ECRP Partner Referral Agreement for Medicaid Planning

This Referral Agreement (“Agreement”) is entered into as of the Effective Date by and between:

1. Parties Eldercare Resource Planning, LLC (“Company”), a limited liability company organized and existing under the laws of the State of Nevada, with its principal place of business at 50 W. Liberty St. Suite 880, Reno, NV 89501; and (“Agency”), with a principal place of business at , .

2. Purpose The Company and the Agency wish to establish a referral arrangement under which the Agency will refer potential clients to the Company in exchange for a referral fee should the potential clients become paying Medicaid planning clients.

3. Referral Services The Agency shall refer potential clients who require Medicaid assistance and asset preservation strategies to the Company. All referrals shall be subject to the Company’s acceptance and qualification process.

4. Referral Fee For each successful referral that results in a new client engaging with the Company’s services, the Company shall pay the Agency a referral fee of $1,000. A referral is deemed successful when the referred client engages and pays for the Company’s services.

5. Payment Terms

  • The Company shall provide the Agency with a monthly report detailing leads that resulted in new business.
  • Payments will be made to the Agency within 30 days following the end of each month in which payment was received from the client, based on the number of successful referrals.
  • The Agency shall submit a W-9 form prior to receiving any payments.

6. VA Pension Planning / Homecare / Placement Agency Status  The Agency is an independent entity and not an employee, agent, or representative of the Company. The Agency is responsible for any taxes and other obligations related to compensation received under this Agreement.

7. Compliance with Laws The Agency shall comply with all applicable laws and regulations, including those governing referrals and compensation in the healthcare industry.

8. Governing Law This Agreement shall be governed and interpreted in accordance with the laws of the State of Nevada.

9. Term and Termination

  • This Agreement shall remain in effect until terminated by either party with 30 days’ written notice.
  • The Company reserves the right to terminate this Agreement immediately for breach of contract or legal non-compliance.

10. Confidentiality Both parties agree to maintain confidentiality regarding all information obtained in connection with this Agreement.

11. Entire Agreement This Agreement constitutes the entire understanding between the parties and supersedes any prior agreements or understandings related to the subject matter herein.

IN WITNESS WHEREOF, the parties have executed this Agreement as of the Effective Date .







Upon clicking the submit button, a copy of this agreement will be emailed to both parties.