Membership Application

Membership Benefits

Advocacy of issues with broad interest to self-insured and high deductible employers.
Have a voice in workers’ compensation legislation in our state.
MSIA has a valued working relationship with the Michigan Workers’ Disability Compensation Agency.
Best practice insights and ideas for managing employee disability.
Learn about sound and conservative self-insurance.
Understand workers’ compensation law and proposed changes.
Free educational resources benefiting all experience levels.
Post job listings to MSIA Job Board for free.
MSIA interfaces with the National Council of Self-Insurers, as well as governmental and privately funded organizations, to address issues of national importance to members.
Discover resources and vendors to make your job easier.
Discounts to our two annual conferences.
Networking opportunities with other self-insured organizations.

Annual Membership Application

Member Organization Information

Organization Name(Required)

Representative Name(Required)

First Last

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Company Website

Description of Product or Service

How did you hear about MSIA?

Annual Membership

Type of Membership(Required)

For "Attorney" membership, the membership is for an individual and will not include anyone else from your firm. For "Self-Insured Employer or Group Fund" and "Vendor" memberships, the membership applies to all employees within your company.

Additional Employees

If additional employees would like to receive MSIA conference information, please provide name and email address. Please add 1 employee per line: (Name, Email)

Additional Employees

If additional employees would like to receive MSIA conference information, please provide name and email address. Please add 1 employee per line: (Name, Email)

Transaction Details

Order Total

Order Total Reflects Proated Membership Dues

Payment Method(Required)

Pay by Check (You will receive an Invoice)

Pay by Credit Card

Billing Email(Required)

If paying by check this is where we will send an invoice. If paying by credit card, this email will receive the transaction receipt.

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

All cancellations will be subject to a fee of 10% of the total purchase price.

Questions? Reach out to Association Guidance, our Event Partner, at 517-333-3628, or email us at miselfinsurers@gmail.com