Each year sponsors of self-funded (including level-funded) plans must file the Patient-Centered Outcomes Research Institute (PCORI) fee. Applicable employers must calculate the fee using one of four approved methods and submit payment to the IRS using Form 720 by July 31. Detailed instructions and guidance be found on the IRS website.
For plan years ending January 31, 2025, through September 30, 2025, the fee per individual covered is $3.47. For plans ending October 31, 2025, through December 31, 2025, the fee per covered individual is $3.84. View our fee schedule summary.
Employers sponsoring multiple self-insured plans – such as a medical plan and a health reimbursement arrangement (HRA) with the same plan year – may treat those plans as a single plan for purposes of calculating the fee.
The IRS does not currently require electronic Form 720 filing, but it is encouraged. A list of approved Modernized e-File (MEF) providers can be found here. Employers who file the second-quarter Form 720 only to report the PCORI fee are not required to file in other quarters.
For fully insured health plans, carriers are responsible for paying the fee using funds collected through premiums.
The IRS addresses commonly asked questions regarding the fee in an online Q&A. A sample Form 720 highlights which fields plan sponsors need to complete.
For assistance with filing, contact your Bukaty support team at 913.345.0440.
