Get the free Sterling PCORI Fee Calculation Employer Application

P.O. Box 71107 Oakland, CA 94612 1.800.617.4729 1.877.517.4729 www.sterlingadministration.com EMPLOYER APPLICATION PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE (PC ORI) FEE CALCULATION Under the Affordable

How to fill out sterling pcori fee calculation

How to fill out sterling pcori fee calculation:

1. Gather the necessary information: Before filling out the sterling pcori fee calculation, you will need to collect the relevant data. This may include the number of individuals covered under your health plan and the average number of lives covered during the applicable plan year.
2. Determine the plan year: Identify the specific plan year for which you are calculating the sterling pcori fee. This is typically based on the plan's start and end date.
3. Calculate the average number of lives covered: Using the information gathered, calculate the average number of lives covered during the plan year. This can be achieved by adding the total number of lives covered in each month of the plan year and dividing it by the number of months.
4. Check for any applicable exemptions: Some entities may be exempt from paying the sterling pcori fee. Determine if your organization qualifies for any exemptions, such as being a governmental entity or certain types of self-insured plans.
5. Calculate the fee amount: Once you have the average number of lives covered, multiply it by the applicable fee rate for the specific plan year. The fee rate is set by the IRS and may vary from year to year.
6. Report and pay the fee: Complete the sterling pcori fee calculation form or use the designated method for reporting and paying the fee. This may involve filing Form 720 and submitting the payment to the appropriate government agency.

Who needs sterling pcori fee calculation?

1. Group health plan sponsors: Entities that sponsor self-insured group health plans are generally required to calculate and pay the sterling pcori fee. This includes employers, unions, and other organizations that provide health coverage to their employees or members.
2. Health insurance issuers: Insurance companies that offer fully insured group health plans are also responsible for determining and paying the sterling pcori fee. This applies to carriers that provide coverage in the individual and small group markets as well.
3. Third-party administrators (TPAs): In some cases, TPAs may be responsible for assisting employers or insurers with the calculation and payment of the sterling pcori fee.
4. Exemptions: Certain entities may be exempt from paying the sterling pcori fee. This includes governmental entities and certain types of self-insured plans, such as those primarily providing excepted benefits.

Overall, the sterling pcori fee calculation is important for entities involved in offering or administering group health plans to comply with the Affordable Care Act (ACA) requirements and contribute to the Patient-Centered Outcomes Research Institute (PCORI) funding.

For pdfFiller’s FAQs

What is sterling pcori fee calculation?

Sterling PCORI fee calculation is the calculation of the Patient-Centered Outcomes Research Institute fee that certain health insurance issuers and self-insured health plan sponsors must pay each year.

Who is required to file sterling pcori fee calculation?

Health insurance issuers and self-insured health plan sponsors are required to file sterling PCORI fee calculations.

How to fill out sterling pcori fee calculation?

To fill out sterling PCORI fee calculations, you will need to gather information related to the number of covered lives under the plan or policy for the applicable plan year.

What is the purpose of sterling pcori fee calculation?

The purpose of sterling PCORI fee calculation is to fund research on ways to improve the quality and effectiveness of health care services.

What information must be reported on sterling pcori fee calculation?

The sterling PCORI fee calculation must include the number of covered lives under the plan or policy for the applicable plan year.

How do I complete sterling pcori fee calculation online?

Completing and signing sterling pcori fee calculation online is easy with pdfFiller. It enables you to edit original PDF content, highlight, blackout, erase and type text anywhere on a page, legally eSign your form, and much more. Create your free account and manage professional documents on the web.

How do I make changes in sterling pcori fee calculation?

With pdfFiller, you may not only alter the content but also rearrange the pages. Upload your sterling pcori fee calculation and modify it with a few clicks. The editor lets you add photos, sticky notes, text boxes, and more to PDFs.

How do I fill out the sterling pcori fee calculation form on my smartphone?

You can quickly make and fill out legal forms with the help of the pdfFiller app on your phone. Complete and sign sterling pcori fee calculation and other documents on your mobile device using the application. If you want to learn more about how the PDF editor works, go to pdfFiller.com.