Insurance Broker Letter Of Appointment Template

You can open the Insurance Broker Letter Of Appointment Template in multiple formats, including PDF, Word, and Google Docs.


Sample

Insurance Broker Letter Of Appointment Template

Printable | Editable Form



Examples


Insurance Broker Letter of Appointment Template (1)
Between:
[Name of the Insurance Broker]
[Broker’s ID]
[Broker’s Address]
[Broker’s Phone]
[Broker’s Email]
And:
[Name of the Client]
[Client’s ID]
[Client’s Address]
Introduction:
This letter serves as an official appointment of the Insurance Broker to act on behalf of the Client for the purpose of securing insurance policies.
Clause 1: Appointment
The Client hereby appoints the Broker to act as their representative to negotiate, procure, and manage insurance policies.
Clause 2: Scope of Services
The Broker agrees to provide the following services: [Detail specific insurance services, including risk assessment and policy management].
Clause 3: Fees and Compensation
The Client agrees to compensate the Broker through a fee structure as follows: [Specify fee arrangements, including percentages or flat fees].
Clause 4: Duration of Appointment
This appointment shall commence on [Start Date] and continue until [End Date], unless terminated by either party with written notice.
Clause 5: Authority
The Broker is authorized to take actions necessary to obtain the best insurance coverage for the Client’s interests.
Clause 6: Confidentiality
Both parties agree to keep confidential all sensitive information exchanged in the course of their relationship.
Clause 7: Governing Law
This appointment shall be governed by the laws of [Jurisdiction].
Signed in [City], [Date].
Sincerely,
[Signature of the Broker]
[Name of the Broker]
[Signature of the Client]
[Name of the Client]
Insurance Broker Letter of Appointment Template (2)
Between:
[Name of the Insurance Broker]
[Broker’s ID]
[Broker’s Address]
[Broker’s Phone]
[Broker’s Email]
And:
[Name of the Client]
[Client’s ID]
[Client’s Address]
Introduction:
This document confirms the appointment of the Insurance Broker to provide professional insurance brokerage services for the Client.
Clause 1: Scope of Representation
The Broker shall represent the Client in all matters pertaining to the acquisition of insurance products, including but not limited to: [List specific types of insurance].
Clause 2: Broker Fees
The Client agrees to pay the Broker’s fees based on: [Outline fee structure and payment schedule].
Clause 3: Termination of Appointment
This appointment can be terminated by either party, with [Notice Period] notice, under certain conditions: [Specify conditions].
Clause 4: Responsibilities of the Broker
The Broker shall ensure that the Client receives the best options available in terms of coverage and cost.
Clause 5: Dispute Resolution
Any disputes arising from this appointment shall be resolved through: [Specify method, e.g., arbitration or mediation].
Clause 6: Acknowledgment
Both parties acknowledge that this letter of appointment has been reviewed and accepted in its entirety.
Signed in [City], [Date].
Sincerely,
[Signature of the Broker]
[Name of the Broker]
[Signature of the Client]
[Name of the Client]

Format

Please complete the form below to create the Insurance Broker Letter of Appointment Template. All fields must be filled out to ensure a clear and complete agreement. We provide examples to guide you through each step.

Insurance Broker Letter of Appointment Template

1. Broker Information



2. Client Information



3. Appointment Details

4. Scope of Authority

5. Responsibilities of the Broker

6. Client’s Responsibilities

7. Commission Structure

8. Term of Agreement

9. Confidentiality Clause

10. Signatures and Acceptance

11. Declaration and Signatures




PDF


WORD

Google Docs

Printable

Insurance Broker Letter Of Appointment Template

Printable | Editable Form




Insurance Broker Letter Of Appointment Template