EXHIBIT 10.12
SERVICING AGREEMENT
Contract made this 14th day of May 2003 by and between
AmeriFirst Financial Services, Inc. of 000 X0X Xxxxx, Xxxxx 000
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(name) (address)
Xxxxx Xxxxx Xxxxx Xxxxxxx 00000 ("Client")
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(city) (state & zip)
and 21st Holdings, LLC of 000 0xx Xxxxxx Xxxxx, Xxxxx 000, Xxxxxxxxxxx,
Xxxxxxxxx 00000 ("21st"). Whereas Client has now or will in the future
purchase(d) one or more life or viatical settlements and desires to have the
following services performed: tracking of the insured(s), and the arrangement
and collection of policy benefits upon insured's death.
Whereas, 21st Services agrees to perform these services for Client under the
terms and conditions set forth in this agreement.
Now, therefore, in consideration of the mutual promises set forth in this
contract, it is agreed by and between Client and 21st:
SECTION ONE
DESCRIPTION OF WORK
21st will track insureds who have entered into a viatical or life settlement
contract where Client or an entity with whom Client is contracted is the planned
recipient of the death benefit(s) of a certain life insurance policy. This
service will consist of two main components:
o Tracking and contact with insured(s) through their attending physician's
office where possible.
o Death claim filing and collection directed into Client's bank or
provider's trustee account.
Ongoing client contact
21st shall track the mortality status of each insured assigned by Client on a
best efforts basis.
Tracking services will include:
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o Quarterly calls made to the insured's physician to determine when the
insured was last seen or when their next appointment is scheduled. A
statement about the insured's health will be requested and if completed,
will become part of the permanent file.
o Information will also be taken verbally by 21st and recorded in the
insured's physical file and also in the database maintained by 21st. On a
monthly basis, the computer record will be printed and faxed to Client.
o In certain situations, an insured may not visit their physician as
frequently as once a quarter. When an update call in any two consecutive
quarters results in no information on the insured, a search will be done
to determine if the insured has switched doctors, moved, or otherwise
disappeared. The results of this search will be recorded and included in
the quarterly report to Client. The insured's personal references will be
contacted, but if unavailable, the insured will be contacted directly
unless precluded by state or federal rules or regulation.
o The computer database will alert the tracker to those insureds who are in
the final 12 months of their original life expectancy. These insureds may
be tracked on a more frequent basis than once a quarter, if their health
warrants.
o 21st can also manually set the system to "alert status" for individual
insureds who have declining health that might reasonably result in an
early maturity.
o In the event all attempts to contact the insured, their representatives
and contacts are exhausted and our databases can not confirm death, Client
or his designees will be notified. Costs for tracking a "missing" insured
after such notification are not included in this contract.
Death Claim Filing
21st shall use its best efforts to collect policy benefits upon determination or
knowledge of the insured's death. Benefit collection services will include:
o Upon knowledge or notification of death, a certified copy of the insured's
death certificate will be obtained from the appropriate agency.
o Client or designee will be informed by telefacsimile transmission the same
day that 21st learns of an insured's death.
o Claim forms will be obtained, completed, routed for signatures and
returned to the insurer with supporting documentation as supplied by
Client.
o Contact is maintained with the insurer until the release of the death
benefit.
o If applicable, as determined by state law, the insurer will be notified of
any interest due on death benefits payable.
Occasionally, the need for disability waiver application or renewal services, or
policy conversions will arise. These services are not covered in this contract.
The most cost-effective way to handle these services is on an "as needed" basis.
21st should be contacted for cost and completion time estimates.
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SECTION TWO
FEE
There is a onetime set-up fee of $15 per insured. Tracking services are billed
monthly in arrears at a monthly rate of $15 per insured. This includes death
claim filing for one policy per insured. Additional policy claims for any one
insured are billed at $125 each. 21st will cover the cost of the death
certificate(s) and submission process.
SECTION THREE
LIABILITY
21st shall be entitled to the following rights, remedies, and protections in
carrying out its duties and responsibilities:
(i) 21st shall not be liable for an error of judgment made in good faith
by a responsible officer, unless it shall be proved that 21st was
grossly negligent in ascertaining the pertinent facts;
(ii) 21st shall not be responsible for any amount of an expected or
anticipated Death Benefit in the event that an issuing insurer
denies any Death Benefit for whatever reason;
(iii) 21st shall not be responsible or liable for the validity,
perfection, priority, continuation, or value of any death Benefit,
life insurance policy, or security interest or for the value or
collectibility of the same.
SECTION FOUR
DURATION
Either party may cancel this contract on thirty days written notice. 21st shall
be required to return all hard files and notes pertaining to the tracked
insured(s) at the Client's request and reasonable expense within 30 days of
receiving a written request to do so. However, the start of the 30-day period
will be delayed until any outstanding invoices owed to 21st by Client or
affiliated entities are paid in full. If necessary, storage charges will be
assessed in the amount of $100 per month beginning 60 days after written
cancellation by Client.
This agreement for any individual insured is not in effect until Client has
received written confirmation from 21st that the set-up fee has been received
along with a complete file for consisting of at a minimum:
o Insured's name, address, phone
o Date of birth
o Social Security number.
o Name, address and phone of the attending physician
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o A signed Medical release authorizing Client and their authorized
representatives to request information.
o At least 2 personal contacts (friends/family).
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by
their duly authorised officers the day and year first above written.
21st Holdings, LLC
BY: Managing Director /s/ Xxxxxx Xxxxxx
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(signature)
Xxxxxx Xxxxxx
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(printed name)
Client: AmeriFirst Financial Services, Inc.
BY: /s/ Xxxxx X. Xxxxx
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