Initial AO Application Process (4 Steps)
- Complete the New Application for Application Organization Registration. The nonrefundable online filing fee is $50 for Indiana resident business entities and $100 for non-resident business entities, and the processing fee is $14.40 (as of 9/3/14--subject to change). Applicants may check the status of their application online through sircon.com. Application submissions that are still "pending"/"Under State Review" after 90 days from the submission date will be withdrawn.
- If the AO has more than one AO location, it must submit to IDOI the following for each location of the AO: (1) Name, (2) Address, (3) Telephone, (4) Email, (5) Website (if applicable), and (5) Contact Person.
- Review the Conflict of Interest Policy, then complete and submit the Conflict of Interest Disclosure Form.
- Review, sign, and submit the Privacy and Security Agreement.
All forms/documents may be attached electronically to the end of the online application. They may also be submitted to IDOI by either: Email: email@example.com; Fax: 317-234-5882 ("attn: Navigator Director"); or Mail: Indiana Department of Insurance, c/o Navigator Director, 311 W. Washington St., Ste. 103, Indianapolis, IN 46204