Carriers pay bonuses on top of commission during Open Enrollment. We track what’s been announced and when we last verified it.
O
Oscar
2027 New Member Bonus Program
Confirmed2027 plan year
Last verified
Bonus on top of commission for eligible initiations and, new this year, renewals with Jan 1 or Feb 1, 2027 effective dates.
Tier 1
17 states
AL
AZ
IA
IL
KS
MI
MO
MS
NC
NE
NJ
OH
OK
PA
SC
TN
VA
Oscar Tier 1: bonus in dollars per member, by number of members
Members
Initiation
Renewal
25–49
$50
$25
50+
$100
$50
Tier 2
3 states
FL
GA
TX
Oscar Tier 2: bonus in dollars per member, by number of members
Members
Initiation
Renewal
50–99
$50
$25
100+
$100
$50
Amounts are per member. Once your count reaches a range, every member is paid at that range’s amount. Each state counts on its own, except North Carolina + South Carolina, which count together.
One-time bonus on top of commission for new and active renewing Ambetter members, on and off exchange, with January or February 2027 effective dates.
Tier 1
12 states
AL
AR
IA
IL
IN
KY
LA
NE
NJ
OH
OK
PA
Members add up across all 12 Tier 1 states.
Ambetter Tier 1: bonus in dollars per member, by number of members
Members
New + renewing
50–74
$50
75+
$100
Tier 2
13 states
AZ
FL
GA
KS
MI
MO
MS
NC
NV*
SC
TN
TX
WA
Members add up across all 13 Tier 2 states.
* NV: Nevada Battle Born State Plan members are not eligible.
Ambetter Tier 2: bonus in dollars per member, by number of members
Members
New + renewing
75–99
$50
100+
$100
Dates and eligibility
Enrollment window
New members with January 1 or February 1, 2027 effective dates, and active renewing members with a January 1, 2027 effective date.
Paid
One-time lump sum to the qualifying agency within 60 days after Ambetter confirms the final count, once the full premium (the member’s share plus APTC) is collected for the policy’s first 6 months.
Chargebacks
Clawed back if the enrollment is retroactively terminated on or before the first six full premium payments. Fraudulent or unauthorized enrollments can be clawed back at any time.
Who counts
A new member wasn’t enrolled in an Ambetter plan in the final month of 2026. An active renewing member was.
Minimum 50 members in Tier 1 states and 75 in Tier 2 states.
Nevada Battle Born State Plan members are not eligible.
At the time of each sale you must be licensed, contracted and appointed with Ambetter and meet all Marketplace and state training and certification requirements.
Your NPN must be on every enrollment, and the producer of record must stay the same for the policy’s first 6 months. Producer of record changes don’t count.
Payments go to the qualifying agency. Sub-producers aren’t paid directly.
No cap on earnings.
Amounts are per member. Once your count reaches a range, every member is paid at that range’s amount.
Changelog
Added from Ambetter Health’s 2027 incentive program document.
One-time bonus per member for new and renewing 2027 Marketplace members, Open Enrollment and Special Enrollment, in every state where Molina sells 2027 Marketplace plans.
All Molina 2027 Marketplace states
7 states
CA
CT
ID
NM
NV
TX
WA
Molina hasn’t published its final 2027 state list. Confirm by ZIP.
Molina All Molina 2027 Marketplace states: bonus in dollars per member, by number of members
Members
New + renewing
0–49
No bonus
50–99
$50
100–249
$75
250+
$100
Dates and eligibility
Enrollment window
2027 Open Enrollment and Special Enrollment business. Renewals count with January 2027 effective dates.
Paid
To the agency, one time per member (not per member per month). January 2027 effective dates (new and renewal) are counted as of March 31 and paid in May 2027. Later effective dates are counted and paid monthly: February in June, March in July, through December 2027 effective dates, counted as of February 28, 2028 and paid in April 2028.
Who counts
Members must stay continuously enrolled for three consecutive months in 2027, and at calculation be up to date on premiums and not in a grace period.
Each member counts once, at most five members per policy.
Members with unresolved enrollment, eligibility or data discrepancies (including 834 discrepancies) aren’t counted.
If your NPN has been removed when the bonus is calculated, the member isn’t counted.
Each producer earns on their own enrollments; they aren’t combined with another producer’s. After a producer of record change in the first three months, the producer on record at the end of the three months is eligible.
Producers and agencies must be licensed, certified, appointed where required, and in good standing when the bonus is earned and paid.
Molina may review, adjust, withhold or recover payments (compliance, fraud, eligibility, producer of record changes and similar), and its decisions are final.
Changelog
Added from Molina’s 2027 Marketplace bonus program flyer.