Preferred Provider Network (PPN) - Initial

Applicable to: Certain health provider networks. Description: License to offer services to Connecticut residents. Statute: CGS 38a-479aa et seq Transaction Type: Initial Duration:

Prerequisites:   Required Documentation: Other Information: Applications, Forms & Other: Application & Instructions for Preferred Provider Network [PPN] STATUTES - Title 38a - Insurance

Application Fee: $2500 (do not submit with application; invoice will be sent upon meeting requirements for licensure) Fee Exemptions: None

Agency: Department of Insurance Phone: (860) 297-3921 Mailing Address: State of CT Insurance Dept, Fraud Division, PO Box 816, Hartford, CT 06142-0816 Email Address: peter.nakano@ct.gov Website:     www.ct.gov/cid Agency Notes: None

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