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contract law - health insurance (broker)

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Vince Cerilli

Junior Member
What is the name of your state? Texas and/or Rhode Island

Is there anything within health insurance law that would prohibit a contract being consumated between a broker and a Service Provider for the preparation of a Healthcare plan proposal?

Specifically,the compensation terms of the contract would be contingent on the acceptance of the proposal by the client. In other words, the broker would not be compensated unless the client accepts the proposal, but the broker commission(fee) would be locked-in during the proposal preparation process.

Again, is there anything within Health Insurance Law that would prohibit executing a contract (and establishing a compensation commission) prior to the client's acceptance of the proposal for healthcare insurance?
 


somarco

Member
I am not completely sure I understand your question, but it would appear your area of concern deals more with your financial arrangement with the carrier/TPA than with laws governing health insurance.

What does your agreement with the third party payor say with regard to compensation? Do you feel this has been breached? How so?
 

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