HealthPass Family: $19.99/month • Telehealth visits: $30 flat fee (behavioral health $60)

PN HealthPass Agent Agreement

Version HP-AGENT-v1.0-2026 · Effective upon digital acceptance

This PN HealthPass Agent Agreement ("Agreement") is between PN HealthPass LLC ("HealthPass," "we," "us"), operating in partnership with PrescriberNow, and the individual or entity completing the digital registration and signature on the Agent Registration page ("Agent," "you"). By checking the acceptance box and signing digitally, you agree to all of the following.

1. The Program

The HealthPass Agent Program lets you refer individuals and households to PN HealthPass membership through a personal referral link and QR code assigned to your permanent Agent Code. Enrollments completed through your link are attributed to your account and shown in your Agent Dashboard.

2. Independent Contractor

You are an independent contractor, not an employee, partner, joint venturer, franchisee, or legal agent of PN HealthPass LLC or PrescriberNow. You have no authority to bind us, collect money on our behalf, or make commitments for us. You are solely responsible for your own taxes, expenses, licenses, and insurance. Where compensation exceeds IRS reporting thresholds, we will issue Form 1099-NEC.

3. Compensation

Compensation for attributed enrollments is set out in Schedule A — Agent Commission Schedule, published in your Agent Dashboard and updated from time to time. The Schedule A in effect on the date an enrollment is completed governs that enrollment. Where Schedule A provides recurring (residual) compensation, residuals are earned only while (a) the referred membership remains active and paid, and (b) this Agreement remains in effect.

Forfeiture window: if you terminate this Agreement, or it is terminated for cause, within nine (9) months of your registration date, unpaid and future residuals are forfeited. Residuals attributable to memberships that cancel, charge back, or go unpaid are not owed and, if already paid, may be offset against future amounts.

4. What You May Say — and Not Say

You agree to describe HealthPass accurately, using only materials we publish or approve. In particular you will never state or imply that:

You will not send spam, robocalls, unsolicited faxes or texts, buy search ads on our trademarks, misrepresent your relationship with us, or market to children. All marketing must comply with applicable law, including TCPA, CAN-SPAM, and FTC endorsement rules (disclose that you are a compensated agent where required).

5. No Access to Health Information

Your dashboard shows referral and membership-status information only. You will never receive, request, or attempt to access anyone's medical records, diagnoses, prescriptions, intake responses, or other clinical information. If a referred member volunteers health information to you, do not record or transmit it.

6. Attribution

Attribution is determined solely by our systems (referral link, QR code, and enrollment records). Our records govern. We may correct attribution in cases of error, self-referral abuse, or fraud.

7. Term and Termination

Either party may terminate at any time with written notice (email suffices). We may suspend or terminate immediately for misrepresentation of the program, unlawful marketing, or fraud. Sections 4, 5, 8, and 9 survive termination.

8. Trademarks and Materials

We grant you a revocable, non-exclusive license to use the PN HealthPass name, logo, and materials we provide, solely to promote the program while this Agreement is active. All goodwill inures to us.

9. General

This Agreement, together with Schedule A and the Terms & Conditions, is the entire agreement on its subject. We may amend it prospectively by posting an updated version and notifying you by email; continued participation after notice is acceptance. Florida law governs, exclusive venue in the state or federal courts located in Florida. Neither party is liable for indirect or consequential damages; our total liability is capped at amounts paid to you in the twelve months before the claim.

Plain-language recap: you're an independent referrer with your own link and QR code. Describe HealthPass honestly — it's not insurance, and prescriptions are never guaranteed. You never touch anyone's medical information. Commissions follow the Schedule A in your dashboard, and residuals require staying in the program at least nine months.

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