Wisconsin Statutes 628.95 – Navigator and nonnavigator assister conduct
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Terms Used In Wisconsin Statutes 628.95
- Contract: A legal written agreement that becomes binding when signed.
- Dependent: A person dependent for support upon another.
- Following: when used by way of reference to any statute section, means the section next following that in which the reference is made. See Wisconsin Statutes 990.01
- Person: includes all partnerships, associations and bodies politic or corporate. See Wisconsin Statutes 990.01
- Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
(1) General. For purposes of this subchapter, a navigator or nonnavigator assister, in the performance of its duties, shall be considered to be transacting the business of insurance.
(2) Prohibited practices. A navigator or nonnavigator assister may not do any of the following:
(a) Receive compensation from an insurer who offers a health benefit plan or stop loss insurance or from a 3rd-party administrator.
(b) Provide any information or services related to enrollment in health benefit plans or other insurance products not offered in the exchange.
(c) Make or cause to be made any communication relating to the exchange, health benefit plans, an insurance contract, the insurance business, any insurer, any navigator, any nonnavigator assister, or any intermediary that contains false, deceptive, or misleading information, including information that is misleading because of incompleteness.
(d) Provide advice about which health benefit plan is better or worse for a particular individual or employer.
(e) Recommend a particular health benefit plan or insurer or advise consumers about which health benefit plan to choose.
(f) Engage in any unfair method of competition or any other unfair, fraudulent, deceptive, or dishonest act or practice.
(g) Receive compensation that is dependent, in whole or in part, on whether an individual enrolls in or renews a health benefit plan.
(3) Restitution. The commissioner may require that any person that violates this subchapter make restitution to any individual who suffers financial injury because of the violation of this subchapter.