IRS publishes new PCORTF fee calculation amounts


The IRS recently increased (Notice 2022-59) the adjusted dollar amount for calculating the Patient-Centered Outcomes Research Trust Fund (PCORTF) fees assessed on specified health insurance policies and self-insured health plans from $2.79 to $3.00. The change is effective for policy and plan years that end on or after Oct. 1, 2022, and before Oct. 1, 2023.


Under Sections 4375 and 4376, issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans must pay an annual fee to help fund the PCORTF. 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 the percentage increase in the projected per capita amount of national health expenditures.



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