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.
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:
Financial Services Division
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787