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Healthfirst Small Group Plans Will Have $0 Commission

Jul 07, 2023
Category
Carrier News

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

 

Tags
Healthfirst

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