Health Insurance Form 720

30 don t make an entry on the line for irs no.

Health insurance form 720. If you file form 720 to report quarterly excise tax liability for the first third or fourth quarter of the year for example filers reporting the foreign insurance tax irs no. 133 on those filings. Issuers of specified health insurance policies and plan sponsors of applicable self insured health plans will file annually form 720 quarterly federal excise tax return to report and pay the pcori fee. New form 720 the new form 720 and instructions can be found at www irs gov form720.

We will use the completed voucher to credit your payment more promptly and accurately and to improve our service to you. The form 720 will be due on july 31 of the year following the last day of the policy year or plan year. The pcori fee is listed in part ii of the form irs no. If you file form 720 only to report the fee don t file form 720 for the first third or fourth quarters of the year.

The insurance carrier will file fees for all fully insured plans but employer plan sponsors must file and pay the fee for self funded health plans including health reimbursement arrangements hras. Form 720 v payment voucher. The fees required to be reported annually on the 2nd quarter form 720 and paid by its due date july 31st are.