Employers who sponsor a self-insured group health plan (including Health Reimbursement Arrangements – HRA) are subject to the PCORI fee provisions of the Affordable Care Act. The employer must file Form 720 and submit payment to the IRS by July 31st of the calendar year following the end of the plan year.
The fee is multiplied by the number of Covered Lives (using one of four IRS-permitted methods). Enrollment information for Covered Lives determination is available from your TPA. The fee amount for payment due July 31, 2018 follows:
- $2.26 – Plan years ending anytime January to September, 2017
- $2.39 – Plan years ending anytime October to December, 2017 (including 2017 calendar year plans)
View IRS website and FAQ and read our bulletin for more information and a link to the Form. If you have questions about how the PCORI fee applies to you, please contact an S.S. Nesbitt benefits consultant.