IDOI Navigator Contact – Navigator@idoi.in.gov
Requirements for Indiana Navigators; Lists of Approved Training Providers
As part of the initial application process to become an Indiana Navigator, all potential Indiana Navigators will need to complete Navigator precertification education ("PE") prior to taking the certification examination. The topics of the PE training will include information on consumer assistance, the federally-facilitated Marketplace, and Medicaid; including basic information and state-specific application. In order to complete Navigator PE, individuals will need to locate a Navigator PE course provider that has been approved by the IDOI to provide Indiana Navigator PE training. The cost of the PE training may vary based on the source of the training.
Each year, in order to maintain current knowledge and understanding of consumer assistance, the federal Marketplace, and Medicaid changes and implementation, all Indiana Navigators must complete at least two (2) hours of continuing education ("CE"). Much like the precertification training, an individual may use his or her associated Application Organization or a third party training entity as a source for continuing education. The cost of CE may vary, based on the source of the training.
Application to Become a Precertification Education ("PE") Course Provider
Any insurance trade association, accredited college or university, educational organization, or Application Organization, may submit Indiana Navigator PE courses for approval by the Commissioner of Insurance. Courses must follow the guidelines and criteria provided in the next section--Precertification Education ("PE") Training Criteria and Resources (skip to section).
- Navigator PE Course Application
- A completed application must be submitted to: Indiana Department of Insurance, c/o Navigator Director, 311 West Washington Street Suite 300, Indianapolis, IN 46204.
- Application must include: One (1) original set of all documentation; a check or money order for the total amount of fees ($50.00 filing fee; $25.00 director fee; $10.00 instructor fee (per instructor)); Content Outline/Agenda; and Text Material. Checks or money orders should be made payable to: Indiana Department of Insurance. No cash payments will be accepted.
Upon course approval providers must subscribe to Vertafore in order to enter course dates and locations as well as to download course certificates of completion for applicants.
Precertification Education ("PE") Training Criteria and Resources
An Indiana Navigator precertification education ("PE") course must meet the criteria codified in Indiana Code 27-19-4-11(b). In addition, all PE courses and study materials should follow the Subject Matter Content Outline (as of June 18, 2014). The Subject Matter Content Outline identifies and classifies entry level knowledge that Indiana Navigators need to properly serve Hoosier health insurance consumers.
In addition, the Score Report (as of June 18, 2014) identifies content that will be tested on the Indiana Navigator certification examination. All questions on the certification exam are outlined on the Score Report. The Score Report will be updated periodically and may not be consistent with outdated study manuals. Where such discrepancies exist, the Score Report takes precedence.
Indiana Navigator PE course providers may also use the Indiana Navigator Training Resource Manual (as of June 18, 2014) as a resource for teaching PE courses. The Training Resource Manual was created in conjunction with the Subject Matter Content Outline and Score Report to act as a useful tool for course providers and Indiana Navigators to learn what they need to know to properly serve Hoosier consumers. Content contained in the Training Resource Manual is subject to change due to ongoing changes in federal and state laws and regulations. Course providers are expected to provide accurate and up-to-date information in their courses. Therefore, any discrepancies between the Training Resource Manual and current laws and regulations, should be noted by training providers, and proper information should be disclosed to students.
Training providers may also use the following Indiana Navigator Training Resource Modules as a resource for teaching Indiana Navigator PE courses. The modules are consistent with the Training Resource Manual.
IMPORTANT NOTE: On January 27, 2015, Governor Pence announced the approval of the Healthy Indiana Plan (“HIP”) 2.0. Additional information and resources on HIP 2.0 are available at www.HIP.in.gov. Indiana Navigator PE course providers should immediately update their courses to ensure that they are appropriately covering this topic. Training providers may use the three (3) HIP 2.0 Training Slides (see next section) as supplemental materials for PE courses.
Continuing Education (“CE”) Course Application; Training Resources
Indiana Navigators are required to complete two (2) hours of CE per year. Any individual, insurance trade association, accredited college or university, educational organization, or Application Organization, may submit Indiana Navigator CE courses for approval by the Commissioner of Insurance.
- Navigator CE Course Application
- Application must be mailed to: Indiana Department of Insurance, c/o Navigator Director, 311 West Washington Street, Suite 300, Indianapolis, IN 46204.
- All applications must be submitted 30 days before the date of the course and must include: (1) One original set of all documentation; (2) a nonrefundable $40.00 filing fee per course, or a yearly filing fee of $500 for all courses; (3) Content Outline/Agenda showing the hours and minutes for each topic; (4) a detailed business resume or biography for each instructor; and (5) Text and all other course materials. Checks or money orders should be made payable to Indiana Department of Insurance and mailed with the application paperwork. No cash payments will be accepted.
Once approved, providers must subscribe to Vertafore within 14 days of course approval in order to enter course dates and locations as well as to download CE course completion certificates for students.
IMPORTANT NOTE: On January 27, 2015, Governor Pence announced the approval of the Healthy Indiana Plan (“HIP”) 2.0. Additional information and resources on HIP 2.0 are available at www.HIP.in.gov. Indiana Navigator CE course providers may use the following three (3) HIP 2.0 Training Slides as resources for HIP 2.0 Navigator CE courses, as well as supplemental materials for updating existing CE and PE courses.
The following are important guidelines that CE training providers must follow:
- One CE credit is equal to 50 minutes of classroom instruction and a 10 minute break. One credit hour is the minimum that will be approved for classroom or self-study. Eight hours of classroom is the maximum credit per day.
- A provider may advertise a CE course after submission to the IDOI but before its approval. However, the provider must clearly indicate in any advertisement of the course that course approval is pending.
- Classroom and Self-Study courses may be approved. Videotaped, Internet, and satellite broadcast programs may also be approved for CE credit.
- A Self-Study course means study material in a textbook, computer based software, or internet format designed for individual study by a student, which requires a closed book, proctored examination. The provider must submit all the course material that the student will receive for the Commissioner to review. Audio tapes are not an acceptable self-study format. Self-study courses are subject to the following requirements:
- All examination questions must be multiple choice. There must be four options for each question. True or false questions are not accepted.
- There must be a bank of questions with three different exams.
- A computer-based course that includes a computer-based examination must be designed to prevent the student from skipping the education materials before taking the examination.
- The number of questions required by credit hour:
- 25 questions are required for 8 hours of credit or less
- 50 questions are required for greater than 8 hours of credit
- 75 questions are required for greater than 12 hours of credit
- A student must correctly answer 70% of the examination question in order to pass the self-study course and receive any CE credit.
- When taking a self-study examination, the student shall do all of the following:
- Sign an affidavit, supplied by the provider that states that the navigator did not use outside help, such as an open textbook or another individual, in taking the examination.
- A second certified navigator must sign the affidavit verifying that the second navigator witnessed the first navigator's examination and no outside help was used. A navigator who takes the examination in a testing center that administers tests for professional designations may have a representative of the testing center sign the affidavit rather than a certified navigator.
- The signed affidavit must be returned to the provider. The provider shall retain the original affidavit for four (4) years.
- The provider shall grade the examination and mail the results to the student no later than 14 days after the date upon which the student mailed the completed examination to the provider.
- The acceptable procedure to determine appropriate credit hours for textbooks, workbooks, and other printed material is based on 44 lines per page, 12 or more words per line, and 10 pages. One credit hour is equal to 5,280 words. Thirty-two (32) lines per page would require 14 pages to equal one credit hour. No credit is given for appendices, glossaries or chapter questions.
- Each educational segment within a convention program or an association annual meeting shall be submitted individually for CE credit.
- Providers must staff entrances and exits of meeting sites and provide a sign in/sign out system to take attendance and monitor individuals who leave the meeting or seminar. Individuals who arrive late (more than 15 minutes) or remain away from the meeting or seminar for extended period of time shall not be given credit.
- Once approved, the course cannot deviate from the approved outline. A new application with a revised outline and hours, and course application fee must be submitted and approved. All additional dates/locations/times must be reported to the Vertafore database prior to the course presentation. The system will deny credit should the dates/location/time not match the scheduled offerings.
- In the event a provider objects to the number of hours assigned to a CE course or the Commissioner disapproves a course, the provider may appeal the Commissioner's decision. The appeal shall be made in writing to the Commissioner within 30 days after the Commissioner's decision. The Commissioner shall consider any appeal filed by a provider. The decision of the Commissioner shall be a final administrative order. Appeals can be submitted to the Navigator Director, Indiana Department of Insurance, 311 West Washington Street, Suite 300, Indianapolis, Indiana 46204-2787.
- Course approval is valid for two (2) years from the date of the Commissioner's approval. Thereafter, the course must be resubmitted for renewal.
- Recruiting or soliciting producers or navigators during an approved CE course is not permitted.
- A provider shall provide each navigator who attends a CE course, or passes a self-study CE course, with a certificate of completion form no later than 10 days following the completion of the course. Course completion certificates can be downloaded from Vertafore.
- For two years following a CE course, the provider shall prepare a duplicate certificate of completion upon the request of a navigator who completed the CE course. The certificate must be provided within 10 days of the request.
- No later than 10 days after the request from the IDOI, the provider must deliver to the IDOI a list of the navigators to whom it has delivered a certificate of completion for a specific CE course.