General Agent Sample Contracts

MEDICARE PART D PRESCRIPTION DRUG PLAN SALES AGREEMENT
General Agent • June 10th, 2021 • Nebraska

This Agreement (“Agreement”) is between the General Agent (“General Agent” or “GA”) listed on the Contract Information and Signature Form and Omaha Health Insurance Company (“OHIC” or “Company”) and is effective on the date this Agreement is executed by Company as indicated on the execution page (the “Effective Date”).

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MEDICARE ADVANTAGE/PART D PLAN SALES AGREEMENT
General Agent • May 8th, 2019 • Nebraska

This Agreement (“Agreement”) is between the General Agent (“GA”) listed on the Contract Information and Signature Form and Mutual of Omaha Medicare Advantage Company (“MOMAC”), Omaha Health Insurance Company (“OHIC”), and Medicare Advantage Insurance Company of Omaha (“MAICO”) (together MOMAC, OHIC, and MAICO are referred to as “Company”) and is effective on date this Agreement is executed by Company as indicated on the execution page (the “Effective Date”).

This is a General Agent (GA) Contract between the GA referred to below
General Agent • March 12th, 2021
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