2023 KSIA Membership Dues

Member Information

Type	Fee
Self-Insurer (Number of Employees: Below 100)	$150.00
Self-Insurer (Number of Employees: 101-200)	$300.00
Self-Insurer (Number of Employees: 201-500)	$500.00
Self-Insurer (Number of Employees: 501-1000)	$800.00
Self-Insurer (Number of Employees: 1001-2000)	$1,250.00
Self-Insurer (Number of Employees: Over 2000)	$1,250.00
Associate Member (provides administrative or other services to a self-insured employer)	$400.00
Self-Insured Group	$1,250.00

Pay with Credit Card
Pay By Check
Please make check payable to:
Kentucky Self-Insurers Association
5932 Timber Ridge Drive Suite 101
Prospect, KY 40059