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Certified Wellness Program Home > Registered Vendor Application Registered Vendor Application


What is a Registered Vendor?

“Vendor” means a business or organization that directly provides wellness programs to employers as part of its normal business practice.  This term does not include a business or organization that acts in the capacity of a broker, or something similar, for this type of service. 

How do I become a Registered Vendor?

To become a Registered Vendor with the State of Indiana, an application will need to be submitted.  Prior to submitting an application, it is recommended that you visit the Certification Criteria page to better understand what is expected of the wellness program.  The application must be in an outline format and submitted electronically.  Click here to see an example outline.  You can also attach supporting documents to your wellness program electronically.  Your application should be no more than 5 pages. 

If you are ready to submit your application, click here

What are my responsibilities as a Registered Vendor?

Vendor applications will no longer be accepted for 2008. New Registered Vendor information will be available soon.

Once you become a Registered Vendor, it is your responsibility to verify that the small business you are working with meets the wellness standards and the small employer criteria (2-100 employees) before submitting the information.  The small business information can only be submitted by the Registered Vendor.  The following information is required when submitting a business:

  • Name of business
  • Complete business address
  • Contact person information (name, phone number and email address)
  • Number of employees

Click here to submit a business.