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Medicare broker of record and commissions – what to know

To be set up as a broker of record (BOR) and receive commissions on Medicare clients, agents must be appointed or affiliated with an agency appointed with Kaiser Foundation Health Plan of Washington and have completed the Kaiser Permanente Washington 2023 Medicare certification program.

Broker of Record

A broker/agent/producer of record (BOR) for a Kaiser Permanente Washington Medicare client can be set up in the following ways:

  • Client completes an online enrollment via a quote from the broker’s iStore Agent Center Quote Tool, shopping center URL, or personal URL (PURL)
  • Client completes a paper enrollment form with the broker’s Kaiser Permanente Washington Agent ID and detail in the Agent Use Only section

If your client submits an enrollment request or a plan change not linked to your Kaiser Permanente Washington Agent ID as noted above, your broker of record status will not carry over to new enrollment. To reinstate yourself as the broker of record, please fill out a Producer of Record request form and provide it to the Medicare Sales Producer team with one of the following:

  • A signature from the client
  • A written request (hard copy or email) from the client

If your license or certification expires, and you haven’t requested your Medicare book of business to be moved to another appointed and certified agent before expiration, your broker of record status will be removed from any applicable clients and members. If you’re reinstated but there’s a gap in your appointment or certification, you’ll need to provide a Producer of Record request form or written request from each client to reinstate your status as broker of record.

BORs can be updated if a current member wishes to add or change brokers or agents at any time during the year. If a BOR changes midyear due to a Medicare plan change after compensation has been paid to the initial broker, the new broker will not receive compensation until the following plan year, contingent on their client and BOR being active, as well as the first month’s premium being reconciled. The BOR effective date will be the effective date of the enrollment or the first of the following month in which we receive the client-signed BOR request, whichever is later.

Commissions

Medicare Advantage commissions are paid within 60 days following the end of the initial month of enrollment for which you are broker of record.* Compensation is based on the number of months a member is enrolled during the current plan year. Please review the 2023 Kaiser Permanente Commission Schedule Supplement for additional eligibility rules and compensation guidelines.

*Commissions payment is dependent on a reconciled first month’s plan premium. The plan premium includes the Optional Supplemental Dental (OSB) premium and Late Enrollment Penalty (LEP) when these are applicable.

Managing your Medicare book of business

To help track your BOR and commission payments, we recommend the following:

  • Ensure your Kaiser Permanente Washington Agent ID and House ID are written or linked to the enrollments
  • Review your Medicare book of business on our secure Producer Portal, every 60 to 90 days

Note: New BORs for clients enrolled during the Medicare annual enrollment period for January 1 should be visible on your book of business dashboard in early January. Generally, outside of annual enrollment, a new BOR should be visible on your dashboard within 2 to 3 weeks of the plan’s effective date. If you have questions, please contact our Medicare Sales Producer Support team at 800-581-8252, Monday through Friday, 8 a.m. to 5 p.m., or kpwa.medicare@kp.org.

All plans offered and underwritten by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.

©2022 Kaiser Foundation Health Plan of Washington