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2025 Medicare Advantage Commissions

2025 Medicare Advantage Commissions

2025 Medicare Advantage Commissions
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2025 Medicare Advantage Commissions have been announced. Commission increases will take place for 2025 Medicare Advantage and Medicare Part D sales per the announcement by the Center for Medicare and Medicaid Services, (CMS).  Click here for document.

We know from the 2025 Final Rule that the FMV compensation was increasing by $100/$50. The 2025 compensation also includes the annual adjustment.  Also, PDP compensation is increasing by $100/$50 which will have wide-ranging impacts on the plans.

FOR CA, AND NJ

  • Initial MA commissions increased from $762/member/year to $880/member/year.
  • Renewal commissions increased from $381/member/year to $440/member/year.

FOR PUERTO RICO AND THE U.S. VIRGIN ISLANDS

  • Initial MA commissions increased from $418/member/year to $528/member/year.
  • Renewal commissions increased from $209/member/year to $264/member/year.

In all other states, initial MA commissions increased from $611/member/year to $726/member/year. Renewal commissions increased from $306/member/year to $363/member/year.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

vice President of Marketing

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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Unlocking ACA Contracts: Essential Strategies for Agents to Secure Opportunities

Unlocking ACA Contracts: Essential Strategies for Agents to Secure Opportunities

Unlocking ACA Contracts: Essential Strategies for Agents to Secure Opportunities
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Pinnacle Financial Services is thrilled to offer ACA agent sales contracting across a broad spectrum of carriers. We also provide the opportunity for agencies with sub-agents to earn overrides, enhancing your earning potential. Rest assured, all commissions are disbursed at full street level or higher, and importantly, you retain ownership of your book of business.

Our partners benefit from an array of exclusive advantages. These include access to a dedicated admin portal designed specifically for agents, comprehensive contracting support, streamlined enrollment portals, and the potential for commission overrides. Join us at Pinnacle Financial Services and elevate your agency’s success with our robust support and resources.

ACA carriers are available to contract

Agents have access to the top ACA carriers in all 50 states. Carriers include Anthem, Oscar, Ambetter, Aetna, Cigna, Molina, Medico, UHC, multiple BCBS organizations, and several other carriers. We are adding additional carriers on an ongoing basis and are always open to inquiring about suggested carriers our partners need.

ACA Agent sales contracting

CLICK HERE FOR CONTRACTING

ACA Agent commissions

All agents are contracted to receive full street commission offered by each company. We do not reduce or keep any portion of an agent’s compensation. Agents will also receive 100% of any agent-level bonus payments that may be available. (Not all carriers pay a bonus, and some only do in certain states)

Agents will receive compensation directly from the carrier. Some carriers do not pay commissions directly to agents. When that is the case, we will pay the commissions and any applicable bonus payments to the agent.

Agents own the book of business and will continue to receive all commissions even if they go to another upline or move directly to a carrier.

Carrier bonuses and bonuses specific to our agents

Agents will receive 100% of any carrier-specific bonus programs. We also have bonus programs specific to agents with our agency. For example, we have an exclusive Anthem bonus that is available exclusively to our agents for 2024.

Tier 1- 20 – 49 new members – $100 per member

Tier 2- 50+ new members – $150 per member

Agent and agency portal

All agents and agencies will have access to a personalized admin portal. The portal will provide access to several features including Applications, current book of business, commissions, contracting status, street commission amounts by carrier and state, and training information and videos.

Agencies will have access to an admin version of the portal which will show production, contracting, and commissions for all sub-agents and agencies.

Override payments for agents and agencies.

We can pay agencies overrides above the street level commission. Overrides are paid on the same schedule as commission on a PMPM basis. Agencies looking for current override amounts should contact us to discuss what is available.

Remember to stay up to date on any changes by reaching out to the Pinnacle team.

The Team at Pinnacle Financial can assist with all your ACA needs.  Reach out to a team member today to get started by calling

1 (800) 772-6881 x7731 | Healthsales@pfsinsurance.com

VICE PRESIDENT, MARKETING

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881 support@pfsinsurance.com

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Will Your Taxes Skyrocket? How the 2025 TCJA Sunset Could Impact Your Wallet

Will Your Taxes Skyrocket? How the 2025 TCJA Sunset Could Impact Your Wallet

Will Your Taxes Skyrocket? How the 2025 TCJA Sunset Could Impact Your Wallet
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As we edge closer to 2025, the sunset of the Tax Cuts and Jobs Act (TCJA) is on the horizon, and it’s bringing potential changes that could shake up the financial scene for American taxpayers. Introduced back in December 2017 during President Donald Trump’s tenure, the TCJA rolled out some major tweaks to the U.S. tax system. But here’s the catch: these changes weren’t meant to last forever. Without a move from Congress to keep them in place, they’re set to expire at the end of 2025. Let’s dive into what this could mean.

Individual Income Tax Rates

The TCJA notably decreased individual income tax rates across various income levels, leading to lower federal taxes for numerous Americans. Should the TCJA sunset, these rates will return to their pre-2018 figures. The highest marginal rate would rise from 37% to 39.6%. Increases in other tax brackets could also lead to higher tax liabilities for many individuals.

Standard Deduction and Personal Exemptions

Significant changes were also made to the standard deduction, which was almost doubled by the TCJA to $12,000 for single filers and $24,000 for married couples filing jointly in 2018, with subsequent inflation adjustments. If the TCJA is allowed to expire, the standard deduction will revert to about half of these amounts. Moreover, the personal exemption, which was removed by the TCJA, would be restored. This reinstatement could complicate the tax filing process and potentially increase taxable income for numerous households.

Child Tax Credit

Under the TCJA, the child tax credit was enhanced from $1,000 to $2,000 per qualifying child, with expanded eligibility criteria, benefiting many middle-income families. If the TCJA sunsets, the credit will return to $1,000 per child, and the eligibility thresholds will lower, potentially increasing the tax burden for families with dependent children.

Alternative Minimum Tax (AMT)

The TCJA made significant adjustments to the AMT by raising the exemption amounts and the thresholds at which these exemptions phase out, thereby reducing the number of individuals affected by the AMT. If the TCJA is not extended, these exemption amounts will revert to their lower, pre-2018 levels, potentially subjecting more taxpayers to the AMT and increasing their tax obligations.

Estate Tax

The TCJA also significantly increased the estate tax exemption, doubling it to allow individuals to leave up to $11.7 million (as of 2021) to heirs without facing federal estate tax. Should the TCJA expire, this exemption will decrease to approximately $5.5 million, thus expanding the scope of estates that will incur this tax.

Corporate Tax Rates

One of the hallmark changes of the TCJA was the reduction of the corporate tax rate from 35% to 21%. Unlike the individual tax provisions, this change is permanent. Therefore, even if the TCJA expires, the corporate tax rate will continue to be 21%.

Deductions and Credits

The TCJA also streamlined various deductions and credits, eliminating, or capping some while introducing others, such as the Qualified Business Income Deduction for pass-through entities. If the TCJA sunsets, many of the previous rules governing deductions and credits will be reinstated. For example, the deduction for state and local taxes, which was capped at $10,000 by the TCJA, could once again become uncapped, potentially benefiting taxpayers in states with higher taxes.

Implications for Tax holders

The end of the TCJA could lead to increased tax liabilities for many due to higher tax rates and a reduced standard deduction. The impact will be particularly significant for families, who may face a reduced child tax credit. Additionally, the reintroduction of personal exemptions and changes to the AMT will add complexity to tax planning.

Conclusion

With the TCJA set to expire soon, it’s a pivotal time for taxpayers to start gearing up for the changes that might be on the way. Getting advice from tax professionals can clear up how these shifts could play out for your financial situation. Now, the upcoming presidential election could throw another layer of uncertainty into the mix. Depending on the outcome, we could see efforts to extend or modify the TCJA, or perhaps a shift back to the pre-TCJA tax rules. So, staying informed and proactive in your tax planning is more crucial than ever. Keep an eye on the election results—they might just shape the tax landscape in significant ways.

Contact the team at Pinnacle Financial for quotes on annuities, life insurance, and more to help protect your client’s future.  The team can be reached at

1 (800) 772-6881 x3302 | annuity@pfsinsurance.com

VICE PRESIDENT, MARKETING

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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AI 101 for Insurance Professionals    

AI 101 for Insurance Professionals    

AI 101 for Insurance Professionals    
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Artificial intelligence (AI) is no longer just a buzzword, it’s a transformative force that’s reshaping industries, including Medicare. Did you know that AI can boost marketing efficiency substantially? For Medicare insurance agents, understanding AI is crucial to staying competitive and delivering top-notch service.

Understanding AI: Key AI Terms for Beginners

Here are some key terms that you will run across when learning about AI:

  1. Artificial Intelligence (AI): AI refers to the simulation of human intelligence in machines that are designed to think, learn, and solve problems like humans.
  2. Machine Learning (ML): A subset of AI where algorithms learn from data and improve their performance over time without being explicitly programmed.
  3. Deep Learning: A subset of machine learning that uses neural networks with many layers (hence “deep”) to analyze various levels of data abstractions.
  4. Neural Network: A series of algorithms that attempt to recognize underlying relationships in a set of data through a process that mimics the way the human brain operates.
  5. Model: In machine learning, a model is a mathematical representation of a real-world process. Models are trained on data to make predictions or decisions without human intervention.

Common AI Tools

In the context of Medicare insurance, AI is particularly relevant because it can handle vast amounts of data and automate complex tasks, making business operations and marketing efforts more efficient and precise. Here are some common AI tools that can be used in your business:

  1. ChatGPT: ChatGPT is now on 4.0 and is free to use to a certain degree. You can use ChatGPT to do many things like help write blogs, ideas for content creation, and even to summarize documents.
  2. MidJourney: MidJourney is a prompt-based AI that can generate images based on what you tell the AI you want. This can help with photos for your website or marketing pieces and even logos.
  3. Microsoft Copilot: Microsoft 365 Copilot integrates AI capabilities into office applications like Word, Excel, PowerPoint, Outlook, and Teams.
  4. Adobe Firefly: Adobe Firefly is similar to MidJourney but is integrated into the Adobe suite of products. You can use this AI to generate designs from scratch and even use it to extend out photos or get rid of backgrounds.
  5. Grammarly: Grammarly is a digital AI writing assistant. Grammarly helps with grammar and spell check, punctuation and style suggestions, conciseness and clarity, tone detection, plagiarism detection, and vocabulary enhancement.

Where does Pinnacle Financial Services come in?

Pinnacle Financial Services is a full-service “FMO” dedicated to helping agents across the country grow their book of business. It is essential to be able to implement and adapt to new technologies. We offer the best back-office support in the industry, top-notch technology, and a national agent trainer to help guide you through the certification process. Give us a call today if you’re looking to take your business to the next level!

Looking for more information on AI? Join our webinar later this month Here.

For more information, contact a Pinnacle Financial Services representative today 1 (800) 772-6881 x7731 | sales@pfsinsurance.com

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1 (800) 772-6881 support@pfsinsurance.com

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2025 Medicare Certification

2025 Medicare Certification

2025 Medicare Certification
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2025 Medicare certifications are right around the corner with the launch of AHIP (America’s Health Insurance Plans) and NABIP’s (National Association of Business Insurance Professionals) certifications in a little over a month. Typically, agents won’t begin the process until the major carriers launch their specific training for the 2025 season. This is partly due to the agents receiving a discount on the training from these companies through their portals.

What is AHIP and NABIP?

AHIP stands for American Health Insurance Plans and was established in 2003 through a merger of the Health Insurance Association of America and the American Association of Health Plans. AHIP offers Medicare training that is accepted by CMS (Centers for Medicare and Medicaid Services) and nationally by all Medicare insurance carriers.

NABIP stands for National Association of Business Insurance Professionals and is a non-profit professional association that was established in 1930. NABIP has chapters all over the country organized to promote common business interests to those engaged in the sale of health insurance products and services. A few years ago, NABIP launched its version of AHIP’s Medicare training to compete with other organizations. You can find all the details on that Here.

2025 Medicare Certifications: Current Dates to Remember

In planning for 2025 AEP, it is important to plan out and take all required certifications in a timely fashion. So far, AHIP and a handful of national carriers have announced the dates of when the new training will be available for agents. Here is a list with corresponding dates:

AHIP: June 24th

Devoted: June 24th

Elevance (Anthem): July 2nd

Clover: July 18th

Where does Pinnacle Financial Services come in?

Pinnacle Financial Services is a full-service “FMO” dedicated to helping agents across the country grow their book of business. It is essential to be prepared for the upcoming 2025 Medicare AEP season, and we have the tools here for your success! We offer the best back-office support in the industry, top-notch technology, and a national agent trainer to help guide you through the certification process. Give us a call today to set up a 2025 pre-certification call to ensure you are prepared and ready to go!

Need more guidance? Check out our AEP Toolkit

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

National Director of Agent Training

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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Best Medicare FMO

Best Medicare FMO

Best Medicare FMO
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The Medicare market has experienced significant growth, presenting an opportunity for independent insurance agents to grow their business’. Agents are actively seeking the top Medicare Field Marketing Organizations (FMOs) that specialize in assisting Medicare agents to partner in growing their business efficiently.

Explore the Best Medicare FMO Options with Pinnacle Financial Services

In the competitive world of Medicare agencies, independent agents are bombarded with claims from companies touting themselves as “The Best Medicare FMO” or “Top IMO.” Agents need to research to find a truly exceptional FMO. At Pinnacle Financial Services, we commit ourselves daily to being the top choice for our agent partners, prioritizing unparalleled service, technology solutions, and training across multiple product lines.

Why Pinnacle Financial Services Stands Out in the Medicare Market

With a long-standing history in the Medicare market, Pinnacle Financial Services understands the importance of a robust support structure for independent agents aiming to expand their business. Our commitment to excellence in service continues to drive our efforts in supporting agents.

What Pinnacle Financial Services Offers to Medicare Agents

We offer a comprehensive suite of tools and technologies at no cost to help agents succeed:

  • Medicare Quoting Tools: Easily quote plans using our apps for phones and tablets.
  • Connect4Insurance Access: Use the leading tool for Medicare quotes, comparison, and enrollment.
  • Efficient Online Contracting: Streamline your processes with our online system.
  • Free Lead Program: Jumpstart your sales efforts with access to free leads.
  • Competitive Medicare Commissions: Benefit from top-tier commission structures.
  • Comprehensive Training: Access ongoing training options both in-person and remotely.
  • Free Continuing Education Credits: Enhance your qualifications at no extra cost.
  • Advanced CRM System: Manage your client relationships effectively with our CRM solutions.

Take the Next Step in Your Medicare Career with Pinnacle Financial Services

Whether you are new to selling Medicare plans or a seasoned professional, Pinnacle Financial Services is here to support your growth. Our experienced staff is ready to address all your questions and guide you through the benefits of partnering with us.

Contact Pinnacle Financial Services Today

To learn more about how we can help elevate your Medicare business, contact a Pinnacle Financial Services representative at:

Phone: 1 (800) 772-6881 x7731

Email: sales@pfsinsurance.com

Take the first step towards becoming a top-performing Medicare agent with Pinnacle Financial Services, your partner in success.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

VP - Marketing

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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Contact a Pinnacle Financial Service representative today for assistance.

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