In Notice 2022-60, the IRS announced that for plans that end on or after October 1, 2022 and before October 1, 2023, the PCORI rate per covered individual is $3.00 per plan participant. The PCOR fee is calculated based on the average number of lives covered under the policy or plan. As a reminder, the IRS announced [...]
PCOR fees are reported and paid annually using IRS Form 720 (Quarterly Federal Excise Tax Return). These fees are due each year by July 31 of the year following the last day of the plan year. This means that for plan years ending in 2021, the PCOR fees are due by July 31, 2022. For self-funded [...]
The IRS announced in Notice 2020-84 that the adjusted applicable amount for the Patient-Centered Outcomes Research Institute (PCOR) fee for policy or plan years ending on or after October 1, 2020 and before October 1, 2021 will be $2.66 per plan participant. In Notice 2021-04, the IRS published that the applicable amount for PCOR fees [...]
Connecticut Democrats and Governor Ned Lamont have both put forth proposals that would levy an annual assessment on the state’s insurance carriers and self-funded plans. The Democratic plan includes a public insurance option for small employers (less than 50 employees) in the state and have recommended levying an assessment on the state’s insurance companies that [...]
Historically worker’s compensation does not cover community spread diseases (i.e., common cold/flu) because they generally cannot be tied back to a workplace. With the COVID-19 pandemic, some workers and workplaces have been deemed essential and present a unique problem when considering worker’s compensation coverage. As a result, some states recently have implemented amendments to their [...]
On Thursday, May 7, 2020, the United States Centers for Medicare and Medicaid Services (CMS) released the 2021 Notice of Benefit and Payment Parameters final rule. This rule finalizes the CMS’ proposed modification of existing policy relating to how pharmaceutical manufacturer direct assistance (i.e., coupons) accrues with respect to health plan enrollees’ annual limit on [...]
The annual fee to fund the federal Patient-Centered Outcomes Research Institute (PCORI), paid by employers that sponsor self-insured health plans and by commercial group health insurance providers, will go up by .09 cents per employee or dependent enrolled in the health plan from $2.45 (filed July 31, 2020) to $2.54 (filed July 31, 2021). The [...]
Recently released IRS notice 2019-50 has reestablished the health insurer tax (HIT) for 2020, which had been previously suspended for 2019. The Affordable Care Act (ACA) imposes an annual, non-deductible health insurer tax on insurance companies that offer fully-insured plans and applies to all insurers offering fully-insured coverage, including plans sold via the exchange or [...]
For 2019, the annual fee to fund the federal Patient-Centered Outcomes Research Institute (PCORI), paid by employers that sponsor self-insured health plans and by commercial group health insurance providers, will go up by about .06 cents per employee or dependent enrolled in the health plan. The fees are due by July 31. The chart below [...]
The article below was published on October 10, 2017 by MyHealthGuide, written by Matthew Albright. A bipartisan group of senators introduced a bill the first week in October that will significantly ease the Affordable Care Act reporting mandates for employer-sponsored health plans. The bill, called the Commonsense Reporting Act of 2017, in effect rolls back [...]
