PCORI Fees for 2025 Announced

4/10/2025

The Patient-Centered Outcomes Research Institute (PCORI) fee under the Patient Protection and
Affordable Care Act is due from sponsors of applicable self-funded health plans by July 31, 2025.
Applicable self-funded health plans include all health plans covering employees and retirees, as well
as HRA, MRA, or prescription plans offered along with a fully insured group health plan. It does not
apply to ASR-administered health flexible spending accounts and exempt dental and vision plans.
Sponsors of applicable self-insured health plans will use Form 720 to report and remit the required
fee, along with the appended payment voucher,

Form 720-V.For plan years ending on January 31, 2024 through September 30, 2024, the fee payable by the
plan sponsor is $3.22 for each covered life. For plan years ending on October 31, 2024 through
December 31, 2024, the fee payable by the plan sponsor is $3.47 for each covered life. To see the
complete list of plan years with their corresponding effective dates and fee amounts, select
RESOURCES from the main menu of the ASR Website, and then select Health Care Reform and
PCORI Fee by Plan Year.


ASR provides our employer groups with the necessary data to meet the PCORI fee obligation using
the snapshot method. This calculation involves adding the total number of lives covered on the first
day of each quarter of the plan year and dividing the total by four. To access your data on our
Website, follow these steps:

  1. Select Report Dashboard under the REPORTS item of the main menu, and then select
    PCORI Fee (under Additional category). You will be directed to the PCORI Fee page.
  2. Select the first day of each quarter of your most recently completed plan year by clicking on
    the calendar icons next to Benefit Date 1, 2, 3, and 4.
  3. Click on the Get Report button. A report will be generated stating the total number of your covered members on each of the selected dates, as well as an average of the four enrollment counts (sum of the total number of covered lives on the first day of each quarter of the plan year divided by four).

For more information on the PCORI fee, please call ASR Health Benefits at (616) 957-1751 or (800)
968-2449.

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