Setting Your Own MAPD/PDP Commission Rules

Edited

Where: Settings → Commissions → Medicare Advantage / Part D
Not available to LOA agents — your agency sets these on your behalf.

Why This Exists

Medicare Advantage and Part D commissions are calculated from the CMS fair-market-value rate table, with a set of adjustments MedicarePro maintains on top — for example, plans a carrier has made non-commissionable.

Carriers now change those terms faster than any central list can keep up. Rather than wait, you can record what your carrier told you, and your Analytics → Schedule projections follow immediately.

If you set nothing, nothing changes. Every plan keeps using the MedicarePro default.

Finding Your Plans

Open Settings → Commissions and choose the Medicare Advantage / Part D tab, last in the list.

You will see the MAPD and PDP plans you hold active or pending policies on, grouped by carrier — usually a few dozen, not the ten thousand plans in the catalogue. Each plan shows its plan number, how many policies you have on it, and how many counties you write it in.

To set terms for a plan you have not written yet, use the search box at the top.

Adding a Rule

Click Add rule on a plan. There are three things to answer.

1. Where Does This Apply?

If you write the plan in more than one county you must choose. This is deliberate: carriers routinely change a plan in one county and leave the next one paying in full, and a rule applied everywhere would quietly zero out business that is still earning.

Choice

Covers

Every county

The plan wherever you write it, including counties you add later

All of STATE

That whole state. Offered only when you write the plan in more than one state

County, ST only

That county and nowhere else

The line beneath the selector tells you what you are about to affect, for example "Covers 8 policies in Adair, MO — nowhere else."

2. What Did the Carrier Change?

Option

What It Does

Stop paying new business (renewals carry on)

Policies written on or after the date earn no initial commission. Your existing book and all renewals are untouched

Stop paying renewals from a date

No renewal is paid from that month on. Renewals already paid in earlier months stay exactly as they were

Stop everything from a date

Both of the above

Change the renewal amount

Every renewal paid from that month on uses the new figure

Change the initial amount

Policies written on or after the date earn the new initial figure

3. Starting, Amount and Note

Starting — the date the change takes effect. Leave it blank if it has always been this way.

Amount — enter the full annual figure, not the monthly one. This is the same basis as the CMS rate: a 2026 national MAPD renewal is $347 per year, which the schedule spreads as $28.92 a month. Entering 600 gives you $50 a month, not $600.

Note — optional, for example "per carrier bulletin 5/14". Worth filling in. It is what tells you in six months why the rule is there.

Two Shortcuts

*Apply to all Carrier plans* — the button on the carrier heading sets one rule across every plan from that carrier. Any plan or county with its own rule keeps it.

Add a county you don't write yet — inside a plan's county list. Lets you set a rule somewhere you have not written a policy, so the first one you write there is already correct.

Which Rule Wins

Rules layer, narrowest first:

county → state → plan → carrier → MedicarePro default

So "no renewals on this plan anywhere, except Jackson County which pays $300" is two rules, and both are respected.

Within any one level, the most recent rule whose start date has arrived is the one that applies. That means you can keep a history — $347, then $300 from 2026, then $0 from 2027 — and every month shows the right figure.

If your agency has also set a rule, yours wins at the same level of detail. An agency rule naming a specific county still beats your blanket rule for the whole plan.

Removing a Rule

Click the X on the rule badge. The plan falls back to the next-widest rule, or to the MedicarePro default if there is not one, and your schedule returns to what it showed before.

What This Does Not Change

Rules drive Analytics → Schedule and the renewals and production reports built from it. They do not yet change the commission shown on an individual policy record.