New York Membership Application

Active Membership (Agent or Broker)

# Premium volume Dues amount
1 1,000,000 and under $735
2 1,000,001 to 2,000,000 $900
3 2,000,001 to 3,000,000 $1,160
4 3,000,001 to 4,000,000 $1,320
5 4,000,001 to 5,000,000 $1,440
6 5,000,001 to 7,500,000 $1,550
7 7,500,001 to 10,000,000 $1,670
8 10,000,001 to 15,000,000 $1,820
9 15,000,001 to 20,000,000 $1,960
10 20,000,001 to $50,000,000 $3,000
11 50,000,001 And Up $5,000

Associate Membership

# Category Dues amount
1 Life agent (100 percent life, accident and health) $500
2 Insurance company $900
3 Other $550

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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In anticipation of an unforseen crisis causing loss of power and communication with your business, PIA is accepting emergency mobile phone numbers with the sole purpose of reaching you to offer PIA services related to that event. This information will be kept private and is to be used only if we are unable to reach you.

Login Information

Password Creation Rules Passwords must be at least 8 characters long, must contain both a letter (a-z or A-Z) and number (0-9), and cannot contain the word "password" since it is the most commonly used password in the world, and is therefore easily guessed.

Additional Details

Principal type of business

Membership type

Standard membership
Premium volume