Patient Protection and Affordable Care Act Fees, Penalties

This quick reference summarizes the key 2015 and 2016 fees and penalties associated with the ACA.

 

 

2015

2016

Affordability

9.56% of household
income

9.66% of household
income

Indexed Penalties

 

 

Failure to offer minimum essential coverage
($2,000, indexed)

$2,080

$2,160

Failure to offer minimum value, affordable coverage
($3,000, indexed)

$3,120

$3,240

Transitional Reinsurance Fee (TRF)

$44 per
covered life

$27 per
covered life

Patient-Centered Outcomes/Comparative Effectiveness Fee (PCORI)
($2, indexed)

$2.08
per person

$2.17 per
person

 


 

PCORI Fee Due Dates

Plan/Policy Year

Year Three Fee is Due

($2.08/person)

Plan/Policy Year

Year Four
Fee is Due

($2.17/person)

Nov. 1, 2013 – Oct. 31, 2014

July 31, 2015

Nov. 1, 2014 – Oct. 31, 2015

July 31, 2016

Dec. 1, 2013 – Nov. 30, 2014

July 31, 2015

Dec. 1, 2014 – Nov. 30, 2015

July 31, 2016

Jan. 1, 2014 – Dec. 31, 2014

July 31, 2015

Jan. 1, 2015 – Dec. 31, 2015

July 31, 2016

Feb. 1, 2014 – Jan. 31, 2015

July 31, 2016

Feb. 1, 2015 – Jan. 31, 2016

July 31, 2017

March 1, 2014 – Feb. 28, 2015

July 31, 2016

March 1, 2015 – Feb. 28, 2016

July 31, 2017

April 1, 2014 – March 31, 2015

July 31, 2016

April 1, 2015 – March 31, 2016

July 31, 2017

May 1, 2014 – April 30, 2015

July 31, 2016

May 1, 2015 – April 30, 2016

July 31, 2017

June 1, 2014 – May 31, 2015

July 31, 2016

June 1, 2015 – May 31, 2016

July 31, 2017

July 1, 2014 – June 30, 2015

July 31, 2016

July 1, 2015 – June 30, 2016

July 31, 2017

Aug. 1, 2014 – July 31, 2015

July 31, 2016

Aug. 1, 2015 – July 31, 2016

July 31, 2017

Sept. 1, 2014 – Aug. 31, 2015

July 31, 2016

Sept. 1, 2015 – Aug. 31, 2016

July 31, 2017

Oct. 1, 2014 – Sept. 30, 2015

July 31, 2016

Oct. 1, 2015 – Sept. 30, 2016

July 31, 2017

 

To find out if you will be subject to ACA penalties and/or to calculate an estimate of the amount that you will be subject to pay for the 2016 tax year, contact a member of our team.

1/7/2016

This information is general and is provided for educational purposes only. It is not intended to provide legal advice. You should not act on this information without consulting legal counsel or other knowledgeable advisors.