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How many claims have you made in the last three years?

Policy No.

Insurance Company

What type of health insurance plan you have?

Individual
Family

For verification process we need your ID and copy of your insurance card that shows the deductible amount. Verification takes less than 24 hours.

WARRANTY SERVICES FOR DEDUCTIBLE AGREEMENT

Sign to agree terms & conditions

ThisWarranty Services for Deductible Agreement (the "Agreement") is made and entered into as of the 16 day of the month of Dec, 2019 (the "Effective Date").

To benefit from the services offered by Hello We Got You, please complete this Warranty Services for Deductible Agreement. This Agreement will form a legally binding agreement between yourself (also referred to in this agreement as "you", the "User", "your", etc.) and Hello We Got You, LLC.

BETWEEN:

HELLO WE GOT YOU, LLC., a company registered under the laws of Florida, having its registered offices located at 11NE 1st Street, 8th Floor #364, Miami, FL 33132

("Hello We Got You")

AND:

(the "User")

All information provided in this Warranty Services for Deductible Agreement must be accurate, current and true to the best of your knowledge. You may sign up on Hello We Got You's website and/or app to subscribe to our services.
WHEREAS, Hello We Got You offers services to users, who wish to benefit from a warranty service that will cover their applicable insurance deductibles as they become due.
WHEREAS, the User wishes to subscribe to Hello We Got You's warranty services and wishes to be subject to the terms and conditions set forth in this Agreement.

IN CONSIDERATION OF THE FOREGOING, the User agrees as follows:

1. Services
 

Hello We Got You offers full payment of the User's deductible that is or becomes due as a result of an insurance claim accepted by the User's insurance company (the "Service"). To benefit from this Service, the User will pay a monthly fee to Hello We Got You, complete the processes (registration and request) described in this Agreement and be registered for a minimum of six (6) months.

2. Registration and Payment
 

To benefit from the Service described in section 1, the User must complete the registration process detailed on Hello We Got You's website (www.hellowegotyou.com).
This registration process includes completing relevant forms and paying the registration and monthly costs. You must submit the following information: insurance company information, policy number, type of insurance in force, deductible amounts and limits, and all information requested by Hello We Got You in the registration forms on the website. It is preferable for Users to submit a clear photograph of their insurance policy card.
You agree that all the information you provide to Hello We Got You is accurate, current and true to the best of your knowledge.
Once your registration is submitted, Hello We Got You will either accept or refuse your registration and will inform you of its decision within twenty four (24) hours.
If your registration is accepted, you will be benefit from the Service after a period of six (6) months so long as your monthly payments are made without interruption, and on the condition that you do not have a preexisting condition. If you do have a preexisting condition, you will not benefit from the Service.
You also agree to promptly inform Hello We Got You if any of the information you provided were to change or no longer be applicable. All User information provided to Hello We Got You will be kept strictly confidential by Hello We Got You.

3. Filing a Request
 

Upon having an insurance claim accepted, the User must inform Hello We Got You by filling out a form, which constitutes a request for payment (the "Request"). The Request must include a copy of the insurance claim, insurance company name and coordinates, correspondence from the User’s insurance company with respect to the claim, amount of the deductible, and all other relevant information requested by Hello We Got You.
You understand and agree that Hello We Got You will only assess your Request to pay the deductible for insurance policies that have been disclosed and detailed by yourself during the registration.
Upon completion of the Request, Hello We Got You will respond to the User within twenty four (24) hours and will pay the required deductible, in part or in full, if all conditions in this Agreement are met.
Hello We Got You will cover deductibles ranging from five hundred dollars ($500) to ten thousand dollars ($10,000). Unless otherwise indicated, the amounts specified in this Agreement are in USD.
Any Request to cover a deductible of less than five hundred dollars ($500) will be refused by Hello We Got You.Additionally, Hello We Got You will not cover a deductible that has been paid by the User’s insurance company. Hello We Got You will not cover deductibles for medication, doctor's appointments or other smaller charges. In the case of health care, the deductible may only be requested for operations, emergencies and similar large expenses.
Hello We Got You will pay the approved Requests in the proportions set forth in the table below:

First Request 100%
Second Request 90%
Third Request 60%
Fourth Request 40%
Fifth Request 20%

The User understands that the monthly costs may be modified by Hello We Got You at its sole discretion further to a Request. Hello We Got You reserves its right to refuse to pay a deductible if it determines that the information provided by the User is not accurate or otherwise untrue. More specifically, Hello We Got You will not pay the deductible further to the Request if the information provided by the User during the registration does not correspond or is in any way incoherent with the Request. Further, Hello We Got You will not pay the deductible for any claims that have been refused by the User's insurance company.

4. Warranties and Representations of the User
 

The User acknowledges and understands that the Service provided by Hello We Got You are not insurance services and do not in any way replace insurance coverage. Hello We Got You's Services are complimentary and independent of any insurance of any nature whatsoever. The Serviceis not to be construed as insurance, investments and other types of services subject to particular permits or licenses.

5. Warranty and Representations of Hello We Got You
 

Hello We Got You represents and warrants that Users will benefit from the Service following:
- six (6) months of uninterrupted payments.
Hello We Got You has general working knowledge of the industry and has all necessary resources in place to handle User's requests within twenty four (24) of their receipt. Hello We Got You further confirms that it has sufficient funds to pay all valid Requests from Users.

6. Continuous Obligation to Inform
 

The User agrees to promptly report to Hello We Got You the other all significant matters and transactions which it is aware that may, to its knowledge, affect the Services contemplated under this Agreement.

7. Term and Termination
 

The Agreement will come into effect as of the Effective Date and will remain in force until the occurrence of the following incidents:
- The User stops paying the monthly fee to benefit from the services.
- Hello We Got You terminates the Agreement at its discretion.
- An incident of force majeure occurs and hasn't been resolved within seven (7) days.
- By mutual consent of the User and Hello We Got You.

8. Increasing Costs
 

The User understands that the monthly costs due for the Services will increase in the following proportions:

First Request 3%
Second Request 6%
Third Request 12%
Fourth Request 24%
Fifth Request 40%

9. Indemnification
 

Each partyagrees to indemnify and hold harmless the other party and its affiliates, directors, officers and employees from and against all losses, damages, liabilities, costs and expenses in connection with any claims, actions, proceedings, investigations or suits brought by a third party, arising out of (i) the party snegligence, recklessness or intentionally wrongful act performed, and/or (ii) the party's execution or non-performance of its obligations under this Agreement.

10. Limitation of Liability
 

IN NO EVENT SHALL HELLO WE GOT YOU BE LIABLE TO THE OTHER FOR ANY INDIRECT, INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES, OR DAMAGES FOR LOST PROFITS OR LOSS OF BUSINESS, HOWEVER CAUSED AND UNDER ANY THEORY OF LIABILITY, WHETHER BASED IN CONTRACT, TORT (INCLUDING NEGLIGENCE) OR OTHER THEORY OF LIABILITY.

11. General Provisions
 

This Agreement constitutes the entire agreement between the parties pertaining to the subject matter hereof. No amendment shall be binding unless expressly provided in an instrument duly executed by the Parties. This Agreement shall be governed by and interpreted and construed in accordance with the laws presently in force in the State of Florida.In the event of any dispute arising out of or relating to this Agreement, the Parties shall use reasonable efforts to settle the dispute by reasonable negotiations. If the dispute is not settled promptly through negotiation, the Parties agree to submit the dispute to the jurisdiction of the competent courts in state of Florida.Any provision of this Agreement which is or becomes invalid or unenforceable shall be severed and shall not affect or impair the remaining provisions hereof.This Agreement may be signed in two counterparts, each of which shall be deemed an original, with the same force and effectiveness as though executed in a single document.

 

We Got You will cover only the deductible amount of your HEALTH insurance policy # that has a deductible amount of $.

 

I hereby accept terms.

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