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Zane Benefits Publishes New Information on Exchange Navigators
Date:5/16/2013

ormation about enrollment in qualified plans and about the availability of premium tax credits and cost-sharing assistance in the exchange.
  • To facilitate enrollment in qualified plans.
  • To refer people who need help resolving a problem with their health plan or with their premium assistance to a consumer assistance or ombudsman program or to another appropriate agency that can help with a grievance or appeal.
  • To provide information in a culturally and linguistically appropriate manner to the population being served by an exchange
  • Compensation for navigators will be paid through a navigator grant, or if working under a navigator organization, hourly compensation may be available (rates and details will vary by state).

    Who Can Become a Health Insurance Navigator?

    According to Zane Benefits’ website, the law lists a number of different kinds of entities that could become navigators including: community and consumer focused nonprofits; trade, industry, and professional associations; commercial fishing, ranching, and farming organizations; chambers of commerce; unions; Small Business Administration resource partners; licensed insurance agents and brokers; and other entities.

    Under the law, a licensed health insurance agent or broker can be a navigator, however this disqualifies them from acting as a traditional producer (selling policies on or off the exchanges and receiving commissions).

    What is the Role of Brokers on the Exchanges?

    According to Zane Benefits’ website, the role of brokers will be similar to the role of brokers now: selling individual and small group health insurance policies on and off the Exchanges.

    Whether commissions will be available for brokers, and how this will be managed, will vary by state. In general, commissions will likely be paid for QHP policies sold on the Exchanges. Commissions will be managed either by Exchange or paid directly from insu
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