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Closed S4E1 · Sergio Diaz and Justin Jacobs · the toolkit

The before-you-contract check

One client is a referral. A pattern is a reason. Fill this in before you sign.

Carrier 1: ______________________ · Date: ________

Why I want this contract (a pattern, my agency's leads, a doctor, or one client): ______________________________

Clients I've referred out for this carrier so far: ______________________________

Is there a fee to get appointed? Yes / No: ______________________________

Is this carrier selling in my market?: ______________________________

I read the whole agreement before signing: ______________________________

The release terms I'm agreeing to: ______________________________

Decision: contract now, or refer it out for now: ______________________________

Carrier 2: ______________________ · Date: ________

Why I want this contract (a pattern, my agency's leads, a doctor, or one client): ______________________________

Clients I've referred out for this carrier so far: ______________________________

Is there a fee to get appointed? Yes / No: ______________________________

Is this carrier selling in my market?: ______________________________

I read the whole agreement before signing: ______________________________

The release terms I'm agreeing to: ______________________________

Decision: contract now, or refer it out for now: ______________________________

Carrier 3: ______________________ · Date: ________

Why I want this contract (a pattern, my agency's leads, a doctor, or one client): ______________________________

Clients I've referred out for this carrier so far: ______________________________

Is there a fee to get appointed? Yes / No: ______________________________

Is this carrier selling in my market?: ______________________________

I read the whole agreement before signing: ______________________________

The release terms I'm agreeing to: ______________________________

Decision: contract now, or refer it out for now: ______________________________

Closed! with Justin Jacobs · a Health Plan Markets show

Go-live: 7/17/26 · Last updated: 9/28/26