CICA Membership Application Form
CICA membership terms run from January 1 through December 31 each year. If you join after January 31, your dues will be prorated and your savings will be credited to reduce the cost of next year’s membership.
Once a primary representative is designated from your company, additional representatives may choose the Affiliate Member rate.
Captive Owner/Captive Manager/Risk Retention Primary Member
— Primary job duties are owning, administering or managing a captive insurance company or risk retention group. Captive Primary Member has voting rights.
Captive Owner/Captive Manager/Risk Retention Affiliate Member
— Individual is employed at a company that has another individual as a captive owner/captive manager/risk retention member. Affiliate members do not have voting privileges.
Service Provider Primary Member
— Individual whose primary business is acting as a service provider to captive insurance companies, risk retention groups or the designated representative of an owner. Service provider members do not have voting privileges.
Service Provider Affiliate Member
— Individual is employed at a company that has another individual as a service provider member. Affiliate members do not have voting privileges.
— Individual employed full-time at an academic institution. This rate is intended for college professors or other teaching professionals (not risk management professionals or others whose primary function is something other than teaching at the collegiate level). Academic members do not have voting privileges.
Membership dues must be paid in U.S. dollars, drawn on a U.S. bank. CICA is a 501(c)(6) organization — Federal Tax ID #23-7179221. A small portion of your dues are budgeted to be used for lobbying expenses. In accordance with the IRS Coe 162(e), approximately 90% of your dues may be deductible as an ordinary and necessary business expense. Dues are not deductible as a charitable contribution. Consult a tax advisor for a final determination.