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Plan Sponsor Council of America
Application for Credentialed Membership Reinstatement
All credentialed members are subject to continuing education requirements of 24 credits (including 2 credits in Ethics/Professionalism) each two-year cycle. Membership in PSCA must be renewed annually to retain credentials. For exceptions, please refer to the PSCA Continuing Education (CE) page at https://www.psca.org/education/psca-ce-policy/
Name:
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Prefix
First
MI
Last
Company:
(provide company name, even if home address is noted below)
Company Owner’s Name(s)
Title:
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I am the owner
Address Type
Home
Business
Address
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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:
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CPSP® (Certified Plan Sponsor Professional)
Which position best describes your job function?
*
Benefits Manager/Administrator
Chief Financial Officer
Controller
HR Manager/Director
Legal Counsel
Pension Consultant
Plan Administrator
Treasurer
Other
Which business most closely describes your place of employment?
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Academic Services
Accounting Firm
Banking
Biotech
Church/Religious Org
Construction
Education
Engineering
Government
Healthcare
Hospitality
Insurance
Legal Services
Manufacturing
Media
Non-Profit Organization
Publishing
Real Estate
Technology
Transportation
Utility
Other
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?
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Yes
No
If yes, explain.
*
*
I have read the PSCA Code of Professional Conduct and 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. The PSCA Code of Conduct can be found online: https://www.psca.org/footer/code-of-conduct/
Signature
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Clear
Date:
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MM
/
DD
/
YYYY
Membership Dues
Dues are paid on a calendar year cycle.
Payment Information - Credential Maintenance Fee:
*
Credential Maintenance Fee: $180
Reinstatement Fee: $0
I am paying by:
Check
Credit Card
Credit Card Type:
Mastercard
Visa
Amex
Discover
Name as it appears on card:
First
Last
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 NAPA 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 2026, 18% of your dues are non-deductible in accordance with this provision.
Total
$0.00
