Membership

How to Become a Member
  About Membership
  How to Become a Member
  List of Member Companies
 

Becoming a member is easy!
Simply complete the details below and then click submit. A representative from IEA will contact you via email to verify your information and provide payment options. If you have any questions regarding your application, e-mail us at membership@ieatraining.com, or call us at (800) 655-4432.

Application for IEA Membership
IEA Membership Year: July 1 through June 30

Required Information

Company Information:
Company Name:
Address:
City:
State:
Zip code:
Phone:
Fax:
Web address:

Primary Contact Information

Contact name:
Title:
Email:
Phone:
Fax:

Alternative Contact Information

Contact name:
Title:
Email:
Phone:
Fax:

Company Information

Type of company (check one):

Insurance Company  Service Bureau
Self-Insured Company Rehabilitation Company
Reinsurance Company Law Firm
Agency/Brokerage Individual
Adjusting Company Other (please describe)
Adjusting Company


Number of employees in your organization:
Number of employees in your affiliated organization (if any):
Affiliated company/companies utilizing this membership:


Membership/Company dues:

Individual Members - $75 per year (during the period of July 1 through June 30th.

Company Membership

Members with 1-99 employees $450
Members with 100-299 employees $650
Members with 300 or more employees $950

Fees reduced by 50% for new corporate member applications received
after December 31st. For those companies joining April 1 or thereafter, membership will begin on date joined through June 30 of the subsequent year.

Fees waived for new member applications received between
April 1 and June 30th of the current member year.

If you prefer to send a check, please print this page and send the completed form with payment to:

Insurance Educational Association
2670 North Main Street, Suite 350 • Santa Ana, CA 92705-6639
• 800-655-4432 • Fax 714-689-0112