FAQs About the Patient Centered Outcomes Research Institute (PCORI) Fee

The Patient-Centered Outcomes Research Institute (PCORI) Fee initially applied from 2012 to 2019. However, in December 2019, the Further Consolidated Appropriations Act, 2020 extended the fee to 2029.

The PCORI fee applies to all plans that provide medical coverage to employees. Medical coverage includes preferred provider (PPO) plans, health maintenance organization (HMO) plans, point-of-service (POS) plans, high deductible health plans (HDHPs), and health reimbursement arrangements (HRAs).

Download the full Compliance Advisor for answers to frequently asked questions about the PCORI fee:

• What plans does the PCORI fee apply to?
• Does the fee apply to all medical plans?
• Who must pay the fee?
• When is the PCORI fee due?
• How much is the fee?
• What if the plan terminates?
• What if a plan is new?
• How is the fee calculated?
• May an employer change its calculation method?
• What if the employer sponsors multiple plans?
• How is the fee paid?
• Is the fee tax-deductible?
• Is there a penalty for failure to file or pay the PCORI fee?
• How does a plan sponsor correct a previously filed Form 720?

_{SOURCE: United Benefit Advisors (UBA)}