PCORI Fee (Form 720)

An annual per-covered-life fee funding patient-centered outcomes research, filed once a year on Form 720 (Q2) and due July 31. Fully insured medical plans are covered by the carrier, but a self-funded plan or an HRA almost certainly owes it.

What An annual excise fee (IRC Sections 4375-4376) imposed on plan sponsors of applicable self-insured health plans and issuers of specified health insurance policies, calculated as average covered lives times the applicable rate for the plan year. Filed on Form 720 (second quarter only) and due July 31 of the following year.
Who Self-insured plan sponsors, including employers with self-funded major medical plans, HRAs (other than EBHRAs), ICHRAs, and QSEHRAs. Carriers pay PCORI for fully insured medical plans; employers with insured-only medical owe nothing on that plan. If you also sponsor an HRA, you likely owe PCORI on the HRA separately.
When July 31 of the year following the plan year end. For calendar-year plans, the 2025 plan year PCORI fee is due July 31, 2026. The rate is $3.84 per covered life for plan years ending October 1, 2025 through September 30, 2026.
Risk Late payment or underpayment triggers IRS interest and failure-to-pay penalties. The most common oversight: organizations that are fully insured for major medical assume they owe no PCORI, then add an HRA and forget it's separately subject. Also watch for multi-plan situations where counting methods can lead to double-counting or undercounting.
$3.84
Current rate

Per covered life for plan years ending Oct 1, 2025 through Sept 30, 2026.

Jul 31
Annual due date

The fee is due July 31 of the year following the plan year end.

Q2
Form 720 quarter

Reported only on the second-quarter Form 720; no quarterly deposits required.

Plan Year Ending Rate per Covered Life Form 720 Due Date Notes
Oct 1, 2024 - Sept 30, 2025 $3.47 July 31, 2025 Includes calendar-year plans ending Dec 31, 2024.
Oct 1, 2025 - Sept 30, 2026 $3.84 July 31, 2026 Includes calendar-year plans ending Dec 31, 2025. Current rate.
Oct 1, 2026 - Sept 30, 2027 TBD, announced annually by IRS Notice July 31, 2027 Rate adjusted each year for National Health Expenditure increases. Check IRS.gov in fall.
Plan year ending: Oct 1, 2024 - Sept 30, 2025
Rate: $3.47 per covered life
Due: July 31, 2025 (includes calendar-year plans ending Dec 31, 2024).
Plan year ending: Oct 1, 2025 - Sept 30, 2026
Rate: $3.84 per covered life (current)
Due: July 31, 2026 (includes calendar-year plans ending Dec 31, 2025).
Plan year ending: Oct 1, 2026 - Sept 30, 2027
Rate: TBD (announced by IRS Notice)
Due: July 31, 2027. Check IRS.gov in fall.

The PCORI fee applies to plan years ending before October 1, 2029 (extended by Pub. L. 116-94). If you pay via EFTPS, select Q2 for the quarter under Tax Period. No quarterly deposits are required.

  • Plan inventory: A complete list of all health plans and HRAs you sponsor, with plan type (self-insured medical, HRA, ICHRA, QSEHRA, EBHRA) and plan year start/end dates for each. Confirm EBHRA status for any excepted benefit HRA.
  • Covered-lives data: Enrollment records for each subject plan: daily counts (Actual Count method), quarterly snapshot dates (Snapshot method), or prior-year Form 5500 participant data (Form 5500 method). Include employees, dependents, retirees, and COBRA participants.
  • Carrier confirmation: Written confirmation that your insurer is paying PCORI for any fully insured medical plan. This is your documentation that you don't owe on that plan.
  • EIN and payment setup: Your employer EIN for Form 720; EFTPS enrollment if paying electronically (optional; check or money order are also accepted).
  • Prior year Form 720: For reference on counting method used and to maintain consistency year over year.
1
Confirm which plans are subjectSelf-insured medical plans and most HRAs are subject. Fully insured medical, EBHRAs, excepted-benefit dental/vision, and EAPs without significant medical care are not. See the green accordion below for a plan-type reference table.
2
Identify the applicable rateLook up your plan year end date in the IRS rates table to confirm whether the $3.84 or the prior $3.47 rate (or TBD future rate) applies. The rate is set by the month the plan year ends, not the calendar year.
3
Select a counting methodChoose one of three IRS-permitted methods for self-insured plans: Actual Count, Snapshot, or Form 5500. You must apply the same method consistently throughout the plan year. You may change methods from year to year.
4
Count average covered livesApply the chosen method to determine the average number of covered lives for the plan year. If you have both an HRA and a self-insured medical plan, apply the anti-duplication rule. If you have an HRA alongside an insured medical plan, use the one-life-per-participant rule for the HRA.
5
Calculate the feeMultiply average covered lives times the applicable rate. If you have multiple subject plans, calculate each separately and report on the same Form 720 (if same EIN).
6
Complete Form 720Use the current revision. Report the PCORI fee in Part II (IRS No. 133). File as the second-quarter return, due July 31. If PCORI is your only Form 720 liability, you file once per year and owe no other quarterly returns.
7
Pay and retain recordsPay by the July 31 deadline (check, EFTPS selecting Q2, or other IRS payment method). Save the filed return, calculation worksheets, and payment confirmation.
  • Electronic filing: Available but not required for PCORI. IRS-approved e-file providers are listed at IRS.gov/e-file-providers.
  • Paper filing: Mail the completed Form 720 (current revision) with payment to the address in the Form 720 instructions.
  • Payment method: Check (payable to United States Treasury), EFTPS (select Q2, Tax Period: 2nd Quarter), or other IRS business payment options. No deposits are required; payment is due with the return on July 31.
  • Quarterly filing note: If PCORI is your only Form 720 liability, you only file once a year: the Q2 return due July 31. You are not required to file for Q1, Q3, or Q4.
  • Corrections: File Form 720-X (Amended Quarterly Federal Excise Tax Return) to correct a previously filed Form 720. Do not reduce the following year's PCORI fee by a prior year overpayment; use Form 720-X instead.
  • Copy of the filed Form 720Current year and prior years for reference.
  • Covered-lives calculation worksheetsShowing the counting method used, the data sources, and the calculation steps for each subject plan.
  • Plan documentsConfirming plan type and plan year dates for each plan included (or excluded) from the calculation.
  • Carrier confirmationWritten confirmation from your carrier that PCORI is being paid on any fully insured medical plan.
  • Payment confirmationEFTPS transaction record, canceled check copy, or other proof of payment.

Common traps

"We're fully insured, so we don't owe PCORI." True for your insured medical plan; the carrier handles that. But if you also sponsor any HRA (other than an EBHRA), you owe PCORI on it. Adding an HRA later without updating your PCORI filing is a common missed liability.
"Our EBHRA is subject to PCORI." Excepted benefit HRAs are excepted benefits and are not subject to PCORI. Confirm EBHRA status in your plan documents before including it in the count.
Filing PCORI on the Q1, Q3, or Q4 Form 720. PCORI is reported only on the Q2 Form 720, due July 31. If you file other excise taxes quarterly, use the Q2 return for PCORI, not Q1 or a year-end return.
Making quarterly deposits. PCORI deposits are not required. The full payment is due with the Form 720 on July 31. Setting up unnecessary quarterly EFTPS payments for PCORI creates reconciliation issues.

FAQs

Do COBRA participants and retirees count as covered lives?

Yes. All individuals covered during the plan year, including active employees, dependents, COBRA continuants, and retirees, must be counted in your average covered lives calculation.

My plan year ends June 30, not December 31. What rate applies and when do I file?

The rate depends on the month your plan year ends. A plan ending June 30, 2026 falls in the "Oct 1, 2025 - Sept 30, 2026" window (rate is $3.84 per covered life) and the return is due July 31, 2026. Check the IRS rates table (linked in Official Guidance) for your specific plan year end month.

We have both a self-insured medical plan and an HRA. Do we file PCORI for both?

It depends. If both have the same plan year and the same plan sponsor, you may treat them as a single applicable self-insured health plan and count covered lives once (the anti-duplication rule). If the plan years differ or if the HRA is sponsored by a different entity, they are counted separately. See Special Cases for more detail.

Is the PCORI fee tax-deductible?

Yes. The PCORI fee is deductible as an ordinary and necessary business expense under IRC Section 162.

  • HRA alongside fully insured medical: The carrier pays PCORI on the insured medical plan. For your HRA, count one covered life per HRA participant; do not count dependents. This prevents double-counting with the carrier's payment on the medical plan.
  • HRA alongside self-insured medical (same plan sponsor, same plan year): You may treat them as a single applicable self-insured health plan and run one covered-lives count. This avoids double-counting an employee as both a medical plan participant and an HRA participant. If plan years differ or the HRA is under a separate EIN, count them separately.
  • ICHRA and QSEHRA: Both are HRAs and are subject to PCORI. Count one covered life per participating employee (since these arrangements reimburse individual insurance rather than covering dependents directly under the HRA). See the ICHRA and QSEHRA pages.
  • Short plan years: PCORI applies to short plan years; a newly established plan or a plan changing its plan year will have a period shorter than 12 months. Calculate average covered lives for the actual short period and pay the full applicable rate; the fee is still due July 31 of the following year.
  • Multiple self-insured plans with the same EIN: Report each plan separately in Part II of the same Form 720 and total the fees. Different EINs must file separate Form 720s.
  • No state analog: PCORI is a federal fee only; there is no state-level equivalent.

Quick-reference table for common health plans and arrangements. When in doubt about a specific arrangement, confirm with the IRS application chart (linked in Official Guidance).

Plan / Arrangement PCORI Applies? Who Counts? Notes
Self-insured group major medicalYes, plan sponsor owesEmployees + dependents + COBRA + retireesCount all covered individuals for each day (or snapshot) of the plan year.
Fully insured group medicalNo, carrier paysn/aThe issuer (insurance carrier) is responsible. Employer owes nothing on this plan.
HRA, integrated with insured medicalYes, plan sponsor owes1 life per HRA participant (not dependents)Anti-duplication rule: count employee only; carrier already paid PCORI for the insured medical.
HRA, integrated with self-insured medical (same plan sponsor & plan year)Yes, but count onceTreat as single plan; count all covered lives onceAnti-duplication rule: combine into one count; do not count separately.
EBHRA (excepted benefit HRA)No, exemptn/aExcepted benefit; not an applicable self-insured health plan. Confirm EBHRA status in plan documents.
ICHRA (Individual Coverage HRA)Yes, plan sponsor owes1 life per participating employeeReimburses individual insurance; count participant only.
QSEHRAYes, plan sponsor owes1 life per participating employeeHRA for non-ALE employers; count participating employees.
Health FSA (excepted benefit)No, exemptn/aExcepted-benefit FSAs are not applicable self-insured health plans.
Stand-alone dental or vision only (excepted benefit)No, exemptn/aExcepted benefits are not subject. If bundled with major medical as a single self-insured plan, PCORI applies to the whole plan.
EAP / disease management / wellnessNo (if no significant medical care)n/aNot subject if the program does not provide significant benefits in the nature of medical care or treatment.