Information for Navigators and Non-Navigator Personnel
If you are a Navigator…
Act 635 of the 2014 Legislative Session implements changes regarding the licensure of health insurance navigators and the registration of non-navigator personnel.
What is a Navigator?
"Navigator" means any individual or entity who meets at least one of the following requirements:
- Receives any funding, directly or indirectly, from an exchange, the state, or the federal government to perform any of the activities and duties identified in 42U.S.C. 18031(i).
- Is described or designated by an exchange, the state, or any office or agency of the federal government, or who could be reasonably described or designated as a navigator
- Is employed by or is a volunteer on behalf of a navigator or navigator entity for the purposes of conducting consumer outreach or education, or for the purposes of facilitating enrollment in qualified health plans.
CLICK HERE FOR THE INDIVIDUAL NAVIGATOR APPLICATION
What training is required for Navigators?
An individual applying for a navigator license must have completed all required training and education prescribed by any office or agency of the federal government or by an exchange. Proof of training must be attached to the license application. Individual navigator applicants are also required to be fingerprinted and a criminal background check performed as part of the license application. Click here for information regarding fingerprinting.
What requirements are there for Navigator entities?
An entity applying for a navigator license must have at least one licensed individual who is responsible for the entity’s compliance. Each licensed individual navigator employed by the entity must be affiliated to the entity’s license. Changes to employee affiliations are required to be reported within 30 days.
CLICK HERE FOR THE ENTITY NAVIGATOR APPLICATION
What does it mean to be “non-Navigator personnel”?
"Non-navigator personnel" means any individual or entity that facilitates enrollment of individuals or employers in a health benefit plan or public insurance program offered through an exchange and is certified, designated, or reasonably described as an in-person assister, enrollment assister, application counselor, or application assister. Individuals or entities acting in this capacity are required to register with the LDI. Individuals must have completed all required training and education prescribed by any office or agency of the federal government or by an exchange. Proof of training must be attached to the license application.
CLICK HERE FOR THE NON-NAVIGATOR REGISTRATION