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. (1) Providing enrollment or other specific information regarding a health benefit plan that is not offered in the federal exchange.
2. (2) Providing a recommendation comparing health benefit plans that may be better or worse for the consumer or employer.
3. (3) Making misleading statements to a consumer or employer regarding or otherwise misrepresenting one’s qualifications or services.
4. (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. (5) Asking or urging a consumer to apply for a particular health benefit plan from a particular insurance company.
6. (6) Distributing cards, documents or advertisements regarding a particular health insurer.
7. (7) Recommending a particular health benefit plan or insurer.
8. (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 45 CFR 155.20, as amended.
9. (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.

History

History: EmR1314: emerg. cr. eff. 9-10-13; CR 13-113: cr. Register August 2014 No. 704, eff. 9-1-14; correction in (8) made under s. 13.92 (4) (b) 7. Register August 2014 No. 704.