First year of coverage (paid annually)
The first year of coverage means the first year in which a beneficary enrolls in a Medicare product:
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Type of Enrollment (as defined and reported by CMS in its monthly report to plan carrier)
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Commission Paid Independent Agent
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Full or Prorated 2023 |
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Initial Sale (New to Medicare)
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Initial Commission (T-65 or newly retired)
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Full (MAPD+ MA) CA and NJ $750 CT, DC PA $678 All other states $601 PDP $92 nationwide
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Unlike Plan Type Change Medicare supplement
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Initial Commission Change from Medi-Cal {MEDI-Caid} or Med-Supplement
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Prorated 1 (12- month basis reduced by month written {Jan most-- Dec least})
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Like Plan Type Change In Compensation Payment Year 1 |
Initial Commission
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Prorated 1 (Changing same year original plan written—reduced by month written)
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Like Plan Type Change in Compensation Payment Years 2+
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Renewal Rate Commission |
Prorated 1 CA + NJ =$375 CT,DC,PA $339 All other states $301 PDP $46 |
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Employer Group to Individual |
Initial Commission |
Full – when there is no prior plan history2 Prorated 1 - when there is prior plan history2
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Type of Enrollment Commission Paid Timing of Payment All enrollment types
Renewal Rate Commission Paid per member per month (begins January 1st following enrollment)
Subsequent Years - PDP (paid annually or monthly depending on carrier):
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Type of Enrollment |
Commission Paid |
Timing of Payment |
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All enrollment types |
Renewal Rate Commission Paid annually or monthly (begins January 1st following enrollment) pmpm = per member per month |
1 Prorated for the months that the Medicare Product is in force during the enrollment year |
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