PCOR Fee Indexed in IRS Notice 23-70
Oct 20, 2023
The Patient Centered Outcomes Research (PCOR) Institute created by the Affordable Care Act (ACA) was funded by a temporary fee on health plans.聽 While insurance companies typically take care of reporting and paying this fee for insured plans, an employer with a health reimbursement arrangement or a self-funded health plan is responsible to report and pay this fee each year by July 31 on IRS Form 720.
The fee started out at $1 per employee per year, then increased to $2 the second year, and then has indexed incrementally each year since.聽 The IRS has announced in that the next indexing amount is $3.22.聽 This essentially means by Wednesday, July 31, 2024:
It can be a bit confusing how the fee is based on plan year end date (rather than start date) and is not pro-rated for short plan years. We provide a chart below to help employers identify the fee and due date for a typical 12-month plan year based on plan year start date.
We will provide a more comprehensive overview of how to calculate your PCOR fee each June, a little closer to the July 31 due date.
Self-Funded Plan Year Ends | For a typical 12-month plan, Self-Funded Plan Year Began | PCOR Fee | Due to IRS on Form 720 by |
1/1/21 鈥� 9/30/21 | Non-CY Feb through Oct 2020 | $2.66 | Mon 8/1/22 |
10/1/21 鈥� 12/31/21 | Nov 鈥�20, Dec 鈥�20, or Jan 鈥�21 | $2.79 | Mon 8/1/22 |
1/1/22 鈥� 9/30/22 | Non-CY Feb through Oct 2021 | $2.79 | Mon 7/31/23 |
10/1/22 鈥� 12/31/22 | Nov 鈥�21, Dec 鈥�21, or Jan 鈥�22 | $3.00 | Mon 7/31/23 |
1/1/23 鈥� 9/30/23 | Non-CY Feb through Oct 2022 | $3.00 | Wed 7/31/24 |
10/1/23 鈥� 12/31/23 | Nov 鈥�22, Dec 鈥�22, or Jan 鈥�23 | $3.22 | Wed 7/31/24 |
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