Association for Responsible Alternatives
to Workers’ Compensation

2015
Membership
Application

arawc.org
richard@arawc.org
(512) 422–5904

The Association for Responsible Alternatives for Workers’
Compensation (ARAWC) was founded in 2013 with the goal of
advocating before state legislatures to allow employers to have the
option of offering alternative benefit plans to traditional workers’
compensation insurance.
ARAWC membership categories and dues levels are listed below. Membership applications are subject to the
approval of the ARAWC Executive Committee.

Full Member ($25,000 annual dues):

Full Members receive one position on the Board of Directors and one vote on issues before the Board of
Directors and the general membership. In addition, a Full Member is eligible to serve in an ARAWC officer
position, to serve as the chairperson of one committee, and may participate as a member on an unlimited
number of committees. Full Members can attend the annual meeting, participate in periodic membership
meetings, receive newsletters and updates on plans and association activities, and have their corporate logos
included on the ARAWC website. Founding Members are considered Full Members.

Sponsoring Member ($10,000 annual dues):

Sponsoring Members receive one vote on issues before the general membership and up to two positions on
committees. Sponsoring Members can attend the annual meeting, participate in periodic membership
meetings, receive newsletters and updates on plans and association activities, and have their corporate logos
included on the ARAWC website.

Associate Member ($5,000 annual dues):

Associate Members receive one position on a committee. Associate Members can attend the annual
meeting, participate in periodic membership meetings, receive newsletters and updates on plans and
association activities, and have their corporate logos included on the ARAWC website.

Friends of ARAWC ($1,000 annual dues):

This membership level is limited to employers with fewer than 100 total employees or more than 90% of total
operations in a single state. Friend Members can attend the annual meeting, participate in periodic
membership meetings, receive newsletters and updates on plans and association activities, and have their
corporate logos included on the ARAWC website.

 2015 Membership
Application

Association for Responsible Alternatives
to Workers’ Compensation

Company: ______________________________________________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________________________________________________
City: _______________________________________________________________________________

ST: _________________

ZIP: __________________________________

Contact: __________________________________________________________________ Title: __________________________________________________________________________
Phone: _______________________________________________________________ Email: ______________________________________________________________________________
Alt. Contact: __________________________________________________________________ Title: ____________________________________________________________________

R

R

R

FR

AS

5k

EMBE

A

I provide ARAWC permission to use
my company’s name in marketing and
legislative materials.

IEND

$

1k

F

$

M

M

M

EMBE

C
SO I A

O

10k

G

25k

EMBE

NSOR

$

TE

FULL

$

IN

Level:

SPO

Phone: _______________________________________________________________ Email: ______________________________________________________________________________

R AWC

FULL
ME MBER

SPONSORING
ME MBER

A SSOCIATE
ME MBER

FRIEND OF
AR AWC

$25,000

$10,000

$5,000

$1,000*

Attends Annual Meeting

Yes

Yes

Yes

Yes

Receives Newsletters/Updates

Yes

Yes

Yes

Yes

Logo on ARAWC Website

Yes

Yes

Yes

Yes

Participates in Periodic
Membership Meetings

Yes

Yes

Yes

Yes

Unlimited

Two

One

None

Yes

No

No

No

Annual Dues

Number of
Committee Positions
Eligible to be a
Committee Chair

(one position)

Voting Member/
General Membership

(one vote)

(one vote)

Yes

No

No

Voting Member/
Board of Directors

(one vote)

Yes

No

No

No

Yes

No

No

No

Yes

No

No

No

Board Member
Eligible for an
Officer Position

Yes

(one position)

(one position)

* Friend membership is limited to employers with fewer than 100 total employees or more than 90% of total operations in a single state.

Mail Check & Application to: ARAWC, PO Box 340625, Austin, TX 78734 or jessica@arawc.org