Common use of Dues Clause in Contracts

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • An annual fee of five thousand dollars ($5,000) per license, plus • .05% of gross revenue per year from branded group products, plus • .5% of gross revenue per year from branded individual products plus • .14% of gross revenue per year from branded individual annuity products. The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® and BLUE SHIELD® license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • An annual fee of five thousand dollars ($5,000) per license, plus • .05% of gross revenue per year from branded group products, plus • .5% of gross revenue per year from branded individual products plus • .14% of gross revenue per year from branded individual annuity products. The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® and BLUE SHIELD® license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-1997

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • An annual fee of five thousand dollars ($5,000) per license, plus • .05% of gross revenue per year from branded group products, plus • .5% of gross revenue per year from branded individual products plus • .14% of gross revenue per year from branded individual annuity products. The foregoing percentages shall be reduced by one-one- half in cases where both a BLUE CROSS® CROSS(R) and BLUE SHIELD® license SHIELD(R) License are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-.

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • * An annual fee of five thousand dollars ($5,000) per license, plus • * .05% of gross revenue per year from branded group products, plus • * .5% of gross revenue per year from branded individual products plus • * .14% of gross revenue per year from branded individual annuity products. The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® CROSS(R) and BLUE SHIELD® SHIELD(R) license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Amended as of November 20, 1997 -4- Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-.

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • Ÿ An annual fee of five thousand dollars ($5,000) per license, plus • .05•.05% of gross revenue per year from branded group products, plus • .5•.5% of gross revenue per year from branded individual products plus • .14•.14% of gross revenue per year from branded individual annuity products. The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® and BLUE SHIELD® license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • An annual fee of five thousand dollars ($5,000) per license, plus • .05% of gross revenue per year from branded group products, plus • .5% of gross revenue per year from branded individual products plus • .14% of gross revenue per year from branded individual annuity products. Exhibit 10.12 The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® and BLUE SHIELD® license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-.

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • An annual fee of five thousand dollars ($5,000) per license, plus • .05% of gross revenue per year from branded group products, plus • .5% of gross revenue per year from branded individual products plus • .14% of gross revenue per year from branded individual annuity products. The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® CROSS(R) and BLUE SHIELD® SHIELD(R) license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Amended as of November 20, 1997 -4- Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-.

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • · An annual fee of five thousand dollars ($5,000) per license, plus • .05· 05% of gross revenue per year from branded group products, plus • · .5% of gross revenue per year from branded individual products plus • .14· 14% of gross revenue per year from branded individual annuity products. Amended as of November 20, 1997 The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® and BLUE SHIELD® license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-.

Dues. Controlled Affiliate will pay to BCBSA a fee for this license in accordance with the following formula: • An annual fee of five thousand dollars ($5,000) per license, plus • .05% of gross revenue per year from branded group products, plus • .5% of gross revenue per year from branded individual products plus • .14% of gross revenue per year from branded individual annuity products. The foregoing percentages shall be reduced by one-half where both a BLUE CROSS® CROSS(R) and BLUE SHIELD® SHIELD(R) license are issued to the same entity. In the event that any License period is greater or less than one (1) year, any amounts due shall be prorated. Royalties under this formula will be calculated, billed and paid in arrears. Amended as of November 20, 1997 Plan will promptly and timely transmit to BCBSA all dues owed by Controlled Affiliate as determined by the above formula and if Plan shall fail to do so, Controlled Affiliate shall pay such dues directly. Amended as of November 20, 1997 -4b-.