Initial Registration Requirements
Initial Registration Requirements must be fulfilled by all companies or entities looking to be licensed in the state of Indiana. Requirements vary for each license. All requirements must be met to qualify for the license.
- Advisory Organizations
- Discount Medical Program Organization
- Joint Underwriters & Reinsurers
- Managing General Agent
- Medical Claims Review
- Multiple Employer Welfare Arrangement (MEWA)
- Professional Employer Organization (PEO)
- Preferred Provider Organization (PPO)
- Purchasing Group
- Rating Organization
- Reinsurance Intermediary Broker or Manager
- Reinsurers (Accredited)
- Risk Retention Group (Foreign Only)
- School Trust Insurance Pooling
- Third Party Administration (TPA)
- Utilization Review
Advisory Organizations
Advisory Organizations (IC 27-1-22-13) are affiliations of insurers that assist insurers in making their filings or rates but that do not actually make filings. To register, please provide:
- A letter of application detailing the following:
- name of organization
- contact person
- address of organization
- telephone number
- A copy of the organization's articles of agreement or association, or certificate of incorporation.
- A copy of the bylaws, rules, and regulations governing the organization's activities.
- Listing of the current members.
- Name and address of a resident of Indiana upon whom notices or orders of the Commissioner or process issued at his/her direction may be served.
- An agreement that the Commissioner may examine such advisory organization in accordance with the provisions of IC 27-1-22-15.
The information requested in the preceding should be delivered to the following:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Discount Medical Program Organization
IDOI provide instructions that assist individuals in preparing the application for a discount medical card program organization (DMPO) with all the information required by statute and facilitate expeditious processing of the application by IDOI. The instructions are listed into four categories of information and include:
Section I - Application Fees and Form
Section II - Legal
Section III - Financial and Related Information
Section IV - Forms
Download and print the Application Instructions.
Application
Application Checklist
Discount Medical Program Organization Bond Form
Filing Company Transmittal Document Discount Medical Program Organization Standards
Discount Medical Program Organization Annual Report
Please submit your package in a tabbed binder. Please identify the tabbed sections by the section number reference, e.g. II-2 would contain the By-laws and other legal documents.
Submissions that do not contain all the required information will be returned without review or approval.
Submit the completed application package to:
Indiana Department of Insurance
Company Compliance Services
311 W. Washington Street, #300
Indianapolis, Indiana 46204-2787
Joint Underwriters & Reinsurers
IDOI provides registration requirements for joint underwriters and reinsurers under IC 27-1-22-13 and IC 27-1-22-14.
To register, please provide:
1. A letter of application detailing the following:
a. name of organization
b. contact person
c. address of organization
d. telephone number
2. A copy of the articles of agreement or association, or certificate of incorporation.
3. A copy of the bylaws, rules, and regulations governing the organization’s activities.
4. Listing of the current members.
5. Name and address of a resident of Indiana upon whom notices or orders of the Commissioner or process issued at his/her direction may be served.
6. An agreement that the Commissioner may examine such joint underwriters or reinsurers in accordance with the provision of section 15 of this section.
Deliver the preceding to:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Managing General Agent
Please follow these instructions to register as a managing general agent.
Please number each item in the upper right-hand corner to correspond with its number in this Schedule of Requirements.
- Each application question must be completed in full. Attach a separate sheet of paper, properly signed, if additional space is needed.
- Managing General Agent contract and Contract Compliance Checklist. <
- Fee of $100, check made payable to IDOI.
- Annual compilation prepared by an independent certified accountant per IAC 760:1-52-6.
- Biographical affidavits for each officer, director, or partner of the applicant, originally signed and notarized.
- Copy of contract per IC 27-1-33-7.
- Certified copy of fidelity bond and errors and omissions policy. Certificate of Insurance is not acceptable.
- Proof of licensure as Indiana producer per IC 27-1-15.5
Deliver the preceding to:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Medical Claims Review
IAC 760:1-49 <Note: Insert http://www.in.gov/idoi/insurers/mcr/rulesmcr.html>
Application Requirements for Registration of Medical Claims Review Agent under I.C.27-8-16 et.seq and IAC 760:1-49 are provided by IDOI.
To register as a medical claims review agent, please submit the following. Number each item in the upper right-hand corner to correspond with its number in this Schedule of Requirements.
- Each application question must be completed in full. Attach a separate sheet of paper, properly signed, if additional space is needed.
- Application attachments, which include Medical Claims Review checklist and supporting documentation. Complete the “Located” column on the checklist with section and page number of your submission indicating where the item can be found.
URAC accreditation does not waive any requirement for documentation submission.
- Application fee of $150.
For any questions, contact Danielle Fuller at 317-232-4391 or dfuller@idoi.in.gov
The completed application and information requested above should be sent to the following:
Indiana Department of Insurance
Attn: Medical Claims Review
311 West Washington Street, Ste 300
Indianapolis, Indiana 46204
Multiple Employer Welfare Arrangement (MEWA)
To register as a Multiple Employer Welfare Arrangement (MEWA), submit the following items.
Please reference each item in the upper right-hand corner to correspond with its letter or number in this Schedule of Requirements.
1. Each application question must be completed in full. Attach a separate sheet of paper, properly signed, if additional space is needed.
NOTE: The word "registrant" refers to the MEWA making application.
2. Documents listing of items that must be submitted with this application.
3. Application fee of $350 made out to IDOI, which is to be submitted as Item 11 of the Documents Listing.
4. Biographical affidavits for each of the MEWA Board of trustees or directors originally signed and notarized. These are to be submitted as Item 15 of the Documents Listing.
5. Compliance checklist , which is to be submitted as Item 16 of the Document Listing.
Send the completed application and information to:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Professional Employer Organization (PEO)
Pursuant to IC 27-16, a Professional Employment Organization’s (PEO) doing business in Indiana must register with IDOI. There are three ways to register:
- Registration for a PEO that is domiciled in Indiana, or is located in a state whose licensure or registration requirements are not substantially the same or more restrictive pursuant to IC 27-16-4-6.
- Limited Registration for a PEO that is domiciled in a state other than Indiana whose registration requirements are substantially the same or more restrictive pursuant to IC 27-16-4-6.
- Registration for a PEO that is certified by an approved Independent National Organization
To register a PEO domiciled in Indiana, complete an Application and Biographical Affidavit.
For a limited registration as a PEO you must submit an application for a limited registration for a PEO that is domiciled in a state other than Indiana.
To register a PEO that is certified by an approved Independent National Organization please submit an application.
Send the completed application and information to:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Preferred Provider Organization (PPO)
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.
Send the completed application and information to:
Sherry Barnes
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
Purchasing Group
Before doing business in Indiana a purchasing group should file with IDOI the following information:
1. Application
2. The domicile state (proof of registration and approval from its state of domicile)
3. Identify all other states in which the group intends to do business
4. Specify the lines and classifications of liability insurance (liability insurance only)
5. The insurance company that will provide the coverage (licensed P & C companies or approved surplus lines insurance companies)
6. A P & C licensed agent or surplus lines agent (only if the insurer is a surplus lines company)
7. The principal place of business
Send the completed application and information to:
Sherry Barnes
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Rating Organization
Rating organizations must hold a license to do business in Indiana. To complete your application, please submit the following:
1. A letter of application detailing the following:
a) The name of your organization
b) A contact person
c) The organization’s address
d) A telephone number
2. A copy of the organization’s articles of agreement or association, or certificate of incorporation.
3. A copy of the bylaws, rules, and regulations governing the organization’s activities.
4. A listing of the current members and subscribers.
5. The name and address of an Indiana resident upon who notices or orders may be served.
6. A statement of your qualifications as a rating organization.
7. Specific lines to be conducted.
8. An agreement that the Commissioner may examine the organization in accordance with the provisions of I.C. 27-1-22-15.
9. Filing fee of $75.
The information requested in the preceding should be delivered to the following:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Reinsurance Intermediary Broker or Manager
Rating organizations must hold a license to do business in Indiana. To complete your application, please submit the following:
1. A letter of application detailing the following:
a) The name of your organization
b) A contact person
c) The organization’s address
d) A telephone number
2. A copy of the organization’s articles of agreement or association, or certificate of incorporation.
3. A copy of the bylaws, rules, and regulations governing the organization’s activities.
4. A listing of the current members and subscribers.
5. The name and address of an Indiana resident upon who notices or orders may be served.
6. A statement of your qualifications as a rating organization.
7. Specific lines to be conducted.
8. An agreement that the Commissioner may examine the organization in accordance with the provisions of I.C. 27-1-22-15.
9. Filing fee of $75.
The information requested in the preceding should be delivered to the following:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Reinsurers (Accredited)
To qualify as an accredited reinsurer please submit the following to IDOI.
Please note that by making such a filing, you are submitting to Indiana jurisdiction.
- Most recent Annual Statement including Actuarial Opinion & MD&A
- Most recent Quarterly Statement
- Most recent Audited Financial Statements
- Most recent Department Examination
- Completed Form AR-1
- Certified copy of the Company’s home state Certificate of Authority
Send the requested documents to:
Pamela Walters
Property & Casualty Supervisor
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204
Risk Retention Group (Foreign Only)
A risk retention group (RRG) chartered in another state must register with IDOI before doing business in Indiana. Please submit the following.
1. Application
2. Filing Fee $110
3. A list of the states in which the RRG is chartered or licensed as a liability insurance company.
4. Date the charter was issued
5. The RRG’s principal place of business
6. Information, including information on the membership of the group, that verifies the group meets the definition of risk retention group in IC 27-7-10-11
7. A copy of a plan of operation or feasibility study in compliance with IC 27-7-10-8 and IC 27-7-10-14 (b) (2) which includes any revisions to its plan of operation or feasibility study since being originally chartered.
8. A certified copy of RRG’s charter or license from its chartering state.
9. A current audited financial statement certified by an independent public accountant and containing a statement of opinion on loss and loss adjustment expense reserves made by a member of the American Academy of Actuaries or by a qualified loss reserve specialist
10. A copy of each examination of the RRG certified by the commissioner or public official conducting the examination.
11. The RRG’s current annual statement and quarterly statement.
12. Copies of signed and notarized biographical affidavits on current officers and directors of the group.
13. Listing of coverages to be offered by the group.
Please submit the registration documents to:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
School Trust Insurance Pooling
Independent colleges and public school corporations may establish trusts to establish and maintain insurance coverage.
IDOI has begun the rule making process to create a registration process. However, because of the inherent delay in the rulemaking process, IDOI has created an interim registration process.
To register a school trust, please provide the following information:
1. A completed application form.
2. A copy of the trust documents.
3. Documentation of stop loss insurance with an insurer authorized to do business in Indiana with an aggregate retention of not more than 125% of the amount of expected claims for the following year.
4. Documentation that contributions are set to fund 100% of the aggregate retention plus all other costs of the trust.
5. A copy of a fidelity bond covering each person responsible for the trust for acts of fraud or dishonesty.
6. A statement that the entity has reviewed the provisions of IC 27-4-1-4.5.
7. A copy of the trust's most recent financial statement. In the case of a start up entity, please provide a copy of the trust’s projected financial status for the first year.
This interim registration process will remain valid until a final rule is effective.
Questions should be directed to:
Cindy Donovan
(317) 232-2408
cdonovan@idoi.IN.gov
Please submit the application documents to:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will prepare a letter of registration and send it to the contact person listed on the application.
Third Party Administration (TPA)
Indiana law provides requirements to obtain an insurance administrator license. To ensure that the application process is completed without error we have provided a checklist.
Please number each item in the upper right-hand corner or place a tab to correspond with its number in the application and this Schedule of Requirements.
1. Each application question must be completed entirely.
2. Biographical Affidavits for each officer, director, or partner of the Third Party Administrator originally signed and notarized.
3. Audited Financial Statement prepared by an independent certified public accountant for the two most recent fiscal years (if the applicant has been in business for less than two years submit financial reports that have been prepared in accordance with GAAP and certified by an officer of the applicant).
4. Third Party Administrators Compliance Checklist to be completed in conjunction with the submission of all administrative agreements.
5. Surety Bond if the Third Party Administrator is administering a Governmental Plan and/or Church Plan, if not a statement that Administrator is not administering a Governmental and/or Church Plan.
6. A report detailing the total funds administered for a Governmental Plan and/or Church Plan for Indiana and all other jurisdictions combined.
7. Licensure fee of $50 made payable to IDOI.
The completed application and information requested above should be sent to the following:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
After we receive the proper filing and review is completed, we will issue a license and send it to the contact person listed on the application.
Utilization Review
Please submit the following items to register as a utilization review agent. 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. Each application question must be completed in full. Attach a separate sheet of paper, properly signed, if you need additional space.
2. Application attachments, which include Utilization Review checklist and supporting documentation. Complete the “Located” column on the checklist with the section and page number of your submission where the item can be found.
Please note that URAC accreditation does not waive any requirement for documentation submission.
3. Application fee of $150
For any questions, contact Danielle Fuller at 317-232-4391 or dfuller@idoi.in.gov
The completed application and information requested above should be sent to the following:
Indiana Department of Insurance
Attn: Utilization Review
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204
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