May 24, 2019 - This is a reminder your PCORI fee is due July 31, 2019.
What is a PCORI fee?
The Affordable Care Act (ACA) created the Patient-Centered Outcomes Research Institute (PCORI) to help patients, clinicians, payers and the public make informed health decisions by advancing comparative effectiveness research.
The institute's research is to be funded, in part, by fees paid by health insurance issuers and sponsors of self-insured health plans. These fees are widely known as Patient-Centered Outcomes Research Institute fees (PCORI fees), although they may also be called PCOR fees or comparative effectiveness research (CER) fees.
We strongly advise you to take the time to read through North Risk's Legislative Brief on PCORI Fees*. Directly below, you will find a PCORI fee payment schedule based on plan year start date. For easy reference, we've also included links to relevant forms and documents below. If you require assistance determining your member counts for your 2018 plan year, please contact your North Risk Partners' representative.
|Plan Year||Fee Per Average Covered Life||Due Date|
|2/1/17 – 1/31/18||$2.39||July 31, 2019|
|3/1/17 – 2/28/18||$2.39||July 31, 2019|
|4/1/17 – 3/31/18||$2.39||July 31, 2019|
|5/1/17 – 4/30/18||$2.39||July 31, 2019|
|6/1/17 – 5/31/18||$2.39||July 31, 2019|
|7/1/17 – 6/30/18||$2.39||July 31, 2019|
|8/1/17 - 7/31/18||$2.39||July 31, 2019|
|9/1/17 - 8/31/18||$2.39||July 31, 2019|
|10/1/17 - 9/30/18||$2.39||July 31, 2019|
|11/1/17 - 10/31/18||$2.45||July 31, 2019|
|12/1/17 - 11/30/18||$2.45||July 31, 2019|
|1/1/18 - 12/31/18||$2.45||July 31, 2019|
- 720 tax form (revised April 2019)
- 720 tax form instructions (revised April 2019)
- Coverage Subject to PCORI Fees (Chart)*
- FAQs on the PCORI Fees*
- Legislative Brief on PCORI Fees* (Note: The three options for determining the average number of covered lives are located on page 6 of the brief.)
If you have questions regarding PCORI fees, contact your North Risk Partners advisor. Don’t have an advisor? No problem. We’ll help you find one.
This regulatory update is not intended to be exhaustive nor should any discussion or opinions be construed as legal advice. Readers should contact legal counsel for legal advice.
*Downloadable content is reserved for North Risk Partners clients. MyWave Connect login credentials are needed to download the bulletin.