Texas Insurance Code Title 13, Chapter 4154 - Navigators For Health Benefit Exchanges

SUBCHAPTER A GENERAL PROVISIONS

• Texas Section 4154.001 - Purpose
  Since the State of Texas opted out of implementing a state exchange, pursuant to the Patient Protection and Affordable Care Act (Pub. L. No. 111-148)...
• Texas Section 4154.002 - Definitions
  In this chapter: (1) "Health benefit exchange" means a health benefit exchange established or operated by the secretary of the United States Department of Health...
• Texas Section 4154.003 - Applicability Of Other Law
  Notwithstanding Section 101.051, 101.102, 4001.051, or 4001.101 or any other law, a navigator that satisfies the requirements of this chapter may perform any duty or...
• Texas Section 4154.004 - Exemptions
  This chapter does not apply to: (1) a licensed life, accident, and health insurance agent; (2) a licensed life and health insurance counselor; or (3)...
• Texas Section 4154.005 - Rules
  The commissioner shall adopt rules necessary to implement this chapter and to meet the minimum requirements of 42 U.S.C. Section 18031, including regulations. Added by...

SUBCHAPTER B STANDARDS AND QUALIFICATIONS FOR NAVIGATORS

• Texas Section 4154.006 - Expiration Of Chapter
  This chapter expires September 1, 2017. Added by Acts 2013, 83rd Leg., R.S., Ch. 1236 (S.B. 1795), Sec. 1, eff. September 1, 2013.
• Texas Section 4154.051 - Sufficiency Of Federal Qualifications
  (a) The commissioner shall determine whether the standards and qualifications for navigators provided by 42 U.S.C. Section 18031 and any regulations enacted under that section...
• Texas Section 4154.052 - Limits On Advertising
  A navigator may not, in any advertisement or other materials that are published or distributed in any manner by or on behalf of the navigator:...
• Texas Section 4154.053 - Certain Compensation Prohibited
  A navigator may not receive compensation for services or duties as a navigator that are prohibited by federal law, including compensation from a health benefit...

SUBCHAPTER C PROHIBITED ACTS

• Texas Section 4154.054 - Additional Training Requirements
  The commissioner shall adopt rules authorizing additional training for navigators as the commissioner considers necessary to ensure compliance with changes in state or federal law....
• Texas Section 4154.101 - Navigators Not Licensed As Agents
  (a) Unless the navigator is licensed to act as an agent under Chapter 4054, a navigator may not: (1) sell, solicit, or negotiate coverage under...

Last modified: September 28, 2016