Understanding PCORI Fees: Key Questions

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Key Questions for employers

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Understanding PCORI Fees: Key Questions


Understanding PCORI Fees: Key QuestionsVersión en línea Key Questions for employers por Wednesday Wisdom 1 What is the primary purpose of PCORI fees? a To fund administrative costs of the Affordable Care Act. b To fund healthcare research aimed at improving treatment outcomes. c To frustrate employers offering self-funded medical plans. d To pay for health insurance subsidies. 2 Who is responsible for paying the PCORI fee for fully insured health plans? a Trick question, there are no PCORI fees on fully insured health plans. b Insurance carriers. c Employers. d Employees. 3 Which of the following health plans IS subject to PCORI fees? a Excepted Benefit HRAs b Stand-alone dental and vision plans c Level-funded group health plans d Health Flexible Spending Accounts (FSAs) 4 What form is used to report and pay PCORI fees? a Form 5500 b Form 940 c Form 1095 d Form 720 5 When are PCORI fees due? a July 31st of the calendar year following the plan year end date b January 31st of the calendar year following the plan year end date c April 15th of the calendar year following the plan year end date d December 31st of the calendar year following the plan year end date 6 Which of the following is a method employers can use to determine the average number of covered lives for PCORI fee calculation? a Actual Expenses Method b Claims History Method c Snapshot Method d Rate of Pay Method 7 What may result from failing to file Form 720 and pay PCORI fees by the due date? a The health plan may be terminated. b Loss of tax credits. c Nothing happens - reporting is filing is optional. d Interest and penalties may be imposed by the IRS. 8 Which of the following plans is NOT subject to PCORI fees. a Level-funded health plans b Health Reimbursement Arrangements (HRAs) c Standalone dental and vision d Fully insured health plans. 9 Who is ultimately responsible for calculating, reporting, and paying the PCORI fee? a The employer, as the plan sponsor. b Their incredibly helpful broker/consultant. c The “PCORI Fee Wizard” you meet at midnight under a full moon. d Whoever loses the office rock-paper-scissors tournament. 10 How do PCORI fees apply to a "short" (i.e., less than 12 months) plan year? a PCORI fees are waived for any plan year less than 12 months. b It’s calculated with the next full plan year’s fee. c It’s calculated using the average number of covered lives during the short plan year and is due the following July 31. d PCORI fees would be prorated and due the following July 31st.

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Understanding PCORI Fees: Key Questions

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Understanding PCORI Fees: Key QuestionsVersión en línea

por Wednesday Wisdom

What is the primary purpose of PCORI fees?

Who is responsible for paying the PCORI fee for fully insured health plans?

Which of the following health plans IS subject to PCORI fees?

What form is used to report and pay PCORI fees?

When are PCORI fees due?

Which of the following is a method employers can use to determine the average number of covered lives for PCORI fee calculation?

What may result from failing to file Form 720 and pay PCORI fees by the due date?

Which of the following plans is NOT subject to PCORI fees.

Who is ultimately responsible for calculating, reporting, and paying the PCORI fee?

How do PCORI fees apply to a "short" (i.e., less than 12 months) plan year?