The Affordable Care Act created the Patient Centered Outcome Research Initiative (PCORI) to evaluate and compare health outcomes. The annual PCORI fee partially funds this initiative and applies to all group health plans that provide coverage to employees, including church and government plans. This alert is most relevant to self-insured group health plan sponsors (including those with a self-insured HRA).
Self-insured group health plan sponsors (including health reimbursement arrangements) are responsible for reporting and payment of the fee using IRS Form 720, which is due by July 31, 2025. Insurance carriers will handle reporting and payment for fully insured plans.
This alert summarizes how employers can calculate their applicable PCORI fee liability, complete the Form 720 reporting requirement, and timely submit the report and payment to the IRS.
