Member Application

Organization Information

LIDMA is open to Direct Marketers, BGAs, IMOs, Financial Institutions, Paramedical Companies, Technology Providers and all Life Insurance and Reinsurance Companies that are committed to the life insurance direct marketing distribution channel.

Official Representative to LIDMA

Please provide the name and title of the one individual in your company
who will be the official representative to LIDMA, authorized to cast your
company’s vote on appropriate matters.

Other Representatives

Up to three (3) other personnel in your company may become non-voting
members at no extra charge, and be eligible to participate in association
activities at member rates.

Legal Officer

Who in your company has the chief responsibility for legal and
regulatory matters?