Attached files
Exhibit
10.3
Free
For All Incorporated
Rep
Code: RXC001
RxCut
Plus ® 2009
Sponsor Agreement and Compensation Schedule
FFA
shall pay to SPONSOR a processing fee as shown below for each processed claim,
for distributing the RxCut Plus savings cards, adjudicated at the negotiated
rates, which FFA collects its fee from participating
pharmacies. Prescriptions that adjudicate at the pharmacies Usual
& Customary (U&C) price DO
NOT qualify for processing fee payments (approximately 20% are U&C
claims). A U&C claim occurs when the cash price
is lower than our discount price due to a sale or overstocked inventory at the
pharmacy. We guarantee our members the best price at the pharmacy. If the cash
price is better (U&C) the member pays the cash price and we do not add our
processing fee. In addition SPONSOR will also receive the processing fee listed
below for all laboratory and imaging services ordered through their SPONSOR card
number.
Commission
Structure
|
Monthly
billable transactions
|
$1.25
Gross per transaction less Sponsor/Client commission
paid
|
|
FFA
Imaging and Labs per paid service ordered
|
$1.25
Gross per transaction less Sponsor/Client commission
paid
|
There
is initially a 60-90 day lag
on the initial payment due to plan set up and billing cycle
establishment. After the set up period, commission will be
released monthly on or about the 15th
of the following calendar month for all prescriptions fees, received by FFA,
through the end of the previous month. Commission checks must total a
minimum of fifty dollars ($50.00) to be issued.
SPONSOR
is responsible for printing and Distributing RxCut Plus Savings Cards and
understands and agrees not to distribute the card or any marketing information
to any customer anywhere on the grounds (inside or out) of any
pharmacy. A violation of this policy will result in immediate
TERMINATION of this agreement.
FFA
is responsible for customer service, pharmacy help line, creating a co-branded
website, marketing and educational flyer with a unique group number(s) for
tracking Sponsors’ transactions. A web portal will be provided for Sponsor to
review weekly transactions.
Agreement Term: This is a
vested lifetime agreement after a minimum of 5,000 annual transactions. FFA has
the right to terminate this agreement after one year, should the sponsor not
generate 5,000 transactions.
Sponsor
Information:
|
Full
Name: Gerard J.
Ferro
|
Title:
CEO
|
|
Company:
Free For All,
Inc.
|
|
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SSN/EIN:
|
|
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Billing
Address: 6 Alton
Avenue
|
|
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City,
State, Zip: Voorhees, NJ
08043
|
|
|
Email:
jerryferro@gmail.com
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Phone:
609-774-5184
|
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IN WITNESS WHEREOF, the
parties hereto have executed this Agreement as of the date first below
written.
|
|
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Free
For All Incorporated
|
SPONSOR
|
|
Company
|
|
|
Eric
Shugarts
|
Gerard
J. Ferro
|
|
Name
|
PRINT
Name
|
|
Chief
Information Officer
|
ALL
GROUPS
|
|
Title
|
Group
Number
|
|
/s/
Eric Shugarts
|
/s/
Gerard J. Ferro
|
|
Signature
|
Signature
|
|
6/1/09
|
6/1/09
|
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Date
|
Date
|