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2023 PCORI Fee

PCORI fee

1 minute read

The IRS issued Notice 2022-59, which increases the fee for plan years ending on or after October 1, 2022, and before October 1, 2023, to $3.00 multiplied by the average number of lives on the plan.

 

PCORI Fee Applicability

The Affordable Care Act imposes a fee on health insurance issuers and self-insured plan sponsors to fund comparative effectiveness research. These fees are called PCORI fees. They were scheduled to expire in 2019, but they were extended for another 10 years.

 

Payment Deadline

PCORI fees must be paid annually using IRS Form 720 by July 31 of each year. For plans ending in 2022, the next payment is due July 31, 2023. Employers with self-insured health plans should have reported and paid PCORI fees for 2021 by August 1, 2022 (since July 31, 2022, was a Sunday).

 

Calculate PCORI

PCORI fees are calculated based on the average number of covered lives under the plan or policy. Final rules outline a number of alternatives for issuers and plan sponsors to determine the average number of covered lives. Download the bulletin for more details.

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Scott Fritz

Scott Fritz

Scott Fritz always has a willingness to help others, which has made him an ideal candidate for working in the public sector benefits arena throughout his career. He’s a team player and enjoys strategizing, problem solving, and finding effective cost-saving solutions for his clients. As an Employee Benefit Consultant with National Insurance Services, Scott is responsible for the overall assessment and management of an employer’s benefit plans. He is a licensed insurance agent and works with schools, cities, counties, and community mental health organizations in Michigan and North Carolina.