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Covered California Q&A

Covered California and Obamacare related questions from consumers, employers and agents are answered by Phil Daigle with the best information available at the time. Archived entries may no longer be accurate as the Covered California and Obamacare knowledge-base is evolving quickly. TO REQUEST A PERSONAL RESPONSE INCLUDE EMAIL ADDRESS.


Agent Compensation in the Exchange

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Question: How will agents be compensated for placing business in the Exchange?

Answer: Agents will be compensated for facilitating enrollments in the individual exchange for both subsidized and non-subsidized enrollees. Agents will not be compensated for enrollments in public programs - Medi-Cal and Healthy Families. Compensation rates will be the same as outside the Exchange. Commissions will paid by the carriers directly to the producers.

Agents will be the primary sales channel for the SHOP Exchange. Unlike the individual exchange, the SHOP will pay agents directly. The Exchange will likely match carrier commissions although they are still considering the option to set their own commission rates which would also be based on the prevailing commissions. In either case, the Exchange supports a level playing field among the carriers and the SHOP program.

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