REGISTRATION FORM
PIA MEMBERS:
Cost:
FREE
NonMembers: $25 per credit hour

Please indicate number attending
Personal Lines Class
Thursday
Friday
7 hrs PC
1:00-4:30 pm
8:30-11:30 am
Jam Festival in the Park
Thursday
6:00-10:00 pm
Friday Luncheon – no charge
THANK OUR SPONSORS
Thanks to the generous support of our
PARTNERS IN ACTION
all events are FREE to PIA members.
Utica National Insurance
Chris-Leef General Agency
Columbia Insurance Group
M. J. Kelly Company
Progressive Insurance
Phone
Bremen Farmers’ Mutual Insurance
Cornerstone National Insurance
Encompass Insurance
Farmers Alliance Mutual Insurance
FirstComp
Premium Financing Specialists
Rio National Insurance Services
United Home Insurance
Upland Mutual Insurance
Westrope
Fax
Loss Control Credit Guidelines
Essentials of Life Insurance 3 hrs LHV
Friday
1:00-4:00 pm
Name(s)
Agency/Co
City
MEMBER REGISTRATION
Fax:
Email:
Online:
785-232-0272
pia@pia.kscoxmail.com
www.kansaspia.org
NonMembers:
Mail form with check to
PIA, 103 SE 10th, Topeka KS 66612
Registration Deadline: June 4, 2010
Questions? Email: pia@pia.kscoxmail.com or
Phone 785-232-4143 Toll Free 800-836-7387
Please note: As food is involved, if you need to
cancel please call the PIA. A confirmation will be
sent once your registration is received.
Utica Policyholders: To receive the Loss Control
Credit the following number of staff need to
attend.
Staff Size 1-3
4-10
11-20
21+
Principal or CSR
Principal and CSR
Principal and 2 CSR’s
20% of Staff
Liberty Agents Policyholders: Loss Control Credit
is based on number of staff in attendance.
5% for 5% to 10% of staff in attendance
8% for 11% to 50% of staff in attendance
10% for 51% or more of staff in attendance
6th Annual
PIA
SUMMER SCHOOL
& FESTIVAL JAM
in conjunction with the
2010 Smoky Hill River Festival
June 10 & 11, 2010
Courtyard Marriott
Salina, Kansas
 10 hours CE Credits
 CPIA Designation Update
 E&O Loss Control Credit
 Plus, it’s ALL FREE!
Thursday, June 10, 2010
1:00-4:30 pm
Advanced Personal Lines Risk Analysis
for E & O Prevention
Approved for 7 hours PC, a CPIA Update, and
Agents E&O Loss Control Credit – please see the opposite side for attendance requirements.
This seminar, spread over two-days, will combine two distinct topics to enhance the
professionalism and sales excellence of today’s personal lines producers and customer service
personnel. Please know you must attend both Thursday afternoon and Friday morning to
receive any of the credits mentioned above.
“E & O and the Insurance Producer” will discuss an insurance producer’s legal responsibility
to apply effective loss prevention techniques that will benefit personal lines insurance
consumers. Discussion will include: the current causes of errors and omissions in agencies
today; the producer’s responsibility to the insurance company; issues surrounding records
control; and the importance of internal agency controls.
“Using a Personal Lines Questionnaire and Exposure Identification” will introduce
participants to the importance of consistently completing an exposure identification
questionnaire for improved customer service and E & O loss prevention. The needs for a
current and complete questionnaire as an aid to the risk management process will be
discussed followed by a thorough review and discussion of recommended personal lines
checklist items.
6:00 - 10:00 pm
Festival Jam in the Park
Start the festivities by feasting at one, or two, or even three of the many
food vendors setup throughout the park. Then get comfortable in our special
reserved seating area and enjoy an array of live music. With a different band
taking the stage every 20 minutes, there will be music to be enjoyed by
everyone! Transportation and admission to the festival will be provided.
Hotel Accommodations
Room blocks have been secured for Wednesday, Thursday, and Friday nights at the Courtyard
Marriott, 3020 Riffel Drive, 785-309-1300 and next door at the Hampton Inn, 785-823-9800.
Mention Kansas PIA to get our $99 group rate at either hotel. Both room blocks expire June 1st. Please
know the festival draws thousands of visitors to Salina each year and hotel rooms will go quickly
– make your reservations today!
Friday, June 11, 2010
8:00 am
Continental Breakfast
8:30 am11:30 am
Advanced Personal Lines
Risk Analysis for E & O
Loss Prevention continued
Noon
Group Lunch
1 - 4 pm
Essentials of Life
Insurance
Approved for 3 hrs LHV
Life class will cover the following:
 Concepts of Life Insurance
 Concepts of Annuities
 Concepts of Disability
 Concepts of Long Term Care
Our instructor, Mr. Clayton Bush,
CIC, CPIA and LUTC, serves as the Vice
President of Alfa Agency in Alabama. Clayton
obtained a Bachelor of Science degree from Troy
State University and a Master’s degree in
Education Administration from Auburn University.
He has been with Alfa for 30 years, beginning in
1980 as a Training Specialist. In January of 1987
he accepted a position at the Home Office in
Montgomery, Alabama as the Director of Alfa
Agency. Clayton was then appointed Vice President
of Alfa Agency in 1991. He has conducted hundreds
of seminars over the past 10 years, from Long
Term Care, Life, Disability, Personal Lines,
Commercial Lines, Earthquake and Flood for
continuing education credit. He currently presents
the Essentials of Life Insurance for National
Alliance CIC classes; CPIA classes for the AIMS
Society; and insurance pre-licensing and continuing
education classes for A. D. Bankers in Alabama.