31A-23b-211. Exceptions to navigator licensing.
(1) For purposes of this section: "Negotiate" is as defined in Section. 31A-23a-102 "Sell" is as defined in Section. 31A-23a-102 "Solicit" is as defined in Section. 31A-23a-102
(2) The commissioner may not require a license as a navigator of: a person who is employed by or contracts with: a health care facility that is licensed under, to assist an individual with enrollment in a public program or an application for premium subsidy; or Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection the state, a political subdivision of the state, an entity of a political subdivision of the state, or a public school district to assist an individual with enrollment in a public program or an application for premium subsidy; a federally qualified health center as defined by Section 1905(1)(2)(B) of the Social Security Act which assists an individual with enrollment in a public program or an application for premium subsidy; a person licensed under, if the person is licensed in the appropriate line of authority to sell, solicit, or negotiate accident and health insurance plans; Chapter 23a, Insurance Marketing - Licensing Producers, Consultants, and Reinsurance Intermediaries an officer, director, or employee of a navigator: who does not receive compensation or commission from an insurer issuing an insurance contract, an agency administering a public program, an individual who enrolled in a public program or insurance product, or an exchange; and whose activities: are executive, administrative, managerial, clerical, or a combination thereof; only indirectly relate to the sale, solicitation, or negotiation of insurance, or the enrollment in a public program offered through the exchange; are in the capacity of a special agent or agency supervisor assisting an insurance producer or navigator; are limited to providing technical advice and assistance to a licensed insurance producer or navigator; or do not include the sale, solicitation, or negotiation of insurance, or the enrollment in a public program; a person who does not sell, solicit, or negotiate insurance and is not directly or indirectly compensated by an insurer issuing an insurance contract, an agency administering a public program, an individual who enrolled in a public program or insurance product, or an exchange, including: an employer, association, officer, director, employee, or trustee of an employee trust plan who is engaged in the administration or operation of a program: of employee benefits for the employer's or association's own employees or the employees of a subsidiary or affiliate of an employer or association; and that involves the use of insurance issued by an insurer or enrollment in a public health plan on an exchange; an employee of an insurer or organization employed by an insurer who is engaging in the inspection, rating, or classification of risk, or the supervision of training of insurance producers; or an employee who counsels or advises the employee's employer with regard to the insurance interests of the employer, or a subsidiary or business affiliate of the employer; and an Indian health clinic or Urban Indian Health Center, as defined in Title V of the Indian Health Care Improvement Act, which assists a person with enrollment in a public program or an application for a premium subsidy.
(3) The exemption from licensure under Subsections,, anddoes not apply if a person described in Subsections,, andenrolls a person in a private insurance plan. (2)(a) (b) (f) (2)(a) (b) (f)
(4) The commissioner may by rule exempt a class of persons from the license requirement of Subsectionif: 31A-23b-201(1) the functions performed by the class of persons do not require: special competence; special trustworthiness; or regulatory surveillance made possible by licensing; or other existing safeguards make regulation unnecessary.