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Greetings!
MacCorkle Insurance Service is pleased to provide you with this update - we hope you find the presented topic both interesting and informative. Please look for future editions providing the HR professional with compliance and legislative briefs throughout the year.
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IRS Issues Proposed Regulations on Research Fees
The Affordable Care Act (ACA) created the Patient-Centered Outcomes Research Institute (Institute) to help patients, clinicians, payers and the public make informed health decisions by advancing comparative effectiveness research. The Institute's research is to be funded, in part, by fees paid by health insurance issuers and sponsors of self-insured health plans.
On April 17, 2012, the Internal Revenue Service (IRS) issued proposed regulations on the research fees. The proposed regulations address many important details regarding which health insurance issuers and plan sponsors are subject to the fees and how the fees are calculated and paid. Comments on the proposed regulations are due by July 16, 2012.
Although the proposed regulations are not final, issuers and plan sponsors may rely on the guidance provided in the proposed regulations pending the IRS's issuance of final regulations. If future IRS guidance on the research fees is more restrictive than the proposed regulations, the future guidance will not be applied retroactively.
This MacCorkle Insurance Service Legislative Brief provides an overview of the research fees to be paid by health insurance issuers and sponsors of self-insured plans under ACA, including the guidance provided in the proposed regulations.
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