Legal Entity Agency Agreement - Florida Blue - BCBSF

Addendum C: Company Commission ScheduleJanuary 1, 2014 through December 31, 2014The original effective date of this Agreement is January 1, 2014. This Agreement will solely govern the amount ofall Commissions and/or Renewal Fees payable to the Agency, including for Company Products (or as applicable, anyother Company policies or contracts Agency was previously authorized to sell).FLORIDA BLUE AND HEALTH OPTIONS, INC.COMMISSION SCHEDULEBase Commission:Per Contract Per Month Rate (4-50 Segment; BlueOptions, BlueSelect, Miami-Dade Blue,BlueCare (HMO) and BlueChoice (PPO) Products Only)GroupBluePartnersLocation ClassificationNew SalesRenewalsSouth BlueDiamond / Gold $40 $36Florida andTreasureSilver $34 $30CoastRemaining BlueDiamond / Gold $34 $30FloridaSilver $30 $26LocationAll FloridaBase Commission AssumptionsRenewal enrollment count will be established 90 days prior to the anniversary date. In the event there is achange of 15% or more in the enrollment count at the time of actual renewal, the group would reflect anychange in the commission rate.For group sizes 51+, any change of commission will require the group to be re-rated with the newcommission amount.For group size 51+, Florida Blue/HOI will continue to pay based on negotiated rates.Commissions calculated on a Per Contract Per Month basis and contract count are based on month endingin-force contracts.All new and existing 1-50 segment groups that become effective or renew with Florida Blue/HOI will be paidbased on the Per Contract Per Month base commissions program.Commission rates are determined based on group status as of the original anniversary month.Group rating sizes are determined at the renewal date. Any changes to the group rating size will not takeeffect until the next renewal date. If a group is in the rating category of 4-50 or 1-3, that rating category willnot change until renewal. Further, if an agency experiences a classification change during the year, thecommission on existing groups will not change until the renewal of the group.Rating size for 4-50 is defined as having 4 or more enrolled contracts and 4-50 eligible employees. Groupswith 1-3 enrolled contracts are included in the 1-3 rating category, and those with 51+ eligible employees areincluded in the 51+ category.South Florida is defined as Palm Beach, Broward and Miami-Dade counties. Treasure Coast is defined asIndian River, Martin and St. Lucie counties. Monroe County is not included in South Florida for commissionpurposes.Florida Blue Agency Agreement 21