2FA for P&A Participants

Employers who offered a Health Reimbursement Arrangement (HRA) or Medical Expense Reimbursement Plan (MERP) in 2025 are responsible for submitting the annual PCORI fee by July 31, 2026. Please note that the deadline applies to all plans that ended in 2025. To help you navigate the filing requirements, we’ve created an easy guide on how to complete IRS Form 720 and submit your payment.
PCORI, or the Patient Centered Outcomes Research Institute, was first introduced in the 2010 Affordable Care Act (ACA) to help fund research for different medical treatments. A portion of the institute’s funding comes from these fees imposed on group health plans. PCORI fees apply to plans ending in years 2013 through 2029 (October 1, 2012 – September 30, 2029).
Employees/Participants
Participants enrolled in an HRA or MERP are not required to do anything for this filing.
Employers – PCORI Fees Due in 2026
Employers are responsible for determining the number of covered lives under the plan and paying the fee. Because this is an excise tax, the IRS requires the plan sponsor or employer to file directly; Third Party Administrators (TPAs) like P&A are not permitted to file or pay on your behalf. To make calculating your covered lives simple, P&A clients can pull the data needed directly from HR Connect, our secure employer portal:
For plan years ending in 2025, the fee per covered life is either $3.47 or $3.84, depending on your plan’s start and end date.