Jul 07, 2023
New and Renewing Small Group Plan Sales Will Become Non-Commissionable
As you're aware, Healthfirst is withdrawing from the small group market. Small group sales, both new business and renewals, will become non-commissionable ($0/0% of premium) effective August 1, 2023.
Small groups that renew on August 1 or after, or small groups that are new to Healthfirst on August 1 or after, will have $0 commission. The respective commission schedules are shown.
| DATE | MONTHLY BROKER COMMISSIONS PAYABLE |
|---|---|
| Before Renewal Date (e.g., July 2023 commissions paid for an August 2023 renewal) |
According to Schedule |
| 8/1/23 and Later Renewal Date | No Longer Commissionable |
| 8/1/23 and Later New Business Effective Date | No Longer Commissionable |
The following scenarios illustrate how commissions will be payable before and after August 1:
| SCENARIO | DESCRIPTION | COMMISSIONS |
|---|---|---|
| Scenario 1 | Group is new to Healthfirst 6/1/23, purchases Platinum Pro Plus EPO | Commissions payable according to schedule June 2023 thru May 2024 |
| Scenario 2 | Group is new to Healthfirst 8/1/23 or later, purchases Platinum Pro Plus EPO | No commissions payable as of 8/1/23 |
| Scenario 3 | Group has Platinum Pro Plus EPO and a 6/1/23 renewal date, renews into Platinum Pro Plus EPO | Commissions payable according to schedule June 2023 thru May 2024 |
| Scenario 4 | Group has a 6/1/23 renewal date, requests an exception to enroll into Bronze 6850 Pro EPO for a short policy period. Coverage ends 11/30/23, group requests enrollment into Platinum Pro Plus EPO as of 12/1/23. | Commissions payable according to schedule June 2023 thru November 2023, with no commissions payable as of 12/1/23 |
| Scenario 5 | Group has Platinum Pro Plus EPO and a 8/1/23 renewal date, renews into Platinum Pro Plus EPO. | No commissions payable as of 8/1/23 |
| Scenario 6 | Group has a 8/1/23 renewal date, requests an exception to enroll into Silver Pro EPO for a short policy period. Coverage ends 3/31/24, group requests enrollment into Platinum Pro Plus EPO as of 4/1/24. |
No commissions payable as of 8/1/23 |
Healthfirst Health Insurance Plans Affected *
This change affects all small group plans, which are listed below:
- Gold 25/50/0 Pro EPO
- Gold 25/50/0 Pro Plus EPO
- Gold 1350 Pro EPO
- Gold Pro EPO
- Gold Pro Plus EPO
- Bronze 5250 Pro EPO
- Bronze 8225 Pro EPO
- Bronze Pro EPO (HSA Compatible)
- Bronze Pro Plus EPO (HSA Compatible)
- Bronze 6850 Pro EPO (HSA Compatible)
- Bronze 6850 Pro Plus EPO (HSA Compatible)
- Silver 40/75/4700 Pro EPO
- Silver 40/75/4700 Pro Plus EPO
- Silver Pro EPO
- Silver Pro Plus EPO
- Gold 1350 Pro Plus EPO
- Platinum Pro EPO
- Platinum Pro Plus EPO
