2025 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: 10/22/2024
Ambetter Health
Per member per month (pmpm) Commission Schedule
Last Updated: 10/24/2024
AmeriHealth Caritas
Per member per month (pmpm) Commission Schedule
Last Updated: 10/30/2024
AmeriHealth Caritas
Per member per month (pmpm) Commission Schedule
Last Updated: 10/30/2024
Antidote Health
Per member per month (pmpm) Commission Schedule
Last Updated: 10/23/2024
AvMed
Per member per month (pmpm) Commission Schedule
Last Updated: 10/26/2024
BCBS of Michigan
Per member per month (pmpm) Commission Schedule
Last Updated: 11/07/2024
BCBS of Nebraska
Per member per month (pmpm) Commission Schedule
Last Updated: 11/12/2024
BCBS of Texas
Per member per month (pmpm) Commission Schedule
Last Updated: 11/12/2024
CareSource Health Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/22/2024
CHRISTUS Health Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 9/27/2024
Cigna Healthcare
Per member per month (pmpm) Commission Schedule
Last Updated: 10/08/2024
HAP (Health Plan Alliance)
Per member per month (pmpm) Commission Schedule
Last Updated: 10/07/2024
L.A. Care Health Plan
Per member per month (pmpm) Commission Schedule
Last Updated: 11/04/2024
Medica
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: 12/05/2024
Molina Healthcare
Per member per month (pmpm) Commission Schedule
Last Updated: 9/24/2024
Oscar Health
Per member per month (pmpm) Commission Schedule in all states but NJ. * New Jersey is per contract per month.
Last Updated: 10/23/2024
Quartz Benefits
Per member per month (pmpm) Commission Schedule
Last Updated: 10/31/2024
UnitedHealthcare Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 9/06/2024
Wellpoint Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/29/2024
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 our Producer Support for sample talking points. The exact compensation amounts (direct pay) are listed by carrier above. Links to the Bonus Programs (indirect pay) can be viewed by clicking the ‘Bonus Programs’ button above. You must review the talking points with your clients for every Individual and Family Plan sale.
© Pandora Insurance. All Rights Reserved. This page is for agent use only. Distribution to Medicare Beneficiaries is not permitted. Not affiliated with the United States government or the federal Medicare program. Not all products are available in all areas. Exclusions and limitations may apply.