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CICA ACI Membership Application

CICA has supported the International Center for Captive Insurance Education (ICCIE) with a financial contribution since 2009. We are pleased to expand our partnership to support recent ACI recipients in their continuing education goals.

Individuals who receive their ICCIE ACI designation on or after January 1, 2018 are eligible for a free 1-year CICA Membership.

Program Details

Program is retroactive to January 1, 2018
Free 1 year Membership for New ICCIE ACI designees
Membership will extend through next full fiscal year
ACI 1-year free memberships do not permit Affiliate Members
Current CICA Members are not eligible
No other CICA membership promotions can be applied to the free 1-year membership

CICA ACI Membership Application Form

Membership Category(Required)

Captive Owner/Risk Retention

Captive Manager

Service Provider

Academic

Name(Required)

First Last

Job Title(Required)

Business Address(Required)

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

Business Phone Number(Required)

Cell Phone Number

Email(Required)

Website

By signing up for a CICA Membership I understand that I will receive email communications including but not limited to the following: monthly President Letters, topic specific Member Newsletters, CICA Annual Conference Announcements, and Membership Renewal Notices.*(Required)

I understand and agree to receive the email communications noted above.

Membership Pays

Membership Pays

Membership Pays

CICA ACI Membership Application

Individuals who receive their ICCIE ACI designation on or after January 1, 2018 are eligible for a free 1-year CICA Membership.

Program Details

CICA ACI Membership Application Form

Make CICA part of your captive insurance strategy