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Missouri Self-Insurers Association Membership

To apply and pay for membership, fill out the form below and when completed you will be forwarded to Authorize.net for payment, or if you are mailing in your application complete the printed application and send with payment to:

MSIA
P.O. Box 246
Jefferson City, MO 65102

ACTIVE MEMBERS 
Missouri Businesses that self-insure workers’ compensation liability.

AFFILIATE MEMBERS (non-voting status)
Any person, firm, corporation, or private or public entity which is currently qualified as an employer as provided for in the Missouri Workers’ Compensation Law which is also not currently a certified self-insurer, but which has insured its liability under the Missouri Workers’ Compensation Law with a duly qualified insurer licensed to do business in Missouri, and which company also has a minimum self-insured deductible amount of $250,000.00 for each claim with said insurance company, as provided for in the Missouri Workers’ Compensation Law, shall be eligible for membership in the Association as an Affiliate Member.  

ASSOCIATE MEMBERS (non-voting status)
Organizations (claims service agencies, attorneys, etc.) representing employers who are self-insured under Missouri law.


Active Members



Affiliate Members (non-voting status)



Associate Members (non-voting status)





If you are a new member, please provide a username and password for accessing the Member Only area. If you are renewing please select a new username and password or provide again what you have been using.

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Mobirise

Missouri Self-Insurers Association

Contact Us

101 East High Street, Suite 200

Jefferson City, MO 65102

info@mo-msia.com

573-634-5858

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