Wisconsin Statutes 628.90 – Definitions
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In this subchapter:
Terms Used In Wisconsin Statutes 628.90
- 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
(1) “Exchange” means the American health benefit exchange, as described in 42 U.S. Code § 18031.
(2) “Health benefit plan” has the meaning given in s. 632.745 (11).
(3)
(a) Except as provided in par. (b), “navigator” means a natural person, or an entity that supervises or employs a natural person, who does all of the following:
1. Performs any of the activities and duties identified in 42 U.S. Code § 18031 (i) and 45 C.F.R. 155.210 on behalf of the exchange.
2. Receives funding to perform any of the activities and duties identified in 42 U.S. Code § 18031 (i) and 45 C.F.R. 155.210 on behalf of the exchange.
(b) “Navigator” does not include a person acting as an insurance intermediary licensed under subch. II, but an insurance intermediary may apply to be licensed as a navigator under this subchapter.
(4) “Nonnavigator assister” means a natural person who has been designated by the exchange, or could reasonably be described as working at the behest of the exchange, as a nonnavigator assister, including an in-person assister, enrollment assister, application assister, or certified application counselor.