Ind. Code § 27-1-15.6-22
An insurance producer may not receive compensation for the sale, solicitation, negotiation, or renewal of any insurance policy issued to any person or entity for whom the insurance producer, for a fee, acts as a consultant for that policy unless:
(2) the insurance producer discloses to the insured the following information prior to the sale, solicitation, negotiation, or renewal of any policy:
As added by P.L.132-2001, SEC.3. Amended by P.L.193-2006, SEC.3.