Page 15 - INA Program Book 2021

Agency Contract
In this section, we are looking to understand what your network contract includes, what limitations exist, and how your
organization obtains its revenue.

Contractual Provisions

Right of first refusal applies to members looking to sell:
□ Yes
□ No

Book ownership:
□ Agency/Member
□ Network
□ Both

Carrier access after exit:
□ Yes
□ No
□ Negotiated

Information about Network Membership Contract and Fees

Contract Length:
□ Month-to-month
□ Annual
□ Multi-Year
□ Other (please specify)

Contract Cancellation/Exit Options:
□ 30-60 days’ notice
□ 60-90 days’ notice
□ 90-180 days’ notice
□ Other (please specify)

Fees (select all that apply):
□ Initiation fee
□ Membership fee
□ Renewal fee
□ Exit/separation fee

Profit-sharing:
□ Retained by Network
 0-25%
 26-50%
 51-75%
 76-99%
 100%
□ Retained by or paid to member agencies
 0-25%
 26-50%
 51-75%
 76-99%
 100%

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