Legal Update: PCORI Fee Amount Adjusted for 2022

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The Internal Revenue Service (IRS) has issued Notice 2022-04 to increase the Patient-Centered Outcomes Research Institute (PCORI) fee amount for plan years ending on or after Oct. 1, 2021, and before Oct. 1, 2022. The updated PCORI fee amount is $2.79 multiplied by the average number of lives covered under the plan.

At-home COFor plan years ending on or after Oct. 1, 2021, and before Oct. 1, 2022, the PCORI fee amount was increased to $2.79 per covered life.

Key Facts:

  • Covered Plans
    • The PCORI fees generally apply to insurance policies providing accident and health coverage and self-insured group health plans.
  • Applicability Dates
    • The PCORI fee applies to plan or policy years ending after Sept. 30, 2012, and before Oct. 1, 2029.
  • Payment Deadline
    • PCORI fees are due for plan or policy years ending in 2021 on Aug. 1, 2022.

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