Agre
eement Signa
ature Page

By exeecuting this Agre

eement, Master Agent
A agrees to comply with the terms of this Ag greement and to be compensated in accordance with the terms of o
this Ag
greement for all dealings with th
he Insurance Commpany or any off its affiliates unlless Master Age
ent enters into a separate, written
n agreement with
such aaffiliate.
By sig
gning this Agreement, The Company, as well as
s the Agent, auto nates any other verbal or written agreement(s) existing between
omatically termin
them a
as to the paymennt of commission
ns.

By Ma
aster Agent’s sign
nature below, he
e/she/it agrees to
o these terms as of the date writte
en below.
Name of Prospective
e Agent / Maste
er
Agent:

If Agency, Name and Title

T of Signatory
y:

Date o
of Execution:

If Indivvidual,
Passp port Country/Pass
sport Number:

If indivvidual, date of birrth (dd/mm/yyyy))

gende er

If com
mpany,
countrry of organization
n and Register
Number:

Physiccal and Mailing Address:

A Description:

City:

Country:
Teleph
hone:
Mobile
e Telephone:
Facsim
mile:
Email::

By hiss/her/its signature
e below, the Mas
ster Agent agrees
s to these terms as of the date w
written below.

Date:
Signa
ature of Master Agent
A

Name of Person Signing on Behalf of Master

M Agent: ______________
_ ______________
______________
_______

Besst Doctors Insuran

nce Limited 7 
7

Am
member of Now H
Health International
    

Agre
eement Signa
ature Page

By Ge
eneral Agent’s sig
gnature below, he/she/it agrees to be bound by th
he restrictions an
nd obligations of an Agent set forrth in the Agent A
Agreement, a
copy o
of which has bee
en provided to Ag
gent, and agrees to the commissiion rules provide ed below.

Name
e of General Age
ent

By: Date:

N
Name:

T
Title:

By Agent’s signature below,

b he/she/it agrees
a to be bound by the restric
ctions and obligattions of an Agen t set forth in the Agent Agreemen
nt, a copy of
which has been providded to Agent, andd agrees to the commission
c rules
s provided beloww.

e of Agent
Name

By: Date:

N
Name:

T
Title:

By its signature below, the Insurance Company

C agrees
s to these terms as
a of the date wrritten below.

Best D
Doctors Insuran
nce Limited

By: Date:

N
Name:

T
Title:
 

8 
8
Best Do
octors Insurance LLimited  
A mem
mber of Now Healtth International
    

Appe
endix A
The co ommissions’ stru ucture for individu
ual and family poolicy sales for the
e Insurance Com
mpany shall be a
as set forth below
w as agreed by tthe parties unless
a laterr structure is put in place and sign
ned by all parties
s.
Da
ate: __________
________
mission Structure
Comm e
st
Product 1 year Commission
C Renewa
al Commission
Medical Elite
e
Premier Plus
s
Global Care
Ultimate Care

Medical Carre*
Advanced Care
C (Chile only)
Advance Ca
are Plus (Chile on
nly)

duct availability is
* Prod s limited to speciffic markets

Produuction Requireme
ent: $______ ________ in neww sales per year.
This P
Production Requirement will be ad
djusted annually in accordance with
w the average premium increasse as stated by the Insurance Co
ompany.

Persisstency Requirement: 65% ren

newal on a year-tto-year basis.

Speciaal Agreements
All bon
nuses, conventioon commitments, advances, pre--payments, or an ny other similar a
agent compensaation other than CCommissions arre made available
on a yyearly basis and shall be revised d outside the forrmal modification
n requirements oof this Agreemen
nt. All calculations made in connnection with such
compe ensation are sub
bject to final deterrmination by the Insurance Comp pany.

9 
9
Best Do
octors Insurance LLimited  
A mem
mber of Now Healtth International