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Legislative Update – PCORI Fees Alert – June 2022

Medicare Part D Disclosures Due to CMS

Quick Facts: The Affordable Care Act (ACA) requires health insurance issuers and employers that sponsor self-funded group health plans to pay Patient-Centered Outcomes Research Institute (PCORI) fees. Employers that sponsor fully insured health plans are not required to pay the fee directly, but employers sponsoring self-funded plans must pay the fee annually on IRS Form 720.

The fees are due by July 31 of the calendar year following the policy or plan year to which the fee applies. For calendar year plans, the fee due July 31, 2022 is $2.79 per covered life.

For more information, including examples and next steps, click below: