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Nevada assisters forewarned: no advising on choice of plan

May 17th, 2013

Health insurance agents and brokers nationwide worry that federally funded Assisters and exchange funded Navigators that help individuals and families sign up for health coverage offered through state exchange marketplaces will duplicate their own role.  A top Nevada insurance regulator sought to put those fears to rest at an educational symposium this week hosted by the Northern Nevada chapter of the National Association of Health Underwriters (NAHU).

While state-certified assister personnel can assist people enroll in coverage sold on the state’s exchange marketplace, Nevada Health Link, they will not be permitted to help individuals and families select which plan is best for them.

Doing so is within scope of a producer license, noted Todd Rich, chief deputy commissioner of the Nevada Division of Insurance, who warned that regulators would “pull the ticket” of certified assister personnel found to be doing so.  (Nevada has opted to have its Division of Insurance certify and oversee assister personnel).  A primary enforcement method to ensure assisters operate within those boundaries: mystery shoppers.

 


Need a speaker or webinar presenter on the Affordable Care Act and the outlook for health care reform? Contact Pilot Healthcare Strategies Principal Fred Pilot by email fpilot@pilothealthstrategies.com or call 530-295-1473. 

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