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Independent Review Organization Renewal Registration

IC 27-13-10.1-8

IC 27-8-29-19

Bulletin 193

IRO Rotation Assignment

The IDOI provides renewal requirements for Certification of Registration for an Independent Review Organization (IRO) under IC 27-13-10.1-8, IC 27-8-29-19, and Bulletin 193.

Independent Review Organizations are required to be accredited by a private, nationally recognized, accrediting organization.

The Indiana Department of Insurance utilizes a sequential rotational assignment process for external reviews described in Bulletin 193.

The annual license renewal process can be completed electronically at  The following items must be attached in order to renew as an IRO:

  • Application
  • $200 Renewal Fee- Renewal notices are emailed 90 days prior to the renewal date to the email address on file with the IDOI.
  • Independent Review Organization Checklist- Complete only if there have been changes to previously submitted documentation.  Mark the "Located" column for the items that have changed and attach supporting documentation.

Important Reminder: As required by IC 27-13-10.1-8(c)(3) and IC 27-8-29-19(c)(3), an IRO shall file and Annual IRO Report by March 1st of each calendar year.  The report can be mailed to the IDOI or sent by email to with the subject line IRO Annual Report.

For questions, contact Rebecca Vaughan at 317-232-2187 or

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