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IDOI > Financial Services > Renewal Registration Requirements > Preferred Provider Organization Preferred Provider Organization

IC 27-8-11-5

State law requires that each person organizing a preferred provider plan must file with the Commissioner before March 1 of each year a statement, under oath, with information regarding the preferred provider plan. 

Download the Preferred Provider Plan Reporting form.

Note:  Should the listing of providers be more than fifty pages please submit the information on a CD.

Sherry Barnes
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, IN  46204-2787