Learn about PCORI Fees and more with Workstream and improve your hiring vocabulary. Workstream helps companies hire better, faster - everyday.
Schedule a Demo Learn more about workstream

What are PCORI Fees? 

PCORI is an acronym that stands for Patient-Centered Outcomes Research Institute that was created as part of the Affordable Care Act (ACA). PCORI fees are used to fund PCORI that aims to help patients, clinicians, caregivers, policymakers, and healthcare providers make informed decisions through evidence-based research of medical treatments. In doing so, they can improve patient outcomes and overall healthcare delivery.

PCORI fees were originally set to apply until 2019. However, these were extended under the Bipartisan Budget Act of 2019. As a result, PCORI fees have been extended for another ten years until 2029. 

Who is required to pay PCORI Fees?

PCORI fees are paid to the Internal Revenue Service (IRS) by self-insured employers. Also, PCORI fees are paid by insurance providers of specified health insurance policies for those employers who are fully insured. 

The annual fee is filed every year using IRS Form 720 (Quarterly Federal Excise Tax Return). The due date is July 31 of the year following the last day of the policy or plan year.

For those who are required to pay PCORI fees but do not need to report any other liability under Form 720, you can file Form 720 once a year which is due on July 31. However, if you are required to pay PCORI fees and you have other liabilities to report under Form 720, you must pay PCORI fees and file Form 720 in the second quarter before July 31.

How much is the PCORI Fee? 

The amount of the PCORI fee depends on the “average number of lives covered during the policy year or plan year multiplied by the applicable dollar amount for the year.” This is according to the Internal Revenue Service (IRS). The PCORI fee is adjusted by the IRS yearly for inflation. Because of this, it is best to check the IRS for the updated fees. Presently, the PCORI fee is at $2.66 per plan enrollee. This amount has increased from $2.54 in 2020.

In terms of the number of lives covered, all individuals covered during the policy year are counted. This means that, for example, an employee who has one dependent is counted as two separate covered lives unless the plan is an HRA or FSA. 

What are the types of insurance coverage plans subject to PCORI Fees? 

PCORI fees are applied to fully-funded health insurance policies by health insurers and self-funded insurance plans of employers including the following: 

What are examples of types of insurance coverage plans that are exempted from PCORI Fees? 


PCORI fees do not apply to the following: 



If you are unsure about a health plan and you would like to see a more in-depth list, please go to the Internal Revenue Service (IRS) website. 

Try out Workstream to hire employees for
your business

A revolutionary hiring process for Hourly positions

A revolutionary hiring process for Hourly positions Hiring hourly staff in San Francisco can be a tough job. Workstream can help accelerate the process by letting you post on job boards like Indeed within seconds.

1-Click Job Posting

No more tedious copy and pasting. We integrate with all the top job boards. All applicants funnel into one intuitive dashboard.

Text-to-Apply Posters

Print out your unique QR code and text message number. Applicants scan/text to see all open positions and apply right away.

Automated & 2-Way SMS

Engage with applicants via text. Include links to screening questions, forms, and more. Use 2-way text to answer questions.

Endless Integrations

Connect Workstream to your calendar so applicants can schedule interviews. Streamline onboarding with background check & HR integrations.

Candidate Tracking & Scoring

View all your applicants and employees in one place. Make notes on their progress. Access their docs anytime from anywhere.

Customizable Templates

We provide templates for everything from job postings to offer letters. Send links to docs and tax forms via text message so new hires sign digital copies.

What other owners
think about hiring through Workstream

"Workstream has provided my small business an affordable platform that allows us to screen candidates better which has saved a ton of time."

Complete Pool Care

Currently hiring on Workstream for:

Swimming Pool Cleaning Technician

"Ease of access for our applicants. This is the biggest selling point for us."

Chick-fil-A | Lebanon

"Ease of use.... great follow up tools!"

BrightStar Care

Currently hiring on Workstream for:

Live in Caregiver

Certified Nursing Assistant

Certified Home Health Aide