The IRS recently published Notice 2022-04, announcing that the adjusted dollar amount for calculating the Patient-Centered Outcomes Research Institute (PCORI) fees assessed on health insurance policies and self-insured health plans is $2.79 for policy and plan years that end on or after Oct. 1, 2021, and before Oct. 1, 2022. The prior dollar amount was $2.66.
Under the Affordable Care Act, insurance companies (in the case of fully insured plans) and employers (in the case of self-insured plans) must pay an annual fee to help fund the PCORI. The fee is calculated by multiplying the average number of lives covered under the policy or plan by a dollar amount. The dollar amount is adjusted for inflation each year based on increases in the projected per capita amount of national health expenditures.
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