Health Care Reform: Reporting and Paying the PCORI Fees

The Comparative Effectiveness Research Fee (CERF), also known as the Patient-Centered Outcomes Research Institute (PCORI) Fee, is one of several fees introduced as part of the Patient Protection and Affordable Care Act (PPACA). The fees collected are used to fund research to determine the effectiveness of alternative treatments.

This email is intended to provide self-insured clients, which includes those sponsoring and Health Reimbursement Accounts (HRAs) or Flexible Spending Accounts (FSAs), with information and resources to help prepare for the upcoming payment due by July 31, 2015.

The attached Legislative Brief will help guide you through the reporting process.

The following chart identifies the fee per covered life payable in 2015 based upon your ERISA plan year:

ERISA Plan Year Start Date > Fee Due July 31, 2015

February 1, 2013 > $2 per average covered life
March 1, 2013
April 1, 2013
May 1, 2013
June 1, 2013
July 1, 2013
August 1, 2013
September 1, 2013
October 1, 2013

November 1, 2013 >$2.08 per averaged covered life
December 1, 2013
January 1, 2014

Please note that self-funded clients with ERISA plan year start dates of February 1, 2014, through October 1, 2014, will make their $2.08 payment per average covered life by July 31, 2016.

If you have further questions regarding this information, please contact Alan Greenberg or Erin Odabashian.

HCR Reporting and Paying the PCORI Fees