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2026 ACA CARRIER COMMISSION SCHEDULE FOR AGENTS AND BROKERS

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ACA Commissions for Agents: Earn More in 2026

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2026 Carrier Statement Processed Payment Dates

Aetna CVS Health Logo

22 Health Plan

Per member per month (pmpm) Commission Schedule
Last Updated: 11/10/2025

Aetna CVS Health Logo
Aetna CVS Health Logo

Alliant Health

Per member per month (pmpm) Commission Schedule
Last Updated: 10/10/2025

Aetna CVS Health Logo
Ambetter contracting

Ambetter
Per member per month (pmpm) Commission Schedule
Last Updated: 10/20/2025

Aetna CVS Health Logo
Anthem contracting

Anthem Individual & Family Plans (On-Exchange)

Per member per month (pmpm) Commission Schedule in most states. *CT, IN, and WI have a 2 member cap per policy, ME has a 3 member cap per policy, MO has a 1 member cap per policy, NH has a 4 member cap per policy, NV must have a minimum of 10 members, KY is a 1 time pay out in July, and VA is per contract.

Last Updated: 11/05/2025

Aetna CVS Health Logo
Antidote Health Plans

Antidote Health
Per member per month (pmpm) Commission Schedule
Last Updated: 11/19/2025

Aetna CVS Health Logo
Antidote Health Plans

AvMed
Per member per month (pmpm) Commission Schedule
Last Updated: 11/05/2025

Aetna CVS Health Logo
Aetna CVS Health Logo

BCBS IL

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 12/03/2025

Aetna CVS Health Logo
blue cross blue shield contracting

BCBS AZ

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/10/2025

Aetna CVS Health Logo
blue cross blue shield contracting

BCBS of MI

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 02/17/2026

Aetna CVS Health Logo
blue cross blue shield contracting

BCBS of MT

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 02/17/2026

Aetna CVS Health Logo
blue cross blue shield contracting

BCBS of NE

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 02/17/2026

Aetna CVS Health Logo
Blue Cross Blue Shield Contracting

BCBS of OK

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 02/17/2026

Aetna CVS Health Logo
blue cross blue shield contracting

BCBS KC (in MO)

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 02/17/2026

Aetna CVS Health Logo
Blue Cross Blue Shield Contracting

BCBS Of TX

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 02/17/2026

Aetna CVS Health Logo
blue cross blue shield contracting

BCBS NC

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/10/2025

Aetna CVS Health Logo
blue cross blue shield contracting

BCBS SC

Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 11/20/2025

Aetna CVS Health Logo
Carefirst Logo

BCBS TN Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 12/09/2025

Aetna CVS Health Logo
Carefirst Logo

Carefirst Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/06/2025

Aetna CVS Health Logo
Carefirst Logo

Colorado Access Choice Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 17/06/2026

Aetna CVS Health Logo
Carefirst Logo

Christus Health Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/06/2025

Aetna CVS Health Logo
cigna healthcare logo

Cigna Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/20/2025

Aetna CVS Health Logo
Kaiser permanente Contracting

Harbor Health Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 06/02/2026

Aetna CVS Health Logo
Kaiser permanente Contracting

Imperial Health Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 12/11/2025

Aetna CVS Health Logo
Kaiser permanente Contracting

Jefferson Health Plans Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 01/10/2026

Aetna CVS Health Logo
Kaiser permanente Contracting

Kaiser Permanente Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 02/17/2026

Aetna CVS Health Logo
Kaiser permanente Contracting

Medica Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 2024

Aetna CVS Health Logo
Wellpoint Logo

Mending Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/06/2025

Aetna CVS Health Logo
Molina contracting

Molina Healthcare Marketplace Commission

Per member per month (pmpm) Commission Schedule
Last Updated: 10/20/2025

Aetna CVS Health Logo
Molina contracting

Oscar Individual & Family Plans

Per member per month (pmpm) Plans offered in NY are not eligible for broker commissions

Last Updated: 10/10/2025

Aetna CVS Health Logo
Molina contracting

Priority Health Individual & Family Plans

Per member per month (pmpm) Commission Schedule.

Last Updated: 12/09/2025

Aetna CVS Health Logo
Quartz Logo

Select Health Individual & Family Plans
Per member per month (pmpm) Commission Schedule
Last Updated: 08/05/2026

Aetna CVS Health Logo
Carefirst Logo

Summacare Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/06/2025

Aetna CVS Health Logo
United Healthcare contracting

UnitedHealthcare Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 11/01/2025

Aetna CVS Health Logo
Wellpoint Logo

Wellpoint Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/06/2025

Aetna CVS Health Logo
Quartz Logo
Quartz Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/06/2025

Aetna CVS Health Logo
Quartz Logo

University of Utah Individual & Family Plans

Per member per month (pmpm) Commission Schedule
Last Updated: 10/06/2025

Aetna CVS Health Logo

Health Insurance Agent ACA Commissions For Agents’ Earnings.

Quick FAQs for Agents:

How much do ACA agents earn per member?

ACA health insurance commissions are typically paid on a per member per month (PMPM) basis. Rates vary by carrier and state but usually range between $20 and $30 PMPM for new members. Some carriers pay reduced or no commissions for renewals, while others maintain the same PMPM rate.

Can I write business before receiving appointment confirmation?

Are policies missing from your commission statement?

Please complete the carrier reconciliation form and submit it to our Commissions team for review. If you do not have the form, please request it by emailing commissions@benavest.com

Do terminated or non-effectuated members count toward commissions?

No — commissions are paid only on effectuated members, meaning the member must pay their first premium and remain active. Non-effectuated and terminated members do not generate PMPM payouts, and retroactive cancellations may result in chargebacks.

Broker Compensation Disclosures

On December 27, 2020, The Consolidated Appropriations Act was signed into law which, in part, mandates greater transparency to health care cost information, including broker compensation. All agents and brokers are now required to disclose direct (eg., commission) and indirect (eg., bonus contests) compensation information to consumers. The total amount of compensation must be disclosed verbally prior to the consumer finalizing plan selection. In most cases, the information will also be communicated by the insurance carrier in the consumer’s Welcome Kit.

 

Broker Compensation Disclosure Talking Points

To assist you with disclosing the required compensation information to the consumer, please contact BenaVest Agent Support for sample talking points. The exact compensation amounts (direct pay) are listed by carrier above. Links to the Bonus Programs (indirect pay) can be viewed by clicking the ‘Bonus Programs’ button above. You must review the talking points with your clients for every Individual and Family Plan sale.

 

THE INFORMATION, SOFTWARE, PRODUCTS, AND SERVICES INCLUDED IN OR AVAILABLE THROUGH DIRECT OPTIONS’ WEBSITES MAY INCLUDE INACCURACIES OR TYPOGRAPHICAL ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. DIRECT OPTIONS AND/OR ITS SUPPLIERS MAY MAKE IMPROVEMENTS AND/OR CHANGES IN DIRECT OPTIONS’ WEBSITES AT ANY TIME. ADVICE RECEIVED VIA DIRECT OPTIONS’ WEBSITES SHOULD NOT BE RELIED UPON FOR PERSONAL, MEDICAL, LEGAL, OR FINANCIAL DECISIONS AND YOU SHOULD CONSULT AN APPROPRIATE PROFESSIONAL FOR SPECIFIC ADVICE TAILORED TO YOUR SITUATION.