Become a Member

First Name:*
Last Name:*
Name as it should appear on tag*
Password*
Enter Password Confirm Password
Type*
- New
- Transfer*
- Re-Entry**
Professional Discipline*
- Accountant
- Actuary
- Administrator (TPA) Health & Welfare
- Administrator (TPA) Retirement Plans
- Administrator of Both Health & Welfare and Retirement Plans
- Legal
Investments*
- Advisor
- Client Services
- Marketing
- Portfolio Manager
Consultant*
- Health & Welfare
- Retirement Plans
- Both
- Other
Plan Sponsor*
- Administrator
- Management
- Finance
- Other
Insurance*
- Health & Welfare
- Retirement Plans
- Both
- Other
Trust*
- Administrator
- Marketing
- Finance
- Other
Company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Fax
Title*
Description of duties/responsibilities relating to Employee Benefits*
Approximate percentage of time devoted to Employee Benefits*
Sponsoring LEBC Member*
Membership Dues:Payment Date: Dues Payment*
- Jan. 1-Jun. 30 $ 395.00 (dues through 12/31)
- Jul. 1-Oct. 31 $197.50 (dues through 12/31)
- Nov. 1-Dec. 31 $ 460.00 (includes next year’s dues)
Sub-Council Membership Dues*
- Retirement Plan Sub-Council
- Heath and Welfare Sub-Council
Total
Price: $0.00
Total
Price: $0.00
Total
Price: $0.00