• The New Business Producer Incentive Program (the “Program”) is subject to the terms and conditions of the Producer Agreement between the contracted producer or General Agency and UPMC Health Plan. (A Direct Agency, stand-alone producer, and sub-producer under a General Agency would be eligible for the incentive.)
• Incentive payment pursuant to this Program will be made within 60 days of the group’s effective date for all eligible effective dates. Determination of payment for all earned awards under this Program will be at the sole discretion of UPMC Health Plan.
• UPMC Health Plan may, in its sole discretion, cancel, amend, terminate, or suspend this Program at any time.
• This Program applies to new fully insured group and Self Assure business only. Traditional ASO groups do not qualify. Groups must be full replacement to qualify.
• Payment of any applicable earned incentives under this plan will be payable to the writing producer and paid through the General Agency, or Direct Agency, if applicable.
• For a producer to qualify for this Program, the group must remain in force with UPMC Health Plan for 12 months from the group’s effective date.
• This producer incentive is for new business only and has a cap of $25,000 per group. 
• Eligibility for incentive payment under this Program will be based on initial enrollment count on the effective date of the group’s agreement with UPMC Health Plan.
• Market segment is based on total average employee count from the preceding calendar year.
• UPMC Health Plan reserves the right to recoup any or all incentives paid as part of this Program if it determines at any time that any Program requirement is not being or was not satisfied. Recovery of paid incentives by UPMC Health Plan will be conducted by offsetting producer or agency commission payments, as applicable, unless other payment arrangements are made and agreed to in writing by UPMC Health Plan.

If you have any questions, please contact your sales executive.