Membership Applications

Firms interested in WSIA membership must submit a completed application and two completed reference forms. Please select the appropriate application from the following section to download. Adobe Acrobat Reader, available free from Adobe is required to view the application. Please review the criteria pages of the website or the criteria section of the application packet.

U.S. Wholesale Member

A U.S. Wholesale Member is a sole proprietorship, partnership, corporation licensed in at least one jurisdiction within the United States as a broker, agent, managing general agent, program administrator, or entity with delegated underwriting authority that is engaged in the insurance business principally as a wholesaler. U.S. Wholesale Members must transact a substantial portion of their insurance business with unaffiliated firms.

Download U.S. Wholesale Member application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Insurance Market Member

A U.S. Insurance Market Member is a risk-bearing entity incorporated or organized in any jurisdiction within the United States and engaged in the underwriting of insurance or having delegated underwriting authority and selling principally through wholesalers. U.S. Insurance Market Members must transact a substantial portion of their insurance business with unaffiliated firms. Managing general agents and underwriting managers may be accepted if they have delegated underwriting authority with at least one market that is an existing U.S. Insurance Market Member or Associate Member. This category shall include, but is not limited to, insurance companies and managing general agents or underwriting managers selling to U.S. wholesalers.

Download U.S. Insurance Market Member application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Associate Member

An Associate Member is an individual, firm or organization that does not qualify for U.S. Wholesale Membership or U.S. Insurance Market Membership, but who represents a valid insurance provider to U.S. Wholesale Members or U.S. Insurance Market Members and is principally committed to supporting the U.S. wholesale insurance distribution system. This category shall include, but is not limited to, non-U.S. brokers, agents, managing general agents or program administrators, non-U.S. risk bearers, syndicates or managing agencies, reinsurers, reinsurance intermediaries, or other similar wholesalers or insurance market entities.

Download Associate Member Application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Service Member

A Service Member is an individual, firm or organization that does not qualify for voting membership, but supplies services to voting members and supports the U.S. wholesale insurance distribution system. This category shall include, but is not limited to, consultants, inspection firms, law firms, media, and other professional associations, software vendors, Stamping Offices, Surplus Lines Associations and third party administrators.

Download Service Member Application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Please review the entire application and note what additional items are required to be submitted to complete the application file. Incomplete files will not be reviewed.

Deadlines

Deadlines to submit completed application files are:
  • January 19 for February 2018