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Wisconsin Statutes Insurance (Ch. 600 to 655) § 628.90. Definitions

Current as of January 01, 2025 | Updated by Findlaw Staff

In this subchapter:

(1) “Exchange” means the American health benefit exchange, as described in 42 USC 18031.

(2) “Health benefit plan” has the meaning given in s. 632.745(11).

(3)(a) Except as provided in par. (b), “navigator” means a natural person, or an entity that supervises or employs a natural person, who does all of the following:

1. Performs any of the activities and duties identified in 42 USC 18031(i) and 45 CFR 155.210 on behalf of the exchange.

2. Receives funding to perform any of the activities and duties identified in 42 USC 18031(i) and 45 CFR 155.210 on behalf of the exchange.

(b) “Navigator” does not include a person acting as an insurance intermediary licensed under subch. II, but an insurance intermediary may apply to be licensed as a navigator under this subchapter.

(4) “Nonnavigator assister” means a natural person who has been designated by the exchange, or could reasonably be described as working at the behest of the exchange, as a nonnavigator assister, including an in-person assister, enrollment assister, application assister, or certified application counselor.

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Cite this article: FindLaw.com - Wisconsin Statutes Insurance (Ch. 600 to 655) § 628.90. Definitions - last updated January 01, 2025 | https://codes.findlaw.com/wi/insurance-ch-600-to-655/wi-st-628-90/

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