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A: The PCORI fee is an annual fee paid by the issuers and sponsors of certain types of health plans. It is intended to help fund the Patient-Centered Outcomes Research Institute, which compiles and distributes findings of comparative clinical effectiveness. The fee was established as a part of the Affordable Care Act.
TD Ameritrade structures its options trading with a base fee that is charged in conjunction with a fee per options contract. The base trade fee is $9.99, which is high compared to other online brokers, and the fee charged per contract is $0.75.