2025 ACA Carrier Commission Schedules

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.

Bonus Programs

Other Pages Related to ACA/Obamacare:

ACA Contracting
ACA Resources
2024 Commissions
Aetna CVS Health Agent Commissions
Broker Portal
Contracting

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

Aetna CVS Health Agent Commissions
Ambetter Agent Commissions
Broker Portal
Contracting

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

AmeriHealth Caritas NextAgent Commissions
Broker Portal
Contracting

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

AmeriHealth Caritas Next Commissions

Anthem Individual & Family Plans (On-Exchange)

Per member per month (pmpm) Commission Schedule in most states. *CT, IN, and WI have a 2 member cap per policy, ME has a 3 member cap per policy, MO has a 1 member cap per policy, NH has a 4 member cap per policy, NV must have a minimum of 10 members, KY is a 1 time pay out in July, and VA is per contract. Last Updated: 10/29/2024

Anthem Commissions
Antidote Agent Commissions
Broker Portal
Contracting

Antidote Health
Per member per month (pmpm) Commission Schedule
Last Updated: 10/29/2024

Antidote Agent Commissions
AvMed ACA Commissions
Broker Portal
Contracting

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

AvMed ACA Commissions
BCBS of Arizona Commissions
Broker Portal
Contracting

Blue Cross and Blue Shield of Arizona Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated:11/4/2024

  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of Arizona Commissions
BCBS of Illinois Agent Commissions
Broker Portal
Contracting

Blue Cross and Blue Shield of Illinois Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/31/2023

  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of Illinois Agent Commissions
BCBS of Michigan Agent Commissions
Broker Portal
Contracting

Blue Cross and Blue Shield of Michigan Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/4/24

  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of Michigan Agent Commissions
BCBS of Nebraska Agent Commissions
Broker Portal
Contracting

Blue Cross and Blue Shield of Nebraska Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/4/24

  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of Michigan Agent Commissions
BCBS of Montana Agent Commissions
Broker Portal
Contracting

Blue Cross and Blue Shield of Montana Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/31/2023

  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of Illinois Agent Commissions
BCBS of TN Agent Commissions
Broker Portal

Blue Cross and Blue Shield of Tennessee Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/10/2024

Contracting
  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of TN Agent Commissions
BCBS of South Carolina Agent Commissions
Broker Portal
Contracting

Blue Cross and Blue Shield of South Carolina Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/20/2024

  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of SC Agent Commissions
BCBS of Texas Agent Commissions
Broker Portal
Contracting

Blue Cross and Blue Shield of Texas Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/31/2024

  BlueAdvantage Plans MyBlue Plans
New, Renewal & SEP $25 $20
BCBS of Texas Agent Commissions
Contracting

CareSource Individual & Family Plans

Per member per month (pmpm) Commission Schedule

Last Updated: 11/22/2024

CareSource Commissions
Broker Portal
CareSource Commissions
  GA IN OH KY WV
New & Renewal $19 $19 $19 $16 $16
Contracting

CHRISTUS Health Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 9/27/24

Broker Portal
  LA TX
New, Renewal & SEP 4.5% of premium 4.5% of premium
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Cigna Agent Commissions
Broker Portal
Contracting

Cigna Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/08/2024

Cigna Agent Commissions
HAP 2024 ACA Commissions Schedule
Broker Portal

HAP Individual & Family Plans

Per member per month (pmpm) Commission Schedule

Last Updated: 10/07/2024

Contracting
HAP 2025 ACA Commissions Schedule
HealthFirst ACA Commissions Schedule
Broker Portal

HealthFirst Health Plans

Per member per month (pmpm) Commission Schedule

Last Updated: 10/31/2024

Contracting
HealthFirst ACA Commissions
HealthFirst ACA Commissions
LA Care bonus
Contracting

L.A. Care

Per member per month (pmpm) Commission Schedule

Last Updated: 11/04/2024

Broker Portal
LA Care Commissions
LA Care Bonuses
McLaren Agent Commissions
Broker Portal
Contracting

McLaren Health Plan Marketplace Commission
Per member per month (pmpm) Commission Schedule
Last Updated: 01/28/2025

McLaren Agent Commissions
Contracting

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: 12/05/24

Broker Portal
Medica FMO Compensation
Molina ACA Broker Commissions
Broker Portal
Contracting

Molina Healthcare Marketplace Commission
Per member per month (pmpm) Commission Schedule
Last Updated: 9/27/2024

Molina ACA Broker Commissions
Oscar ACA Commissions
Broker Portal
Contracting

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: 10/23/2024

Oscar Commissions Schedule
Priority Health Broker Commissions
Broker Portal
Contracting

Priority Health Marketplace Commission
Per member per month (pmpm) Commission Schedule
Last Updated: 10/26/2023

Priority Health ACA Commissions
Quartz Agent Commissions
Broker Portal
Contracting

Quartz Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/31/2024

Quartz Agent Commissions
Broker Portal
Contracting

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

UHC Agent Commissions
Wellpoint Agent Commissions
Broker Portal
Contracting

Wellpoint Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 10/28/2024

Wellpoint Agent Commissions

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 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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