Section 4515.50 Application for Certification

TITLE 50: INSURANCE

CHAPTER I: DEPARTMENT OF INSURANCE

SUBCHAPTER ww: HEALTH CARE SERVICE PLANS

PART 4515 NAVIGATOR, IN-PERSON COUNSELOR AND CERTIFIED APPLICATION COUNSELOR CERTIFICATION

SECTION 4515.50 APPLICATION FOR CERTIFICATION

Section 4515.50  Application

for Certification

a)         An individual applying for a Navigator,

In-Person Counselor or Certified Application Counselor certification must make an

application to the Department on a form developed or accepted by the Director

and declare under penalty of refusal, suspension, or revocation of the

certification that the statements made in the application are true, correct,

and complete to the best of the individual's knowledge and belief.  Before

approving the application, the Director must find that the individual:

1)         Is at least 18 years of age;

2)         Is not disqualified for having committed

any act that would be a ground for denial, suspension, or revocation of a

certification;

3)         Has not had an insurance producer license,

Navigator certification, In-Person Counselor certification, or Certified

Application Counselor certification, or equivalent license or certification

denied, suspended, or revoked in any state, province, district, or territory or

by the United States Department of Health and Human Services;

4)         Has successfully passed the applicable

training curriculum for Navigators, In-Person Counselors or Certified

Application Counselors;

5)         Unless otherwise determined by the

Director, other than an applicant for Certified Application Counselor

certification, has successfully completed a criminal background check in a

manner prescribed by the Director. The Director may accept an equivalent

criminal background check performed by the Navigator entity, In-Person

Counselor entity or Certified Application Counselor Organization;

6)         When applicable, has the written consent of

the Director pursuant to 18 U.S.C

Application Counselor

certification, has successfully completed a criminal background check in a

manner prescribed by the Director. The Director may accept an equivalent

criminal background check performed by the Navigator entity, In-Person

Counselor entity or Certified Application Counselor Organization;

6)         When applicable, has the written consent of

the Director pursuant to 18 U.S.C. 1033 regulating crimes by or affecting

persons engaged in the business of insurance whose activities affect interstate

commerce;

7)         Possesses the requisite character and

integrity; and

8)         Has identified the entity with which the

individual is affiliated and supervised, if any.

b)         An entity that acts as a Navigator,

supervises or is responsible for the activities of individual Navigators, or

receives funding to perform those activities shall obtain a Navigator entity

certification. An entity applying for Navigator entity certification shall:

1)         Make application on a form containing the

information prescribed by the Director; and

2)         Designate an individual registered as a

Navigator to be responsible for the entity's compliance with this Chapter.

c)         An entity that acts as an In-Person

Counselor, supervises or is responsible for the activities of individual

In-Person Counselors, or receives funding to perform these activities shall

obtain an In-Person Counselor entity certification. An entity applying for

In-Person Counselor entity certification shall:

1)         Make application on a form containing the

information prescribed by the Director; and

2)         Designate an individual registered as an

In-Person Counselor to be responsible for the entity's compliance with this Chapter

unding to perform these activities shall

obtain an In-Person Counselor entity certification. An entity applying for

In-Person Counselor entity certification shall:

1)         Make application on a form containing the

information prescribed by the Director; and

2)         Designate an individual registered as an

In-Person Counselor to be responsible for the entity's compliance with this Chapter.

d)         An entity that acts as a Certified

Application Counselor Organization, supervises or is responsible for the

activities of individual Certified Application Counselors, or receives funding

to perform those activities shall obtain a Certified Application Counselor

certification.  An entity applying for a Certified Application Counselor

certification shall:

1)         Make application on a form containing the

information prescribed by the Director; and

2)         Designate an individual registered as a Certified

Application Counselor to be responsible for the entity's compliance with this Chapter.

e)         The Director may require any documents

deemed necessary to verify the information contained in an application

submitted.

f)         Entities certified as Navigators, In-Person

Counselors or Certified Application Counselor Organizations shall, in a manner

prescribed by the Director, provide the Director with a list of all individual

Navigators, In-Person Counselors or Certified Application Counselors that it

employs, supervises, or is affiliated with on a quarterly basis.