Employers who sponsor self-funded health plans, which include your GuideStone plan, and insurers who offer insured plans must pay an annual fee based on the number of covered lives in their plan. The fee is used to fund the Patient-Centered Outcomes Research Institute (PCORI), a non-profit entity created by the Affordable Care Act (ACA). The institute focuses on medical research.
GuideStone pays the required fees for our self-funded church plans; individual employers who offer health plans through GuideStone do not have to pay the fee directly. However, this fee, and others mandated by the ACA, will have an ongoing impact on rates.