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Representative Contract Agreement

This representative contract (the contract), executed between Qw Wwer (here in after called “Rep”) and the RX Card Services LLC. (here in after referred to as “Association”). 1. Appointment and relationship Association hereby authorizes and appoints “Rep” as an independent contractor, to: (1) Solicit in person applications for membership on the Association. Association benefits may include health care coverage issued by any company under contract with the Association, for the production of business. (2) Collect from applicants the first contribution payments (the initial contribution) and the application fee and any other amounts or fees required in connection with the application (the Fees) to be tendered with such applications, and (3) Forward all completed applications and corresponding initial contribution and fees to agency for delivery to Association or Companies for approval or rejection. Rep shall be free to exercise his or her own judgement as to the persons from who each will solicit applications for membership and as to the time place and methods and means of each solicitation: subject however to the Provisions of this contract. Rep shall have no right to control the person solicited by Rep as to the time, place, method and means of such solicitations. Association and Rep expressly agree the relationship between Association and Rep. Reps shall be of an independent contractor only, and nothing herein shall be construed to create the relationship of principal and agent or employer and employee. Rep shall have no authority to, make, alter, or discharge contracts for the Association or Companies; nor to waive forfeitures, grant permits, quote extra for special risks, make endorsements or bind association or Companies in any way. Rep shall have no authority to incur any expense of liability on behalf of the Association or Companies, and neither Association nor Companies shall be liable for any expenses what so ever incurred by Reps in connection with Reps solicitation of business or otherwise. Reps shall have no authority to make statements, promises or representations to an applicant that any coverage will be issued with a specific effective date. Association shall periodically issue instructions and procedures of a general nature concerning the performance of this contract and the relationship created between the parties. Rep shall abide by and carry out all such instructions and procedures. Association may also, from time to time, prescribe rules respecting the requirements for eligibility of applicants for coverage, not interfering with the freedom of action of rep, which rules shall be observed and followed by Rep. Association’s instructions and procedures may be changed, or altered by Association in its sole discretion, from time to time. Association and Companies shall use a best effort to process applications solicited and submitted by rep, but under no circumstances shall Association or Companies have any liability for any failure or relay in processing any applications or for declining to issue a policy thereon. With respect to any such policies as may in fact be issued, Association or Companies shall have no obligation to Rep or any other person to issue any such policy with any specific effective date or any specifically requested effective date, it being understood that the effective date of any such policy shall be determined by Association or Companies as the case may be. By execution of this contract Rep hereby releases Association or Companies or other individual or entity from any and all such claims, demands, or causes of action of whatever nature, whether in contract or in tort, which may be asserted against Association, Companies, other individual or entity, and which arise from Rep’s appointments, the investigation into the Rep’s background, the furnishing of information by an individual or entity pursuant to such investigation, or the monitoring of Reps business transactions. Rep understands and acknowledges that Association or Companies may at their sole discretion without being liable to Rep, decline to appoint Rep. Rep hereby indemnifies and holds harmless and will reimburse Association for any and all expenses, liabilities and damages, including all attorney fees and court costs, if any that agency may incur as a result of any action or inaction on the part of the Rep. 2. Compensation Except as otherwise herein provided Rep shall be entitled to and shall receive from Association as full compensation for his of her services under this contract fees based on contributions received by Association on memberships issued on approved applications secured by Rep. Such fees shall be paid as set forth in accordance with the Rep fee schedule as attached to this contract. Upon thirty days written notice to Rep, Association reserves the right at any time and from time to time to increase, decrease or otherwise adjust the fees and or the fee rate set forth in the Rep fee schedule provided however that any such decrease, discontinuance or adjustment shall be effective only for the applications for coverage received by Association after the effective date of such decrease, descendance or adjustment fees shall be paid with the terms and conditions set forth hereafter. 3. Confidential Information and Trade Secrets Rep may have access to policyholder list of companies during this term of contract. All such lists are confidential trade secrets. Reps shall not disclose directly or indirectly or use any such trade secrets in any way either during the term of this contract or at any time thereafter except as may be required in the performance of this contract or at any other time or at any time thereafter. If there is any breach of this provision then any such sees that may be required and payable to Rep whether now or in the future shall be forfeited. For a two-year period following termination of this contract Rep is specifically prohibited from: (a) Inducing any policyholder to relinquish, surrender, terminate or lapse a policy or policies with Companies. If it is determined that Rep whether directly or indirectly takes or has taken such action then Rep agrees to refund all fees paid on the related policy or policies within 60 days written notification by the Association. (b) Disclosing or making known to any person, firm, organization or other entity. Any names, addresses or telephone numbers or any other information pertaining to any policyholders or customers of the companies and (c) Soliciting any employee agent or to the affiliated representative of Association to leave his or her employment or to breach his or her contract with Association. The above does not apply to Reps who are insurance agents or to insurance agencies. Should Rep directly or indirectly participate in any of the actions listed above Rep shall be subject to immediate legal action in a competent court of law in Westchester County, New York to prevent further performance of any of the above prohibited activities and shall be liable for all damages caused in the performance of such prohibited activities. 4. Termination This contract shall terminate automatically upon the occurrence of any on of the following events: • Breach by Rep of any of the terms and provisions of this contract • Death, disability or mental incapacity of Rep • Commitment by Rep of any acts of malfeasance, non-feasance, dishonesty, or illegality • Termination of Reps appointment by Association • The business solicited by Rep is deemed unacceptable by the Association acting at their sole and absolute discretion In addition to the foregoing either party may terminate the contract at any time with or without cause by giving 30 days written notice of termination to the other party. 5. Non Waiver of Provision and Severability Any failure by agency to insist upon performance of any provisions of this contract shall not be construed as a waiver of such provision or of the right of the Association to require performance of and to enforce all of the terms and provisions of this contract. The invalidity or unenforcability of any provisions of this contract shall not affect the validity of any remaining provision and all remaining provisions shall continue in full force and effect and in no way shall be impaired or invalidated. 6. Venue and Applicable Law Each party submits to the jurisdiction of the courts of Westchester County, New York for purposes of all legal proceedings arising out of or relating to this contract. This contract shall be construed under and in accordance with the law of the commonwealth of New York