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CMS Agent Broker Compensation Guidelines

2027

CMS has released the 2027 Agent and Broker Compensation Rates that govern the maximum allowable first year and renewal compensation for agent level Medicare Advantage (MA/MAPD) and Prescription Drug Plan (PDP) commissions. 

Maximum Broker Compensation for 2027

2027 rates

What’s New with Medicare Broker Commissions in 2027?

CMS introduced an expanded voluntary data collection for 2027 that allows plans to optionally report more detailed compensation information beyond required ranges. Specifically, plans can indicate when they pay $0 compensation for certain plans and provide the actual compensation amounts by plan benefit package (PBP).

This data is submitted in HPMS but can be updated throughout the year and is not publicly posted, and it is intended to improve transparency and help CMS evaluate future compensation policy changes.

Submitting Compensation Rates for 2027

CMS requires organizations to maintain complete documentation demonstrating that broker compensation schedules are updated in accordance with CMS guidelines and that agents are paid appropriately. For 2027, organizations must continue to report in HPMS whether they will use employed, captive, or independent agents or brokers, along with the specific compensation rates or ranges paid to independent agents and brokers, and disclose any referral fees.
 

Additionally, any referral fees paid must be disclosed. For 2027, referral fee amounts remain unchanged:

· $100 for Medicare Advantage (MA) plans

· $25 for Prescription Drug Plans (PDPs)

Agents/brokers working through GarityAdvantage receive the maximum commission available as mandated by CMS.

The opportunity has never been greater to establish a six-figure income selling Medicare Advantage.  Are you getting your share of this lucrative market?

We can help.  Call GarityAdvantage today to learn more! 800-234-9488 or request a call.

2026

CMS has released the 2026 Agent and Broker Compensation Rates that govern the maximum allowable first year and renewal compensation for agent level Medicare Advantage (MA/MAPD) and Prescription Drug Plan (PDP) commissions. 

Maximum Broker Compensation for 2026

What’s New with Medicare Broker Commissions in 2026?

The 2026 updates bring the most significant increase in Medicare Advantage (MA) broker commissions we’ve seen in years—great news for agents actively selling and renewing these plans. With higher compensation comes greater accountability. Agents are expected to demonstrate strong product knowledge, which is maintained through mandatory annual training such as AHIP or NABIP certification.

Submitting Compensation Rates for 2026

CMS requires organizations to maintain complete documentation showing they’ve updated their broker compensation schedules in alignment with CMS guidelines and that agents are being paid accordingly. When submitting compensation details for 2026, organizations must also indicate whether they plan to work with employed, captive, or independent agents or brokers. They must report the exact rates that will be paid to independent brokers and agents for the upcoming plan year.

Additionally, any referral fees paid must be disclosed. For 2026, referral fee amounts remain unchanged:

· $100 for Medicare Advantage (MA) plans

· $25 for Prescription Drug Plans (PDPs)

Agents/brokers working through GarityAdvantage receive the maximum commission available as mandated by CMS.

The opportunity has never been greater to establish a six-figure income selling Medicare Advantage.  Are you getting your share of this lucrative market?

We can help.  Call GarityAdvantage today to learn more! 800-234-9488 or request a call.

We can help. Call today to learn more! 800-234-9488

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