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Medicare Advantage Commission Calculator 2021

MA and PDP Commission Calculator for PY 2021

Easily calculate commissions for MA & PDP with our MA Commission Calculator. Simply choose the state, effective date, and whether it’s a new plan or a renewal/like plan change.

Calculate MA & PDP Commissions

These are Plan Year 2021 rates for plans that become effective January 1, 2021. For Plan Year 2020 rates, visit the Plan Year 2020 calculator.

See Effective Dates and Proration Explained

Download the Commission Table as a 1-Page PDF

Commissions for CA & NJ
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Commissions for CT, DC, & PA
Adobe PDF or PNG Image

Commissions for All Other U.S States
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Commissions for Puerto Rico & U.S. Virgin Islands
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Examples of New Plan vs. Like Plan Changes

Example 1: When Mrs. Smith enrolls in Part B, Agent Jones helps her enroll in an MA plan. If she has a 4/1/2021 effective date, Agent Jones will receive $539 (Mrs. Smith is “new to Medicare”).

Example 2: Mrs. Smith has been on an MA plan for 2 years. She is eligible for an SEP and Agent Jones helps her enroll in a new MA plan with an 8/1/2021 effective date. Agent Jones will receive $112.50 (Mrs. Smith will be on the new MA plan for 5 months during 2021 and she made a “like plan change”; 5/12 x $270= $112.50).

Both Examples: Mrs. Smith’s policy would renew on 1/1/2022 at the Renewal Rate.

How to Calculate MA & PDP Commissions: Effective Dates and Proration Explained

  • Carriers can pay commissions only for months a beneficiary is on the plan.
  • Carriers can only pay commissions for a plan year during the plan year, so no business written for the next plan year can be paid until January 1.
  • Payments at the initial Rate for beneficiaries that are “new to Medicare” are for full Initial rate regardless of effective date.
  • Any payment at the renewal rate for beneficiaries that make a “like plan change” MUST be prorated.