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Showing posts with the label PCORI FEE

Compliance Directions: June 17, 2025 Issue

Benefits Boost! The Short Plan Year: PCORI Fee Edition Gallagher Calculating the PCORI fee can cause unforeseen issues when there is a short plan year. Boost your PCORI fee knowledge when you have a short plan year. Reminder: PCORI Fee Due July 31 Gallagher Remember to file the updated Form 720 and pay your PCORI Fee. Review these reminders ahead of the due date. Catch-Up on Health Plan Excessive Fee Litigation Gallagher As a result of an uptick in litigation against plan fiduciaries with respect to their selection process of PBMs, health plan fiduciaries should stay vigilant. Examine how the PBM excessive fee cases are taking shape. OCR Continues to Focus on HIPAA Enforcement Gallagher Fines and corrective action plans abound as covered entities fail to comply with HIPAA Privacy and Security regulations. Review of HIPAA policies and procedures never goes out of style. How Self-Directed Brokerage Accounts Offer Your Employees More Investment Options Gallagher Self-Directed Brokerage Ac...

PCORI Fees Due July 31

  The  Affordable Care Act (ACA)  requires health insurance issuers and self-insured plan sponsors to pay Patient-Centered Outcomes Research Institute fees (PCORI fees). Issuers and plan sponsors are generally required to pay the PCORI fees annually by  July 31  of each year.   What Is the PCORI Fee?   The PCORI fee is a fee for issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans that help to fund the  Patient-Centered Outcomes Research Institute (PCORI) . The institute helps patients, clinicians, purchasers, and policymakers make better-informed healthcare choices by advancing clinical effectiveness research.  PCORI fees under the Affordable Care Act were scheduled to end after September 30, 2019; however, Congress extended these fees to be assessed by the IRS under the  Further Consolidated Appropriations Act of 2020  for another ten years, until at least September 30, 2029...