This post is intended to be a brief reminder of some of the 2016 deadlines. As originally described in our December post the following are the updated dates for Forms 1094 and 1095.
|Forms||Original IRS Due Date||Updated IRS Due Date|
|Forms 1095-B and 1095-C||Feb. 1, 2016||March 31, 2016|
|Forms 1094-B, 1095-B, 1094-C, and 1095-C||on paper by Feb. 29, 2016||May 31, 2016|
|Forms 1094-B, 1095-B, 1094-C and 1095-C||electronically by March 31, 2016||June 30, 2016|
The PCORI Fee
Employers and insurers will need to file Internal Revenue Service (IRS) Form 720 and pay the PCORI fee by July 31, 2016. Remember, the PCORI fee is assessed on both issuers of health insurance policies and sponsors of self-insured health plans and are calculated using the average number of lives covered under the policy or plan. The following chart provides fees as indexed for the provided time periods:
|PCORI fees||Plan Years|
|$2 per life||ending on or after October 1, 2013, and before October 1, 2014|
|$2.08 per life||ending on or after October 1, 2014, and before October 1, 2015|
|$2.17 per life||ending on or after October 1, 2015, and before October 1, 2016|
The Transactional Reinsurance Fee
The next filing deadline is the transactional reinsurance fee. In the first year, HHS required a contributing entity to make two separate payments. The first payment was due by January 15 and the second payment was due by November 15. HHS resolved their technical difficulties in time for the 2015 payment. Like the 2015 payment, contributing entities have the option for the 2016 fee ($27 per covered life) as follows:
- The entire fee in one payment no later than January 15 (if not a business day, the next applicable business day); or
- Two separate payments, with the first due by January 15, (if not a business day, the next applicable business day) in the amount of the first payment of the bifurcated contribution ($21.60 per covered life for 2016); and the remaining payment due by November 15, (if not a business day, the next applicable business day) in the amount of the second payment of the bifurcated contribution ($5.40 per covered life for 2016).
Individual Market Open Enrollment
The open enrollment for individual health insurance plans for 2017 will be considerably earlier than it was for 2016. Currently, the open enrollment period for the 2017 coverage year is October 15, 2016 through December 7, 2016.
As always, stay tuned for changes and future guidance.