year. This fee helps fund comparative clinical effectiveness research and applies to both fully insured and certain self-insured health plans. Accurate calculation and timely submission are crucial to avoid penalties and ensure proper reporting with the IRS.

The PCORI (Patient-Centered Outcomes Research Institute) filing deadline is a crucial compliance date for employers and insurers that provide certain self-insured health plans. Each year, the IRS requires these entities to report and pay PCORI fees using Form 720. For the 2024 plan year, the PCORI fee is due by July 31, 2025. This annual fee supports research aimed at improving health care outcomes and decision-making. Ensuring timely filing and payment helps avoid penalties and keeps organizations in line with federal health coverage mandates.

The PCORI fee calculator is a convenient tool designed to help issuers of health insurance policies and sponsors of self-insured health plans determine their required payment to the IRS under the Patient-Centered Outcomes Research Institute (PCORI) program. By entering your average number of covered lives and the applicable fee rate, the calculator simplifies the computation process and ensures compliance when filing Form 720. Whether you're preparing for the 2025 deadline or need an estimate for budget planning, this tool saves time and reduces errors.

Filing the PCORI fee through IRS Form 720 online is a streamlined process designed for issuers of specified health insurance policies and sponsors of self-insured health plans. This annual fee supports the Patient-Centered Outcomes Research Institute, which funds valuable healthcare research. By e-filing Form 720, businesses can accurately report and pay the PCORI fee, avoiding penalties and ensuring compliance with IRS requirements. Using an online filing service simplifies the steps, from calculating the fee based on covered lives to submitting payment securely and on time.