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Faith A. Bratlie Insurance Broker

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2023 ACA Commission Schedules & Bonuses

Jul 5, 2023

2023 ACA Commission Schedules & Bonuses

Commission Schedules Disclaimer:

The commission schedules provided below are for informational purposes only and are subject to change at any time by the insurance companies. Please see your producer agreement with the respective insurance company for full details.

Aetna CVS Health

Per member per month (pmpm) Commission Schedule
Last Updated: 10/13/2022

Ambetter
Per member per month (pmpm) Commission Schedule
Last Updated: 10/25/2022

Blue Cross and Blue Shield of Texas Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 2/9/2023

Cigna Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/7/2022

Notice for Texas: On 11/3/2022, Friday Health Plans announced that it paused all health plan sales, on and off exchange, in Texas for 2023.

Medica Individual & Family Plans

Per member per month (pmpm) Commission Schedule up to 5 members in all states but KS and MO which are per contract per month.

Last Updated: 10/31/2022

State Commission
Arizona $18 pmpm
Iowa $18 pmpm
Kansas $21 per contract per month
Minnesota $15 pmpm
Missouri $21 per contract per month
Nebraska $18 pmpm
North Dakota $15 pmpm
Oklahoma $18 pmpm
Wisconsin $15 pmpm

Molina Healthcare Marketplace Commission

Per member per month (pmpm) Commission Schedule
Last Updated: 10/28/2022

 

 

 

 

 

 

 

Oscar Health Individual & Family Plans

Per member per month (pmpm) Commission Schedule in all states but NJ. * New Jersey is per contract per month.

Last Updated: 8/5/2022

UnitedHealthcare Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 11/4/2022*

* Commissions for AL increased from $15 to $20

State Commission
Alabama $20 pmpm
Arizona $20 pmpm
Colorado $20 pmpm
Florida $30 pmpm
Georgia $25 pmpm
Illinois $25 pmpm
Kansas $20 pmpm
Louisiana $25 pmpm
Maryland $20 pmpm
Michigan $20 pmpm
Mississippi $20 pmpm
Missouri $20 pmpm
North Carolina $25 pmpm
Ohio $25 pmpm
Oklahoma $20 pmpm
Tennessee $20 pmpm
Texas $25 pmpm
Virginia $20 pmpm
Washington $15 pmpm

Broker Compensation Disclosures:

On December 27, 2020, The Consolidated Appropriations Act was signed into law which, in part, mandates greater transparency to health care cost information, including broker compensation. All agents and brokers are now required to disclose direct (eg., commission) and indirect (eg., bonus contests) compensation information to consumers. The total amount of compensation must be disclosed verbally prior to the consumer finalizing plan selection. In most cases, the information will also be communicated by the insurance carrier in the consumer’s Welcome Kit.

Broker Compensation Disclosure Talking Points

To assist you with disclosing the required compensation information to the consumer, please contact Agility Producer Support for sample talking points. The exact compensation amounts (direct pay) are listed by carrier above. Links to the 2023 Bonus Programs (indirect pay) can be viewed by clicking the ‘2023 Bonus Programs’ button above. You must review the talking points with your clients for every Individual and Family Plan sale.