Health Insurance Benefits Advisors: Understanding Responsibilities, Regulations, Restrictions and the Relevance to Implementing the Affordable Care Act

Authors

Alexandra M. Stewart, George Washington UniversityFollow
Marisa A. Cox, George Washington UniversityFollow
Leighton Ku, George Washington University

Document Type

Report

Publication Date

9-2014

Abstract

This brief describes the operational differences among six different types of benefits advisors including: 1) Commercial agents and brokers, 2) Medicaid enrollment brokers, 3) navigators, 4) non-navigator assistance personnel (or in-person assisters), 5) certified applications assisters, and 6) health center outreach and enrollment assistance workers. We will address: 1) the role of each benefits advisor 2) the health plans with which benefits advisors are authorized to work 3) training requirements, 4) compensation 5) conflict of interest requirements, and 6) the impact benefits advisors have on consumer enrollment decisions.

Comments

This brief was produced under Award No.: EENS91173N, Project: 34757, for Simon and Co.

Recommended Citation

Stewart, Alexandra M.; Cox, Marisa A.; and Ku, Leighton, "Health Insurance Benefits Advisors: Understanding Responsibilities, Regulations, Restrictions and the Relevance to Implementing the Affordable Care Act" (2014). Health Policy and Management Issue Briefs. Paper 50.
https://hsrc.himmelfarb.gwu.edu/sphhs_policy_briefs/50

Open Access

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