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Self-Funded Plans and PPACA

PPACA brings numerous responsibilities and options to employers. Here is a summary of the PPACA provisions that apply to group health plans and whether the provision applies to self-funded plans.

Large Group (More Than 50 Employees) Insured Plans and PPACA

PPACA brings numerous responsibilities and options to employers. Here is a summary of the PPACA provisions that apply to group health plans and whether the provision applies to insured large group plans.

First round of employers’ ‘PCORI fees’ due July 31

Find out exactly what the PCORI fee is, whether you will have to pay it, how much it is, and more.

FAQ About PCORI Fee

All plans that provide medical coverage to employees owe this fee. Medical coverage includes PPOs, HMOs, POS, HDHPs, and HRAs.

IRS Issues Final Rule on Comparative Evidence PCORI Fees

Fees, due by July 31, will be charged to health care insurers, and to sponsors of self-insured health plans, to fund the new Patient-Centered Outcomes Research Institute (PCORI)

PCORI Fee Due July 31, 2013 For Plan Years Ending October 1, 2012 – December 31, 2012

By July 31, 2013, most issuers of health insurance policies and plan sponsors of self-insured health plans must pay a fee of $1 per covered life as a result of new provisions in PPACA

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