Under the Affordable Care Act, certain employers have an annual obligation to pay the PCORI fee. Generally, this fee applies to employers that have a self-insured group health plan and to employers that have a Health Reimbursement Arrangement (HRA) alongside their fully-insured group health plan.
Sponsors of any applicable plans that ended in 2016 must pay the 2016 fee by July 31, 2017.
Calculating and Paying the Fee
Using Part II, Number 133 of IRS Form 720, issuers and plan sponsors are required to report the average number of lives covered under the plan separately for specified health insurance policies and applicable self-insured health plans. That number is then multiplied by the applicable rate for that tax year, as follows:
- For plan years that end on or after October 1, 2015, and before October 1, 2016, the fee is $2.17.
- For plan years that end on or after October 1, 2016, and before October 1, 2017, the fee is $2.26.
The fees for specified health insurance policies and applicable self-insured health plans are then combined to equal the total tax owed.
Support for Clients of CBG Benefits
If you are a client of CBG Benefits, please be sure to reach out to our team if you need any support understanding and meeting this compliance requirement. We also encourage you to visit the CBGconnect portal and download the “Health Care Reform: Reporting and Paying the PCORI Fees” bulletin.
If you have any questions, please contact our team at 781-759-1222.