ChamberQualification

PROOF OF PERFORMANCE

For Chamber to qualify for ChamberFunds Available

this Proof of Performance AND attachedChamberMarketing Plan 2011 forms

must be RECEIVED in NOACC Office by April 30, 2011.

Chamber Name______

Chamber Executive/Volunteer and Title______

Street/Mailing Address______

City, State, Zip______Phone______

Fax______Email______Web______

Check one:

______Chamber Qualified in 2008 or 2009/2010 and has Anthem ad/link or info on chamber website is AUTOMATICALLY QUALIFIED for optional FREE BONUS (order below)and to receive Funds Available* for chamber marketing activities/projects. (Submiton CHAMBER MARKETING PLAN2011)

OR

______Chamber Qualifies in 2011 by performing 2 ofthese 3 elements (If all 3 elements are performed chamber earns optional BONUS—see below) and to receive Funds Available*for chamber marketing activities/projects (submiton CHAMBER MARKETING PLAN 2011.) Complete this section:

1. ____Chamber website has AnthemChamberSaver Free Quote banner ad (Fig 3) with link to AnthemChamberSaver Free Quote online form 2)

Proof: Chamber website page(s) linkaddress______

Or: ______Order (free from NOACC) and Post aChamber ChoseAnthem sign (Fig 1).

Proof: Email picture of sign postedin office or at chamber event. Date emailed:______

2. ____Chamber web site includes a picture and link to an Anthem video (Fig. 4) provided free by NOACC (video will be hosted on third party server, i.e. YouTube or similar.)

Proof: Chamber website page(s)video link address______

3. ____Chamberhas used an ad or article provided by Anthem in chamber newsletter or sent an email to members with Anthem ad and link to in 2010 or will by April 2011.

Proof: Date Ad/Article in Newsletter or Email sent to members ______Copy to NOACC______.Date of newsletter/email______

______BONUS (optional—check here if requesting sign): Chambers that perform ALL 3 of the above elements earn a FREE table top pull-up “Your Chamber Chose Anthem” sign (11”w x 21”h). Chambers that qualified in 2008-2009/2010 are eligible to order FREE sign immediately.

* Funds Available is shown at the top of the enclosedChamber Marketing Plan 2011form.

Send thisProof of PerformanceForm and printed copies of newsletters/samples to: NOACC, 4200 Rockside Rd, Independence, Oh 44131 or fax to 216-447-9861; or scan and email to

Chamber Marketing Plan 2011

Chamber MUST submit a Marketing Plan to access FundsAvailable (per Anthem Group Sales Reports provided by Anthem/NOACC) and based on:

1. Production: Total Contracts in ChamberAnthem Groups as of December 2010 and

2. Growth: Increase in Total Contracts inChamberAnthem Groups from July 2009 to December 2010.

Chamber Name:______

Production ______Growth______*Funds Available______

Pre-Approval of Chamber Marketing Plan 2011is REQUIRED prior to distribution of any funds available to QUALIFIED chamber. Activity must be completed by December 31, 2011 using the following guidelines established by Anthem and NOACC:

AnthemSponsorship of Chamber Activity—includes breakfast/lunch/dinner or Business Before or After Hours, trade show, health fair or similar. Includes Anthem logo used in promotional materials (email/flyer/newsletteretc.) to promote event and signage at event. More value allowed if Anthem display exhibit or booth is included at event, or Anthem makes presentation at event, etc. Additional value allowed if paid tickets to event included, or special award or naming of event included. Additional value allowed if advertising event in other media, i.e. radio, tv, local newspaper, etc. Describe in plan below and enter estimated value of event below. Include sponsor information when submitting Marketing Plan.

Chamber Member/Benefit Orientation event—includes presentation by Anthem or NOACC personnel when other benefit information is provided. More value if presentation dedicated to Anthem program exclusively and given by Anthem representatives, i.e., Health Care Reform; Reduce Health Care Costs, etc. Scheduling by mutual agreement. Describe in plan below and enter estimated value of event.

Newspaper, Radio, TV/Cable, Member Directory, Community Quality of Life Magazine Ad (size of ad, type of publication, print quantity determines value.) Custom ads must be pre-approved by Anthem. Describe in plan below and enter value. Publication rate sheet will accompany plan.

Chamber Choice—Describe a marketing activity/project not included above in plan below.

*Chambers with less than $100 Funds Available will receive $100 by qualifying previously or in 2011 and

DO NOT have to submit a Marketing Plan below, but need to send Proof of Performance form to request funds.

Describe Sponsorship Activity (Event Name, Date, Location)______

(include Sponsor Information guideline etc.)

______Value: $______

Describe Chamber Member/Benefit Orientation (Date, Location, Anthem/NOACC Presenter)______

______Value: $______

Describe Newspaper, Radio, TV/Cable, Directory, Quality of Life Ad (Publication, Name, Size/Length, Qty, Times Played)______

______

______Value: $______

(sample of printed ad/audio/video clip required for approval --attached or sent with Marketing Plan)

Chamber Choice (Explain):______

______Value $______

USE ADDITIONAL PAPER IF NEEDEDDate Approved:______By______at Anthem/NOACC