PCORI Reminder: 2016 Rates for Self-Insured Plans

Sep 23, 2019
Services

Introduction

Welcome to Life Designers, your trusted source for expert consulting and coaching services in the business and consumer services industry. In this article, we will provide you with important information about the PCORI fee reminder for 2016 rates in self-insured plans. Stay informed and make educated decisions for your company's needs.

Understanding the PCORI Fee

The Patient-Centered Outcomes Research Institute (PCORI) fee is a part of the Affordable Care Act (ACA) mandate that funds research on the effectiveness of various medical treatments and therapies. Self-insured plans are required to pay this fee to support the research conducted by PCORI.

Why is the PCORI Fee Important for Self-Insured Plans?

Self-insured plans, unlike traditional fully insured plans, assume the financial risk of providing health insurance benefits to their employees. The PCORI fee helps fund research that supports evidence-based decision-making in healthcare, enabling employers to make informed choices regarding their employees' health benefits.

PCORI Fee Reminders for 2016 Rates

As an employer with a self-insured plan, it is crucial to stay updated on the PCORI fee requirements. The fee amount varies based on the plan year end. For plan years ending on or after October 1, 2020, and before October 1, 2021, the rate is $2.66 per covered life. Ensure compliance by calculating the fee accurately and submitting it to the IRS using the appropriate form.

How to Calculate Your PCORI Fee?

The PCORI fee calculation depends on the average number of covered lives under your self-insured plan. Generally, you can use either the actual count method or one of the simplified methods (the snapshot method or Form 5500 method). Consider consulting with a qualified professional, such as Life Designers, to ensure accurate calculations and compliance with IRS regulations.

PCORI Fee Payment and Reporting

Once you have calculated the PCORI fee, it is essential to remit the payment to the IRS using the appropriate form. The fee must be paid by July 31 of the calendar year following the last day of the plan year. Accurate and timely payment helps avoid penalties and non-compliance issues. Our team at Life Designers can assist you in navigating this process smoothly.

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