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: Provide website link to listing of current healthcare providers versus attaching a listing.
Email Preferred Provider Plan Reporting form with attachments to cowright1@idoi.in.gov