Commissions for small groups
Medical payouts
Groups with 1 to 100 full-time equivalent employees
Effective January 1, 2017, commissions for new and renewing small groups are paid at a flat 5% of premium.
For small groups with aggregate premiums higher than $1,000,000 in any group year, commissions will be paid at:
- a flat 5% of premium up to $1,000,000
- a flat 1% of premium for aggregate premiums higher than $1,000,000 in that group year
For renewing commissionable small groups (1 to 50 eligible employees) with effective dates between January 1, 2015, and December 1, 2016, commissions will continue to be paid at 5% of premium.
For renewing commissionable small groups with effective dates between July 1, 2008, and December 1, 2014, commissions remain at 7% of premium.
For renewing commissionable small groups effective prior to July 1, 2008, commissions are $18.14 per member per month in 2024.1,2
For small group business sold through CaliforniaChoice® or Covered California for Small Business (formerly known as the SHOP), commissions are paid and administered by the participating agency.
Dental payouts
| Group membership |
Payout (per member per month) |
|---|
| KPIC PPO and fee-for-service |
$2.77 |
| Dental HMO (DeltaCare) |
$1.38
|
Important information about our Medicare plans
Kaiser Permanente Senior Advantage, our Medicare plan, is available to individuals and groups in California. However, unless you have a contract with Kaiser Permanente that explicitly authorizes you to sell our Medicare products, brokers aren’t authorized to market or sell our Medicare plan or products, and Kaiser Permanente doesn’t pay commissions for Medicare individual or group sales. If your clients request Medicare information, contact your Kaiser Permanente account representative.
1Does not apply to small group guaranteed associations.
2Northern California health plans sold prior to October 1, 1996, and Southern California health plans sold prior to January 1, 1995, are not commissionable.
