[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-302531-105":53,"doc-detail-302531-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","pcori-fee-summary-december-2024","PCORI Fee Summary - December 2024","","PCORI fees are assessed under the Affordable Care Act to fund patient-centered outcomes research. The fees are generally collected through annual reporting and payment in the second quarter via IRS Form 720, with the applicable requirements depending on whether health coverage is fully-insured or self-funded. The document outlines which plan types are subject to the fee, key exceptions such as certain excepted benefits, and how employers calculate average covered lives for reporting.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":21,"@type":70,"position":76},"https://docshare.wps.com/template/invoices/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/pcori-fee-summary-december-2024/302531/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/pcori-fee-summary-december-2024/302531.png","ImageObject",442,249,{"name":88,"@type":89},"Noah","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-27","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":9},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the PCORI fee, and how is it funded?","Question",{"text":108,"@type":109},"The Affordable Care Act created PCORI to support clinical effectiveness research. PCORI is funded in part by fees paid by health insurers and sponsors of self-funded health plans, reported and paid annually using IRS Form 720 in the second quarter.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which health plans are subject to the PCORI fee?",{"text":113,"@type":109},"The PCORI fee generally applies to most group health plans, with exceptions for certain excepted benefits. It applies to health reimbursement arrangements (HRAs), including QSEHRAs and ICHRAs, and to retiree-only plans, while qualifying health FSAs are not subject to the fee.",{"name":115,"@type":106,"acceptedAnswer":116},"How do employers calculate average covered lives for the PCORI fee?",{"text":117,"@type":109},"Self-funded plan sponsors must use one of three methods for the entire plan year: the Actual Count Method, the Snapshot Method, or the Form 5500 Method. The chosen method determines how covered lives are counted for reporting and payment.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},302531,1790530691,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":20,"category_name":21,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},8796095462418,"https://ap-avatar.wpscdn.com/avatar/80000253c1241d02b47?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778826106357471780","PCORI Fees  \nDecember 2024  \nThe Affordable Care Act (ACA) created a nonprofit corporation, the Patient-Centered Outcomes Research Institute (PCORI) to support clinical effectiveness research for healthcare. Information about the institute’s research and impact can be found at [https://www.pcori.org/](https://www.pcori.org/. The institute is)[. The institute is](https://www.pcori.org/. The institute is) funded in part by fees paid by health insurers and sponsors of self-funded health plans (PCORI fees), which are reported and paid annually in the second quarter using Form 720. General summary information regarding reporting and paying PCORI fees can be found at [https://www.irs.gov/newsroom/patient-centered-outcomes-research-institute-fee](https://www.irs.gov/newsroom/patient-centered-outcomes-research-institute-fee).  \nPlans Subject to the Fee  \nThe PCORI fee applies to most group health plans, but not to excepted benefits. Health reimbursement arrangements (HRAs) are self-funded plans subject to the PCORI fee. This includes qualified small employer HRAs (QSEHRAs) and individual coverage HRAs (ICHRAs) . Retiree-only plans are also subject to the PCORI fee. NOTE: Health flexible spending arrangements (FSAs) that qualify as excepted benefits are not subject to the fee, but health FSAs not meeting the maximum benefit and availability conditions would be subject to the PCORI fee.  \nThe IRS published a chart that describes the different types of plans subject to the fee here –  \n[https://www.irs.gov/newsroom/application-of-the-patient-centered-outcomes-research-trust-fund-fee-to](https://www.irs.gov/newsroom/application-of-the-patient-centered-outcomes-research-trust-fund-fee-to)  \ncommon-types-of-health-coverage-or-arrangements.  \nFully-Insured Plans – For fully-insured plans, the health insurance carriers report and pay the fee (the employer should not have to do anything) .  \nSelf-Funded Plans – For self-funded group health plans, including HRAs and retiree-only plans, employers are responsible for reporting and paying the fee.  \nOriginally the PCORI fee applied to plan years ending after September 30, 2012 and before October 1, 2019. However, the Consolidated Appropriations Act, 2020 extended the PCORI fees another 10 years to 2029.  \nReporting the Fee  \nThe fee is paid using quarterly excise tax Form 720, Line 133 (133(c) and (d) for self-funded plans) and must generally be paid no later than July 31st of the year following the last day of the plan year. The fee must be reported in the 2nd quarter (e.g., for the quarter ending June 30) . For employers that do not otherwise file quarterly excise taxes, the Form 720 might only be filed for the 2nd quarter each year to report the PCORI fee.  \nThe PCORI fee should be reported and paid only for the 2nd quarter Form 720, regardless of the employer’s plan year. Attempting to fulfill the PCORI reporting and payment requirements in any other quarter will likely result in  \na late filing penalty. Though the late filing penalty may be able to be waived if there is an explanation provided to the IRS, it is an additional hassle to do so.  \nPayment amounts are increased annually and differ based on the ending date of the employer’s plan year. The IRS chart illustrating plan year end dates with applicable fees and due dates can be found here  \n[https://www.irs.gov/affordable-care-act/patient-centered-outreach-research-institute-filing-due-dates-and](https://www.irs.gov/affordable-care-act/patient-centered-outreach-research-institute-filing-due-dates-and)applicable-rates. The IRS chart is consistently out of date, but the most recent applicable fees are below:  \n\n| For Plan Years Ending... Applicable PCORI Fee |  |\n| --- | --- |\n| On or after October 1, 2023 and before October 1, 2024 | $3.22 |\n| On or after October 1, 2024 and before October 1, 2025 | $3.47 |\n\nCalculating the Average Covered Lives  \nSelf-funded plans may use one of three methods to determine the average covered lives used f","cbCaieMUAmtxHmQa","https://ap.wps.com/l/cbCaieMUAmtxHmQa","pdf",212315,"English","# Plans Subject to the Fee\n## Fully-Insured Plans\n## Self-Funded Plans\n# Reporting the Fee\n## Form 720 Timing and Filing\n# Calculating the Average Covered Lives\n## Actual Count Method\n## Snapshot Method\n## Form 5500 Method","[{\"question\":\"What is the PCORI fee, and how is it funded?\",\"answer\":\"The Affordable Care Act created PCORI to support clinical effectiveness research. PCORI is funded in part by fees paid by health insurers and sponsors of self-funded health plans, reported and paid annually using IRS Form 720 in the second quarter.\"},{\"question\":\"Which health plans are subject to the PCORI fee?\",\"answer\":\"The PCORI fee generally applies to most group health plans, with exceptions for certain excepted benefits. It applies to health reimbursement arrangements (HRAs), including QSEHRAs and ICHRAs, and to retiree-only plans, while qualifying health FSAs are not subject to the fee.\"},{\"question\":\"How do employers calculate average covered lives for the PCORI fee?\",\"answer\":\"Self-funded plan sponsors must use one of three methods for the entire plan year: the Actual Count Method, the Snapshot Method, or the Form 5500 Method. The chosen method determines how covered lives are counted for reporting and payment.\"}]","PCORI Fee Summary - December 2024 | PDF",1789793956]