< Back to IRS

Grace Patel

Form 720 PCORI Fee Question - Filing for Short Plan Year + Full Plan Year Together

Hey everyone, I'm in a bit of a pickle with a tricky PCORI Fee situation for Form 720. I work at a benefits consulting shop and we've got a client who's self-funded and handles their own PCORI fee payments. We don't do the actual filing for them, but we help calculate what they owe. The situation is that for this July 31 filing deadline, our client needs to pay the PCORI fee for both a short plan year AND a full plan year on the same Form 720. We're using the average lives calculation method, but I'm confused about how to properly document this on the form when there are two different periods and potentially two different rates. Has anyone dealt with this specific scenario before? Do we need to file separate forms or can both periods be reported on a single Form 720? Any guidance would be super appreciated since I need to provide them clear instructions. Thanks in advance!

ApolloJackson

•

This is actually a common question with PCORI fees when you have both a short plan year and full plan year ending in the same filing period. You don't need separate forms - you can report both periods on the same Form 720. On Form 720, you'll use Part II, designated for "Patient-Centered Outcomes Research Fee." You'll need to complete two separate lines - one for each plan year. Make sure you indicate the appropriate average number of lives for each period separately and use the correct applicable rate for each period. The rates differ based on when the plan year ended. When filing, be very clear about distinguishing between the two periods in your documentation. I recommend attaching a simple explanation sheet detailing the calculation for each period to avoid any confusion if questions arise later.

0 coins

Thanks for that info! Does the IRS ever question why you're submitting two periods on one form? Also, what about the specific calculation - if the short plan year was only 3 months, do we still calculate the average the same way or is there a proration?

0 coins

ApolloJackson

•

The IRS generally won't question having multiple periods on a single form - it's designed to accommodate this situation. Many employers face similar scenarios due to plan year changes. For the calculation on a short plan year, there's no proration of the rate itself. However, your average covered lives calculation should only include the months in that short plan year. So if you're using the snapshot method for a 3-month short plan year, you'd only take snapshots from those 3 months and then calculate the average from those. The fee itself is the full applicable rate multiplied by this average, regardless of the plan year length.

0 coins

Rajiv Kumar

•

I had a similar situation last year with a client that had both a short and full plan year PCORI fees due. What saved me TONS of time was using taxr.ai (https://taxr.ai) to handle the calculation complexities. I uploaded our participant data and plan documents, and their system automatically calculated the correct PCORI fees for both periods separately, told me exactly how to report it on Form 720, and even generated a detailed audit trail. The best part was that it recognized the short plan year scenario immediately and applied the correct methodology without me having to research all the nuances. It also helped explain the calculation approach to my client in language they could understand, which was a huge relief.

0 coins

That sounds really helpful. Does it work with multiple plan types? We have medical, prescription, and HRA plans that all need PCORI calculations, and figuring out the overlaps is driving me crazy.

0 coins

Liam O'Reilly

•

I'm curious about this - did you still need to provide guidance on which method to use (actual count, snapshot, etc.), or did the system recommend the best approach? Our company switched to self-funding mid-year so I'm dealing with a similar mess.

0 coins

Rajiv Kumar

•

It absolutely works with multiple plan types. You can upload participant data for each plan type, and the system identifies overlaps to prevent double-counting participants who are in multiple plans. This was a huge time-saver for us since we had medical, vision and HRA plans that needed to be consolidated properly. The system actually guides you through the different calculation methods and recommends the optimal approach based on your data and situation. In our case, it explained why the snapshot method made the most sense for our short plan year while the actual count method was better for the full year due to our data limitations. It gives you the final say, but the recommendations were spot-on for our situation and saved us from making some potential calculation errors.

0 coins

Liam O'Reilly

•

I tried taxr.ai after seeing it mentioned here and it was seriously a lifesaver for our PCORI fee situation. We had both a short plan year (4 months) and a full plan year to report, plus we have an HRA that needs separate calculations. The system walked me through each step, explaining the nuances between the different calculation methods and why certain approaches were better for our specific scenario. What impressed me most was how it handled the documentation - it created a complete audit file showing all calculation steps that we could keep with our records. My CFO was initially skeptical about the fee amounts because they seemed high, but the detailed reports made it easy to explain and justify the calculations. Definitely using this for next year's filing too!

0 coins

Chloe Delgado

•

If you're still struggling with getting the PCORI fee calculations right AND need to talk to someone at the IRS about your specific situation (which can be impossible), I'd recommend trying Claimyr (https://claimyr.com). When I had questions about reporting multiple plan years on Form 720, I spent days trying to reach the IRS until I found this service. They got me connected to an actual IRS agent within 20 minutes who walked me through the exact reporting requirements for our complicated situation. You can see how it works in their video demo here: https://youtu.be/_kiP6q8DX5c. The agent confirmed we could include both plan years on a single form and explained exactly how to document it to avoid issues. After wasting hours on hold myself, having someone else handle the waiting was worth every penny.

0 coins

Ava Harris

•

Wait, how does this actually work? They somehow get you to the front of the IRS phone queue? That doesn't seem possible with how backed up the IRS call centers are.

0 coins

Jacob Lee

•

This sounds like a scam. Nobody can "skip the line" with the IRS. I've been doing benefits consulting for 12 years and there's simply no way to get prioritized unless you have a dedicated account manager for large businesses. I'm suspicious.

0 coins

Chloe Delgado

•

It doesn't put you at the "front of the line" - what they do is use technology to handle the waiting for you. Their system navigates the IRS phone tree and waits on hold instead of you having to do it. When an agent finally answers, they call you and connect you directly to that agent. So you're not skipping any queue, they're just waiting in it for you. They work with all kinds of government agencies, not just the IRS. In my case, I was able to go about my normal work day, and then got a call when an actual agent was on the line ready to help. The whole process took about 2.5 hours from when I first signed up, but I only had to be on the phone for the 20 minutes of actual conversation with the IRS agent.

0 coins

Jacob Lee

•

I owe everyone here an apology - especially to the person recommending Claimyr. I was super skeptical and called it a scam (sorry about that), but I was desperate enough to try it yesterday after spending THREE HOURS on hold with the IRS only to get disconnected. I used the Claimyr service and they connected me to an IRS agent who specifically handles excise tax questions. The agent was incredibly helpful and confirmed that we can absolutely file both plan years on the same Form 720 for PCORI fees. She walked me through exactly where on the form to list each period and how to document the calculation methods. What I thought would be another day wasted on hold turned into a 25-minute productive conversation that solved our problem. I'm still shocked it actually worked, but consider me a convert.

0 coins

Another thing to keep in mind for PCORI fees with short plan years - don't forget to check if the applicable rates are different for your two periods. For the 2020-2021 filing season, there were different rates depending on when your plan year ended. Plan years ending before October 1, 2020 had one rate, and those ending on or after October 1, 2020 had a higher rate. So if your short plan year and full plan year fall in different rate periods, you'll need to apply the correct rate to each calculation separately.

0 coins

Is there any IRS publication that specifically addresses short plan years for PCORI? I've been searching online but can't find clear guidance on this specific situation.

0 coins

IRS Notice 2020-44 and Notice 2020-84 both address the PCORI fee rates for different plan years. While they don't specifically use the term "short plan year," the guidance is clear that you apply the rate based on when the plan year ends, regardless of its length. For more specific guidance on how to handle short plan years, the IRS has a set of FAQs on their website about PCORI fees that briefly addresses non-standard plan years. The key is that the full fee applies regardless of the plan year length - there's no proration of the fee itself for short periods.

0 coins

Daniela Rossi

•

Does anyone know if we're supposed to average the covered lives differently for a short plan year? Our TPA gave us monthly enrollment data but I'm not sure if I need to do something special for the 3-month short year.

0 coins

Ryan Kim

•

The averaging method stays the same for short plan years, but you're only using the months in that short plan period. So if you're using the snapshot method and have a 3-month short plan year, you'd take snapshots from those 3 months only and divide by 3 to get your average. You don't need any special calculations, just limit the data to the relevant months.

0 coins

Chloe Martin

•

This is such a helpful thread! I'm dealing with a similar situation where we have a client who changed their plan year mid-stream, resulting in both a short plan year (5 months) and a full plan year that need to be reported on the same Form 720. One thing I wanted to add that hasn't been mentioned yet - make sure you're also keeping detailed records of which calculation method you used for each period and why. We had an audit a few years back where the IRS wanted to see our justification for choosing the snapshot method versus actual count method, especially for the shorter period. Also, if you're using different methods for each period (which is allowed), document that clearly. For example, we used actual count for our short plan year because we had complete monthly data, but snapshot for the full year due to some data gaps. The IRS was fine with this approach as long as we could show our reasoning. The documentation suggestion from ApolloJackson about attaching an explanation sheet is spot on - it saved us a lot of back-and-forth when questions came up later.

0 coins

This is really valuable advice about documentation! I'm new to handling PCORI fees and hadn't thought about justifying the calculation method choices. Quick question - when you say you used different methods for each period, did you have to explain why the data limitations were different between the short and full plan years? I'm wondering if the IRS expects consistency in methodology or if they're okay with using whatever works best for each specific period.

0 coins

StellarSurfer

•

Great question! The IRS is actually quite flexible about using different calculation methods for different periods, as long as you can justify why each method was most appropriate for that specific situation. In our case, we explained that for the short plan year, we had complete monthly enrollment records from our new system, making the actual count method straightforward and accurate. However, for the full plan year, we had some months where the data was incomplete due to a system transition, so the snapshot method was more reliable. The key is documenting your reasoning clearly. We included a brief explanation like "Short plan year: Used actual count method due to complete monthly enrollment data availability. Full plan year: Used snapshot method due to data gaps in months 3-5 caused by system migration." The auditor appreciated the transparency and had no issues with the mixed approach. The IRS guidance actually encourages using whichever method gives you the most accurate count for each period, so don't feel locked into one approach across all periods if your data situation varies.

0 coins

Freya Nielsen

•

This thread has been incredibly helpful! I'm dealing with a similar scenario where our client has both a 6-month short plan year and a full 12-month plan year that need to be reported together. One additional consideration I wanted to mention - if you're working with a self-funded client like the original poster, make sure they understand the payment timing. Even though you're filing both periods on the same Form 720, the payment is still due by July 31st for both periods. I've seen clients get confused thinking they have separate due dates for each plan year period. Also, for anyone using the snapshot method for their calculations, remember that you need to pick consistent dates within each plan year period. So if you're taking snapshots on the 15th of each month for your full plan year, stick with the 15th for all months in that period, and then you can choose different snapshot dates for the short plan year if that works better with your data. The advice about detailed documentation is spot on - I always create a simple spreadsheet showing the calculation for each period separately, then attach it to the Form 720. It makes everything much clearer if questions arise later.

0 coins

IRS AI

Expert Assistant
Secure

Powered by Claimyr AI

T
I
+
20,087 users helped today