Rules & Regulations of the State of Tennessee
Title 0780 - Commerce and Insurance
Subtitle 0780-01 - Insurance Division
Chapter 0780-01-55 - Navigator and Certified Application Counselor Registration Requirements
Section 0780-01-55-.02 - DEFINITIONS
Current through September 24, 2024
When used in this Chapter, unless the context clearly requires otherwise, the term:
(1) "Commissioner" means the commissioner of the Tennessee Department of Commerce andInsurance;
(2) "Department" means the Tennessee Department of Commerce and Insurance;
(3) "Certified application counselor" means any employee or volunteer of a certified application counselor organization that enters into an agreement with the exchange to have its employees or volunteers:
(4) "Certified application counselor organization" means any organization, including an organization designated as a Medicaid certified application counselor organization by a state Medicaid or CHIP agency, designated by the exchange to certify its staff members or volunteers to act as certified application counselors, and includes those organizations described in 45 CFR § 155.225.
(5) "Exchange" means any health benefit exchange established or operating in this state, including any exchange established or operated by the United States Department of Health and Human Services.
(6) "Navigator" means all persons who are certified or are required to be certified by the federal government under the designation of "navigator" under the federal Patient Protection and Affordable Care Act, including any individual or entity, other than an insurance producer licensed pursuant to Title 56, who receives any funding, directly or indirectly, from an exchange, the state, or the federal government to perform any activities and duties identified in 42 U.S.C. 18031(i). Such persons required to be certified as navigators federally include an employee of a navigator grant awardee or sub-grantee of navigator grant awardee who performs the activities and duties identified in 42 U.S.C. 18031(i).
(7) "Person" means any natural or artificial person including, but not limited to, an individual, partnership, association trust or corporation;
(8) "Qualified health plan" has the meaning given such term in 42 U.S.C.A. § 18021(a).
(9) "Registrant" means any person registered under this chapter or any one required to be licensed under this chapter.
Authority: Tenn. Public Acts 2013, ch. 377, T.C.A. §§ 56-2-301, 56-6-1301 through 56-6-1305, Public Law 111-148 as amended by Public Law 111-152 (2010), 42 U.S.C. § 18021(a), 42 U.S.C. § 18031(i), and 45 CFR Part 155.
