Free Commission Agreement Template 27Free Commission Agreement Template 27Free Commission Agreement Template 27
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This COMMISSION AGREEMENT (the “Agreement”) is made this ____ day of
______________, 20____ by and among _____________________________ (“PRODUCER”)
and Delta Dental of Nebraska, a Nebraska nonprofit corporation (“DDNE”) or (“COMPANY.”)
WHEREAS, pursuant to the Independent Producer Agreement by and among
PRODUCER and DDNE, PRODUCER has agreed to solicit the sale of and sell a portion of
DDNE’s insurance programs and policies (the “IPA”); and
WHEREAS, pursuant to the IPA, compensation for the solicitation of and sale of such
insurance programs and policies shall be as set forth in this Agreement.
NOW THEREFORE, for good and valuable consideration, the receipt and adequacy of
which are hereby acknowledged, PRODUCER and COMPANY hereby agree as follows:

POOL Rated Group Programs

Pool rated groups include any DDNE dental program or vision program sold on a pool rated
basis. All pool rated groups covered by this Agreement are sold at rates pre-establish