Compliance Calendar/Resource
Filing & ReportingAnnual

PCORI Fee (ACA § 4376/4375)

IRC § 4375-4376; IRS Form 720

Annual fee funding the Patient-Centered Outcomes Research Institute. Applies to specified health insurance policies and self-insured plans. Based on average number of covered lives. Rate is indexed annually by the IRS. Filed via Form 720. Note for ICHRA employers: PCORI fees apply to the ICHRA as a self-insured group health plan. Calculate based on covered lives under the ICHRA.

ResponsibleClient/Other TPA (compliance TPA)
Deliver ToIRS (filed via Form 720)
DeadlineAnnually by July 31 following end of plan/policy year

Current Fee / Rate Information

For plan years ending on or after October 1, 2024, and before October 1, 2025: $3.47 per covered life. Rates are adjusted annually by IRS. Filed via Form 720 (Quarterly Federal Excise Tax Return). Fee applies to plan sponsors of self-insured plans and health insurance issuers.

Last reviewed: April 2026

Non-Compliance Penalties

Failure to pay: subject to IRS penalties and interest on the unpaid amount. Late filing of Form 720 may incur additional penalties.

Official Source

https://www.irs.gov/affordable-care-act/patient-centered-outcomes-research-trust-fund-fee-questions-and-answers
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