Wisconsin Administrative Code
Office of the Commissioner of Insurance
Chapter Ins 6 - General
Section Ins 6.96 - Prohibited business practices
Current through August 26, 2024
In addition to the prohibited acts contained in s. 628.95(2), Stats., navigators, navigator entities, nonnavigator assisters and nonnavigator assister entities are prohibited from all of the following:
(1) Providing enrollment or other specific information regarding a health benefit plan that is not offered in the federal exchange.
(2) Providing a recommendation comparing health benefit plans that may be better or worse for the consumer or employer.
(3) Making misleading statements to a consumer or employer regarding or otherwise misrepresenting one's qualifications or services.
(4) Offering a recommendation directly to a consumer or employer regarding a particular health benefit plan concerning deductible, coinsurance, or any substantive benefits, terms, or conditions of the contract.
(5) Asking or urging a consumer to apply for a particular health benefit plan from a particular insurance company.
(6) Distributing cards, documents or advertisements regarding a particular health insurer.
(7) Recommending a particular health benefit plan or insurer.
(8) Receiving consideration directly or indirectly from any health insurer in connection with the enrollment of individual or employees into a qualified health plan as defined, as amended.
(9) Using a single appointment for selling, soliciting or advising a consumer or employer about a product other than health benefit plans by a navigator or nonnavigator assister who is also a licensed insurance agent. Insurance agents shall make a separate appointment with the consumer or employer for selling, soliciting, or advising about a product other than a health benefit plan.
