2025 ACA Commission Schedules & Bonuses

Commission Schedules Disclaimer:

As the healthcare landscape evolves, ACA agent commissions remain a critical component of supporting agents and brokers in delivering value to enrollees. Below, we outline projected commission structures and incentives for ACA commissions 2025, though these are subject to change based on carrier-specific adjustments and regulatory updates.

Aetna CVS Health - Pandora Insurance

Aetna CVS Health
Per member per month (pmpm) Commission Schedule
Last Updated: 10/22/2024

2025 Broker Commission Schedule- Pandora Insurance
Ambetter-Health Contracting - Pandora Insurance

Ambetter Health
Per member per month (pmpm) Commission Schedule
Last Updated: 10/24/2024

Ambetter Commissions 2025- Pandora Insurance
AmeriHealth Caritas Next - Pandora Insurance

AmeriHealth Caritas
Per member per month (pmpm) Commission Schedule
Last Updated: 10/30/2024

AmeriHealth commissions- Pandora Insurance
Anthem BlueCross BlueShield - Pandora insurance

Anthem ACA
Per member per month (pmpm) Commission Schedule
Last Updated: 04/10/2025

2025 Anthem ACA Commissions - Pandora Insurance
Antidote ACA Commissions - Pandora Insurance

Antidote Health
Per member per month (pmpm) Commission Schedule
Last Updated: 10/23/2024

Antidote Commissions- Pandora Insurance
AvMed Agent Contracting - Pandora Insurance

AvMed
Per member per month (pmpm) Commission Schedule
Last Updated: 10/26/2024

2025 AvMed Agent Agreement for IFP- Pandora Insurance
BCBS of MI - Pandora Insurance

BCBS of Michigan
Per member per month (pmpm) Commission Schedule
Last Updated: 8/27/2025

BCBS-of-MI-2026-Commissions - Pandora Insurance
BCBS-of-Nebraska - Pandora Insurance

BCBS of Nebraska
Per member per month (pmpm) Commission Schedule
Last Updated: 11/12/2024

BCBS Nebraska Commissions - Pandora Insurance
BCBS TX Commissions - Pandora Insurance

BCBS of Texas
Per member per month (pmpm) Commission Schedule
Last Updated: 11/12/2024

BCBSTX commissions - Pandora Insurance
CareSource Logo - Pandora Insurance

CareSource Health Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/22/2024

ACA Commissions - Pandora Insurance
Christus Health Plan - Pandora Insurance

CHRISTUS Health Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 9/27/2024

Christus Health ACA Commissions 2025 - Pandora Insurance
Cigna | Pandora Insurance

Cigna Healthcare
Per member per month (pmpm) Commission Schedule
Last Updated: 10/08/2024

Cigna ACA - Commission schedule 2025 - Pandora Insurance
HAP_Logo - Pandora Insurance

HAP (Health Plan Alliance)
Per member per month (pmpm) Commission Schedule
Last Updated: 10/07/2024

hap_ifp_commission_schedule_2025_1 - Pandora Insurance
Health First - Pandora Insurance

HealthFirst Health Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/31/2024

Health First ACA Commissions - Pandora Insurance
L.A. Care Health Plan - Pandora Insurance

L.A. Care Health Plan
Per member per month (pmpm) Commission Schedule
Last Updated: 11/04/2024

LA Care ACA Commissions - Pandora Insurance
Medica Logo - Pandora Insurance

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

Medica ACA Commissions - Pandora Insurance
Molina-Healthcare Agent Contracting - Pandora Insurance

Molina Healthcare
Per member per month (pmpm) Commission Schedule
Last Updated: 9/24/2024

Molina ACA Commission - Pandora Insurance
Oscar_ACA Commissions - Pandora Insurance

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

Oscar Health 2025 ACA Commissions- Pandora Insurance
ACA Commissions - Pandora Insurance

Quartz Benefits
Per member per month (pmpm) Commission Schedule
Last Updated: 10/31/2024

Quartz Commissions- Pandora Insurance
United Healthcare & Pandora Insurance

UnitedHealthcare Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 9/06/2024

UHC Commissions - Pandora Insurance
Wellpoint Logo- Pandora Insurance

Wellpoint Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/29/2024

wellpoint-2025-commissions- Pandora Insurance

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.

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