CMS-10141 Compensation Structure for Writing Agents by Contract/PB

Comprehensive Addiction and Recovery Act of 2016 (CARA) / Medicare Prescription Drug Benefit Program (CMS-10141)

CMS-10141.Attachment_4_(Agent_Compensation_Information_Workbook) (version2)

Business Continuity Plans under 422.504(o) and 423.505(p)

OMB: 0938-0964

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2006 Compensation Information on Marketing Organizations by Contract/PBP Number
(To be completed by organizations that pay contracted marketing organizations.)
Initial Compensation
Life Cycle Compensation

Contract/
PBP
Number

Number of
Beneficiaries

Min

Max

Mean

Median

Min

Max

Mean

Median

2006 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations that pay writing agents directly.)
Initial Compensation
Life Cycle Compensation

Contract/P
BP
Number

Number of
Beneficiaries

Min

Max

Mean

Median

Min

Max

Mean

Median

2006 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations for writing agents paid by marketing organizations with which they contract.)
Initial Compensation
Life Cycle Compensation

Contract/P
BP
Number

Number of
Beneficiaries

Min

Max

Mean

Median

Min

Max

Mean

Median

2007 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations that pay contracted marketing organizations.)
Initial Compensation
Life Cycle Compensation

Contract/P
BP
Number

Number of
Beneficiaries

Min

Max

Mean

Median

Min

Max

Mean

Median

2007 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations that pay writing agents directly.)
Initial Compensation
Life Cycle Compensation

Contract/P
Number of
BP
Beneficiaries
Number

Min

Max

Mean

Median

Min

Max

Mean

Median

2007 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations for writing agents paid by marketing organizations with which they contract.)
Initial Compensation
Life Cycle Compensation

Contract/P
Number of
BP
Beneficiaries
Number

Min

Max

Mean

Median

Min

Max

Mean

Median

2008 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations that pay contracted marketing organizations.)
Initial Compensation
Life Cycle Compensation

Contract/P
Number of
BP
Beneficiaries
Number

Min

Max

Mean

Median

Min

Max

Mean

Median

2008 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations that pay writing agents directly.)
Initial Compensation
Life Cycle Compensation

Contract/PBP
Number

Number of
Beneficiaries

Min

Max

Mean

Median

Min

Max

Mean

Median

2008 Compensation Information on Writing Agents by Contract/PBP Number
(To be completed by organizations for writing agents paid by marketing organizations with which they contract.)
Initial Compensation
Life Cycle Compensation

Contract/PBP
Number

Number of
Beneficiaries

Min

Max

Mean

Median

Min

Max

Mean

Median

2009 Compensation Structure for Marketing Organizations by Contract/PBP Number
(To be completed by organizations that pay contracted marketing organizations.)
Contract/P
Structure
BP
Number
Number

Renewal Years (as applicable)
# of
Agents

Initial
Comp
1

2

3

4

5

6

7

8

9

10

2009 Compensation Structure for Writing Agents by Contract/PBP Number
(To be completed by organizations that pay writing agents directly.)
6-Year Compensation Cycle
Calculated Based
Renewal Years
Contract/ on Option One or
Structure
PBP
Option Two
Initial
Number
Number (Enter 1 or 2
Comp
1
below)
2
3
4

Number
of Agents
5

2019 Compensation Structure for Writing Agents by Contract/PBP Number
(To be completed by organizations for writing agents paid by marketing organizations with which they contract.)
6-Year Compensation Cycle
Calculated Based
Renewal Years
Contract/ on Option One or
Structure
Number
PBP
Option Two
Initial
Number
of Agents
Number (Enter 1 or 2
Comp
1
below)
2
3
4
5

Not Applicable

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File Typeapplication/pdf
AuthorChevell L. Thomas
File Modified2018-12-20
File Created2017-11-30

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