Consumer education material, websites, or other tools are accessible to people with disabilities. Provide at no cost the auxiliary aids and services individuals with disabilities need or request to ensure effective communication. Use of a consumer’s family or friends to facilitate communication can satisfy the requirement if requested by the consumer. Provide assistance in a location and manner that is physically and otherwise accessible to individuals with disabilities. Facilitate authorized representatives to assist an individual with a disability in making informed decisions on his or her behalf. Provide information about local, state and federal long-term services and support programs when appropriate. 5.2.6 - Conflict of Interest Standards To avoid a conflict of interest and to protect consumers, Navigators must uphold and adhere to the following Conflict of Interest standards: Disclosures required by Navigators A Navigator must disclose in plain language to each consumer provided with assistance: Information about the full range of QHP options and insurance affordability programs for which they are eligible. Any lines of insurance business not restricted under this funding opportunity that the Navigator intends to sell during the contract period. Any existing employment or former employment (within the last 5 years) with a health insurance company or issuer of stop loss insurance or subsidiaries of either, or any existing employment of a spouse or domestic partner with a health insurance company or stop loss insurance issuer. Any existing or anticipated financial, business, or contractual relationships with one or more health insurance companies or stop loss insurance issuers. Navigator Organization and Navigator Prohibitions During the term of this contract, navigator organizations and navigators may not: Receive consideration directly or indirectly from any health insurance issuer or issuer of stop loss insurance in connection with the enrollment of any individuals in a QHP or non-QHP. Charge any applicant or enrollee or request to receive any form of compensation for providing application or other assistance related to their navigator duties.
Consumer education material, websites, or other tools are accessible to people with disabilities. Provide at no cost the auxiliary aids and services individuals with disabilities need or request to ensure effective communication. Use of a consumer’s family or friends to facilitate communication can satisfy the requirement if requested by the consumer. Provide assistance in a location and manner that is physically and otherwise accessible to individuals with disabilities. Facilitate authorized representatives to assist an individual with a disability in making informed decisions on his or her behalf. Provide information about local, state and federal long-term services and support programs when appropriate. 5.2.6 - Conflict of Interest Standards To avoid a conflict of interest and to protect consumers, Navigators must uphold and adhere to the following Conflict of Interest standards: Disclosures required by Navigators A Navigator must disclose in plain language to each consumer provided with assistance: Information about the full range of QHP options and insurance affordability programs for which they are eligible. Any lines of insurance business not restricted under this funding opportunity that the Navigator intends to sell during the contract period. Any existing employment or former employment (within the last 5 years) with a health insurance company or issuer of stop loss insurance or subsidiaries of either, or any existing employment of a spouse or domestic partner with a health insurance company or stop loss insurance issuer. Any existing or anticipated financial, business, or contractual relationships with one or more health insurance companies or stop loss insurance issuers. Navigator Organization and Navigator Prohibitions During the term of this contract, navigator organizations and navigators may not: Receive consideration directly or indirectly from any health insurance issuer or issuer of stop loss insurance in connection with the enrollment of any individuals in a QHP or non-QHP. Charge any applicant or enrollee or request to receive any form of compensation for providing application or other assistance related to their navigator duties.
HBE_VP_160630_HBE_16-003_Application_Template.docx