All non-exempt health plans are subject to the PCORI fee – including MERP benefits.
While PCORI does allow a plan sponsor to pay only once on multiple self-funded arrangements running on the same plan year, there can be instances where two different employer plans can be subject to the fee – if one is insured and one is self-funded. In this particular example, the fee will be paid on some individuals twice.
Question submitted by Trudi
Andy Carter, president and CEO of The Hospital & Healthsystem Association of Pennsylvania, takes over our health care blog this week.