Member Application

Instructions

Please complete our membership application form. Once you submit your application, it will go through the approval process on our end. You will receive an email from the Membership Services Coordinator once your membership is active with instructions on next steps.

Select An Option

Membership Investments

Select Level

You have the option to pick which investment best suits your needs.

$1500 per year

Access to Member Benefits
Get special healthcare insurance rates from IU Health Plans
Featured positioning in our website directory

$750 per year

Access to Member Benefits
Get special healthcare insurance rates from IU Health Plans
Banner Ad for 3 Months on our website

$350 per year

Access to Member Benefits
Get special healthcare insurance rates from IU Health Plans
Access to publish press-releases on our website

$200 per year

Access to Member Benefits
Get special healthcare insurance rates from IU Health Plans

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

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