Navigator License Exam Questions With Correct Answers
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Course
Indiana Navigator
Institution
Indiana Navigator
indiana navigator - Answer must be certified/registered with IDOI to provide assistance for marketplace, IHCPs
federal navigator - Answer federally certified to provide FMM education & enrollment assistance
reporting requirements - Answer info that must be reported to IDOI (change in name/add...
Navigator License Exam Questions With Correct Answers indiana navigator - Answer must be certified/registered with IDOI to provide assistance for marketplace, IHCPs
federal navigator - Answer federally certified to provide FMM education & enrollment assistance
reporting requirements - Answer info that must be reported to IDOI (change in name/address,administrative/criminal action, a change in conflict of interest status, security breach of consumer's personal info, or a removal or addition of navigator from AO to AO).
producer - Answer individual or business entity licensed by the state to sell, solicit, or negotiate insurance products
HHS - Answer department of health and human services - US federal government, manages marketplace and agents, brokers, carriers, and federal certified consumer assistants
CMS - Answer center of medicare/medicaid services - administers Medicare and works in tandem with state governments to administer Medicaid, CHIP , and marketplace
marketplace - Answer website owned by CMS to facilitate sale of QHPs and eligibility determinations for premium tax credits and cost sharing reductions
federal navigators - Answer provide unbiased and accurate education outreach and insurance enrollment
assistance
CAC - Answer certified application counselors - like federal navigators, except they do not receive grants and are not required to provide public education and outreach services
AR - Answer authorized representatives - assists with IHCP applications, receives notice of application decisions, appeal decision and act on behalf of applicant at hearing, report changes, act for periodic redeterminations, receive app notices and any redetermination mail-in forms, support on going coverage
needs
conflicts of interest - Answer receives direct compensation from health insurance or stop/loss insurance issuer; AO staff/board member holds stock in an insurance company
conflict of loyalty - Answer IN navigator or AO has relationship with hospital that prefers certain plans with higher rates
10 days - Answer how many business days do you have to notify consumer if discovery of a breach occurs?
5 days - Answer how many days do you have to notify the IDOI
commitment to consumer - Answer identify and address the needs of the consumer, use best judgement
to determine needs and refer to other resources; if needed
self-determination - Answer help consumer make informed choices, present complete and accurate info on all options available
state monitoring and oversight - Answer complaints and internal tracking are completed by the IDOI, FSSA conducts internal tracking of application submissions
state admin actions - Answer - consequences for violation of navigator/AO (reprimand, civil penalty, suspension of certificate, revocation of certificate, cease and desist order)
- for complaints about navigator (contact IDOI)
- for complaints about a health insurance company (contact health insurance company and IDOI
- For complaints about FFM (healthcare.gov)
- consumer complaints are processed within 72 hours and consumer must write back in 20 days)
grandfathered - Answer plans that were in existence prior to the affordable care act and have not have a
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