New York Membership Application

Active Membership (Agent or Broker)

Premium volume		Dues amount

1,000,000 and under		$820
1,000,001 to 2,000,000		$1,005
2,000,001 to 3,000,000		$1,280
3,000,001 to 4,000,000		$1,450
4,000,001 to 5,000,000		$1,580
5,000,001 to 7,500,000		$1,700
7,500,001 to 10,000,000		$1,825
10,000,001 to 15,000,000		$1,985
15,000,001 to 20,000,000		$2,130
20,000,001 To $50,000,000”		$3,100
$50,000,001 And Up”		$5,150

Associate Membership

Category		Dues amount

Life agent (100 percent life, accident and health)		$530
Insurance company		$955
Other		$580

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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Contact information

Emergency Mobile Phone Contact

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.