The New Patient-Centered Outcomes Research (PCOR) Fee

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Do You Have a Self-Funded Health
Plan?
If so, you may be required to file Form 720 by July 31, 2013 and pay a new fee of $1 per covered life.
Professional guidance is advised, as there are several methods for calculating this fee. Virtually all
self-funded health plans are subject to this new fee, even most health reimbursement arrangements
(HRAs) and some flexible spending arrangements (FSAs).

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The New Patient-Centered Outcomes Research (PCOR) Fee

  1. 1. ©Copyright2012.CBIZ,Inc.NYSEListed:CBZ.Allrightsreserved. 1-800-ASK-CBIZ • www.cbiz.com Do You Have a Self-Funded Health Plan? If so, you may be required to file Form 720 by July 31, 2013 and pay a new fee of $1 per covered life. Professional guidance is advised, as there are several methods for calculating this fee. Virtually all self-funded health plans are subject to this new fee, even most health reimbursement arrangements (HRAs) and some flexible spending arrangements (FSAs). Application of the new fee Your self-funded plan may be subject to this new fee even if you are not required to file a Form 5500 for that plan (e.g., plans with less than 100 participants, government plans, etc.). Why the new fee is being levied This new fee funds the Patient-Centered Outcomes Research ("PCOR") Institute established by the Patient Protection and Affordable Care Act of 2010. For 2012 fiscal years, the PCOR fee is $1 multiplied by the average number of lives covered under the plan. The first annual fee is due by July 31, 2013 for plan years ending between October 1, 2012, and December 31, 2012. The fee is remitted on Form 720, Quarterly Excise Tax Return. Proper calculation of the fee While the calculation of the fee may seem straight forward, there are several nuances to deriving the proper fee owed. For assistance in determining whether your plan is subject to the PCOR fee and how to calculate and remit the fee, contact your local CBIZ or MHM advisor. For more information about this new PCOR fee, visit these resources on the CBIZ website. CBIZ Federal Tax Alert: Self-funded Health Plan Fees Due July 31 CBIZ Health Care Bulletin: Final Regulations Issued: Patient-Centered Outcomes Research Fees and Medical Device Tax CBIZ Health Care Bulletin: Reporting and Paying PCOR Fees-Revised Form 720 Issued ©Copyright2013.CBIZ,Inc.NYSEListed:CBZ.Allrightsreserved. Phyllis Hoff: 625 Maryville Centre Drive, Suite 200 • St. Louis, MO 63141 • Direct: 314.692.5887 • phoff@cbiz.com

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