§ 31-112. Navigator program for the SHOP Exchange
West's Annotated Code of MarylandInsuranceEffective: January 1, 2014
Effective: January 1, 2014
MD Code, Insurance, § 31-112
§ 31-112. Navigator program for the SHOP Exchange
(b) The navigator program for the SHOP Exchange shall focus outreach efforts and provide health insurance enrollment and eligibility services to small employers that do not offer health insurance to their employees.
(c)(1) To carry out its purpose and in compliance with the Affordable Care Act, the SHOP Exchange navigator program, with respect only to qualified plans offered in the SHOP Exchange, shall provide comprehensive consumer assistance services, including:
(i) may not provide any information or services related to health benefit plans or other products not offered in the Exchange, except for general information about the insurance market outside the Exchange, which shall be limited to the information provided in a consumer education document developed by the Exchange and the Commissioner;
(d)(1) The Commissioner shall issue a SHOP Exchange navigator license to each applicant who meets the requirements of this subsection.
(e)(1) The Commissioner may deny, suspend, revoke, or refuse to renew or reinstate a SHOP Exchange navigator license after notice and opportunity for a hearing under §§ 2-210 through 2-214 of this article, if the licensee:
(6) The Commissioner, in the Commissioner's role as a member of the Board, may not participate in any matter that involves the SHOP Exchange's navigator program if, in the Commissioner's judgment, the Commissioner's participation might create a conflict of interest with respect to the Commissioner's regulatory authority over the SHOP Exchange's navigator program.
(f)(1) The SHOP Exchange shall establish and administer an insurance producer authorization program.
(3)(i) Subject to the contested case hearing provisions of Title 10, Subtitle 2 of the State Government Article, the SHOP Exchange may suspend, revoke, or refuse to renew an authorization for good cause, which shall include a finding that the insurance producer holding the authorization has committed any act described in subsection (e)(1) of this section with respect to the authorization.
(g)(1) Subject to the requirements in paragraph (2) of this subsection, an insurance producer who is licensed in the State and authorized by the Commissioner to sell, solicit, or negotiate health insurance may sell any qualified plan offered in the SHOP Exchange without being separately licensed as a SHOP Exchange navigator.
(h)(1) The SHOP Exchange, with the approval of the Commissioner and in consultation with stakeholders, shall develop, implement, and, as appropriate, update training programs for:
Credits
Added by Acts 2012, c. 152, § 3, eff. June 1, 2012. Amended by Acts 2013, c. 368, § 2, eff. Jan. 1, 2014.
MD Code, Insurance, § 31-112, MD INSURANCE § 31-112
Current with all legislation from the 2023 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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