Fees
Here are the fees all employers should know:
Health Insurer Fee | Reinsurance Fee | PCORI Trust Fund Fee | |
---|---|---|---|
What | A yearly fee on the value of health insurance premiums that helps qualified individuals buy health insurance Note: Only applies to fully insured plans. |
A temporary fee that helps fund each state's reinsurance programs from 2014–2016 | A temporary fee that helps fund comparative clinical effectiveness research |
When | Annually | Three years: 2014, 2015, 2016 |
Eight years: 2012, 2013, 2014, 2015, 2016, 2017, 2018, 2019 |
Full Name | Annual Fee on Health Insurers | Transitional Reinsurance Program Contribution Fee | Patient-Centered Outcomes Research Institute (PCORI) Trust Fund Fee |
Understanding ACA
Talk with your tax advisor since this fee information is broad and shouldn't be used as legal, tax, compliance or other advice.
Your Group's Bill and ACA Fees
Fully Insured Plans
Starting January 2014, your bill will have a separate line that shows the combined costs of the ACA fees amount.
Self-Insured Plans
If you report, calculate and send your own fees, your bill won't include ACA fees.