News Posts by Angel Carrier

PCORI Fee – Due July 31st

What is the PCORI Fee?

The Affordable Care Act established the Patient-Centered Outcomes Research Institute (PCORI) to explore the effectiveness, risks and benefits of medical treatments. The fees were originally scheduled to be collected for plan years and policy years that end after September 30, 2012, and before October 1, 2019.  In a bill recently signed by the President, the PCORI fee has been extended through fiscal year 2029 and all non-excepted employer sponsored health plans need to pay PCORI Fees by July 31st. 

Employer Requirement – Creditable Coverage Notice Due October 15th

Employers who provide prescription drug coverage to those who are or may become eligible for Medicare Part D, must notify both plan members and CMS on whether the coverage provided is deemed “creditable” or “non-creditable” per the Medicare Modernization Act (MMA) of 2003.  Creditable coverage means that the government considers the employer’s prescription drug coverage as good as or better than the Medicare drug benefit.  Often, insurance carriers provide notices that outline whether your plan(s) are creditable or not.  Many of the prescription copay plans are creditable, but often the High Deductible Health Plans (HDHP) are not.  Determinations are subject to change each year.

PCORI Fee – Due July 31st

What is the PCORI Fee? The Affordable Care Act established the Patient-Centered Outcomes Research Institute (PCORI) to explore the effectiveness, risks and benefits of medical treatments. The fees were originally scheduled to be collected for plan years and policy...