Indiana Code Title 27. Insurance § 27-8-11-5

(1) The name and address of each person that has organized a preferred provider plan.

(2) The names and addresses of the providers with whom the preferred provider plan has entered into agreements under section 3 of this chapter.

(3) The geographical area, by counties, within which the preferred provider plan provides or arranges for health care services for insureds, members or enrollees.

(4) The number of insureds, members or enrollees covered by the agreements listed in subdivision (2).