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Discount Medical Program Organization Initial Registration

IC 27-17

The IDOI provides requirements for Certification of Registration for a new Discount Medical Program Organization (DMPO) under IC 27-17.

Initial registration for a new DMPO can be completed electronically at www.sircon.com/indiana.  The following items must be attached in order to register as a DMPO:

  • Application
  • $500 Application Fee and $35 Marketing Forms fee
  • DMPO Checklist - Complete the "Located" column with the section/page number in the submission where the item is located.  Attach supporting documentation.
  • $35,000 Surety Bond
  • Marketing Forms Checklist - Complete the checklist and attach sample materials.

For questions, contact Rebecca Vaughan at (317) 232-2187 or rvaughan@idoi.in.gov.

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