Producer (AG4) Contract SL.pdf


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1.4

Commissions: means the amount paid by the applicable licensed insurance carrier for the Sale
and renewal of Medicare Products, as more fully described in Section 4.1 and the Participating
Agent Addendum.

1.5

Compensated Referral: means a Qualified Referral which results in an enrollment in a
Medicare Product for a duration of at least three months.

1.6

Coventry Companies Medicare Advantage Plan(s): means those Medicare Advantage plans
offered by Plans, approved by CMS and Sold or Referred to an eligible Medicare beneficiary by
Agents on behalf of Coventry, which are set forth on Exhibit 3.

1.7

Coventry Companies Part D Enrollees: means those Medicare Part D eligible beneficiaries
enrolled in a Coventry Companies Part D Plan.

1.8

Coventry Companies Part D Plan(s): means those stand alone Medicare Part D prescription
drug plans offered by Plans, approved by CMS and Sold or Referred to an eligible Medicare
beneficiary by Agents on behalf of Coventry, as set forth on Exhibit 3.

1.9

Downline Agents: means Independently Contracted Agents and LOAs, collectively.

1.10

LOA: means (i) for purposes of Sales, any licensed insurance agent (a) who is either employed
by or under exclusive contract with Agent to Sell for the Agent, (b) for whom the Agent is
responsible for managing, arranging and overseeing and Sales activities and (c) who has
successfully completed the training and Coventry’s agent exam certification process related to
Selling Medicare Products, and (ii) for purposes of Referrals, (a) who is either employed by or
under exclusive contract with Agent to Sell or Refer and (b) who has entered into an agreement
with Agent to participate in the Referral of Medicare Products.

1.11

Medicare Product Enrollee: means an individual who is enrolled in a Medicare Product.

1.12

Medicare Product(s): means those products set forth on Exhibit 3.

1.13

Plan(s): means those Coventry Health and Life Insurance Company affiliates listed on Exhibit
3.

1.14

Premium(s): means any and all monies collected by Coventry from CMS or Medicare
beneficiaries, as applicable, which monies are designated as premiums for the Medicare Products
Sold or Referred by Agent under the terms and conditions of this Agreement.

1.15

Qualified Referral: means only those Referrals that meet the requirements set forth in Section
3.13.

1.16

Refer or Referral: means an activity whereby Agent directs to Coventry a beneficiary for
advice on enrollment in a Medicare Product.

1.17

Retail Sales Program: means Sales activities conducted in retail pharmacy and healthcare
settings in accordance with CMS rules, regulations and guidance and Coventry’s policies and
procedures.

Coventry Master Agent Contract (2014)

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