(1) The exchange shall include the following in its protocol for interacting with consumers in order to assist consumers in enrolling in health benefit plans: Upon a consumer's contact with the exchange when seeking assistance in selecting a qualified health plan, whether online or by telephone, the exchange shall inform the consumer that he or she has the option of selecting coverage online, with the assistance of a navigator, or with the assistance of a qualified insurance broker. The exchange shall inform the consumer that a navigator may assist with a health benefit plan selection but may not offer advice on a health benefit plan based on the consumer's individual situation, whereas a qualified broker may offer advice based on the consumer's personal and family situation.
The exchange shall maintain online tools that allow insurance brokers to develop andmaintain client relationships for customers who are eligible to enroll in private health benefit plans, when appropriate, if the client requests this option.
(a) An insurance broker may charge a client a fee for advising the client on the selection of an individual health benefit plan offered on the exchange only if the broker:
Will not receive a commission from the insurer offering the individual health benefitplan selected by the client; and
Provides a written disclosure to the client if the broker will charge a fee for theservice.
(b) The commissioner may promulgate rules regarding the form and manner by which an insurance broker must provide the disclosure required by this subsection (3). The rules shall include a prohibition on a broker charging a fee to assist a client to enroll in medicaid or the children's basic health plan, as defined in section 25.5-8-103 (2).
Source: L. 2016: Entire section added, (SB 16-006), ch. 296, p. 1204, § 1, effective June 10. L. 2018: Entire section amended, (SB 18-136), ch. 118, p. 818, § 2, effective August 8.