You can open the Insurance Broker Fee Agreement Template in multiple formats, including PDF, Word, and Google Docs.
Insurance Broker Fee Agreement Template Printable | Editable FormSample
[Name of the Insurance Broker]
[Broker’s ID]
[Broker’s Address]
[Broker’s Phone]
[Broker’s Email]
[Name of the Client]
[Client’s ID]
[Client’s Address]
This document formalizes the agreement for fee arrangements regarding insurance brokerage services starting on [Contract Start Date].
The Broker agrees to provide the following services: [Detail the insurance brokerage services provided, including but not limited to obtaining quotes, advising on policies, and assisting with claim processes].
The Client agrees to compensate the Broker as follows: [Specify payment amount, including whether it’s a flat fee or percentage of premiums, and payment schedule].
This agreement shall commence on [Start Date] and will continue until terminated by either party with [Specify notice period].
The Broker shall act in the best interest of the Client, providing accurate and timely information regarding policies and coverage options available.
The Client agrees to provide all necessary information and documents needed for the Broker to perform the services effectively.
Both parties agree to hold confidential all information shared during the contract period, including financial details and policy specifics.
This agreement will be governed by the laws of [Jurisdiction].
[Signature of the Broker]
[Name of the Broker]
[Signature of the Client]
[Name of the Client]
[Name of the Insurance Broker]
[Broker’s ID]
[Broker’s Address]
[Broker’s Phone]
[Broker’s Email]
[Name of the Client]
[Client’s ID]
[Client’s Address]
This agreement outlines the fee structure and services to be provided by the Insurance Broker starting from [Contract Start Date].
The Broker will offer services including but not limited to: [Detail specific services; for example, market analysis, policy recommendations, and support with claims].
The Client will remunerate the Broker with a fee of [Amount] calculated as [Percentage]% of the total premiums submitted or [Flat Fee], payable [Specify payment method and schedule].
This agreement may be terminated by either party with [Specify notice period], provided such notice is given in writing.
The Broker’s liability for any claims arising out of this agreement shall be limited to the amount of fees paid by the Client under this contract.
In the event of any disputes arising from this agreement, both parties agree to attempt resolution through mediation before seeking other legal remedies.
Any amendments to this agreement must be made in writing and signed by both parties to be binding.
[Signature of the Broker]
[Name of the Broker]
[Signature of the Client]
[Name of the Client]
Form
Please complete the form below to create the Insurance Broker Fee Agreement Template. All fields must be filled out to ensure a comprehensive and clear agreement. We provide examples to guide you through each step. Insurance Broker Fee Agreement Template 1. Broker Information 2. Client Information 3. Agreement Term 4. Scope of Services 5. Fees and Compensation 6. Payment Terms 7. Confidentiality Clause 8. Termination Conditions 9. Dispute Resolution 10. Signatures and Acceptance 11. Declaration and Signatures
PDF
WORD
Insurance Broker Fee Agreement Template Printable | Editable FormPrintable
