IRO New Application Instructions

The following items must be submitted in order to obtain a license. Please number each item in the upper right-hand corner to correspond with its number in this schedule of requirements. You may print the appropriate forms by clicking on the underlined item.

  1. Application - Each question must be completed in full. Attach a separate sheet of paper, properly signed, if additional space is needed.
  2. Application attachments, which include Independent Review checklist and supporting documentation. Complete the “Located” column on the checklist with section and page number of your submission where the item can be found.
  3. Application fee is $250.00
  4. The completed application and information requested above should be sent to the following IDOI representative.
    Attn: Rebecca Vaughan
    Indiana Department of Insurance
    311 W. Washington Street, Suite 300
    Indianapolis, IN 46204-2787
     
  5. Important reminder: Per IC 27-8-29-19(c)(3) and IC 27-13-10.1-8(c)(3), all IRO’s shall annually file a description of their grievance procedure including total number of grievances handled through the procedure during the preceding year, a compilation of the causes underlying those grievances and a summary of the final disposition of the grievances. This information is required to be filed with the Department annually byMarch 1 and should be submitted to the addressee below.
    IRO Coordinator
    Indiana Department of Insurance
    311 W. Washington Street, Suite 300
    Indianapolis, IN 46204-2787
     
  6. For any questions, please contact Rebecca Vaughan at (317) 232-2187 or rvaughan@idoi.in.gov.