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Preferred Provider Organization

IC 27-8-11-5

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:  It's requested that the website link be provided to the current listing of healthcare providers versus providing an actual listing.

Upload the Preferred Provider Plan Reporting form with attachments via the IDOI Document Submission Portal located under the Filings section.  PPO and attachments will need to be combined into one document prior to uploading.

Should you have any questions, contact the Company Admission Coordinator at