Join TPA Today - Become a Class A Superero

Join - Class A

Congratulations! You qualify for a Class A Membership at an annual price of $41.80*. Class A Membership has many benefits including: Accident & Disability Benefits, Community Connectedness, Hotel Discounts and more. Complete your sign-up today!

*Plus a one time membership fee of $5.00 and an online convenience fee.

Please fix all highlighted fields before submitting your join application.

Applicant Information

Gender

At least the First and Last name fields must be filled out to submit your join application.

Name

Prefix First Last Suffix

The email address must be filled out before submitting your join application.

Email*

The phone number must be filled out before submitting your join application.

Phone*

You must be 18 or over and under the age of 65 to qualify for a Class A membership.

The date of birth must be filled out before submitting your join application.

Date of Birth*

Address*

The street address must be filled out before submitting your join application.

Street Address*

Address Line 2

The city and state must be filled out before submitting your join application.

You must live in an eligible state to submit your application. The only states eligible are Arizona, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, West Virginia, Virginia, Washington and Wisconsin

City State

The zip code must be filled out before submitting your join application.

Zip*

Have you ever been a member of TPA before?*

Yes

You must select your division before submitting your join application.

Division*

You must select your post before submitting your join application.

Post*

Beneficiary Information

Qualified beneficiaries are as follows: spouse, relative by blood to the fourth degree, ascending or descending, father-in-law, mother-in-law, son-in-law, daughter-in-law, step-father, step-mother, step-children, children by legal adoption, a members’ trust, a members’ estate, the TPA Hearing Trust, or person or persons dependent upon the member.

The beneficiary's full name must be filled out before submitting your join application.

Beneficiary's Full Name*

The beneficiary's relationship must be filled out before submitting your join application.

Beneficiary's Relationship to Applicant*

Beneficiary's Address* Same Address as Applicant

The beneficiary's street address must be filled out before submitting your join application.

Beneficiary's Street Address*

Beneficiary's Address Line 2

The beneficiary's city and state must be filled out before submitting your join application.

Beneficiary's City Benfeficiary's State

The beneficiary's zip code must be filled out before submitting your join application.

Beneficiary's Zip*

Payment Details

Membership Cost

Terms and Conditions

Website Terms and Conditions of Use

These terms of use ("Terms") describe the terms and conditions applicable to your access and use of this web site (this "Web Site"), which is operated by and on behalf of the Travelers Protective Association ("TPA"). By using this Web Site, you are accepting and agreeing to these Terms. If you do not agree to all of these Terms, do not use this Web Site. TPA may modify this Web Site and the rules and regulations governing its access and use, at any time. Any modification will be included in these Terms, so please check back when you use the Web Site. By continuing use of this Web Site after such changes are posted, you will be deemed to have accepted such changes. Scope of Use TPA invites you to view, use and download materials at this Web Site for your informational, non‐commercial use, provided that you leave all the copyright notices or other proprietary notices intact. You may not store, modify, reproduce, transmit, distribute, repost, publicly display or otherwise use any content on this Web Site, or the design or layout of this Web Site or individual sections of it, in any form or media except with the express prior written permission of TPA. The commercial use, reproduction, reposting, public display, transmission or distribution of any information, software, logo or other material available through this Web Site without the prior written consent of TPA is strictly prohibited. You understand that TPA may, at any time, for any reason and without notice, discontinue, change or restrict your use of this Web Site and make changes in the products and/or services described in this Web Site. Eligibility for Insurance Products and Services Not all of the products or services described on this Web Site are available in all geographic areas of the United States. You may not be eligible for all of the insurance products or services described in this Web Site. TPA reserves the right to determine all eligibility for such products or services in its sole discretion. No Professional Advice The information available on this Web Site is intended to be a general information resource regarding the matters covered, but is not offered as legal, accounting or other professional advice, and is not tailored to your specific circumstance. You should evaluate all information, opinions and advice available on this Web Site in consultation with your insurance agent. No Warranties This Web Site, and any products or services available through this Web Site (collectively, "Materials") are provided to you on an "AS IS," "AS AVAILABLE" BASIS WITHOUT WARRANTY OF ANY KIND EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, QUIET ENJOYMENT, SYSTEMS INTEGRATION, ACCURACY, AND NON‐INFRINGEMENT. TPA DOES NOT ENDORSE NOR MAKE ANY WARRANTY AS TO THE ACCURACY, COMPLETENESS, CURRENCY, OR RELIABILITY OF THE MATERIALS. TPA makes no representations or warranties that use of the Materials will be uninterrupted or error‐free. You are responsible for taking all necessary precautions to ensure that any Materials you may obtain are free of viruses or any other harmful components. This warranty disclaimer may be different in connection with specific products and services offered by TPA. The information and descriptions contained herein are not necessarily intended to be complete descriptions of all terms, exclusions and conditions applicable to the products and services, but are provided solely for general informational purposes; please refer to the actual policy or the relevant product or services agreement for the governing terms. Some states do not allow the disclaimer of implied warranties, so the foregoing disclaimer may not apply to you if you are a resident of any such state. You may also have other legal rights that vary from state to state. Limitation of Liability Your use of the Materials is at your own risk. TPA SPECIFICALLY DISCLAIMS ANY LIABILITY, WHETHER BASED IN CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY OR OTHERWISE, FOR ANY DIRECT, INDIRECT, INCIDENTAL, CONSEQUENTIAL, OR SPECIAL DAMAGES ARISING OUT OF OR IN ANY WAY CONNECTED WITH ACCESS TO, USE OF OR RELIANCE ON THE MATERIALS (EVEN IF TPA OR A TPA REPRESENTATIVE HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES) OR THAT ARISE IN CONNECTION WITH MISTAKES OR OMISSIONS IN, OR DELAYS IN TRANSMISSION OF, INFORMATION TO OR FROM THE USER, INTERRUPTIONS IN TELECOMMUNICATIONS CONNECTIONS TO THIS WEB SITE OR VIRUSES THAT MAY INFECT YOUR COMPUTER EQUIPMENT OR OTHER PROPERTY, WHETHER CAUSED IN WHOLE OR IN PART BY NEGLIGENCE, ACTS OF GOD, TELECOMMUNICATIONS FAILURE, THEFT OR DESTRUCTION OF, OR UNAUTHORIZED ACCESS TO THIS WEB SITE OR THE MATERIALS. This limitation of liability may be different in connection with specific products and services offered by TPA. Some states do not allow the limitation of liability, so the foregoing limitation may not apply to you. Trademarks Nothing contained on this Web Site should be construed as granting, by implication, estoppel, or otherwise, any license or right to use any trademark displayed on this Web Site without the prior written permission of TPA. Unauthorized use of any TPA trademarks, service marks or logos is strictly prohibited and may be a violation of federal and state trademark laws. Copyright This Web Site is protected by U.S. and foreign copyright laws. Except as expressly provided under "Scope of Use" section above, you may not use, reproduce, modify, transmit, distribute, publicly display or perform this Web Site without TPA's prior written permission. Visitor Submissions By providing information or materials to this Web Site (other than personal information subject to TPA Privacy Policy), you grant to TPA an unrestricted, irrevocable, worldwide, royalty‐free license to use, reproduce, display, publicly perform, and transmit such information and materials for any purpose, including without limitation, disclosing any such information and materials as necessary to satisfy any law, regulation, or governmental request. You are prohibited from submitting or transmitting any emails or materials through this Web Site that (A) are racist, supportive of terrorist activities, defamatory, libelous, unlawfully threatening or unlawfully harassing; (B) contain nudity, violence, or offensive subject matter or contains a link to an adult website; (C) solicit personal information from anyone under eighteen (18) years of age; (D) harass or advocate harassment of another person; (E) infringe any third party’s copyright, trademark, service mark, trade secret, or other proprietary rights or rights of publicity or privacy; (F) include a photograph of another person that you have posted without that person’s consent; (G) promote information, material, or content that you know is false or misleading or promotes illegal activities or conduct that is abusive, threatening, obscene, defamatory, libelous, obscene, scandalous, inflammatory, pornographic, or profane material, or any other content that could give rise to any civil or criminal liability under the law; (H) involve the transmission of "junk mail," "chain letters," or unsolicited mass mailing, instant messaging, or "spamming"; or (I) violate any law or regulation (including without limitation those governing consumer protection, unfair competition, anti‐ discrimination or false advertising). TPA shall not be subject to any obligations of confidentiality regarding any information or materials that you submit except as specified in TPA Privacy Policy, as set forth in any additional terms and conditions relating to specific products or services, or as otherwise specifically agreed or required by law. Prohibited Actions You cannot: (a) decompile, reverse engineer, disassemble, or modify this Web or create derivative works based upon this Web Site or any part thereof; (b) disable any licensing or control features of this Web Site; (c) introduce into this Web Site any virus or other code or routine intended to disrupt or damage this Web Site, or alter, damage or delete any Materials, or retrieve or record information about this Web Site or its users; (d) merge this Web Site or Materials with another program or create derivative works based on this Web Site or Materials; (e) remove, obscure, or alter any notice of the copyright or other proprietary legends on this Web Site or Materials; (f) sublicense, assign, translate, rent, lease, lend, resell for profit, distribute or otherwise assign or transfer the Materials or access to this Web Site to others; (g) use, or allow the use of, this Web Site or the Materials in contravention of any federal, state, local, foreign or other applicable law, or rules or regulations of regulatory or administrative organizations; or (h) otherwise act in a fraudulent, illegal, malicious or negligent manner when using this Web Site. Except as expressly provided herein, TPA reserves all rights with respect to this Web Site, and may pursue all legally available options under both civil and criminal laws (and may cooperate with law enforcement agencies) in the event of any violations. Third‐Party Services Certain commercial services, products and discounts may be offered by third parties through this Web Site. TPA is not and will not be responsible for (i) the terms and conditions of any transaction between you and any such third party, (ii) any insufficiency of or problems with any such third party's background, insurance, credit or licensing, (iii) the quality of such products or the services performed by any such third party or (iv) any other legal liability arising out of or related to the performance of such services or the purchase of such products. Because we are not involved in the actual transaction between you and any such third party, in the event you have a dispute with any such third party, you release TPA and its affiliates, agents, and employees from any and all claims arising out of or in any way connected with such disputes. If you are a California resident, you waive the California Civil Code 1542, which says: "A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor." Links TPA offers links to other web sites operated by other entities as a convenience to you. TPA makes no representation regarding the content or accuracy of any web site that you may access through this one. TPA does not monitor and is not responsible for the content found on other web sites that are linked from this Web Site. Inclusion of these links on this Web Site does not imply endorsement, recommendation or sponsorship for any linked web site or the services, products or advice described on the site. The views, opinions, statements, offers or other information or content expressed therein are those of the respective author(s) or distributor(s) and not TPA. TPA reserves the right to terminate a link to a third party web site at any time. The third party sites are not controlled by TPA, and may have different terms of use and privacy policies, which TPA encourages you to review. If you wish to link to this Web Site, unless otherwise set forth in a written agreement between you and a TPA company, you must adhere to TPA' linking policy as follows: (i) any link to this Web Site must be a text only link, (ii) the appearance, position and other aspects of the link may not be such as to damage or dilute the goodwill associated with TPA' names and trademarks, (iii) the link must "point" to the URL and not to other pages within this Web Site, (iv) the appearance, position and other attributes of the link may not create the false appearance that your organization or entity is sponsored by, affiliated with, or associated with TPA, (v) when selected by a user, the link must display this Web Site on full‐screen and not within a "frame" on the linking web site, and (vi) TPA reserves the right to revoke its consent to the link at any time and in its sole discretion. Email Email submissions over the Internet may not be secure and are subject to the risk of interception by third parties. Please consider this fact before emailing any personal or confidential information. Violations and Additional Policies TPA reserves the right to seek all remedies available at law and in equity for violations of the Terms for use of this Web Site, including the right to block access from a particular Internet address to this Web Site. Governing Law, Location and Miscellaneous These Terms shall be governed in all respects by the laws of the State of Missouri USA, without reference to its choice of law rules. The Web Site is operated on behalf of the TPA companies from their offices in St. Charles, Missouri. TPA makes no representation that the content of this Web Site is appropriate or available for use in other locations, and access to this Web Site from territories where the content of this Web Site may be illegal is prohibited. Those who choose to access this Web Site from other locations do so on their own initiative and are responsible for compliance with applicable local laws. These Terms and all documents incorporated herein by reference constitute the entire agreement between TPA and you with respect to this Web Site. Should any provision of these Terms be held invalid, unlawful or for any reason unenforceable, then the invalid, unlawful or unenforceable provision shall be severable from the remaining provisions. Such invalid, unlawful or unenforceable provision shall not affect the validity or enforceability of the remaining provisions. Use of This Web Site by Children TPA does not intend to market any products or services to children and does not knowingly collect personal information or make any active effort to collect personal information from children and does not wish to receive such information. TPA requires that Web Site users must be of legal age to enter into agreements (typically, at least eighteen (18) years of age or older). Indemnification You agree to defend and indemnify TPA from any and all third party claims, liability, damages, expenses and costs (including, but not limited to, reasonable attorneys fees) caused by or arising from your use of this Web Site or the Materials in a manner not expressly authorized by these Terms of Use or that violates these Terms of Use, any law, or the rights of a third party. Disclosures Not all products are available in all states. Consult your tax or legal advisor regarding your personal situation. Any posts that contain inappropriate, abusive, redundant or irrelevant comments may be removed at our discretion. TPA does not endorse, nor is responsible for, any content provided in posts or links outside of this website. Links to third‐party media, articles and/or websites are for general information purposes only and do not constitute an offer or solicitation of any kind. They are not intended, and should not be relied upon, as investment, insurance or financial advice. Information Storage Authorization You authorize TPA to store any information you provide, including, but not limited to, names, addresses, birth dates, driver’s license numbers, social security numbers, vehicle identification numbers (VINs), Bank Account or Payment Card information. You certify that you are the owner or authorized signer for any Bank Account or Payment Card you provide, and you authorize the financial institution where any such Bank Account or Payment Card is held to honor any withdrawals or charges you authorize.

Applicant's Signature

Please type your first and last name below to electronically sign this document. By signing this you agree that you have read the entire application number Master MO 2-2015 above and that you have read and agree to the terms and conditions

You must fill out the Electronic Signature to submit your application.

The first and last name of your signature must match the first and last name entered above.

First Last