• Membership

    Dear Indiana Self-Insurer and Self-Insurance Professional:

    It is time to renew your Indiana Self-Insurers Association membership for 2018.  Why do you say?  Because ISIA is the only organization in Indiana dedicated to serving Indiana employers who self-insure their worker’s compensation obligation.  ISIA works with other employer groups and with the Indiana Worker’s Compensation Board to make sure that the Indiana Worker’s Compensation Act remains responsive and effective.  And, ISIA will host an educational seminar for ISIA members on March 16, 2018.  The seminar will be in Indianapolis, will address legislative and common law changes and will form an integral part of a self-insured employer’s educational program.   

    Please renew your membership in ISIA and save the date for our educational seminar that will be March 16th, 2018.  

    Sincerely,
    Robert Fanning, Executive Director


     2018 NEW MEMBER AND RENEWAL APPLICATION

    The Indiana Self-Insurers Association, Inc. is a nonprofit association of Indiana employers which self-insure their worker’s compensation obligation (Corporate Membership) and of companies which provide services to self- insured employers (Associate Member).

    ANNUAL DUES FOR CORPORATE MEMBERS are based on the number of Indiana employees:

    Fewer than 500
    $350.00
    500 but fewer than 2,000
    $425.00
    2,000 but fewer than 5,000
    $475.00
    5,000 but fewer than 10,000
    $525.00
    10,000 or more
    $700.00
    ANNUAL DUES FOR ASSOCIATE MEMBERS are: $350.00

    Click Here To Download the Form Fillable PDF of the Application.


    2018 New Member and Renewal Online Application

     

      Corporate Membership: Employers which self-insure their worker’s compensation obligation. Associate Member: Companies which provide services to self-insured employers.

     

    Please make check payable to: 

    “Indiana Self-Insurers Association, Inc.” (IRS #35-1420875)

    Mail Check & Application to:

    Robert Fanning, Executive Director
    P.O. Box 160
    Syracuse, IN 46567

    Remember you can just Download the Form Fillable PDF of the Membership Form and mail it in.

    Officers

    President:

    Jerry Williams
    Indiana University Health.
    340 West 10th Street
    Indianapolis, IN  46202
    Phone:  (317) 963-7869
    Fax: (317) 963-7848
    E-mail: [email protected]

    Secretary/Treasurer:

    Jessica Amos
    Mittal Steel USA
    3210 Watling Street
    East Chicago, IN  46312
    Phone:  (219) 399-5180
    FAX:    (219) 399-5814
    E-mail:  [email protected]

    DIRECTORS

    Jessica Amos
    Mittal Steel USA
    3210 Watling Street
    East Chicago, IN  46312
    Phone: (219) 399-5180
    FAX:    (219) 399-5814
    E-mail:  [email protected]

    Sandy Fralich
    Indy Steel Erectors
    c/o JWF Specialty Company
    600 E. 96th Street
    Suite 425
    Indianapolis, IN  46240
    Phone:    (317) 706-9500
    E-mail:     [email protected]

    Gary Gonthier
    General Motors Company
    300 Galleria Office Center, Suite 200
    Southfield, MI  48034
    Phone:  (248) 223-6592
    E-mail: [email protected]

    Michael Hough
    Nishikawa Cooper, LLC
    324 Morrow Street
    Topeka, IN  46571
    Phone: 260-593-2156
    Fax: 260-593-2037
    E-mail: [email protected]

    Jerry Williams
    Indiana University Health
    340 West 10th Street
    Indianapolis, IN  46202
    Phone:  (317) 963-7869
    Fax: (317) 963-7848
    E-mail: [email protected]

    EXECUTIVE DIRECTOR

    Robert Fanning
    DUE DOYLE FANNING LLP
    8440 Allison Point Blvd., Suite 350,
    Indianapolis, IN  46250
    Phone:  (574) 457-7600
    FAX:     (574) 457-0189
    E-mail:      [email protected]