Guidelines for Corporate List Bill Membership Program

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Guidelines for Corporate List Bill Membership Program NAHU One Invoice System Minimum Size to Participate Dues Paid Billing Cycle Invoicing Schedule 3 new or current members enrolled in program. All applicable national, state and local dues owed by each member; no discounts can be offered. All members dues will be prorated to a uniform renewal date in first year; date to be determined by existing members renewal dates, in concert with sponsoring company s wishes. Payment may also be made by bankdraft or credit card draft on the corporate account. First consolidated invoice sent 60 days prior to renewal date. Groups over 50 members may pay in two installments, provided that final payment is made within 90 days of paid through date. Contacts NAHU Contact Manager Corporate Relations, Dianne Sautkulis dsautkulis@nahu.org Sponsoring Company one contact, determined by company. Changes to Roster Ownership of Membership Enrollment Process Recruiter Recognition Sponsoring company may change members upon the transfer or termination of any members under the program. Additional members may be added at any time, with first year dues prorated to the uniform renewal date. While the sponsoring company may determine which of its producers or staff may participate in the program, the memberships attach to the individuals the sponsoring company does not derive any benefits of membership as a result of its participation. 1. Sponsoring company sends a list of prospective members, including name, address, phone, fax, email. 2. NAHU staff reviews list, determines appropriate chapter affiliations and calculates prorated dues. 3. Consolidated invoice is sent to sponsoring company. 4. Memberships are activated upon receipt of payment from sponsoring company. NAHU will provide a complimentary membership to the recruiter if his/her referral results in ten or more new members. Recruiter may use membership for self, or can give to his/her corporate contact.

Guidelines for Corporate List Bill Membership Program Company Name: Your company should designate one person to be the primary contact for memberships. Primary Contact: StreetAddress: Room/Suite Etc.: City/Town: State/Zip Code: Telephone No.: Fax No.: EMAIL.: PAYMENT OPTIONS Monthly Payments Full Yearly Payment Authorization Signature: Credit Card Information: exp. Bankdraft Account Number: Routing Number: Bank Name: Direct Questions to: Dianne Sautkulis Manager of Corporate Relations 1212 New York Ave, NW, Suite 1100 Washington, DC 20005 202-595-7566 Fax 202-747-6882 dsautkulis@nahu.org

Guidelines for Corporate List Bill Membership Program Member Name Current Member Y/N Chapter Selection Dues 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20

NAHU... Your Voice, Your Organization At a time when Congress and state legislatures are considering bills that could change, or even eliminate, your livelihood, NAHU is the one unwavering voice representing your interests. We know how important you are to the health and well-being of the people you serve, and we bring that message to your elected officials, clearly and forcefully, every day. Won t you help us help you? By joining NAHU, you add your voice to those of over 20,000 of your peers and colleagues. You ll also enjoy the following benefits of membership: 1) Information Resource With our website (www.nahu.org), Health Insurance Underwriter (HIU) magazine, and several newsletters and broadcast emails at your fingertips, you ll always have the most current industry information. 2) Legislative Advocacy NAHU's legislative efforts strive to educate and inform elected leaders at the federal and state level. We ve learned that most legislators simply do not understand the health care system and the agent s role in the system. Through our network of Key Contacts, we cultivate relationships that put us in position to clarify issues before bills are written or votes taken. We strengthen these relationships through activity by the Health Underwriters Political Action Committee (HUPAC). 3) Health Insurance Underwriter Magazine NAHU s monthly magazine will provide you with tips on selling, information on NAHU s activities on the national, regional, and local level, and updates on website content and other services that NAHU provides. Receiving HIU Magazine monthly is another great investment for your business. 4) Education and Networking NAHU and our state and local chapters provide continuing education opportunities to keep you abreast of the trends, new products and policy changes in the industry. Many state and local chapters offer enough credits to fulfill all your state s CE requirements. These meetings will also give you time to network with your colleagues and make new acquaintances. 5) Member-Only Benefits From an exclusive agreement with Marsh Affinity Group for Agent Preferred E&O insurance to discounts on shipping, conference calling, and credit cards, NAHU offers you opportunities to save money on the items you need to operate your business. To protect your livelihood, and to begin enjoying these membership benefits, simply complete the application on the back of this sheet. For more information about your organization, log on to our website at www.nahu.org You Should Join NAHU Because 1) NAHU will protect your right to serve your clients needs. 2) You will obtain timely, informative news. 3) You can attend continuing education seminars on the hottest insurance topics. 4) You will share information with top producing insurance professionals. 5) You can participate in grassroots efforts that respond to local, state, and federal legislative issues. 6) You will benefit from a variety of member-only discount programs. 7) NAHU s Code of Ethics demonstrates to your clients your commitment to professionalism 8) You will play an active role in the future of the health insurance industry. 9) You will receive a subscription to HIU, the association s monthly magazine. 10) With NAHU following trends in Large and Small Group Managed Care Plans, Individual Health Plans, Long Term Care Insurance, Disability Insurance, and Medicare Supplements, you will benefit from membership no matter your specialty. Please complete the application on the back of this page and send it to: NAHU, 1212 New York Ave, NW, Suite 1100, Washington DC 20005 If you have any questions please contact Dianne Sautkulis, Manager of Corporate Relations at (202) 595-7566.

NAHU Membership Application Last Name First Name Designation Company Title Referral/Sponsor Mailing Street Address City State Zip Telephone Fax E-Mail Address Home Street Address (for legislative purposes) City State Zip Local Association (see other side of this application) Form of Payment Enclosed: Amount: [ ] Monthly Draft (please select one) [ ] Checking Account [ ] Credit Card [ ] Check (payable to NAHU) [ ] Annual Credit Card (please select one & fill out above form) [ ] Visa [ ] MasterCard [ ] Am Ex [ ] Discover Please Mark the Box or Boxes For The Areas of Your Practice: ڤ Long Term Care ڤ Disability ڤ Managed Care ڤ Retirement ڤ Individual ڤ Large Group ڤ Small Group ڤ Worksite Mktg. ڤ TPA ڤ Self Insured ڤ Medicare Supplement ڤ Dental Mail To: NAHU, 1212 New York Ave, NW, Suite 1100, Washington DC 20005 Fax to: 202-747-6882 If you have questions, please contact Dianne Sautkulis, NAHU Manager of Corporate Relations, at 202-595-7566

NAHU Guidelines for Corporate List Bill Membership Program CONTACT NAHU Manager of Corporate Relations Dianne Sautkulis National Association of Health Underwriters (NAHU) 1212 New York Ave, NW, Suite 1100 Washington, DC 20005 202-595-7566 FAX 202-747-6882 dsautkulis@nahu.org www.nahu.org 1