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IRS Issues Proposed Regs on Required Fees for Self-Insured Health Plans and Health Insurers
Troutman Sanders Link to more items from this source
[Guidance Overview]
July 26, 2012
"Fees [which are used to fund the new Patient-Centered Outcomes Research Trust Fund] are owed by sponsors of 'applicable self-insured plans' as defined under the proposed regulations. Generally, a self-insured health plan subject to the fee is defined broadly as any plan established or maintained by one or more employers for the benefit of their employees or former employees except if the plan provides only 'HIPAA-excepted benefits' ((i.e., limited scope dental and vision benefits). Stand alone retiree-only plans are not excluded from this definition. However, the proposed regulations do specifically exclude employee assistance programs (EAPs), Archer MSAs, Health Savings Accounts, disease management programs and wellness programs (if they do not provide significant benefits in the nature of medical care or treatment) from the definition of applicable self-insured plan."

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