Thank you to all who attended the 21st Annual World Captive Forum. 
Additional information on the 22nd Annual Conference will be available shortly.


Attendee Information Please note required fields (*)

First Name: *

Middle Initial:

Last Name: *

Title:

Organization/Company: *

Street Address: *

City: *

State: *

Zip: *

Country: *

Phone: *

Fax:

Email: *

Nickname for badge:

Registration

Type (All fees and prices are listed in US Dollars)


* To qualify for the Risk Manager/Benefits Manager complimentary registration to the World Captive Forum, at least 50% of your job duties must focus on Risk Management or Benefits Management. Your position and duties must be verifiable.

Individuals working for brokers, insurers, third party administrators or others who provide services to risk management/ insurance clients do not qualify for the complimentary rate.


Already registered/adding registration options

Risk Manager/CHC Representative * - Complimentary

One-day conference registration $445.00

Captive Regulator/Speaker (non-risk managers) $595.00

Third and additional registrants from same company $695.00

Second registrant from same company $1275.00

Non-Risk Manager $1795.00



Speaker or Advisory Board -Please contact the World Captive Forum office at (952) 928-4659 for registration information.

Exhibit/Sponsorship
(I am interested in receiving exhibit/sponsorship information)


Golf Tournament_One Registrant (Monday, January 30th; 8:00am) ($195.00)


Captive Insurance Information Session for Closely-Held Companies
* This session is not included in the full conference registration fee.($250.00)


Golf Tournament_Four Registrants (Monday, January 30th; 8:00am)($780.00)


Please select which breakout sessions you wish to attend. Only one session can be chosen for each time period.

Monday, January 30 ( 3:00 PM)
Captive Owners Solution Sharing


Pre-Conference Workshop - Essentials of Captives 2012



Tuesday, January 31 (10:45 AM)
Benefits Session: Medical Benefits & Captives; Pros & Cons


General Session: Captive Governance: The Right People; the Right Board



Tuesday, January 31 ( 1:30 PM)
Benefits Session: Fronting & Reinsurance, "The Dirty Little Secrets"


General Session: Market Update



Tuesday, January 31 ( 3:00 PM)
Roundtable 1 - Healthcare Captive Issues


Roundtable 2 - Emerging Risks


Roundtable 3 - Benefits in Captives


Roundtable 4 - Tax Concerns


Roundtable 5 - Cell Discussion & How-to


Roundtable 6 - Hot Topix


Roundtable 7 - Investments and Asset Mgmt


Roundtable 8 - Regional/International (Please let us know what country/region/language you are interested in.)



Tuesday, January 31 ( 3:30 PM)
Roundtable 1 - Healthcare Captive Issues


Roundtable 2 - Emerging Risks


Roundtable 3 - Benefits in Captives


Roundtable 4 - Tax Concerns


Roundtable 5 - Cell Discussion & How-to


Roundtable 6 - Hot Topix


Roundtable 7 - Investments and Asset Mgmt


Roundtable 8 - Regional/International (Please let us know what country/region/language you are interested in.)



Tuesday, January 31 ( 4:00 PM)
Roundtable 1 - Healthcare Captive Issues


Roundtable 2 - Emerging Risks


Roundtable 3 - Benefits in Captives


Roundtable 4 - Tax Concerns


Roundtable 5 - Cell Discussion & How-to


Roundtable 6 - Hot Topix


Roundtable 7 - Investments and Asset Mgmt


Roundtable 8 - Regional/International (Please let us know what country/region/language you are interested in.)



Wednesday, February 1 ( 8:10 AM)
Urgent Session: Reputation...The Next Disaster?



Wednesday, February 1 ( 1:00 PM)
Benefits Session: Taxes - "What is Third Party Business & Other Brain Teasers"


General Session: Onshore/Offshore



Wednesday, February 1 ( 2:15 PM)
Benefits Session: Captive Management for Benefit Captives, "It's More Than Accounting"


General Session: U.S. Regulatory and Solvency II Updates


Bill me later


EARLY BIRD DISCOUNT: World Captive Forum conference rates will increase by $100 after December 16, 2011.  Please register prior to this date to take advantage of discounted pricing. Fees indicated automatically represent the discounted price, if applicable. 

CONFERENCE CANCELLATIONS: must be made in writing to the World Captive Forum office. Cancellations made on or before Friday, January 13, 2012 will receive a refund of 50% of the total conference registration fee. Cancellations received after January 13th will not receive a refund, but may be transferred to another member of your company. In the event WCF cancels the program, WCF is not responsible for any airfare, hotel or other costs incurred by registrants.

© 2012 World Captive Forum, Inc.