Sole Proprietor Agent Agreement - Florida Blue - BCBSF

Location-specific rates are based on county of group headquarters.Commissions paid in error or overpayments must be repaid to Florida Blue/HOI. If a group cancels,commissions will be charged back based on the group cancellation date. For groups that reinstate as a whole,commissions will be paid retroactive to reinstatement date based on the contract count at the time ofreinstatement.No adjustments will be paid for any contracts that are added or terminated retroactively for active groups.This commission schedule applies to group business submitted by Appointed Agents.Classification calculations include only 4+ enrolled groups.New Sales include groups that have not enrolled with Florida Blue/HOI within the 12-month period prior tothe new enrollment effective date.Group Retiree CommissionsGroup Retiree Product* New Sale Rates Renewal RatesMA-PD, PPO, HMO, & PFFSProducts$200 per contract annually $100 per contract annuallyMedicare Part D $50 per contract annually Not ApplicableMedicare Supplement RetireeProduct $150 per contract annually Not Applicable* These products are separate and distinct from Over 65 Medicare Advantage products.Group Retiree Commission AssumptionsGroup Retiree commissions are paid annually at the time of new sale and on a group’s renewal date.No adjustments for contracts added or terminated after the new sale effective month will be paid.No adjustments for contracts added or terminated after the renewal effective month will be paid.Florida Blue Agent Agreement 23