Your Benefit Resource!®
Commissions, Fees, & Privacy Disclosure Statement
As required by the State of Minnesota insurance regulations I (Scott D. Johnson) am disclosing to you that,
depending upon the company that we are working with, I am paid
either by a commission on the sale of the product by the insurance or investment company. In addition, consulting fees directly from you,
our associates, the insurance company, or a combination may be paid. These fees or commission arrangements may be modified
only by our mutual agreement.
Scott D. Johnson is currently licensed by the State of Minnesota – license # 52007 to
offer annuities, life, health, and disability income insurance.
You should not purchase anything
without first reviewing and understanding the product and
prospectus if applicable.
We represent many different insurance or investment companies. Insurance or investment commission rates are
usually built
into the product premium and will vary by company and product. A list is available upon written request of those companies we currently offer to our clients.
Project consulting fees are negotiable, but typical
options are as follows: Hourly rate: $ 150
per hour + expenses ~ two hour minimum Weekly rate: $ 7,500 + expenses
By acceptance of our services and rates you agree that if in the future there is a change in the "agent of record" to any or all insurance policies or investment accounts written, or serviced, by Scott D. Johnson, that all continuing renewals and commissions shall remain payable to him for as long as the policy or account remains in force. A change in policy deductibles, features or account numbers within your firm, or the providing insurance company, does not end this agreement.
The purpose of this agreement is to protect the intellectual
property, work product or manual work performed on your behalf. These commissions may not be reassigned to
another agent, or agency, without the prior written mutual agreement of
both yourself and Scott D. Johnson.
Your personal information will not sold to any third party or used for any purpose other than the servicing of your
accounts held by our firm. From time to time we may use this information to send targeted marketing offers to select
clients within our firm that may have an interest, or need, for a product or service they are not currently purchasing from us or by our network associates (e.g. auto insurance, accounting or legal services, etc.).
Thank you for your business. I appreciate it
and will work hard to maintain your confidence!
Signed:
X ________________ Date:_____________
Print Name & Title: ___________________________
©Copyright 2001 ~ 2011 Your Benefit Resource!® All rights reserved
4745 Narvik Drive Eagan Minnesota 55122-2669
(651) 340-5150 or (877) 865-3070.
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