EmailMeForm
American Society of Enrolled Actuaries (ASEA)
Application for Credentialed Membership Upgrade/Addition
All members must meet JBEA requirements. Membership in ASEA must be renewed annually to retain credentials.
Name
*
Prefix
First
MI
Last
Company:
*
(provide company name, even if home address is noted below)
Title:
*
I am the owner
Address Type:
*
Home Address
Business Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Work Phone
*
###
-
###
-
####
Home Phone
###
-
###
-
####
Home ZIP Code (for government affairs purposes):
Work Email Address:
*
Personal Email Address
Application for:
*
MSEA (Member, Society of Enrolled Actuaries)
JBEA Enrollment No:
*
I understand that to be considered for MSEA membership in the American Society of Enrolled Actuaries (ASEA) and the American Society of Pension Professionals & Actuaries (ASPPA) I must have high ethical standards and must not be under investigations or have had sanctions imposed against me by the Actuarial Board for Counseling and Discipline (ABCD). I hereby give my consent to the American Society of Pension Professionals & Actuaries to verify my status with the ABCD. I further understand that my membership application/reinstatement may be rejected or put on hold if I am under investigation by the ABCD or pending a disciplinary proceeding by any other ABCD organization.
Signature
*
Clear
Date Time
*
MM
/
DD
/
YYYY
Code of Conduct:
Have you been found guilty of a felony, violation of insurance or securities regulations or any violation of the code of ethics of any professional or business
organization?
*
Yes
No
If yes, please explain.
*
I have read the ASPPA Code of Professional Conduct and the Code of Professional Conduct for Actuaries. If my application is accepted I agree to abide thereby. I certify that the information provided in this application is true and correct to the best of my knowledge. (If you do not have a copy of the ASPPA Code of Professional Conduct, please call the ASEA office at 703.516.9300 to request one.)
Signature
*
Clear
Date:
*
MM
/
DD
/
YYYY
Payment Information:
$100 Application Processing Fee
I am paying by:
*
Check
Credit Card
Credit Card Type:
*
Mastercard
Visa
Amex
Discover
Name as it appears on card
*
First
Last
Credit Card Payment
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
Protected in vault
Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Signature
*
Clear
Check Payments:
Paying by check? Please print a copy of your completed application and send with check payment to: ASPPA, P.O. Box 34725, Alexandria, VA, 22334-0725.
Questions? Please call us at 703-516-9300.
Tax Deductions:
Dues, contributions or gifts to ASPPA are not deductible as charitable contributions; they may be deductible, however, as ordinary and necessary business expenses. Federal law prohibits a tax deduction for the portion of membership dues attributable to lobbying expenses incurred by the organization. Consequently, for 2025, 18% of your dues are non-deductible in accordance with this provision.
Total
$0.00
