Tag: ACA

  • PCORI fees are due by Monday, August 1, 2022

    July 18, 2022

    Tags: ,

    By way of back­ground, the Afford­able Care Act (ACA) cre­at­ed the Patient-Cen­tered Out­comes Research Insti­tute (PCORI) to study clin­i­cal effec­tive­ness and health out­comes. To finance the Institute’s work, a small annu­al fee—commonly called the PCORI fee—is charged on group health plans. Grand­fa­thered health plans are not exempt.

    Most employ­ers do not have to take any action because employ­er-spon­sored health plans are com­mon­ly pro­vid­ed through group insur­ance con­tracts. For insured plans, the car­ri­er is respon­si­ble for cal­cu­lat­ing and pay­ing the PCORI fee and the employ­er has no addi­tion­al duties.

    How­ev­er, employ­ers that spon­sor self-fund­ed group health plans are respon­si­ble for cal­cu­lat­ing, report­ing, and pay­ing this fee each year.

    Read More »

  • PCORI fees are due by Monday, August 1, 2022

    July 18, 2022

    Tags: ,

    By way of back­ground, the Afford­able Care Act (ACA) cre­at­ed the Patient-Cen­tered Out­comes Research Insti­tute (PCORI) to study clin­i­cal effec­tive­ness and health out­comes. To finance the Institute’s work, a small annu­al fee—commonly called the PCORI fee—is charged on group health plans. Grand­fa­thered health plans are not exempt.

    Most employ­ers do not have to take any action because employ­er-spon­sored health plans are com­mon­ly pro­vid­ed through group insur­ance con­tracts. For insured plans, the car­ri­er is respon­si­ble for cal­cu­lat­ing and pay­ing the PCORI fee and the employ­er has no addi­tion­al duties.

    How­ev­er, employ­ers that spon­sor self-fund­ed group health plans are respon­si­ble for cal­cu­lat­ing, report­ing, and pay­ing this fee each year.

    Read More »

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