Your Trusted Guide to Navigating PCORI Compliance

Navigating the complexities of PCORI (Patient-Centered Outcomes Research Institute) compliance is a critical task for employers offering healthcare benefits. This guide serves as a comprehensive resource to help you understand the regulations, reporting requirements, and penalties associated with non-compliance. With our specialized services, you can confidently meet your obligations and contribute to the broader goal of improving healthcare outcomes.

The Affordable Care Act (ACA) imposes a fee on health insurance issuers and self-insured plan sponsors to fund comparative effectiveness research.

These fees were initially scheduled to expire for plan or policy years ending on or after Oct. 1, 2019. However, a federal spending bill enacted at the end of 2019 extended the PCORI fees for an additional ten years.

Method #1:  Snapshot Method

Method #2:  Form 5500 Method

Method #3: Actual Count Method

FAQs About PCORI Compliance

Have questions about PCORI compliance? You’re not alone. Below, we’ve compiled a list of frequently asked questions to help you better understand this complex topic.

1. What is PCORI used for?
PCORI is used to fund research that helps improve healthcare outcomes.

2. Who is required to file PCORI?
Employers offering certain types of healthcare plans are required to file.

3. Who is responsible for filing PCORI fees?
The responsibility generally falls on the employer or the plan sponsor.

4. What happens if I don’t pay PCORI fees?
Failure to pay can result in IRS penalties.

Expand Your Knowledge at the PCORI Annual Meeting

For those looking to deepen their understanding of Form 5500 and related compliance issues, the PCORI Annual Meeting is an invaluable resource. This conference gathers experts, stakeholders, and policymakers to discuss the latest trends, challenges, and solutions in the field. Don’t miss this opportunity to network and gain insights that can help you navigate the complexities of Form 5500 filing. Learn more about the PCORI Annual Meeting here.

Ready to Simplify Your PCORI Compliance Journey?

Don’t navigate the maze of PCORI compliance alone. Connect with us to ensure you’re on the right path.