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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.
One of the more common annuity fees is the Mortality and Expense (M&E) fee. An M&E charge is a mix of expenses ranging from insurance to administrative fees that are applied to the annuities (particularly variable annuities). According to the National Association for Variable Annuities (NAVA) the average M&E fee is around 1.15% or 115 basis points.