Commissions for MA at GA / FMO Level

[midwestbroker]

I have not read this anywhere with the new rules on the MAPD commissions, so I figure I would ask the "panel".

I know the new commissions are capped for street agents at 400/200.

But...what can the agencies pay? Can they choose anything lower then that (say 360/180 or 340/170...etc)? I know that they cannot pay above 400/200, but what about paying lower then that for overrides.

I was told by someone that there will be a commission structure set forth by CMS that set the amount under the 400/200 they can pay off of.

Anyone hear anything different?

 

[jdeasy]

I have not read this anywhere with the new rules on the MAPD commissions, so I figure I would ask the "panel".

I know the new commissions are capped for street agents at 400/200.

But...what can the agencies pay? Can they choose anything lower then that (say 360/180 or 340/170...etc)? I know that they cannot pay above 400/200, but what about paying lower then that for overrides.

I was told by someone that there will be a commission structure set forth by CMS that set the amount under the 400/200 they can pay off of.

Anyone hear anything different?

They can pay less than the $400/200. They just can't pay more. May companies are paying less, Pyramid, Humana, Wellcare, {in many counties}. I asked one FMO if the one paying less than $400 would have to step up and they never answered me.

 

[Russ]

United Healthcare may have come out with an updated commission schedule(with lower commissions), but the latest one I've printed out is dated 11-15-08. It lists commissions in just about all states on HMO, PPO, and Dual SNP as 450/225.

 

[jdeasy]

United Healthcare may have come out with an updated commission schedule(with lower commissions), but the latest one I've printed out is dated 11-15-08. It lists commissions in just about all states on HMO, PPO, and Dual SNP as 450/225.

I don't know if they have put out a new grid yet, but, I got an email from them saying that they were forced to go the $400/200 maximum.

 

[Russ]

I don't know if they have put out a new grid yet, but, I got an email from them saying that they were forced to go the $400/200 maximum.

I probably got one too. I accidently deleted a few emails a while back and some were from UHC.

 

[Insuranceman]

Coventry has been paying me $ 225/250 on my replacement business so far, I was informed that is was being capped at $ 200. Looks like I'll be getting some charge backs.

 

[AgentOrange]

Initial Compensation Structures for 2009 ​

[FONT=Times New Roman,Times New Roman]All Medicare Advantage & Cost Plans [/FONT]​

[FONT=Times New Roman,Times New Roman]national $400 [/FONT]
[FONT=Times New Roman,Times New Roman][/FONT]
[FONT=Times New Roman,Times New Roman][/FONT]
[FONT=Times New Roman,Times New Roman]State of Connecticut Commonwealth of Pennsylvania District of Columbia $450 exception states[/FONT]​

[FONT=Times New Roman,Times New Roman][/FONT]
[FONT=Times New Roman,Times New Roman][/FONT]
[FONT=Times New Roman,Times New Roman]State of California State of New Jersey $500 exception states[/FONT]​

http://ritterim.files.wordpress.com/2009/01/commissionsmemo12-24.pdf

here's the link to the 12/24/08 cms document, this guy ritter seems to always know whats up.

I dont know what fmo.s and mgas are getting in overrides probably $100-$150.

 

[retread]

I have not read this anywhere with the new rules on the MAPD commissions, so I figure I would ask the "panel".

I know the new commissions are capped for street agents at 400/200.

But...what can the agencies pay? Can they choose anything lower then that (say 360/180 or 340/170...etc)? I know that they cannot pay above 400/200, but what about paying lower then that for overrides.

I was told by someone that there will be a commission structure set forth by CMS that set the amount under the 400/200 they can pay off of.

Anyone hear anything different?

Yes... I have the same question. The problem is that CMS issued the edict for "writing agent", and those of us that signed a direct GA contract have not been told whether or not we will be paid at the "writing agent" level, or if we will get any overrides. Since I work alone and have no downline, I assume I won't get an override.

I am at "level 4" with Coventry, and they have never explained to me what that entails. Guess I will find out next week. Other carrier contracts say "GA", but no provision for override in the commission schedules.

All the carriers and FMOs are silent on this issue. First one to break silence will get the door prize.

 

[midwestbroker]

I have a downline throught the agecy I am at, and I am curious to know if we can pay whatever we want under the 400/200 or if there will be a substructure to follow. Or, if the override will be decent enough to pay 400/200 and still provide leads.

I guess we will have to wait and see...

 

[MedSuppPro]

Coventry had its proposed commission structure rejected last week.

Hard to believe we are still having this conversation.

We still have another week left of the current CMS administration. Keep holding your breath as they could change the commission schedules just one more time!

Retroactive commissions set by our government for work performed November 15th through December 31st!