Current through August 26, 2024
(1) INITIAL
APPLICATION.
(a)
Registration
application for navigator entity. An entity registering as a navigator
entity shall submit an application to the commissioner in the form prescribed
by the commissioner. A completed application shall include: the navigator
entity's name; the names of the entity's officers; the current mailing address;
the name and contact email address of at least one licensed designated
responsible navigator; names, license number, contact email addresses, and
mailing addresses for the navigators it employs, supervises or is affiliated
with; proof of financial responsibility under sub. (4) (b), and compliance with
competence and trustworthiness criteria under s.
Ins 6.92(3), and any documentation
required to questions on the application.
Note: A copy of the navigator entity registration
application form OCI 11-091, required in par. (a), may be obtained at no cost
from the Office of the Commissioner of Insurance at 125 S. Webster Street,
Madison WI 53703, or at the Office's web address: oci.wi.gov.
(b)
Payment of fees. An
applicant for an original registration shall pay an initial, non-refundable,
registration fee of $100.00 is due with submission of the
application.
(c)
Acknowledgement of registration. Determination of the
acceptance or rejection of a completed application shall be made within 90 days
of receipt by the commissioner of the completed application, which is tolled
until receipt of any additional required or requested documentation. The
commissioner shall accept a registration if the applicant satisfies the
requirements of pars. (a) and (b), and if the applicant is designated by the
exchange as a navigator entity, receives funding through a federal grant, is in
compliance with s.
628.92(2),
Stats., and is in compliance with applicable federal requirements including
45
CFR 155.215(a) (1), as
amended.
(2) REGISTRATION
RENEWALS. The renewal fee of $100.00 is due before October 1 of each year. The
commissioner shall send notice of the registration renewal fee in a manner
prescribed by the commissioner at least 60 days prior to the fee due date to
each navigator entity. Applications for navigator entity renewal shall be
submitted before the October 1 renewal deadline. The navigator entity shall
comply with the requirements of s.
628.92(5) (a), Stats., by submitting proof of a current
bond or by providing evidence of an equivalent coverage alternative subject to
the commissioner's prior approval. Failure to comply with the requirements of
this section may be cause for the commissioner to deny, revoke, or suspend the
registration of a navigator entity.
(3) ENTITY REPORTING. The navigator entity
shall report any updates to the list of navigators given in the application to
register as a navigator entity, including additions, deletions, or
modifications, within 30 days of the addition, deletion, or modification to the
list of navigators.
(4) ENTITY
LIABILITY.
(a) A navigator entity assumes full
legal responsibility for the acts of the navigators whom the entity employs,
supervises or is affiliated with for acts that are performed in this state and
that are within the scope of the apparent authority to act as a navigator on
behalf of the entity.
(b) The
entity shall provide evidence of financial responsibility consistent with s.
628.92(5) (a), Stats., by submitting the original bond
and form to the office in the form prescribed by the commissioner.
Alternatively the navigator entity, subject to the commissioner's prior
approval, may provide evidence of an equivalent coverage alternative.
Note: A copy of a sample navigator and navigator
entity bond form OCI 11-093, required in sub. (4) (b), may be obtained at no
cost from the Office of the Commissioner of Insurance at 125 S. Webster Street,
Madison WI 53703, or at the Office's web address:
oci.wi.gov.
(5)
INVESTIGATION AND REVIEW.
(a) The
commissioner, or designated examiner, may investigate and review all navigator
entities under ss.
601.43 and
601.44,
Stats. The method and timing of the reviews shall be determined by the
commissioner in each case and may consist of any of the following:
1. Consideration of information available
from state, federal, or local agencies, private organizations or agencies, or
interested persons.
2.
Investigation upon receipt of a complaint from any person.
3. Any other information the commissioner
deems relevant to the investigation.
(b) If, after the investigation the
commissioner suspends, denies or revokes the registration, written notification
shall be given with reasons for such action. The suspension, denial or
revocation constitutes an order pursuant to s.
601.62(3) (a), Stats., and the navigator entity may
request a hearing before the commissioner under that
section.
