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Feb 16, 2023
CORRECTION: An article published on February 9, 2023 incorrectly referenced Multiple Employer Welfare Arrangement (MEWA) clients. In fact, PCORI fees are actually included in the premium equivalent rates for these groups. Here is the corrected article.
The annual mandated fee to fund the Patient-Centered Outcomes Research Institute (PCORI) is increasing to $3.00 per member, up from $2.79 last year. It’s mandated by the Affordable Care Act and due July 31st, 2023.
Fees are paid annually with the submission of IRS Form 720. We pay it for fully insured employers. Self-insured clients pay it directly to the IRS. Small Group Anthem Balanced Funding (ABF) clients may need your guidance on calculating and paying the fees.
The fees can be calculated by:
Be ready to share this information with your clients who may need your assistance.
Small Businesses are the engine that drives communities across America. This month we honor and celebrate those businesses and commit to our continuing collaboration to build healthy communities where people and businesses thrive. We recently shared this small-business video with your client gro...
Ohio law requires insurers offering health care plans through a health insurance exchange to make the following information available to existing and potential members upon request: A list of the top 20% of services based on use An insured's expected contribution for each service The top 20...