AG LIFE CHANGER FORM

Allianz Life Changer

Licensing Requirements
Full Name *

First NameMiddle NameLast NameSuffix
Date of birth*

MonthDayYear
MARITAL STATUS*
SEX*
LICENSE APPLIED*
Address*

Street Address and Barangay

Street Address Line 2
CityProvincePostal / Zip Code
Email Address*
example@example.com
Mobile Number*
Please enter a valid phone number (09xxxxxxxxx)Format: 00000000000.
Agency PartnerAgency Leader
Recruiter Name *

First NameLast Name
Government EmployeeAllianz PNB Life EmployeeAllianz Agent
Agency Leader*

First NameLast Name
Agency Leader Email Address*
example@example.com
Agency Name*
DELIVERY ADDRESS OF ID AND CALLING CARD*
Please choose your agency branch pick up location
MP Email Address
Emergency Contact Person*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number (09xxxxxxxxx)Format: 00000000000.
Tax Identification Number*
xxx-xxx-xxx-xxx
SSS Number*
Indicate your SSS Number and not UMID number (10 digits only)
Proof of TIN*

Upload any proof of your TIN - 1901, 1701, BIR ID, ITR, etc
Cancelof
Proof of SSS*

Upload any proof of your SSS number - SSS ID, E-1 etc (UMID is not accepted by IC)
Cancelof
Where did you hear from us?*
YesNo
Most recent Life Insurance Company:*
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Part Time ApplicationFull Time Application
Fresh GraduateExperience Professional
Highest Educational Attainment*
University/ School*
Course*
Kind of Industry*

I hereby authorize Allianz PNB Life Insurance Inc.:

1. To use and process, whether manually or via electronic channels, any and all information I have provided above, including personal and sensitive personal information as defined in the Philippine Data Privacy Act of 2012, to facilitate, monitor, and improve services related to my application and onboarding as well as any necessary acts of administration while I am affiliated with Allianz PNB Life Insurance, Inc. as its intermediary/distributor;

2. To share, transfer, and/or disclose the said information to any of its intermediaries, subsidiaries, affiliates, service providers, partners, and government agencies for the said purposes;

3. I likewise promise to inform Allianz PNB Life Insurance, Inc. of any change relating to my personal information;

4. I further understand and acknowledge that such personal information may be used by Allianz PNB Life Insurance, Inc. to comply with its legal or regulatory obligations under applicable local or foreign laws, rules and regulations relating to matters including but not limited to anti-money laundering and tax monitoring/review/reporting;

5. I agree that the collected information will be deleted in Jotform upon completion of my licensing requirements. Otherwise, it will be deleted after three (3) months if I have not submitted the complete requirements.
YesNo
•I declare that all information supplied above and all other records and documents submitted by me in support of this application are true and correct to the best of my knowledge and belief. •I declare that the indicated recruiter and/or Agency Leader or Managing Partner is true and correct. • I declare that I have filled out the form once only. If there are changes in my answer, I will contact Distribution Licensing at distribution.licensing@allianzpnblife.ph. • I agree that any false record on information supplied may result in rejection of this application or if already accepted, termination of my contract. • I agree that a photographic copy of this authorization and waiver shall be valid as the original.*

YesNo
Signature*

Clear

Recruitment Tracking Sheet

You may download the forms below
AIAL Form (Downloadable Form) Note: The AIAL form must be notarized before uploading. Please note that notarization from the Public Attorney’s Office (PAO) is not allowed.
Authority to Deduct (Downloadable)
Affidavit of Non-Filing (Downloadable Form)
Group Life Insurance Form (Downloadable)

ALLIANZ PNB LIFE INSURANCE, INC.

AGENT'S CONTRACT

KNOW ALL MEN BY THESE PRESENT:

This contract made and entered into by and between

ALLIANZ PNB LIFE INSURANCE, INC., a corporation duly organized and existing under and by virtue of the laws of the Republic of the Philippines, with principal office
at 9th Floor Allied Bank Center 6754 Ayala Ave., Makati City, Philippines duly

represented by its Head of Licensing and Branch Support, RONALD FELICILDA, and its Chief Agency Officer, FLORO MARASIGAN JR. hereinafter referred to as the “COMPANY”;

-and-

{fullName} of legal age, Filipino, with residence address at {address} hereinafter referred to as the AGENT

-WITNESSETH, That-

WHEREAS, the COMPANY desires to contract the AGENT to represent the COMPANY in its dealings with insurance clients for the distribution and servicing of the COMPANY’s insurance products and services under the Insurance Code and related regulations;

WHEREAS, the COMPANY and the AGENT agree that this contract is a Contract of Agency as stipulated under Articles 1868 to 1932 of Republic Act No. 386, otherwise known as the New Civil Code of the Philippines; and Republic Act No. 10607, otherwise known as the Insurance Code;

WHEREAS, the AGENT agrees to the terms of the contract including the compensation schedules and sales targets attached thereto as annexes;

NOW, THEREFORE, FOR AND IN CONSIDERATION OF THE FOREGOING the parties hereto agree as follows:

I. ENGAGEMENT

The effectivity of this Contract coincides with the date the AGENT
solicited and submitted a life insurance application to the COMPANY, provided
the AGENT has obtained the required licenses from the government to represent
the COMPANY, to solicit applications for life insurance and to transact such
other business for the COMPANY as may be required in connection with such
insurance, according to the duties, responsibilities, and limitations set forth
in this contract.

II. ACCEPTANCE

The AGENT hereby accepts the appointment and hereby undertakes to comply with the provisions of this contract, and will abide by the following at all times: (1) all applicable laws including but not limited to the Insurance Code (R.A. No. 10607), Civil Code, Anti- Money Laundering Act and other laws; (2) rules and regulations of the Office of the Insurance Commission (IC) such as the Market Conduct Guidelines; and (3) rules and regulations existing or hereafter established by the Company.

III. INDEPENDENT CONTRACT

1. It is expressly agreed and hereby confirmed by the parties that the AGENT is an independent contractor and there is no employer-employee relationship between the COMPANY and the AGENT nor between
the COMPANY and the AGENT’s own employees or representatives.

2. As such independent contractor, the AGENT has the right to exercise independent judgment as to the time, place and manner of conducting his/her agency and use his/her own resources and methods in the performance of his duties. Such independent judgment must however be exercised subject to all the terms, conditions, and limitations set forth in this contract and in a manner that is not against the interest of the COMPANY, public morals and good conduct. For the avoidance of doubt, the COMPANY has the right to assign the AGENT to a specific location in accordance with its business strategy.

3. Furthermore, since the AGENT is an independent contractor, all expenses incurred by the AGENT in the performance of his obligations shall be for his sole account and shall not be reimbursed by the COMPANY.

IV. LICENSES

As an independent contractor, the AGENT will be responsible for securing a valid Certificate of Authority (license) from the Insurance Commission to represent the COMPANY as AGENT. The AGENT agrees not to solicit insurance or render services in obtaining insurance as provided under
this Contract unless the AGENT has the required license.

V. OBLIGATIONS, GENERAL DUTIES AND SCOPE OF AUTHORITY OF THE AGENT

1. The AGENT acknowledges, confirms and accepts having been thoroughly briefed, and having read and understood this Contract including its Annexes, as well as all existing COMPANY rules and egulations governing the distribution of insurance products.

2. The AGENT shall solicit applications for life insurance on behalf of the COMPANY in accordance with the applicable regulations and transact such other business for the COMPANY as may be required in connection therewith.

3. The AGENT is NOT authorized to receive or collect premiums for and on behalf of the COMPANY. Clients should be directed to pay Bank Branches and to the affiliated Allianz PNB Life Payment centers.

4. The AGENT expressly agrees to reimburse the COMPANY for said loss including any costs that the COMPANY may incur for litigation or other efforts/acts taken for the recovery of said money, without prejudice to any action which the COMPANY may pursue against the AGENT.

5. The AGENT is not permitted to use any premium collected from clients for his personal use under any circumstance. The AGENT will render full and true account of his business and collections at such times as the COMPANY prescribes.

6. Failure to remit collected premiums on time shall constitute a ground for the immediate termination of this Contract subject to the discretion of the COMPANY.

7. The AGENT agrees to devote his best effort to the performance of his obligations as AGENT and agrees to follow and be governed by the terms and conditions of this Contract, the Code of Sales and Business Conduct of the COMPANY, and such rules and regulations for the conduct of its business which have been established or may be established in the future.

8. The AGENT further agrees and warrants that he will follow and be governed by alllaws, decrees, rules and regulations relating to the insurance business and the practice of his profession.

9. The AGENT shall solicit life insurance only on approved forms furnished by the COMPANY and agrees to be held liable for whatever damages or other consequences resulting from the violation of this requirement.

10. The AGENT shall submit to the COMPANY exclusively all applications for life insurance solicited by the AGENT and shall not submit nor divert such applications to another life insurance company. Violation of this provision shall be a ground for the termination of the Contract by the COMPANY.

11. The AGENT shall not deliver any policy contract unless the applicant is in good health and in an insurable condition at the time of delivery, and delivery is made within Thirty (30) days from the date said policy contract is issued by the COMPANY. The policy contract should be returned on the day following the expiration of said Thirty (30) days for any policy contract not so delivered.

12. In case of policy contracts not delivered after the expiration of the thirty (30) day delivery period, the AGENT shall surrender or return to the COMPANY any undelivered policy contract on the day following the close of the delivery period.

13. Unless otherwise stipulated in writing by the COMPANY, the AGENT must meet the Agency Performance Standards set by the COMPANY in Annex “B”. These standards are reviewed and communicated to the AGENT every year at the sole discretion of the COMPANY. Failure to meet these standards entitles the COMPANY to terminate this contract or adopt such other measures at its sole discretion.

14. The AGENT recognizes and accepts the responsibility to attend, participate and/or cooperate in seminars and training programs for product knowledge, regulatory compliance, entrepreneurial development and attainment of a high level of professionalism, as well as comply with the COMPANY’s reportorial requirements.

15. The AGENT shall not commit, authorize or permit any action which would cause the AGENT or the COMPANY to be in violation of any applicable Anti-Corruption or Anti-Bribery laws or regulations in connection
with the sale of insurance. The AGENT agrees that he/she will not offer, give or agree to give, to any person, any undue gift or benefit, be it monetary or other, with regard to the sale of life insurance.

16. During the effectivity of this Contract and within one (1) year from the termination thereof, the AGENT shall not induce any other agent, agent, employee or representative of the COMPANY to leave or otherwise terminate its relationship with the COMPANY. The AGENT shall respect the business and clients of other AGENTS.

VI. COMPENSATION

1. The full compensation of the AGENT shall be as stated and in accordance with the terms and conditions of the Compensation Schemes and Schedules (Annex “C”, et seq.).

2. The COMPANY reserves the right to revise the on any one or all of the insurance products and/or other forms of compensation therein, as dictated by business and economic considerations. Any changes shall be communicated in writing to the AGENT and shall take effect after the lapse of a ten-(10) day notice period.

3. In the event of death of the AGENT, all earned, accrued or credited commissions and other compensation on businesses paid for on that date and prior thereto shall be payable to the surviving heirs of the AGENT
or in accordance with the law on succession. Thereafter, all businesses submitted by the deceased shall be reassigned for servicing at the sole discretion of the COMPANY.

4. All expenses incurred by the AGENT in the performance of his obligations under this contract shall be for the sole account of the AGENT, such business expenses being already incorporated into the compensation structure of the AGENT. The AGENT hereby expressly agrees and commits that he shall not in any manner attempt or make the COMPANY liable for reimbursement of his business expenses by legal action or otherwise. Commissions and monies due the AGENT from the COMPANY will be payable in Philippine Pesos.

5. When a new policy is issued and an existing policy on the same life or owner terminates within 365 days before or after the effectivity date of the new policy, no first year commission (FYC) shall be paid or credited to the AGENT, except on that portion of the premium paid on the new policy in excess of the annual premium paid on the terminated policy. If replacement is discovered after the commission/override/bonus has been paid on the new policy, then the commission/override/bonus paid will be clawed back or deducted from the Agent’s income.

VII. LIEN OF THE COMPANY

1. The COMPANY shall have a first lien on all earnings and commissions payable hereunder for any debt or accountability due from the AGENT to the COMPANY.

2. The COMPANY is authorized to immediately deduct from any money due to the AGENT, payable under this Contract or from any other source, any such debt or accountability including any debt due or obligation of
the AGENT to the COMPANY or its affiliates or subsidiaries, or to any person acting for the COMPANY, plus interest thereon at the highest prevailing market rate.

3. The COMPANY may also at any time deduct from any money payable under this Contract, or from any other source, any amount which may be owing from the AGENT due to damages caused by the AGENT to the COMPANY, including sums expended by the COMPANY in recovery efforts, as well as in defending any attachment, garnishment, or other legal proceedings involving the AGENT. The lien shall not be extinguished by the termination of the AGENT’s engagement under this Contract.

VIII. UNAUTHORIZED ACTS

1. The AGENT is not authorized to do or perform and expressly agrees not to do or
2. perform, any act detrimental to the COMPANY, such as, but not limited to, the following:
a. Incur any indebtedness or liability in behalf of the COMPANY;
b. Make, alter or discharge contracts;
c. Waive forfeitures;
d. Quote rates other than as quoted by the COMPANY;
e. Extend the time for payment of any premium;
f. Waive payment or receive payments in currencies other than in Philippine pesos and U.S. Dollars as stipulated in the policy contract;
g. Guarantee dividends;
h. Violate any law, rule or regulation or code of ethics respecting the sale of life
insurance;
i. Withhold any money or property of the COMPANY;
j. Rebate or offer to rebate all or any part of a premium paid on a life insurance policy issued or to be issued by the COMPANY;
k. Induce or endeavor to induce any policyholder of the COMPANY to discontinue payment of premiums or relinquish any policy;
l. Induce or endeavor to induce any AGENT of the COMPANY to terminate his contract;
m. Commence or threaten to commence any suit or legal action against any third person on any matter arising out of or in connection with the COMPANY’S business;
n. Commit any criminal act, fraud or violation of trust or act of disloyalty;
o. Bring discredit to the COMPANY or commit misconduct or engage in unethical or unprofessional practices;
p. Issue, use or allow to be published any circular, advertisement or COMPANY policy without prior written consent or approval of the COMPANY; and
q. Any other act which may result in damages or cause prejudice to the COMPANY.

3. The AGENT shall not misinterpret and conceal any fact in respect of the AGENT’s qualifications, personal data and circumstances with material bearing on this contract prior to and during his engagement. The AGENT hereby agrees to be held liable for whatever consequences may result from such misrepresentation or concealment.

4. Commission by the AGENT of the foregoing unauthorized and prohibited acts immediately confers upon the COMPANY the right to terminate this Contract or take other corrective measures, without need of notice. Furthermore, any breach by the AGENT of the terms of this Contract, OIC-sanctioned Market Conduct Guidelines or the Code of Conduct, or any related ethical business standard prescribed by the Insurance Commission confers upon the COMPANY the right to terminate this Contract. The COMPANY shall submit the
name of the AGENT to the Negative List of the OIC. In case of misappropriated premiums, the COMPANY shall file a police report in the nearest police station where the violation was committed.

5. In the event of any unauthorized act committed by the AGENT, whether before or after the termination of the AGENT’s contract, the obligation of the COMPANY to pay compensation under this Contract shall automatically cease and terminate immediately on the date the COMPANY becomes aware or is notified of such unauthorized act. This does not preclude the COMPANY from pursuing legal action or other means such as but not limited to those provided under Section VII, hereof.

IX. ASSIGNMENT AND MODIFICATION - No modification or amendment of this contract
nor any assignment of compensation or commissions payable hereunder shall be valid unless approved in writing by an authorized officer of the COMPANY.

X. BUSINESS RECORDS, FINANCIAL REPORTS & AUTHORITY TO AUDIT

1. All documents, records, papers and training materials and tools furnished by the COMPANY to the AGENT pertaining to the business of the COMPANY shall be kept in strict confidentiality and shall remain the property of the COMPANY. The AGENT is responsible to the COMPANY for all policies and other papers entrusted to him and agrees to return to the COMPANY, as provided herein or on demand, all policies or receipts entrusted to him. Except in case of termination as provided under Section XIII.3, the AGENT expressly agreed to return without need of any demand COMPANY properties within Thirty (30) days from termination of contract with the COMPANY.

2. All documents, records and papers furnished by the COMPANY to the AGENT pertaining to the business of the COMPANY shall be kept in strict confidentiality and shall remain the property of the COMPANY even if such are purchased or paid for by the AGENT.

3. These documents, records and papers shall be subject at all times to inspection by a duly authorized representative of the COMPANY and shall be delivered to the COMPANY by the AGENT upon the termination
of this contract.

4. The AGENT shall submit monthly business and financial reports to the COMPANY in the prescribed form and manner. The COMPANY has the authority to audit at any time, the books of accounts of the AGENT pertaining to the business and operations covered by this contract.

5. Failure to submit monthly business and financial reports to the COMPANY shall constitute a ground for the termination of this contract by the COMPANY.

XI. ADVERTISING

1. All proposed advertising and promotional materials of any kind whatsoever shall be submitted by the AGENT to the COMPANY for approval and no such materials shall be used by the AGENT without the COMPANY’s prior written approval.

2. Violation of this provision constitutes a ground for the termination of this Contract by the COMPANY. The AGENT expressly agrees to be held liable for damages that the COMPANY may incur as a result of use of
unauthorized advertising and promotional materials.

XII. TERMINATION, SUSPENSION AND OTHERS

1. The COMPANY, in the exercise of its business judgment, may cancel this Contract for business and operational reasons without liability to the AGENT. Either party may terminate this contract, with or without cause, by sending a written notice of such at least thirty (30) days prior to its effective date by ordinary mail or personal/ messengerial delivery to the last known address of the other party.

2. The AGENT’s contract may be terminated effective immediately and without notice for violation of any of the provisions in Sections V.5, V.6 and VIII hereof. The AGENT hereby expressly waives the notice period
provided in the preceding number.

3. In the event of termination of contract, the AGENT shall immediately pay in cash all sums due hereunder and shall immediately deliver to the COMPANY or its authorized officers, all rate books, letters, records and supplies connected with the business and any other properties of the COMPANY, and the COMPANY expressly reserves the right to file legal action or effect by other means the recovery with all costs
for the account of the AGENT.

4. Any misappropriation of funds shall, without further notice, constitute a ground for the immediate termination of this contract and the unconditional forfeiture of all rights hereunder, including the rights to renewal commission accrued or to accrue. This does not preclude the COMPANY from filing any legal action it may deem appropriate.

5. Unless otherwise herein provided, all benefits due under this Contract will immediately cease except that any commissions due and payable in the month of termination, after full recovery of all the debts, will be paid to the AGENT.

6. If the license of the AGENT to solicit applications for life insurance for the COMPANY issued by appropriate
governmental authority is terminated while this contact is in force, this contract automatically terminates, including but not limited to all rights of the AGENT to further solicit applications for life insurance hereunder until such license with the prior written authorization of the COMPANY shall have been renewed or reinstated; whereupon this contract shall be restored to the same status prior to such termination. Upon termination or within Thirty (30) days thereafter, the AGENT shall pay in cash all amounts due under this contract. The COMPANY shall be held free and harmless from any and all actions, proceedings, suits that may arise by virtue of the AGENT’s solicitation of life insurance without the appropriate governmental authority.

7. In case any life insurance policy procured hereunder is subsequently converted into some other form of policy, the AGENT shall forfeit all further rights to commission under such insurance in either its original or converted form.

8. The term “Renewals” or “Renewal Commissions” shall refer to commissions starting on Year 2 and
onwards as stated under the Commission and Other Compensation Schedule (ANNEX“C”). The right to renewal commissions shall accrue only on renewal premium due and paid during the effectivity of this Contract and up to the month of its termination.

9. The AGENT shall not be entitled to commissions except on life insurance policies fairly sold by the AGENT and provided his name appears upon the application thereof as AGENT. If any business is sold jointly with another agent, the AGENT will receive the percentage of commission stated on the application or equally, if no percentage is stated. In case the AGENT’s claim for commission is disputed or is otherwise questionable, the COMPANY shall have the right to decide and settle the dispute, and the decision of the COMPANY shall be binding and conclusive. Should the COMPANY reject an application or return a premium and cancel the policy for any cause, the AGENT shall, on demand, pay to the COMPANY any premium on such application or policy received by him and not paid or delivered to the COMPANY and shall repay, on demand, any commission received on such premiums, in gross amount.

10. If the COMPANY is constrained to return the premium on a policy or cancel a policy for any cause, the AGENT agrees to return to the COMPANY, on demand, all commissions, in gross amount, received by the AGENT on such
life insurance or policy and further agrees not to withhold any funds, policies or receipts belonging to the COMPANY or due a person whose application for life insurance had been declined

11. The AGENT shall be liable or chargeable for any medical, inspection and processing fee incurred for all cases where a policy was issued in accordance with an application received from him on which the initial premium has not been paid to the COMPANY within 30 days after the intended effective date of policy, as Not Taken Out (NTO) fee for an NTO policy.

XIII. NON-WAIVER

Forbearance, neglect or delay on the part of the COMPANY to insist upon the AGENT’s compliance with the terms and conditions of this Contract and with the rules and regulations of the COMPANY shall not be construed as or constitute a waiver thereof.

XIV. GENERAL PROVISIONS

1. This Contract is not transferable. No rights or interest arising therefrom shall be subject to assignment except with written consent of the other party.

2. This Contract shall take effect immediately upon signing thereof. This Contract hereby terminates and supersedes any existing agency contracts or agreements entered into by the parties.

3. The parties hereby acknowledged that they have read this Contract carefully and completely understood the same. They further acknowledge that they will faithfully and in good faith comply with the provisions of this Contract.

XV. GOVERNING LAW

This Contract shall be construed and the rights of the parties herein determined in accordance with Philippine Laws.

XVI. MEDIATION AND ARBITRATION
In its best efforts to maintain peace, harmony, justice and righteousness within the sales organization, the COMPANY reserves the right to study, mediate and settle issues involving AGENT and the COMPANY as it deems fit and in the best interests of all concerned. Disputes will be resolved internally by a Committee designated by the COMPANY to handle such issues.

In the event the dispute cannot be settled by mediation within the COMPANY, it shall be settled in accordance with the PHILIPPINE DISPUTE RESOLUTION CENTER, INC. (PDRCI) Arbitration Rules as at present in force.

XVII. VENUE
Any legal action or proceeding arising out of this Contract shall be brought to the proper courts of Makati City only.

ALLIANZ PNB LIFE INSURANCE, INC.

BY:

Signature* Date*

AGENT

RONALD FELICILDA
Head of Licensing and Branch Support

FLORO MARASIGAN JR.
Chief Agency Officer

ANNEX A

Types of Agents

All members of the Agency Distribution Channel as may be defined by the Company from time to time are referred to as Agents. There are different types of Agents,
specifically:

1.  Agency Partners (AP)
2.Agency Leaders (AL)
3. Managing Partners (MP)

The Company shall define the duties and responsibilities of each type of Agent.

This Agent is hereby appointed as AGENCY PARTNER and your responsibilities are as follows:

AGENCY SALES OPERATION

ANNEX B

Agency Performance Standards

To ensure the quality of sales delivered by the Agency Distribution Channel, Managing Partners, Agency Leaders and Agency Partners shall undergo regular Validation.

A. VALIDATION REQUIREMENTS

Agency Partners, Agency Leaders and Managing Partners are expected to meet the validation requirements set below.

AGENCY PARTNER
Focus on doing weekly activities, developing a full-time mindset and building a robust portfolio of clients.

Validation targets shall be annualized to measure if Quarterly requirements are met.

Validation requirements for the second year onwards will be announced at the start of the calendar year.

b) VALIDATION PERIOD

Performance will be reviewed quarterly and annually to measure performance against agreed standards.

c) VALIDATION RESULT

Failure to meet Performance Standards for two (2) consecutive quarters will result to demotion of rank or cancellation of contract as deemed appropriate by management.

d) EXCEPTIONS

Special circumstances may qualify a member of the Agency Distribution Channel to an exception from a validation period. Contract cancellation and demotion may be avoided upon review and recommendation of management.

ANNEX C

Agency Partners’ Compensation Scheme

Annex C details the Compensation and Benefits accorded to a Member of the Agency Distribution Channel. Annex C applies to Agency Partners, as well as Agency Leaders and Managing Partners with respect to their personal sales.

All Commissions and incentives detailed in this section will be paid as earned unless otherwise specified.

Commissions, incentives and bonuses will be withheld UNTIL the Agent has been contracted with the Company and all required contracting documents have been submitted.

1. Basic Commission (BC)
a. Paid in accordance with the attached Basic Commission Schedule Annex C.1 which the management reserves the right to change periodically.

2. Direct Override (DO)
a. An incentive awarded to an Agent or Leader for every policy sold by his/her Direct Downline.
b. A Direct Downline refers to a recruit.

3. Generation Override (GO)
a. An incentive awarded to Leaders for every policy sold by the next generation of agents recruited by their Direct Downline.
b. Generation Override may be earned for every policy sold by 1^st, 2^nd and 3^rd Generation
downline of a Leader. (Generation count begins after Direct Downline)
c. All Generation Override for regular-pay plans are payable for Years 1 and 2 only.
i. For MPs: Payable for levels 2 and below downlines (no limit)
ii. For ALs: Payable for levels 2 to 4 downlines only

4. Million Dollar Round Table (MDRT) / Court of the Table (COT) / Top of the Table (TOT) Convention Bonus

a. This bonus comes in two phases: the membership phase and the attendance phase
b. The Company will PAY the membership dues and PROCESS the membership application for any Agent that will meet the required MDRT/COT/TOT membership status production requirements. The membership dues shall form part of the convention bonus as follows:.

c. In excess of the membership dues, the qualified Agents will be entitled to the bonus IF AND ONLY IF:
i. The qualified member attends the annual meeting as set by the MDRT association.
ii. As of the date of the MDRT qualification is earned, the Agent must have at least a 95% First Year Persistency Rating (FYPR), and at least 85% Second Year Persistency Rating (SYPR).
d. The bonus will cover fees and expenses related to the convention such as airfare, hotel accommodations and registration to the convention not to exceed the amount of the bonus the member qualified based on
the designation.
e. It is the responsibility of the qualified Agent to ensure that his/her travel documents, i.e.passport and VISA are current and in order.
i. In cases where the VISA has been disapproved and thus unable to travel, the Company will give the cash prize equivalent to 50% of the bonus, net of membership dues paid over a period of ten (10) months.
f. Convention bonus is neither transferable nor refundable.

5. Group Term Life Insurance
a.    An Agent is entitled to Group Term Life Insurance with Php 200,000 coverage after 90 days from entry and throughout the initial year. Premiums for this insurance shall be shouldered by the Company.
b. On the second year and onwards, the amount of insurance will be equal to the total of all his earnings for the last completed year, rounded to the next Php 1,000 not exceeding the recommended coverage (see
matrix). Premiums for this insurance will also be shouldered by the Company

c. Additional coverage of up to 100% of total earnings for the last completed year may be applied for by the Agent with premiums to be charged to his account, subject to minimum participation and any other underwriting guidelines.
d. Coverage shall cease upon termination of this contract.

6. Group HMO
a. Agency Leaders and Managing Partners are encouraged to enroll in the Group HMO for the Sales Force after his fourth
b. The cost of the Group HMO fee, will be shared equally (50-50) between the Company and the Agent. The Leader’s share of his own HMO fee may be deducted in three monthly installments from his commissions/bonuses. qualified validation.
c. Leaders will be allowed to enroll their dependents at their own cost.

7. List of Products allowed to be sold / Commission Schedule (See Annex C.1)
8. Agents and Leaders are warranted additional incentives, contests, recognition programs, trip incentives or other bonuses to drive the growth and productivity of the Agency and are indicated in a separate memo.
9. Any deviations from the terms and conditions of this compensation are subject to approval of President upon recommendation of the Chief Distribution Officer.
10. The Company reserves the right to amend the provisions of the Agents’ Compensation Scheme as may be deemed appropriate by management.
11. The Company shall issue detailed guidelines if deemed necessary.

ANNEX D

PROMOTION CRITERIA

Developing Agency Partners who consistently outperform into Agency Leaders managing their own Sales teams is a critical element of the Growth Model of the Agency. A simple but well-defined,
performance-based promotion criteria will encourage Agents and Leaders to join and stay

POTENTIAL AGENCY LEADER (PAL) and AGENCY LEADER (AL)

MANAGING PARTNER

GUIDELINES

1. Promotion
a. The AL or MP directly managing an Agent will make the recommendation and endorsed by theRegional Business Manager for promotion based on the Criteria below.
b. Validation of the performance will be completed by Management and approved by the CAO
c. Management shall provide feedback no later than 30 days from date of receipt of the endorsement.
2. Effectivity Date
a. The announcement of promotion and issuance of an applicable contract shall take place no later than 15 days from date of approval.
3. The Agency reserves the right to review and revise the Promotion criteria without prior notice to
the Agency force.

Signature*      Date*

ALLIANZ PNB LIFE INSURANCE, INC.

AGENT'S CONTRACT

KNOW ALL MEN BY THESE PRESENT:
his contract made and entered into by and between:

ALLIANZ PNB LIFE INSURANCE, INC., a corporation duly organized and existing under and by virtue of the laws of the Republic of the Philippines, with principal office at 9th Floor Allied Bank Center 6754 Ayala Ave., Makati City, Philippines duly represented by its Head of Licensing and Branch Support, RONALD FELICILDA, and its Chief Agency Officer, FLORO MARASIGAN JR. hereinafter referred to as the “COMPANY”

-and-

{fullName} of legal age, Filipino, with residence address at {address}hereinafter referred to as the “AGENT"

-WITHNESSETH, That-

WHEREAS, the COMPANY desires to contract the AGENT to represent the COMPANY in its dealings with insurance clients for the distribution and servicing of the COMPANY’s insurance products and services under the Insurance Code and related regulations

WHEREAS, the COMPANY and the AGENT agree that this contract is a Contract of Agency as stipulated under Articles 1868 to 1932 of Republic Act No. 386, otherwise known as the New Civil Code of the Philippines; and Republic Act No. 10607, otherwise known as the Insurance Code;

WHEREAS, the AGENT agrees to the terms of the contract including the compensation schedules and sales targets attached thereto as annexes;

NOW, THEREFORE, FOR AND IN CONSIDERATION OF THE FOREGOING the parties hereto agree as follows:

I. ENGAGEMENT
The effectivity of this Contract coincides with the date the AGENT solicited and submitted a life insurance application to the COMPANY, provided the AGENT has obtained the required licenses from the government to represent the COMPANY, to solicit applications for life insurance and to transact such other business for the COMPANY as may be required in connection with such insurance, according to the duties, responsibilities, and limitations set forth in this contract

II. ACCEPTANCE
The AGENT hereby accepts the appointment and hereby undertakes to comply with the provisions of this contract, and will abide by the following at all times: (1) all applicable laws including but not
limited to the Insurance Code (R.A. No. 10607), Civil Code, Anti- Money Laundering Act and other laws; (2) rules and regulations of the Office of the Insurance Commission (IC) such as the Market Conduct Guidelines; and (3) rules and regulations existing or hereafter established by the Company

III. INDEPENDENT CONTRACTOR
1. It is expressly agreed and hereby confirmed by the parties that the AGENT is an independent contractor and there is no employer-employee relationship between the COMPANY an d the AGENT nor between the COMPANY and the AGENT’s own employees or representatives.

2. As such independent contractor, the AGENT has the right to exercise independent judgment as to the time, place and manner of conducting his/her agency and use his/her own resources and methods in the performance of his duties. Such independent judgment must however be exercised subject to all the terms, conditions, and limitations set forth in this contract and in a manner that is not against the interest of the COMPANY, public morals and good conduct. For the avoidance of doubt, the COMPANY has the right to assign the AGENT to a specific location in accordance with its business strategy.

3. Furthermore, since the AGENT is an independent contractor, all expenses incurred by the
AGENT in the performance of his obligations shall be for his sole account and shall not be reimbursed by the COMPANY.

IV. LICENSES
As an independent contractor, the AGENT will be responsible for securing a valid Certificate of Authority (license) from the Insurance Commission to represent the COMPANY as AGENT. The AGENT agrees not to solicit insurance or render services in obtaining insurance as provided under
this Contract unless the AGENT has the required license

V. OBLIGATIONS, GENERAL DUTIES AND SCOPE OF AUTHORITY OF THE AGENT
1. The AGENT acknowledges, confirms and accepts having been thoroughly briefed, and having read and understood this Contract including its Annexes, as well as all existing COMPANY rules and regulations governing the distribution of insurance products.

2. The AGENT shall solicit applications for life Insurance on behalf of the COMPANY in accordance with the applicable regulations and transact such other business for the COMPANY as may be required in connection therewith.

3. The AGENT is NOT authorized to receive or collect premiums for and on behalf of the COMPANY. Clients should be directed to pay Bank Branches and to the affiliated Allianz PNB Life Payment centers.

4. The AGENT expressly agrees to reimburse the COMPANY for said loss including any costs that the COMPANY may incur for litigation or other efforts/acts taken for the recovery of said money, without prejudice to any action which the COMPANY may pursue against the AGENT

5. The AGENT is not permitted to use any premium collected from clients for his personal use under any circumstance. The AGENT will render full and true account of his business and collections at such times as the COMPANY prescribes

6. Failure to remit collected premiums on time shall constitute a ground for the immediate termination of this Contract subject to the discretion of the COMPANY

7. The AGENT agrees to devote his best effort to the performance of his obligations as AGENT and agrees to follow and be governed by the terms and conditions of this Contract, the Code of Sales and Business Conduct of the COMPANY, and such rules and regulations for the conduct of its business which have been established or may be established in the future.

8. The AGENT further agrees and warrants that he will follow and be governed by all laws, decrees, rules and regulations relating to the insurance business and the practice of his profession.

9. The AGENT shall solicit life insurance only on approved forms furnished by the COMPANY and agrees to be held liable for whatever damages or other consequences resulting from the violation of this requirement

10. The AGENT shall submit to the COMPANY exclusively all applications for life insurance solicited by the AGENT and shall not submit nor divert such applications to another life insurance company. Violation of this provision shall be a ground for the termination of the Contract by the COMPANY

11. The AGENT shall not deliver any policy contract unless the applicant is in good health and in an insurable condition at the time of delivery, and delivery is made within Thirty (30) days from the date said policy contract is issued by the COMPANY

The policy contract should be returned on the day following the expiration of said Thirty (30) days for any policy contract not so delivered

12. In case of policy contracts not delivered after the expiration of the thirty (30) day delivery period, the AGENT shall surrender or return to the COMPANY any undelivered policy contract on the day following the close of the delivery period.

13. Unless otherwise stipulated in writing by the COMPANY, the AGENT must meet the Agency Performance Standards set by the COMPANY in Annex “B”. These standards are reviewed and communicated to the AGENT every year at the sole discretion of the COMPANY. Failure to meet these standards entitles the COMPANY to terminate this contract or adopt such other measures at its sole discretion.

14. The AGENT recognizes and accepts the responsibility to attend, participate and/or cooperate in seminars and training programs for product knowledge, regulatory compliance, entrepreneurial development and attainment of a high level of professionalism, as well as comply with the COMPANY’s reportorial requirements.

15. The AGENT shall not commit, authorize or permit any action which would cause the AGENT or the COMPANY to be in violation of any applicable Anti-Corruption or Anti-Bribery laws or regulations in connection
with the sale of insurance. The AGENT agrees that he/she will not offer, give or agree to give, to any person, any undue gift or benefit, be it monetary or other, with regard to the sale of life insurance.

16. During the effectivity of this Contract and within one (1) year from the termination thereof, the AGENT shall not induce any other agent, agent, employee or representative of the COMPANY to leave or otherwise terminate its relationship with the COMPANY. The AGENT shall respect the business and clients of other AGENTS.

VI. COMPENSATION
1. The full compensation of the AGENT shall be as stated and in accordance with the terms and conditions of the Compensation Schemes and Schedules (Annex “C”, et seq.)
2. The COMPANY reserves the right to revise the on any one or all of the insurance products and/or other forms of compensation therein, as dictated by business and economic considerations. Any changes shall
be communicated in writing to the AGENT and shall take effect after the lapse of a ten-(10) day notice period
3. In the event of death of the AGENT, all earned, accrued or credited commissions and other compensation on businesses paid for on that date and prior thereto shall be payable to the surviving heirs of the AGENT or in accordance with the law on succession. Thereafter, all businesses submitted by the deceased shall be reassigned for servicing at the sole discretion of the COMPANY.
4. All expenses incurred by the AGENT in the performance of his obligations under this contract shall be for the sole account of the AGENT, such business expenses being already incorporated into the compensation structure of the AGENT. The AGENT hereby expressly agrees and commits that he shall not in any manner attempt or make the COMPANY liable for reimbursement of his business expenses by legal action or otherwise. Commissions and monies due the AGENT from the COMPANY will be payable in Philippine Pesos
5. When a new policy is issued and an existing policy on the same life or owner terminates within 365 days before or after the effectivity date of the new policy, no first year commission (FYC) shall be paid or credited to the AGENT, except on that portion of the premium paid on the new policy in excess of the annual premium paid on the terminated policy

If replacement is discovered after the commission/override/bonus has been paid on the new policy, then the commission/override/bonus paid will be clawed back or deducted from the Agent’s income

VII. LIEN OF THE COMPANY

1. The COMPANY shall have a first lien on all earnings and commissions payable hereunder for any debt or accountability due from the AGENT to the COMPANY.
2. The COMPANY is authorized to immediately deduct from any money due to the AGENT, payable under this Contract or from any other source, any such debt or accountability including any debt due or obligation of the AGENT to the COMPANY or its affiliates or subsidiaries, or to any person acting for the COMPANY, plus interest thereon at the highest prevailing market rate.
3. The COMPANY may also at any time deduct from any money payable under this Contract, or from any other source, any amount which may be owing from the AGENT due to damages caused by the AGENT to the COMPANY, including sums expended by the COMPANY in recovery efforts, as well as in defending any attachment, garnishment, or other legal proceedings involving the AGENT. The lien shall not be extinguished by the termination of the AGENT’s engagement under this Contract.

VIII. UNAUTHORIZED ACTS
1. The AGENT is not authorized to do or perform, and expressly agrees not to do or
2. perform, any act detrimental to the COMPANY, such as, but not limited to, the following
a. acur any indebtedness or liability in behalf of the COMPANY;
b. Make, alter or discharge contracts;
c. Waive forfeitures
d. Quote rates other than as quoted by the COMPANY
e. Extend the time for payment of any premium;
f. Waive payment or receive payments in currencies other than in Philippine pesos and U.S. Dollars as stipulated in the policy
g. Guarantee dividends;
h. Violate any law, rule or regulation or code of ethics respecting the sale of life insurance; contract;
i. Withhold any money or property of the COMPANY;
j. Rebate or offer to rebate all or any part of a premium paid on a life insurance policy issued or to be issued by the COMPANY;
k. Induce or endeavor to induce any policyholder of the COMPANY to discontinue payment of premiums or relinquish any policy;
l. induce or endeavor to induce any AGENT of the COMPANY to terminate his contract;
m. Commence or threaten to commence any suit or legal action against any third person on any matter arising out of or in connection with the COMPANY’S business;
n. Commit any criminal act, fraud or violation of trust or act of disloyalty;
o. Bring discredit to the COMPANY or commit misconduct or engage in unethical or unprofessional practices;
p. Issue, use or allow to be published any circular, advertisement or COMPANY policy without prior written consent or approval of the COMPANY; and
q. Any other act which may result in damages or cause prejudice to the COMPANY

3. The AGENT shall not misinterpret and conceal any fact in respect of the AGENT’s qualifications, personal data and circumstances with material bearing on this contract prior to and during his engagement. The AGENT hereby agrees to be held liable for whatever consequences may result from such misrepresentation or concealment.

4. Commission by the AGENT of the foregoing unauthorized and prohibited acts immediately confers upon the COMPANY the right to terminate this Contract or take other corrective measures, without need of notice. Furthermore, any breach by the AGENT of the terms of this Contract, OIC-sanctioned Market Conduct Guidelines or the Code of Conduct, or any related ethical business standard prescribed by the Insurance Commission confers upon the COMPANY the right to terminate this Contract. The COMPANY shall submit the name of the AGENT to the Negative List of the OIC. In case of misappropriated premiums, the COMPANY shall file a police report in the nearest police station where the violation was committed.

5. In the event of any unauthorized act committed by the AGENT, whether before or after the termination of the AGENT’s contract, the obligation of the COMPANY to pay compensation under this Contract shall automatically cease and terminate immediately on the date the COMPANY becomes aware or is notified of such unauthorized act. This does not preclude the COMPANY from pursuing legal action or other means such as but not limited to those provided under Section VII, hereof

IX. ASSIGNMENT AND MODIFICATION –
No modification or amendment of this contract nor any assignment of compensation or commissions payable hereunder shall be valid unless approved in writing by an authorized officer of the COMPANY.

X. BUSINESS RECORDS, FINANCIAL REPORTS & AUTHORITY TO AUDIT

1. All documents, records, papers and training materials and tools furnished by the COMPANY to the AGENT pertaining to the business of the COMPANY shall be kept in strict confidentiality and shall remain the property of the COMPANY. The AGENT is responsible to the COMPANY for all policies and other papers entrusted to him and agrees to return to the COMPANY, as provided herein or on demand, all policies or receipts entrusted to him. Except in case of termination as provided under Section XIII.3, the AGENT expressly agreed to return without need of any demand COMPANY properties within Thirty (30) days from termination of contract with the COMPANY

2. All documents, records and papers furnished by the COMPANY to the AGENT pertaining to the business of the COMPANY shall be kept in strict confidentiality and shall remain the property of the COMPANY even if such are purchased or paid for by the AGENT

3. These documents, records and papers shall be subject at all times to inspection by a duly authorized representative of the COMPANY and shall be delivered to the COMPANY by the AGENT upon the termination
of this contract.

4. The AGENT shall submit monthly business and financial reports to the COMPANY in the prescribed form and manner. The COMPANY has the authority to audit at any time, the books of accounts of the AGENT pertaining to the business and operations covered by this contract.

5. Failure to submit monthly business and financial reports to the COMPANY shall constitute a ground for the termination of this contract by the COMPANY.

XI. ADVERTISING

1. All proposed advertising and promotional materials of any kind whatsoever shall be submitted by the AGENT to the COMPANY for approval and no such materials shall be used by the AGENT without the COMPANY’s prior written approval.

2. Violation of this provision constitutes a ground for the termination of this Contract by the COMPANY. The AGENT expressly agrees to be held liable for damages that the COMPANY may incur as a result of use of
unauthorized advertising and promotional materials

XII. TERMINATION, SUSPENSION AND OTHERS

1. The COMPANY, in the exercise of its business judgment, may cancel this Contract for business and operational reasons without liability to the AGENT. Either party may terminate this contract, with or without cause, by sending a written notice of such at least thirty (30) days prior to its effective date by ordinary mail or personal/ messengerial delivery to the last known address of the other party

2. The AGENT’s contract may be terminated effective immediately and without notice for violation of any of the provisions in Sections V.5, V.6 and VIII hereof. The AGENT hereby expressly waives the notice period
provided in the preceding number

3. In the event of termination of contract, the AGENT shall immediately pay in cash all sums due hereunder and shall immediately deliver to the COMPANY or its authorized officers, all rate books, letters, records and supplies connected with the business and any other properties of the COMPANY, and the COMPANY expressly reserves the right to file legal action or effect by other means the recovery with all costs for the account of the AGENT

4. Any misappropriation of funds shall, without further notice, constitute a ground for the immediate termination of this contract and the unconditional forfeiture of all rights hereunder, including the rights to renewal commission accrued or to accrue. This does not preclude the COMPANY from filing any legal action it may deem appropriate

5. Unless otherwise herein provided, all benefits due under this Contract will immediately cease except that any commissions due and payable in the month of termination, after full recovery of all the debts, will be paid to the AGENT

6. If the license of the AGENT to solicit applications for life insurance for the COMPANY issued by appropriate
governmental authority is terminated while this contact is in force, this contract automatically terminates, including but not limited to all rights of the AGENT to further solicit applications for life insurance hereunder until such license with the prior written authorization of the COMPANY shall have been renewed or reinstated; whereupon this contract shall be restored to the same status prior to such termination. Upon termination or within Thirty (30) days thereafter, the AGENT shall pay in cash all amounts due under this contract. The COMPANY shall be held free and harmless from any and all actions, proceedings, suits that may arise by virtue of the AGENT’s solicitation of life insurance without the appropriate governmental authority.

7. In case any life insurance policy procured hereunder is subsequently converted into some other form of policy, the AGENT shall forfeit all further rights to commission under such insurance in either its original or converted form

8. The term “Renewals” or “Renewal Commissions” shall refer to commissions starting on Year 2 and
onwards as stated under the Commission and Other Compensation Schedule (ANNEX“C”). The right to renewal commissions shall accrue only on renewal premium due and paid during the effectivity of this Contract and up to the month of its termination.

9. The AGENT shall not be entitled to commissions except on life insurance policies fairly sold by the AGENT and provided his name appears upon the application thereof as AGENT. If any business is sold jointly with another agent, the AGENT will receive the percentage of commission stated on the application or equally, if no percentage is stated. In case the AGENT’s claim for commission is disputed or is otherwise questionable, the
COMPANY shall have the right to decide and settle the dispute, and the decision of the COMPANY shall be binding and conclusive. Should the COMPANY reject an application or return a premium and cancel the policy for any cause, the AGENT shall, on demand, pay to the COMPANY any premium on such application or policy
received by him and not paid or delivered to the COMPANY and shall repay, on demand, any commission received on such premiums, in gross amount.

10. If the COMPANY is constrained to return the premium on a policy or cancel a policy for any cause, the AGENT agrees to return to the COMPANY, on demand, all commissions, in gross amount, received by the AGENT on such
life insurance or policy and further agrees not to withhold any funds, policies or receipts belonging to the COMPANY or due a person whose application for life insurance had been declined.

11. The AGENT shall be liable or chargeable for any medical, inspection and processing fee incurred for all cases where a policy was issued in accordance with an application received from him on which the initial premium has not been paid to the COMPANY within 30 days after the intended effective date of policy, as Not Taken Out (NTO) fee for an NTO policy.

XIII. NON-WAIVER
Forbearance, neglect or delay on the part of the COMPANY to insist upon the AGENT’s compliance
with the terms and conditions of this Contract and with the rules and regulations of the COMPANY shall not be construed as or constitute a waiver thereof.

XIV. GENERAL PROVISIONS
1. This Contract is not transferable. No rights or interest arising therefrom shall be subject to assignment except with written consent of the other party.
2. This Contract shall take effect immediately upon signing thereof. This Contract hereby terminates and supersedes any existing agency contracts or agreements entered into by the parties
3. The parties hereby acknowledged that they have read this Contract carefully and completely understood the same. They further acknowledge that they will faithfully and in good faith comply with the provisions of this Contract

XV. GOVERNING LAW
This Contract shall be construed and the rights of the parties herein determined in accordance with Philippine Laws

XVI. MEDIATION AND ARBITRATION
In its best efforts to maintain peace, harmony, justice and righteousness within the sales organization, the COMPANY reserves the right to study, mediate and settle issues involving AGENT and the COMPANY as it deems fit and in the best interests of all concerned. Disputes will be
resolved internally by a Committee designated by the COMPANY to handle such issues.

XVII. VENUE
Any legal action or proceeding arising out of this Contract shall be brought to the proper courts of Makati City only

IN WITNESS WHEREOF, the said parties have hereunto set their hands on the {address}

ALLIANZ PNB LIFE INSURANCE, INC

Signature* Date*

AGENT
Signature over Printed Name

RONALD FELICILDA
Head of Licensing and Branch Support

FLORO MARASIGAN JR.
Chief Agency Officer

ANNEX A

Types of Agents

All members of the Agency Distribution Channel as may be defined by the Company from time to time are referred to as Agents. There are different types of Agents, specifically:

1. Agency Partners (AP)
2. Agency Leaders (AL)
3. Managing Partner (MP)

ANNEX B

Agency Performance Standards

To ensure the quality of sales delivered by the Agency Distribution Channel, Managing Partners, Agency Leaders and Agency Partners shall undergo regular Validation.

A. VALIDATION REQUIREMENTS
Agency Partners, Agency Leaders and Managing Partners are expected to meet the validation requirements set below

AGENCY PARTNERS
Focus on doing weekly activities, developing a full-time mindset and building a robust portfolio of clients.

AGENCY LEADER
Focus on leadership efforts on recruitment, activation of advisors and development of full-time advisors.

Validation targets shall be annualized to measure if Quarterly requirements are met.
Validation requirements for the second year onwards will be announced at the start of the calendar year.
B) VALIDATION PERIOD
Performance will be reviewed quarterly and annually to measure performance against agreed standards.

C) VALIDATION RESULT
Failure to meet Performance Standards for two (2) consecutive quarters will result to demotion of rank or cancellation of contract as deemed appropriate by management.

D) EXCEPTIONS
Special circumstances may qualify a member of the Agency Distribution Channel to an exception from a validation period. Contract cancellation and demotion may be avoided upon review and
recommendation of management.

ANNEX C

Agency Partners’ Compensation Scheme

Annex C details the Compensation and Benefits accorded to a Member of the Agency Distribution Channel.
Annex C applies to Agency Partners, as well as Agency Leaders and Managing Partners with respect to their personal sales.

All Commissions and incentives detailed in this section will be paid as earned unless otherwise specified.

Commissions, incentives and bonuses will be withheld UNTIL the Agent has been contracted with the Company and all required contracting documents have been submitted.
1. Basic Commission (BC)
a. Paid in accordance with the attached Basic Commission Schedule Annex C.1 which the management reserves the right to change periodically.

2. Direct Override (DO)
a. An incentive awarded to an Agent or Leader for every policy sold by his/her Direct Downline.
b. A Direct Downline refers to a recruit.

3. Generation Override (DO)
a. An incentive awarded to Leaders for every policy sold by the next generation of agents recruited by their Direct Downline.
b. A Generation Override may be earned for every policy sold by 1^st, 2^nd and 3^rd Generationd ownline of a Leader. (Generation count begins after Direct Downline)
c. All Generation Override for regular-pay plans are payable for Years 1 and 2 only.
i. For MPs: Payable for levels 2 and below downlines (no limit)
ii. For ALs: Payable for levels 2 to 4 downlines only
4. Million Dollar Round Table (MDRT) / Court of the Table (COT) / Top of the Table (TOT) Convention Bonus
a. This bonus comes in two phases: the membership phase and the attendance phase
b. The Company will PAY the membership dues and PROCESS the membership application for any Agent that will meet the required MDRT/COT/TOT membership status production requirements. The membership dues shall form part of the convention bonus as follows:

c. In excess of the membership dues, the qualified Agents will be entitled to the bonus IF AND ONLY IF:
i. The qualified member attends the annual meeting as set by the MDRT association.
ii. As of the date of the MDRT qualification is earned, the Agent must have at least a 95% First Year Persistency Rating (FYPR), and at least 85% Second Year Persistency Rating (SYPR).
d. The bonus will cover fees and expenses related to the convention such as airfare, hotel accommodations and registration to the convention not to exceed the amount of the bonus the member qualified based on
the designation.

e. It is the responsibility of the qualified Agent to ensure that his/her travel documents, i.e. passport and VISA are current and in order.
i. In cases where the VISA has been disapproved and thus unable to travel, the Company will give the cash prize equivalent to 50% of the bonus, net of membership dues paid over a period of ten (10) months.

f. Convention bonus is neither transferable nor refundable.

5. Group Term Life Insurance
a. An Agent is entitled to Group Term Life Insurance with Php200,000 coverage after 90 days from entry and throughout the initial year. Premiums for this insurance shall be shouldered by the Company.\
b. On the second year and onwards, the amount of insurance will be equal to the total of all his earnings for the last completed year, rounded to the next Php 1,000 not exceeding the recommended coverage (see
matrix). Premiums for this insurance will also be shouldered by the Company.

c. Additional coverage of up to 100% of total earnings for the last completed year may be applied for by the Agent with premiums to be charged to his account, subject to minimum participation and any other underwriting guidelines.
d. Coverage shall cease upon termination of this contract.

6. Group HMO
a. Agency Leaders and Managing Partners are encouraged to enroll in the Group HMO for the Sales Force after his fourth qualified validation.
b. The cost of the Group HMO fee, will be shared equally (50-50) between the Company and the Agent. The Leader’s share of his own HMO fee may be deducted in three monthly installments from his commissions/bonuses.
c. Leaders will be allowed to enroll their dependents at their own cost.
7. List of Products allowed to be sold / Commission Schedule (See Annex C.1)
8. Agents and Leaders are warranted additional incentives, contests, recognition programs, trip incentives or other bonuses to drive the growth and productivity of the Agency and are indicated in a separate memo.
9. Any deviations from the terms and conditions of this compensation are subject to approval of President upon recommendation of the Chief Distribution Officer.
10. The Company reserves the right to amend the provisions of the Agents’ Compensation Scheme as may be deemed appropriate by management.
11. The Company shall issue detailed guidelines if deemed necessary.

ANNEX D

PROMOTION CRITERIA

Developing Agency Partners who consistently outperform into Agency Leaders managing their own Sales teams is a critical element of the Growth Model of the Agency. A simple but well-defined, performance-based promotion criteria will encourage Agents and Leaders to join and stay

POTENTIAL AGENCY LEADER (PAL) and AGENCY LEADER (AL)

Signature*
Date

Information Security and Data Privacy and Undertaking

I, {fullName}, a licensed agent of Allianz PNB Life Insurance, Inc. (the “Company”) understand and accept the following terms and conditions:

1. I understand that the Company will provide me with Digital tools (Digital Tools) including but not limited to Allianz Journey and an email address, designed to facilitate ease of solicitation or procurement of applications of insurance and servicing the needs of my clients.

2. I agree to use my own device, with the approval of the Company, to access the Digital Tools. I shall register my device with the Company’s IT Department and will inform the Company in the event of loss, change of ownership, and other relevant updates.

3. I acknowledge that while the Digital Tools will be installed or used in my own device, ownership of the Digital Tools and all information contained therein shall remain solely with the Company and my continued access to the Digital Tools shall be at the sole discretion of the Company.

4. I understand that as an agent of the Company and as a user of the Digital Tools, I will have access to Allianz proprietary information and Allianz customer personal information (collectively “Information”). As such, I undertake to:

a. Treat the Information with utmost confidentiality and to use it solely for official Allianz PNB purposes.

b. Complete all training and awareness programs addressing Information security, data privacy, and confidentiality as mandated by the Company.

c. To report all phishing and spam attempts by forwarding the suspicious email to spam@allianz.com

d. Comply with applicable Company guidelines, relevant regulations on information security and data privacy, particularly Republic Act No. 10173 or the Philippine Data Privacy Act of 2021.

e. Report to protectprivacy@allianzpnblife.ph and dsu@allianzpnblife.ph immediately but no later than 12 hours from my reasonable belief that the Digital Tools or any Information contained therein may be compromised.

f. I will give my full cooperation in any investigation or assessment of a potential or actual data breach.
I agree

Allianz PNB Life Insurance Inc.
Privacy Notice for Agents

We, Allianz PNB Life Insurance, Inc. (“Allianz PNB Life”), are part of the Allianz Group, and are an authorized insurance company in the Republic of the Philippines providing insurance products and services. Protecting your privacy is a top priority for us. This privacy notice explains how and what type of personal information will be collected, why it is collected and to whom it is shared or disclosed. Please read this notice carefully.

We process your personal data to manage all distributor-related matters in a user-friendly and highly efficient manner.

Distributor processing activities entails the processing of personal information (i.e. data which can be linked/attributed to an individual person, “Personal Information”). We will pay special attention to protect your privacy in the context of these activities. We believe in transparency and we are committed to being upfront about our privacy practices, including how we treat your personal information.
This Privacy Notice sets out which kind of Personal Data will be collected, processed and used by Allianz PNB Life, for which purposes, to whom this Personal Data may be shared or disclosed and which rights you, as a data subject, have in this regard.

1. Who is the personal information controller?
A Personal Information Controller is the individual or legal person who controls and is responsible to keep and use personal information in paper or electronic files. For your transactions and interactions with us, Allianz PNB Life is the personal information controller as defined by relevant information protection laws and regulations.

2. What Personal Data will be collected, processed and used?
We will collect, process and use the following types of your Personal data;

• Basic personal information (such as your surname, first name, address, date of birth, gender, telephone numbers, email address etc.)

• Professional information (such as your License Number, area of assignment, position, previous experiences, etc.)

• Performance-related information (such as your performance, production or feedback from peers)

• Compensation-related information (such as your commissions, bank account details, etc.)

• Development-related information (such as your attendance to training courses)

• Information in relation to the use of Allianz Assist, Allianz Journey, and other digital assets.

We may collect photos or images in any of the following scenarios:

• Taken during Company events, meetings, training sessions, and other corporate events.

• Professional portraits that will be used in internal directories and newsletters, company websites and promotional materials.

• Workplace environment captured during work activities, team collaborations, and office environments.

Among these Personal Data, we may also collect, process and use sensitive Personal Data about you, for example, information related to any disabilities you may have or other health related information, in compliance with applicable laws and regulations.

3. For which purposes do we collect, process and use your Personal Data?
We will process your Personal Data for the following purposes:

• To facilitate company-wide collaboration and communication;

• General administration of core Distribution related matters;

• Performance and compensation management;

• Rewards and Incentives Management;

• Learning and development;

• Distributor planning and analytics;

• Internal investigations;

• When applicable, to highlight participation in company activities, boost marketing and promotional activities, and post for engagement with our audience on social media;

• To meet any legal obligations (for example, tax, accounting, regulatory and administrative obligations);

• To comply with law enforcement requests or discovery procedures, or where required or permitted by applicable laws, court orders, government regulations, or government authorities;

• Where it is necessary to investigate, prevent or take action regarding illegal activities, suspected fraud, situations involving potential threats to the safety of any person or violations of Allianz PNB Life policies and standards.

4. On which legal bases do we collect, process and use your Personal Data?
We use the following legal bases for the collection, processing and use of your Personal Data;

• Performance of your Agency Contract if the processing is necessary to perform your contract (for example, with regard to paying your commissions);

• Compliance with a legal obligation to which we are subject (for example, where we are legally obliged to retain certain tax-related data);

• Where the processing is necessary for our legitimate interests unless these are overridden by your own legitimate interests; our legitimate interests include – as the case may be – the following:

o Enabling global collaboration and workforce planning & analytics;

o Ensuring business continuity (for example, via succession planning);

o Protecting Allianz Group and/or its employees from harm, by preventing or detecting illegal activities, suspected fraud or situations involving potential threats to the safety of any person or violations of Allianz Group policies or terms;

o Recruiting, overall group wide talent management, reward & performance; group wide activities like directories;

• Your consent, to the extent this is required by applicable data protection laws and regulations.

5. Who will have access to your Personal Data?

For the stated purposes, we may disclose your Personal Data to the following recipients or categories of recipients:

• Allianz SE and authorized persons working for or on behalf of Allianz SE;

• Other Allianz Group companies, technical consultants, experts, lawyers, medical doctors and service companies to discharge operations (claims, IT, postal, document management);

• Third party agents, service providers and advisers (for example, for providing training and development courses, IT maintenance and support, legal advice, analytics of usage behaviour, procurement services, compliance vetting);

• Law enforcement or government authorities where necessary to comply with applicable laws;

• Other parties in the event of any contemplated or actual reorganization, merger, sale, joint venture, assignment, transfer or other disposition of all or any portion of our business, assets or stock (including in any insolvency or similar proceedings).

6. Where will my Personal Data be processed?

Your personal information may be processed both inside and outside of the Philippines, subject always to contractual restrictions regarding confidentiality and security in line with applicable information protection laws and regulations. We will not disclose your personal information to parties who are not authorized to process them.

7. What are your rights in respect of your Personal Data?

Where permitted by applicable law or regulation, you have the right to:

• Access your personal information held about you and to learn the origin of the information, the purposes and ends of the processing, the details of the personal information controller(s), the information processor(s) and the parties to whom the information may be disclosed;

• Withdraw your consent at any time where your personal information is processed with your consent;

• Update or correct your personal information so that it is always accurate;

• Delete your personal information from our records if it is no longer needed for the purposes indicated above;

• Restrict the processing of your personal information in certain circumstances, for example where you have contested the accuracy of your personal information, for the period enabling us to verify its accuracy;

• Obtain your personal information in an electronic format for you or for your new insurer; and

• File a complaint with us and/or the relevant information protection authority.
You may exercise these rights by contacting us as detailed in section 9 below providing your name, email address, and the purpose of your request.

8. How long do we keep your Personal Data?

We will retain your personal information while you are employed with us, unless a longer retention period is required or as permitted by law.

We will not retain your personal information for longer than necessary and we will hold it only for the purposes for which it was obtained.

9. How can you contact us?
If you have any queries about how we use your personal information, you can contact us through any of the following:

Allianz PNB Life Insurance, Inc.
Data Protection Officer
9th Floor, Allied Bank Center, 6754 Ayala Avenue corner Legaspi Street, Makati City, Philippines
Email: protectprivacy@allianzpnblife.ph
Customer Service Hotline: 8818-4357

10. How often do we update this Privacy Notice?

We regularly review this privacy notice and we will inform you directly when there is an important change that may impact you. This privacy notice was last updated August 12, 2024.
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Statement of Undertaking

Submission of Hard Copies of Application Forms

I,   First Name*   Last Name*   , in my capacity as   *   at ALLIANZ PNB LIFE INSURANCE, INC. (the, “Company”), hereby undertake the responsibility of ensuring the timely submission of hard copies of the application forms of the clients as required by Insurance Commission Circular Letter (IC CL) No. 2013-33 (also known as the, “Market Conduct Guidelines”) within the period set by the Company.

I understand that any delays in submitting the hard copies of the application forms could potentially impact the overall process and the experience of our clients. Therefore, I pledge to take all necessary actions to ensure that the hard copies of the application forms are delivered within the specified timeframe.

Furthermore, I acknowledge and fully understand that any untoward incident or negative consequences that may arise as a result of unsubmitted or delayed submission of the hard copies of application forms shall be my responsibility. Accordingly, I commit to bearing any costs, liabilities, or damages that may result from such incidents.

I am fully committed to maintaining clear communication, monitoring the progress, and addressing any potential obstacles that may arise during the submission process. I will keep the Company informed of the status of each submission and promptly address any concerns or queries.

By signing this Statement of Undertaking, I affirm my dedication to upholding the standards of professionalism, timeliness, and reliability in all my interactions with the Company. I understand the importance of this commitment and is fully prepared to fulfill my responsibilities as outlined in this undertaking.

Signature*

NAME:   First Name*   Last Name*

DATE:   Date*

Submit / Upload your Requirements here

Kindly submit all your accomplished form and requirements below
Training Certificate (BOSS 3)*

Please upload your Certificate of BOSS 3 here *
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2 Government Valid ID (with 3 specimen signature)*

Upload your Government ID here *
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2x2 Picture (with white background)*

Upload your scanned 2X2 PROFESSIONAL ID Picture (white background)
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Copy of Exam Result*

Please upload your exam result here: Life Result *Variable Result *
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Notarized AIAL Form Note: The AIAL form must be notarized before uploading.*

Please note that notarization from the Public Attorney’s Office (PAO) is not allowed.
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Group Life Insurance Form

Upload your Accomplished Group Life Insurance here *
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Copy of Clearance (from previous employer) even not insurance related

Upload your scanned copy of Clearance *
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Proof of License Fee/s Payment or Authority to Deduct (refer to downloadable forms):*

What license are you applying? *Please upload your proof of payment *FEES: 1. LICENSE FEE amount Php1,515 per license type. You may deposit or pay online through our PNB account. ALLIANZ PNB LIFE INSURANCE INC. Bank Name : PNB Account type : Current Account Account Number : 1111-7000-6478 Write down the “NAME” and “LICENSE TYPE” in the deposit slip then scan and upload the scanned file of your Deposit Slip then click “Finish”.
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ITR or Affidavit of Non-Filing*

ITR or Affidavit of Non-Filing (tax) – (this is based on the question no. 11 in AIL form) a. ITR – if you filed your income tax return for year 2021 b. Notarized Affidavit of Non-filing – if you did not file your income tax return for year 2021 (please see template on a separate file)Please upload ITR / Notarized Affidavit of Non-Filing *
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BIR CERTIFICATE OF REGISTRATION

Note: Payout is automatically restricted upon coding if no submitted COR
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By clicking the "SUBMIT" button below, I agree that I have reviewed all the information I provided and the documents I submitted. I confirm that the information I provided in support of my application are true and correct to the best of my knowledge and belief.
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Rows	NAME AND ADDRESS OF EMPLOYER	POSITION	EMPLOYMENT DATE (start and end date)	REASON FOR LEAVING
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Allianz Life Changer

Recruitment Tracking Sheet

Information Security and Data Privacy and Undertaking

CONFLICT OF INTEREST DISCLOSURE FOR APPLICANT

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