FIRST AMENDMENT TO GENERAL AGENT AGREEMENT
This FIRST AMENDMENT to the General Agent Agreement (the “Agreement”) dated as of the _______ day of ___________, 2009is made and entered into by and betweenFREEDOM HEALTH INC., a Florida corporation(the “Company”) and ______________________ (“General Agent”) effective January 1, 2010. WHEREAS, Company and General Agenthave entered into a General Agent Agreement effective in accordance with the terms of the Agreement; and
WHEREAS, Company and General Agent desire to amend the terms of the Agreement as set forth below; and WHEREAS, Section 7.6 of the Agreementprovidesfor modification of the Agreement in order to maintain regulatory compliance.
NOW, THEREFORE, the parties agree that the Agreement is amended as follows:
1. Attachment A, Schedule of Commission is hereby deleted in its entirety and is replaced with the following: ATTACHMENT A
SCHEDULE OF COMMISSION
First Year Renewal Years 2-5
Initial ear Renewal Y ear Y2 3 4 5
HMO General Agent $400 $200 $200 $200 $200 $200
Collier County = $0 (non-commissionable county)
Other Terms and Considerations:
(1) “Initial Year” and “Renewal Year” shall be defined as per CMS regulations.
(2) Rates on this Attachment apply to applications signed on or after November 15 with a 2010 policy effective date. (3) 2010 business will be paid according to the Renewal Schedule above and disenrollments will be charged back as
specified in General Agent Agreement.
(4) Commission Schedule subject to revision or denial by CMS.
(5) CMS will periodically notify carriers of 2010 enrollments that qualify as Initial enrollments, at which point agents will receive additional payment for the difference between Initial rates and Renewal rates.
2. Except as modified by the terms of this Amendment, all terms and provisions of the Agreement, including any previous amendments thereto, shall remain in full force and effect.
(REMAINDER OF PAGE INTENTIONALLY LEFT BLANK. SIGNATURE PAGE FOLLOWS.)
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IN WITNESS WHEREOF, the parties have the authority necessary to bind the entities identified herein.
FREEDOM HEALTH INC. GENERAL AGENT:
By: _________________________________ By: ________________________________ Print Name: __________________________ Print Name: _________________________ Title: COO____________________________ Title: ______________________________
FIRST AMENDMENT TO GENERAL AGENT AGREEMENT
This FIRST AMENDMENT to the General Agent Agreement (the “Agreement”) dated as of the _______ day of ___________, 2009is made and entered into by and betweenOPTIMUM HEALTHCARE INC., a Florida corporation(the “Company”) and ______________________ (“General Agent”) effective January 1, 2010. WHEREAS, Company and General Agenthave entered into a General Agent Agreement effective in accordance with the terms of the Agreement; and
WHEREAS, Company and General Agent desire to amend the terms of the Agreement as set forth below; and WHEREAS, Section 7.6 of the Agreementprovidesfor modification of the Agreement in order to maintain regulatory compliance.
NOW, THEREFORE, the parties agree that the Agreement is amended as follows:
1. Attachment A, Schedule of Commission is hereby deleted in its entirety and is replaced with the following: ATTACHMENT A
SCHEDULE OF COMMISSION
First Year Renewal Years 2-5
Initial Year Renewal Year 2 3 4 5
HMO General Agent $400 $200 $200 $200 $200 $200
Collier County = $0 (non-commissionable county)
Other Terms and Considerations:
(1) “Initial Year” and “Renewal Year” shall be defined as per CMS regulations.
(2) Rates on this Attachment apply to applications signed on or after November 15 with a 2010 policy effective date. (3) 2010 business will be paid according to the Renewal Schedule above and disenrollments will be charged back as
specified in General Agent Agreement.
(4) Commission Schedule subject to revision or denial by CMS.
(5) CMS will periodically notify carriers of 2010 enrollments that qualify as Initial enrollments, at which point agents will receive additional payment for the difference between Initial rates and Renewal rates.
2. Except as modified by the terms of this Amendment, all terms and provisions of the Agreement, including any previous amendments thereto, shall remain in full force and effect.
(REMAINDER OF PAGE INTENTIONALLY LEFT BLANK. SIGNATURE PAGE FOLLOWS.)
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IN WITNESS WHEREOF, the parties have the authority necessary to bind the entities identified herein. OPTIMUM HEALTHCARE, INC. GENERAL AGENT:
By: __________________________________ By: ____________________________________ Print Name: ___________________________ Print Name: _____________________________ Title: COO____________________________ Title: __________________________________
