§ 27-19-2-12 — "Navigator"

Indiana § 27-19-2-12

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 19: HEALTH BENEFIT EXCHANGE
• Ch. 2: Definitions

Text

(a) Subject to subsections (b), (c), and (d),
"navigator" means an individual who:
(1) is described in Section 1311(i) of PPACA (42 U.S.C.
18031(i));
(2) assists other individuals with application for and enrollment
in a health benefit exchange or public health insurance program;
or
(3) performs the functions of a navigator with respect to a health
benefit exchange as established by the commissioner.
(b) In the commissioner's discretion, the term does not include an
individual who does one (1) or more of the following:
(1) Provides assistance with application for and enrollment in
Medicaid to other individuals who, based on preliminary
information obtained by the individual, may be eligible for
Medicaid without respect to the other individuals' income or
assets.
(2) Provides other individuals with general information
concerning the application process for enrollment in a public
health insurance program, but does not participate with the other
individuals in making application for the other individuals'
enrollment in a public health insurance program.
(c) The term does not include an individual who makes presumptive
eligibility determinations concerning other individuals' eligibility for
enrollment in a public health insurance program.
(d) The term does not include a representative authorized by an
individual to perform functions on behalf of the individual in
connection with Medicaid.

Legislative History

As added by P.L.278-2013, SEC.27.