Definitions.

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  • (1) "Enroll" and "enrollment" mean to:
    • (a)
      • (i) obtain personally identifiable information about an individual; and
      • (ii) inform an individual about accident and health insurance plans or public programs offered on an exchange;
    • (b) solicit insurance; or
    • (c) submit to the exchange:
      • (i) personally identifiable information about an individual; and
      • (ii) an individual's selection of a particular accident and health insurance plan or public program offered on the exchange.
  • (2) "Navigator":
    • (a) means a person who facilitates enrollment in an exchange by offering to assist, or who advertises any services to assist, with:
      • (i) the selection of and enrollment in a qualified health plan or a public program offered on an exchange; or
      • (ii) applying for premium subsidies through an exchange; and
    • (b) includes a person who is an in-person assister or a certified application counselor as described in federal regulations or guidance issued under PPACA.
  • (3) "Personally identifiable information" is as defined in 45 C.F.R. Sec. 155.260.
  • (4) "Public programs" means the state Medicaid program in Title 26, Chapter 18, Medical Assistance Act, and Title 26, Chapter 40, Utah Children's Health Insurance Act.
  • (5) "Resident" is as defined by rule made by the commissioner in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
  • (6) "Solicit" means the same as that term is defined in Section 31A-23a-102.




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