Connecticut Membership Application

Active Membership (Agent or Broker)

#	Premium volume	Dues amount
1	1,000,000 and under	$870
2	1,000,001-2,000,000	$720
3	2,000,001-3,000,000	$1,065
4	3,000,001-4,000,000	$1,180
5	4,000,001-5,000,000	$1,260
6	5,000,001-7,500,000	$1,330
7	7,500,001-10,000,000	$1,700
8	10,000,001 and up	$1,830

Associate Membership

#	Category	Dues amount
1	Life agent (100 percent life, accident and health)	$475
2	E&S broker	$675
3	Insurance company	$675
4	Other	$510
5	Benefits of becoming a Silver Strategic Partner: $1,800 Associate membership Listing on PIA's website as a Silver Partner Recognition as a Silver Partner at PIA events, including the annual convention and education programs throughout the year PIA magazine and PIA Reporter recognition as a Silver Partner (monthly) A free PIACT Annual Convention trade show booth OR Tier 3 sponsorship (valued at up to $600; selection based on availability) One free, half-page ad in PIA magazine(two-color) PIA custom-created e-promotion on your sponsorship to send to your agents
6	Benefits of becoming a Gold Strategic Partner: $3,000 Associate membership Listing on PIA's website as a Gold Partner Recognition as a Gold Partner at PIA events, including the annual convention and education programs throughout the year PIA magazine and PIA Reporter recognition as a Gold Partner (monthly) A free PIACT Annual Convention trade show booth AND Tier 2 sponsorship (valued at up to $1,000; selection based on availability) One free, full-page ad in PIA magazine(two-color) PIA custom-created e-promotion on your sponsorship to send to your agents
7	Benefits of becoming a Platinum Strategic Partner: $4,000 Associate membership Listing on PIA's website as a Platinum Partner Recognition as a Platinum Partner at PIA events, including the annual convention and education programs throughout the year PIA magazine and PIA Reporter recognition as a Platinum Partner (monthly) A free PIACT Annual Convention trade show booth AND Tier 1 sponsorship (valued at up to $2,100; selection based on availability) One free, full-color, full-page ad in PIA magazine PIA custom-created e-promotion on your sponsorship to send to your agents

Independent agency: Apply using a check or by mail - Get the fillable PDF application.

Company/vendor: Apply using a check or by mail - Get the fillable PDF application.

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