Application for Membership:

Insurance Regulatory Examiners Society

12730 S. Pflumm Road

Suite 102

Olathe, Kansas 66062

Phone: 913-768-4700

Fax: 913-768-4900

Please fill out all fields, print and sign:

Full Name:
Permanent Address: (If a business, please provide complete business name and mailing address.)
Permanent Telephone:	Permanent Fax:	Permanent E-mail:
Job Title:		Employer:
State/Federal Agency Declaration (see instruction No. 2 below):
Type of Membership Applied For: (Check One) New General Member $70.00 Former General Member, Reactivating Membership (See #3 Below) Current Member Applying for "Retired" Status       (See #4 Below and provide a brief description of your current situation)
I hereby certify that I am currently involved in the regulation of insurance company operations or products with the above-named agency, and that at least 75% of my professional time is spent working on behalf of a state or federal insurance regulatory agency.
Sign:		Date:

1. Salaried government regulators:

Any person employed by or employed on a salaried basis with a state/federal insurance regulatory agency is eligible for membership, provided said person's responsibilities include examination, either in the field or the office, of insurance company products and/or operations.

2. Contract regulators:

A regulator employed under contract or appointment by a state/federal regulatory agency, as defined in the Society's bylaws, may also seek membership if such employment represents at least 75% of the examiner's work. Each applicant for IRES membership must designate a primary state for which the applicant does regulatory work, even if the applicant is an independent examiner whose work assignments change regularly.

3. Former members:

Those former members of IRES holding AIE or CIE designations who wish to re-join IRES will be required to pay dues and continuing education fees designated for AIEs and CIEs, and to comply with all current mandatory continuing education requirements in order to maintain such designations. Questions regarding the National IRES Continuing Education (N.I.C.E.) Program may be directed to the special N.I.C.E. telephone number at the IRES office at 913-768-NICE (6423).

4. Retired status:

IRES "retired" status is reserved for any member who has ceased to be actively engaged in any aspect of the field of insurance. Retired members are entitled to reduced annual dues (see below).

5. Non-voting member:

General members of IRES who leave regulation to work in the insurance industry may apply for non-voting general membership. Non-voting members pay full annual dues. They also may maintain their AIE/CIE designations, providing they remain in compliance with IRES continuing education requirements.

6. Dues levels:

A check made payable to INSURANCE REGULATORY EXAMINERS SOCIETY should accompany each application. Annual dues are: $70 for a general member without a designation, $95 for a general member with an AIE designation, $105 for a general member with a CIE designation and $40 for a retired member.

Annual renewal dues are payable January 1. Dues payments made after October 1 will cover membership through the end of the next full calendar year.