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June 2013 Form 720 Revised to Accommodate the Payment of the PC ORI Fee Form 720, the Quarterly Federal Excise Tax Return, has been updated to accommodate the payment of the Patient-Centered Outcomes
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How to fill out pcori fee form 720

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How to fill out the PCORI Fee Form 720:

01
Obtain the form: You can find the PCORI Fee Form 720 on the official website of the Internal Revenue Service (IRS) or request a paper copy from them.
02
Fill in your basic information: Provide your business or employer's name, address, and employer identification number (EIN). Double-check the accuracy of this information.
03
Determine the filing quarter: The PCORI fee is an annual fee, but you must indicate the applicable quarter for the filing. Select the correct date range that covers your plan year-end date.
04
Count the average number of covered lives: Calculate the average number of individuals covered by your applicable self-insured health plans during the plan year. This includes both employees and their dependents.
05
Calculate the fee: Multiply the average number of covered lives by the applicable fee per person. The fee amount varies annually, so make sure to use the correct fee rate for the corresponding plan year.
06
Report and submit the fee: Enter the calculated fee amount on the applicable line of Form 720. Ensure that all the other required sections of the form are completed accurately. If you have other liabilities to report on Form 720, make sure to report the PCORI fee separately.
07
Sign and submit the form: Sign the completed Form 720 and submit it to the IRS by the applicable deadlines. Keep a copy of the form and any supporting documentation for your records.

Who needs PCORI Fee Form 720?

01
Employers with self-insured health plans: The PCORI fee is required for employers who sponsor applicable self-insured health plans. This includes employers who provide health coverage to their employees and are not fully insured by an insurance carrier.
02
Plan sponsors of certain health plans: The PCORI fee applies to plan sponsors of health plans that are subject to the Employee Retirement Income Security Act (ERISA), including medical, dental, and vision plans.
03
Exemptions and exceptions: There are certain exemptions and exceptions to the PCORI fee, such as plans established or maintained outside of the United States, certain government plans, and plans providing only dental and vision benefits. It is important to review the guidelines and consult a tax professional to determine if your specific plan is exempt.
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PCORI fee form 720 is a form used to report and pay the Patient-Centered Outcomes Research Institute (PCORI) fee, which is part of the Affordable Care Act.
Employers who sponsor self-insured health plans are required to file pcori fee form 720.
PCORI fee form 720 can be filled out online or by mail. Employers need to report the number of covered lives under their self-insured health plans and calculate the fee based on this information.
The purpose of pcori fee form 720 is to fund research by the Patient-Centered Outcomes Research Institute (PCORI) to help improve healthcare outcomes.
Employers need to report the average number of covered lives under their self-insured health plans for the plan year.
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