• 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 SelfInsurers Association, Inc. is a nonprofit association of Indiana employers which selfinsure their workers compensation obligation (Corporate Membership) and of companies which provide services to selfinsured 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.


    2019 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]