(a) No individual or entity shall perform, offer to perform, or advertise any service as a navigator or certified application counselor in this State or receive navigator grant funding from the United States Department of Health and Human Services, the State of Illinois, or an exchange or private funds unless certified as a navigator or certified application counselor by the Director under this Act.
     (b) The Director may establish exemptions from certification by rule.

Terms Used In Illinois Compiled Statutes 215 ILCS 121/10

  • Dependent: A person dependent for support upon another.
  • individual: shall include every infant member of the species homo sapiens who is born alive at any stage of development. See Illinois Compiled Statutes 5 ILCS 70/1.36
  • State: when applied to different parts of the United States, may be construed to include the District of Columbia and the several territories, and the words "United States" may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14
  • United States: may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14

     (c) A navigator or certified application counselor may not:
         (1) sell, solicit, or negotiate, as these terms are
    
defined in § 500-10 of the Illinois Insurance Code, any of the classes of insurance enumerated in § 4 of the Illinois Insurance Code;
        (2) offer advice about which health plan is better or
    
worse for a particular individual or employer;
        (3) recommend or endorse a particular health plan or
    
advise consumers about which health plan to choose;
        (4) provide any information or services related to
    
health benefit plans or other insurance products not offered in the exchange, except for health care providers when furnishing information or services related to a patient’s existing health benefit plan or other existing health insurance coverage;
        (5) accept any compensation or consideration,
    
directly or indirectly, from any issuer of accident and health insurance or stop-loss insurance that is dependent, in whole or in part, on whether a person enrolls in or purchases a particular private health benefit plan; or
        (6) engage in an unfair method of competition or a
    
fraudulent, deceptive, or dishonest act or practice with respect to the health insurance marketplace or with respect to that individual’s or entity’s absence of a conflict of interest in connection with the enrollment of an individual or employee in a particular private health benefit plan.
    (d) Items (1), (2), (3), (4), and (5) of subsection (c) of this Section do not apply to navigators or certified application counselors when assisting individuals with the enrollment process in the State Medicaid program or other public programs.
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