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:
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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.
2018 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.