Membership
Dear Indiana Self-Insurer/Worker’s Compensation Professional:
It is time to join or renew your membership in the Indiana Self-Insurers Association. ISIA was formed in 1976 and is an association of Indiana employers who self-insure their Indiana worker’s compensation liability. ISIA is a member of the National Council of Self-Insurers, provides its members an informative e-mail newsletter, and coordinates its activities with the Indiana Worker’s Compensation Board, the Indiana Manufacturers Association and the Indiana Chamber of Commerce. Please take a look around www.indianaselfinsurers.org for information as to ISIA’s goals and purposes.
A lot has changed since 1976, but when issues important to the self-insurance community arise, ISIA has been available to respond. We have been lucky to have relatively few self-insurance problems recently, but that may not be so in the future. If you don’t support ISIA today, ISIA may not be there for you tomorrow.
Please join ISIA now. If you are not the proper recipient of this letter and Application, please see that they get to the correct person. Your company’s membership will keep ISIA viable and ready to respond to future self-insurance challenges.
Sincerely,
INDIANA SELF-INSURERS ASSOCIATION, INC.
Robert Fanning, Executive Director
P. O. Box 160
Syracuse, IN 43567
rfanning@duedoyle.com
2020 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:
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Fewer than 500
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$350.00
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500 but fewer than 2,000
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$425.00
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2,000 but fewer than 5,000
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$475.00
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5,000 but fewer than 10,000
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$525.00
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10,000 or more
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$700.00
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ANNUAL DUES FOR ASSOCIATE MEMBERS are: $350.00
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Click Here To Download the Form Fillable PDF of the Application.
2019 New Member and Renewal Online Application
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.