Health Insurance Agents Turn To Begging


Please Mr. Plan Sponsor, pay me direct. I really am worth it! I used to get $35,000 per year on your 75 employee life group plus an undisclosed bonus. I’m sorry I only showed up on renewal, and I promise I will change that. Please, Please, Pretty Please…………………

Provider Compensation Changes Announced for Fully Insured 51-100 Groups

August 17, 2016

As previously announced, UnitedHealthcare will no longer include commissions in premium for groups in the “large group” size segment in select states. In these states, as a convenience, we offer the service of collecting the service fee from the customer bill and paying it to the service provider.

In Utah and Pennsylvania, we are moving to a non-commissionable basis for groups in the 51-100 employer market for fully insured medical business. (Self-funded, stand-alone ancillary and stop loss coverage are not affected by the transition.) This change will be implemented for Utah and Pennsylvania situs groups in the 51-100 employer market for new and renewing business effective Dec. 1, 2016. Compensation for all new cases in Utah and Pennsylvania with effective dates on or after Dec. 1, 2016, will be through a service fee. Existing cases in Utah and Pennsylvania will convert to a service fee on their first renewal date on or after Dec. 1, 2016.

This change impacts all 51-100 employer groups sitused in these markets. (Please note the service fee rules apply based on the group’s location, not the service provider’s location.) These changes are being made as part of broader effort to reduce expenses, expand transparency and align with the current service fee compensation model in the 101+ employer market for these states.

The service fee model is currently in place in Iowa and Missouri for 51+ groups and 101+ groups in 23 additional states. More states will adopt the service fee method for groups with 51-100 employees throughout 2017. We will continue to communicate updates as additional markets are launched.

To learn more about the broker/service provider compensation changes, please contact your UnitedHealthcare representative and review the 2016 UnitedHealthcare Producer Compensation Producer FAQ.

Customer Handout
Billing and Collection Agreement/Exhibit
Broker/Service Provider Compensation Changes Checklist