Agency membership application

Please complete the following information and submit full dues payment. If you manage to circumvent our form and do not submit a complete application, we reserve the right to immediately reject the application and refund your dues payment.

Individual contact info submitted should be the designated contact to receive communications and membership  information from the association. If that person is different from the agency's primary principal, there is a field in the additional information section to enter agency principal as well. If you leave that field blank we will assume the individual on the application is the primary agency principal.

There is room on the application to enter the agency names and locations of up to three branch locations. If your agency has more than three branches, contact IIABSC Vice President Megan Huebner (mhuebner@iiabsc.com) to help you set up additional branches in the member InfoHub once your application is processed.

IIABSC membership dues are based on the total number of employees at all agency locations. Full-time employees working 30 or more hours per week should be counted as "1" and part-time employees working less than 30 hours per week should be counted as 0.5 employees. The final total should be rounded up if necessary.

The definition of an employee includes all officers, owners, partners, producers and other licensed or unlicensed employees and independent contractors who further the work of the agency or brokerage firm, wherever located, whether involved with insurance, employee benefits or other financial serves of the agency. Leased employees should be counted as employees.

If you have any additional questions, please contact IIABSC Vice President Megan Huebner  (mhuebner@iiabsc.com).