| 2006 Compensation Information on Marketing Organizations by Contract/PBP Number | |||||||||
| (To be completed by organizations that pay contracted marketing organizations.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2006 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations that pay writing agents directly.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2006 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations for writing agents paid by marketing organizations with which they contract.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2007 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations that pay contracted marketing organizations.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2007 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations that pay writing agents directly.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2007 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations for writing agents paid by marketing organizations with which they contract.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2008 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations that pay contracted marketing organizations.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2008 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations that pay writing agents directly.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2008 Compensation Information on Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations for writing agents paid by marketing organizations with which they contract.) | |||||||||
| Initial Compensation | Life Cycle Compensation | ||||||||
| Contract/PBP Number | Number of Beneficiaries | Min | Max | Mean | Median | Min | Max | Mean | Median |
| 2009 Compensation Structure for Marketing Organizations by Contract/PBP Number | |||||||||||||
| (To be completed by organizations that pay contracted marketing organizations.) | |||||||||||||
| Contract/PBP Number | Structure Number | Initial Comp | Renewal Years (as applicable) | # of Agents | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||||
| 2009 Compensation Structure for Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations that pay writing agents directly.) | |||||||||
| Contract/PBP Number | Calculated Based on Option One or Option Two (Enter 1 or 2 below) | Structure Number | 6-Year Compensation Cycle | Number of Agents | |||||
| Initial Comp | Renewal Years | ||||||||
| 1 | 2 | 3 | 4 | 5 | |||||
| 2009 Compensation Structure for Writing Agents by Contract/PBP Number | |||||||||
| (To be completed by organizations for writing agents paid by marketing organizations with which they contract.) | |||||||||
| Contract/PBP Number | Calculated Based on Option One or Option Two (Enter 1 or 2 below) | Structure Number | 6-Year Compensation Cycle | Number of Agents | |||||
| Initial Comp | Renewal Years | ||||||||
| 1 | 2 | 3 | 4 | 5 | |||||
| Not Applicable | |||||||||
| PRA Disclosure Statement |
| According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-0964. The time required to complete this information collection is estimated to average 49 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. |
| File Type | application/vnd.ms-excel |
| Author | Chevell L. Thomas |
| Last Modified By | Deborah Larwood |
| File Modified | 2013-09-13 |
| File Created | 2008-10-30 |