Indiana Navigator Module 1 Key Terms Questions With Correct Answers

Indiana Navigator - Answer Individuals and entities that must be certified or registers with the Indiana Department of Insurance (IDOI) to provide application assistance through the Marketplace (MP) or Indiana Health Coverage Program (Medicaid, Children's Health Insurance Program (CHIP) or Healthy Indiana Plan (HIP). Federal Navigator / Certified Application Counselor (CAC) - Answer Federal trained and certified consumer assistants. established under the Affordable Care Act (ACA), to provide Marketplace (MP) education enrollment assistance. (They must also be certified as Indiana Navigators with the Indiana Department of Insurance) Conflict of Interest Policy / Conflict of Loyalty - Answer A state policy that establishes what may constitute an actual or potential Conflict of Interest (Financial Interest or Conflict of Loyalty) and disclosure and other requirements surrounding such conflicts by which all Indiana Navigators and AOs must comply. Privacy & Security / Security Breach - Answer All Indiana Navigators and AOs must comply with state privacy and security agreements established, which defines what constitutes a consumer's personal information and a security breach or improper disclosure of such information. Reporting Requirements - Answer Information that must be reported to IDOI by an Indiana Navigator or AO, including a change in name or address, an administrative or criminal action, a change in Conflict of Interest status, a security Breach of a consumer's information or an addition / removal of a navigator or AO location from an AO. Indiana Health Coverage Program (IHCP) - Answer Any of the several programs operating under Indiana Medicaid, such as Hoosier Healthwise, Healthy Indiana Plan (HIP), Children's Health Insurance Program (CHIP), Hoosier Care Connect, Traditional Medicaid, Gateway to Work, and Home and Community-Based Programs. Marketplace (MP) - Answer A federally developed and operated insurance marketplace operating in Indiana that makes Qualified Health Plans (QHPs) available to qualified individuals and/or qualified employers in accordance with the Affordable Care Act (ACA). Navigator Pre-certification Education (PE) - Answer Education and training programs approved by the Indiana Department of Insurance (IDOI) that must be completed by individuals as part of the initial Indiana Navigator certification application process and prior to taking the Navigator Examination. Navigator Continuing Education (CE) - Answer Education and training programs approved by the Indiana Department of Insurance (IDOI) that must be completed by certified Indiana Navigators to satisfy their yearly two hour Navigator CE requirement. Producer / Agent / Broker - Answer An individual licensed by the state to sell, solicit, or negotiate insurance products. Agency - Answer A business entity licensed by the state to sell, solicit, or negotiate insurance products.