HIGHMARK WILL CONTINUE TO PAY ACA INDIVIDUAL MARKET SPECIAL ENROLLMENT COMMISSIONS THROUGH THE END OF 2019
This email is intended for producers in Western Pa.
Highmark will extend commissions for Special Enrollment Period (SEP) policies secured for effective dates of June 2, 2019 through Dec. 31, 2019. This applies to Highmark Blue Cross Blue Shield EPO plans and Highmark Choice Company (HCC) HMO plans. For any PPO plan business through Highmark Health Insurance Company (HHIC), Highmark will pay zero commission on SEP business.
The commission structure for SEP policies on- and off-marketplace for effective dates of Jan. 2, 2019 through Dec. 31, 2019 will be as follows:
All Counties (including Erie) |
HMO and EPO Plans |
PPO Plans |
New contracts with issue date in 2019 |
$10 PMPM |
$0 PMPM |
Renewal 13th month from issue |
$5 PMPM |
$5 PMPM |
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PMPM = Per Member Per Month.
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Commissions for renewing contracts during the 2019 calendar year will adjust on the anniversary of the issue date (13th month).
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Renewal commissions are paid on terminated policies only if there is less than 6 months lapse in coverage from termination date to new coverage date.
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There remains a maximum of five members per contract.
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Special enrollment applications are accepted for off-exchange enrollment on paper due to portal enrollment being disabled and producer credit will be provided.
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As a reminder, during the open enrollment period, all medical applications must have been submitted online through the Producer Portal or received electronically from the Marketplace for commission to be paid.
Paper enrollment forms (2019 Individual/Family Plan Health Insurance Enrollment Application) and the Producer Certificate (Individual ACA Producer Certification Form) are available on the
Producer Portal under the Resources section as separate documents.
Please contact U65TrainingCertification@highmark.com with any questions. We appreciate your business and presence in our communities.
Best regards,
Mark Nave
Senior Vice President, Individual & Small Group Markets |