Skip to comments.Feds: Brokers can be HHS exchange navigators (but...)
Posted on 04/06/2013 10:31:06 PM PDT by Nachum
The Centers for Medicare & Medicaid Services (CMS) talk about who can and cannot be health insurance exchange "navigators" in a new batch of proposed regulations.
In the proposed regulations, "Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel" (CMS-9955-P) (RIN 0938-AR75), CMS officials also talk about the rules that will govern "non-navigator consumer assistance programs," such as "in-person assister" programs.
Officials at CMS -- an arm of the U.S. Department of Health and Human Services -- said HHS eventually might require every Patient Protection and Affordable Care Act (PPACA) exchange to set up a "certified application counselor program" to complement its navigator program.
Officials said in the proposed regulations that:
HHS wants to let agents and brokers serve as navigators, as long as the producers are not getting any consideration, including trailing commissions, from health insurers. Health insurers and their subsidiaries could not be navigators. Issuers of stop-loss insurance -- insurance for self-insured health plans -- and the stop-loss issuers' subsidiaries could not be navigators. The same compensation rules that apply to producers who sell health insurance would apply to producers who sell stop-loss insurance. Agents and brokers who sell products other than health insurance or stop-loss insurance could be navigators and also continue to collect compensation from the providers of those other lines of insurance products.
(Excerpt) Read more at lifehealthpro.com ...
The list, Ping
Let me know if you would like to be on or off the ping list
Why should you need to employ a damned “navigator” to get your bunion fixed? (Who was the pretty gal on star trek, wasn’t she a navigator? I choose her!)
Just watched Atlas Shrugged 2 (finally). Now I’m reading this. It’s quite funny, actually.
Life Insurance Companies.
Bailout Revisited 2008: 2014 .............
They are more interested in fines, fees, taxes, assessments, prohibitions, proscriptions and needless add-on administration than actual health care
Let me see if I’ve got this right. People will be able to do the job so long as they don’t get paid for it? What, then, is the incentive to do the job?
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