ACA Referral Form


If you are not certified to market the ACA Qualified Health Plans, but prospects are asking you for assistance with choosing a plan, we can help.

Submit this form to us and The Brokerage will pay you a referral fee. We have in-house, ACA-certified brokers that will work with your prospects to design a Qualified Health Plan that fits their needs.

Once the policy has been issued with any of our current ACA carriers and the policy has been active with premiums paid for 90 days, The Brokerage will pay you a referral based on the number of members on the application. The referral fee will be as follows:

  • One person on the app = $25
  • Two people on the app = $50
  • Three people on the app = $75
  • Four people on the app = $100
  • Five+ on the app = $125

We will pay the referring agent $25 per member of the application up to a max of 5 members per application. Applications MUST be active/inforce for 90 consecutive days.