Patient-Centered Outcomes Research Institute Fees (PCORI Fees) due July 31, 2018

June 6, 2018 – This is a reminder your 2017 PCORI fee is due July 31, 2018.

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 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 2017 plan year, please contact your North Risk Partners’ representative.

Payment Schedule

Plan Year                     Fee Per Average Covered Life       Due Date
2/1/16 – 1/31/17 $2.26 July 31, 2018
3/1/16 – 2/28/17 $2.26 July 31, 2018
4/1/16 – 3/31/17 $2.26 July 31, 2018
5/1/16 – 4/30/17 $2.26 July 31, 2018
6/1/16 – 5/31/17 $2.26 July 31, 2018
7/1/16 – 6/30/17 $2.26 July 31, 2018
8/1/16 – 7/31/17 $2.26 July 31, 2018
9/1/16 – 8/31/17 $2.26 July 31, 2018
10/1/16 – 9/30/17 $2.26 July 31, 2018
11/1/16 – 10/31/17 $2.39 July 31, 2018
12/1/16 – 11/30/17 $2.39 July 31, 2018
1/1/17 – 12/31/17 $2.39 July 31, 2018

 

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.

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* MyWave Connect login credentials are needed to access these resources. If you don’t know your MyWave Connect credentials, please contact your advisor.

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.