Vermont Membership Application

Active Membership (Agent or Broker)

# Premium volume Dues amount
1 1-5 employees $565
2 6-12 employees $770
3 13-18 employees $1,030
4 19+ employees $1,495

Associate Membership

# Category Dues amount
1 Life agent (100 percent life, accident and health) $360
2 E&S broker $360
3 Insurance company $750
4 Other $360

Want to apply using a check or by mail? Click here for the application in pdf form!

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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

Number of Employees

**Employees include all agency staff at all locations, including owners, producers, CSRs and clerical staff. Part-time employees working less than 30 hours per week, should be counted as half an employee.