PCORI Fee Filing Deadline: July 31, 2026 – Here’s What You Need to Know
Self-insured health plan sponsors must file Form 720 and pay the PCORI fee by July 31, 2026. The fee is $3.84 per covered employee life for plans ending Oct-Dec 2025, or $3.47 for plans ending Jan-Sept 2025. Employers can pay electronically or by check. OCA will send employers their calculated PCORI fee during the week of June 22nd. Dependents are excluded from HRA calculations. For more information, visit this link.
Cigna and Advocare Reach Agreement – No Network Disruption
Cigna has successfully negotiated a contract renewal with Advocare LLC and will continue as an in-network provider with no service disruption. The negotiations, which were set to conclude this July, resulted in a fair agreement for both parties. Precision Benefits Group clients utilizing Advocare facilities, including members at Odessa, Fluitron, Xtel, and PATHs, will experience no changes to their coverage or access. No member notifications or plan adjustments are necessary.
Horizon BCBSNJ Plan Withdrawals – Action Required for 2026 Renewals
Horizon BCBSNJ is withdrawing certain small employer transitional health and prescription drug plans from the market, effective at 2026 renewal dates (October-December). Impacted clients must select new coverage before their anniversary dates. Employers will receive 90-day notice of non-renewal. Those ineligible for ACA-compliant small employer coverage should explore individual health options. All impacted employers enrolling in new coverage must complete a Small Employer Certification Form confirming eligibility. Click here for more resources.
Compliance Corner: Form 5500 Annual Filing Deadline: Know Your Plan’s Reporting Requirements
Employee benefit plans must file Form 5500 annually with the Department of Labor to report plan finances and operations. The filing deadline is the last day of the 7th calendar month after the plan year ends. Plans covering fewer than 100 participants that are unfunded, fully insured, or a combination may be exempt. Plan administrators can request a one-time extension of up to 2.5 months by filing Form 5558 with the IRS before the original due date.