Membership Application

Instructions

Thank you for your interest in becoming a member of the New York Insurance Association. To be considered for membership, please complete this application and confirm your acceptance of the association’s bylaws. Once membership is approved you will be contacted by the association. Please contact Sue Dawes at sdawes@nyia.org with any questions.

Select An Option

Full Insurer

Annual amount is based on direct premiums written in New York. Call NYIA at 518.432.4227 for a quote.

Full Insurer Members are members duly admitted to membership which are property and casualty insurance companies, societies or organizations licensed to engage in one or more lines of insurance business in the State of New York.

Insurer Organization

Annual amount is based on direct premiums written in New York. Call NYIA at 518.432.4227 for a quote.

Insurer Organization Members are members duly admitted to membership which are organizations created by New York statute whose membership includes two or more Insurer Members required to be members of such organization.

Affiliate $1800 Annually

Affiliate members are members duly admitted to membership including any association, organization, corporation or law firm that does not have any direct written premium and engages in lobbying.

Subscriber $1800 Annually

Subscriber members are members duly admitted to membership including any person or organization having any interest in the welfare of the insurance industry that does not have any direct written premium (vendor, law firm, association, etc.).

Reinsurer Starting at $1375 Quarterly

Reinsurer members are members duly admitted to membership which (i) are insurers accredited in New York State in compliance with the Insurance Law of New York, to engage in the business of reinsurance, or; (ii) an organization or person licensed as a Reinsurance Intermediary under Section 2106 of the Insurance Law of New York as a Reinsurance Intermediary.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist