2019 Maximum Broker Commissions for Medicare Advantage & Medicare Part D

For the fourth year in a row, CMS has raised maximum broker commissions for Medicare Advantage and Medicare Part D initial enrollments.

Note: Insurance providers are NOT REQUIRED to pay the maximum commission rate. We’ll report when insurance companies’ release their 2019 filings in the coming months.

Medicare Part D Maximum Broker Commissions

Initial commissions increased from $72/member/year to $74/member/year, a 2.78% increase YOY.

Renewal commissions increased from $36/member/year to $37/member/year, a 2.78% increase YOY.

Medicare Advantage Maximum Broker Commissions

These numbers are broken out by state/region.

For CA and NJ, initial MA commissions increased from $567/member/year to $601/member/year, a 6% increase YOY. Renewal commissions increased from $284/member/year to $301/member/year, a 5.99% increase.

For CT, PA and DC, initial MA commissions increased from $511/member/year to $542/member/year, a 6.07% increase YOY. Renewal commissions increased from $256/member/year to $271/member/year, a 5.86% increase.

For Puerto Rico and the U.S. Virgin Islands, initial MA commissions increased from $312/member/year to $331/member/year, a 6.09% increase YOY. Renewal commissions increased from $156/member/year to $166/member/year, a 6.41% increase.

In all other states, initial MA commissions increase from $455/member/year to $482/member/year, a 5.93% increase YOY. Renewal commissions increased from $228/member/year to $241/member/year, a 5.7% increase.

Here’s a chart comparing the increases from last year.