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2021

CMS 2021 NAVIGATOR NOTICE OF FUNDING OPPORTUNITY. CMS Announces $80 Million Funding Opportunity Available for Navigators in States with a Federally-Facilitated Marketplace: https://www.hhs.gov/about/news/2021/06/04/cms-announces-80-million-funding-opportunity-available-navigators-states-with-federally-facilitated-marketplace.html. Posted 6/7/2021

IDOI NEWS RELEASE: Hoosiers Have Opportunity to Purchase Health Insurance During Special Enrollment Period (February 9, 2021)

2021 EDUCATION ADVISORY COUNCIL MEETINGS. The 2021 Education Advisory Council Meetings Notice has been posted on the Indiana Department of Insurance (IDOI) homepage under the "Notices of Public Hearing" section. Posted 1/6/2021

2020

IDOI CONSUMER ALERT: ENROLLING IN MARKETPLACE COVERAGE FOR 2021. The Indiana Department of Insurance (IDOI) has released the following Consumer Alert: Enrolling in Marketplace Coverage for 2021, offering tips to help guide consumers through the Marketplace open enrollment process, which runs through Dec. 15, 2020. Posted 11/18/2020

EXAMS NOW OFFERED IN SPANISH. As of November 1, 2020, Indiana Department of Insurance (IDOI) license examinations are now offered in Spanish for the following exam types: Health, Life, Life & Health, Navigator, Personal Lines, Property & Casualty. After selecting one of these exam types during the online scheduling process, candidates will be asked their preferred language for the exam. They may select “English” for an exam in English or “Spanish-Modern” for an exam in Spanish. Also, Spanish exams are only being offered at physical test center locations, not through the OnVUE online proctoring service. Posted 11/2/2020

ONVUE ONLINE PROCTORING SERVICE – NOW LIVE!  Indiana Department of Insurance (IDOI) insurance license examinations may now be taken remotely (e.g., at home or work) through OnVUE—Pearson VUE’s online proctoring service. OnVUE is available for all IDOI examinations and no additional fees will be charged to candidates for using the service. Candidates will need to provide a reliable computer with a webcam and microphone, as well as a strong internet connection and a quiet, private room to take the exam. Candidates will be monitored through the webcam and microphone by a live proctor and video recording in order to ensure the integrity of the exam.

Scheduling of OnVUE exams, as well as information on the requirements, policies and procedures of online exams, is available through the IDOI OnVUE webpage at https://home.pearsonvue.com/in/insurance/onvue. In addition, IDOI exams may continue to be scheduled to be taken onsite at Pearson VUE, Ivy Tech and Ball State testing centers, however availability may currently be limited due to centers operating at 50% “social-distancing” capacity.

Posted 9/22/2020

ONVUE ONLINE PROCTORING SERVICE – COMING SEPT. 1ST!  Beginning September 1, 2020, insurance license candidates may begin scheduling Indiana Department of Insurance (IDOI) license examinations to be taken remotely (e.g., at home or work) through OnVUE, Pearson VUE’s online proctoring service. OnVUE will be available for all IDOI exams and no additional fees will be charged to candidates for using the service. Candidates will need to provide their own computer with a reliable webcam and microphone, as well as a strong internet connection and their own quiet, private room to take the exam. Candidates will be monitored through the webcam and microphone by a live proctor and video recording in order to ensure the integrity of the exam.

Scheduling of OnVUE exams, as well as information on the requirements, policies and procedures of online exams, will be available through Pearson VUE’s IDOI exam scheduling website at https://home.pearsonvue.com/in/insurance. In addition, IDOI exams will continue to be conducted onsite at Pearson VUE, Ivy Tech and Ball State testing centers, however availability may be limited due to centers operating at 50% “social-distancing” capacity. Posted 8/18/2020

UPGRADE FROM AGENCYEDGE TO SIRCON. On August 14, 2020, Vertafore’s AgencyEDGE business-entity insurance license compliance system and name were upgraded to Sircon. Any business entity licensed with the Indiana Department of Insurance (IDOI) may use the Sircon system to track licensing requirements and compliance of the business entity and its licensed insurance professionals. Additional information on the service is available online at https://sirconwalkup.vertafore.com/apex/Article?Id=kA21K0000007VyQSAU. The new Sircon website for business entities is located online at https://agy.sircon.com/agency/signup/signup.action?ref=indiana. The website may also be accessed through IDOI’s Sircon website at www.sircon.com/indianaPosted 8/14/2020

IDOI EDUCATION ADVISORY COUNCIL APPOINTMENTS. Governor Holcomb announced on June 4 several new appointments and reappointments to various state boards and commissions, including the IDOI Education Advisory Council established under IC 27-1-15.7-6. The following new appointments and reappointments were announced to the Council, with terms to run through March 31, 2023:

New Appointments

  • Jeffrey Goodwin (Fishers), vice president of insurance programs with the Indiana Manufacturers Association/IMASERV, Inc.
  • Dave Moore (Indianapolis), sales and membership manager with the Independent Insurance Agents of Indiana
  • Susan Rider (Westfield), vice president of sales operations with Preventia Group, LLC
  • David Welsheimer (Anderson), president of Buckeye Planning Concepts, Inc.

Reappointments

  • Kevin Bell (Carmel), general agent for Guardian Life
  • Sarah Clayton (Indianapolis), vice president with Don Oldham Agencies, Inc.
  • James Funk, Jr. (Indianapolis), agent of Central Insurance Associates, Inc.
  • Jennifer Jones (Lebanon), co-owner of Royal Title Services, Inc.
  • Rick Vasil (Carmel), manager of Indiana FAIR Plan Posted 6/16/2020

UPDATED: TAKING LICENSING EXAMS WITH EXPIRED DOCUMENTATION. In response to the closing of testing sites due to the COVID-19 public health emergency, IDOI license candidates needing to take an exam when required exam documentation (i.e., course completion certificate, IDOI waiver, IDOI certificate of testing eligibility) expired between the closing of testing sites (March 16, 2020) and the reopening of testing sites (May 1, 2020 for Pearson VUE and July 15, 2020 for Ivy Tech), will have 90 days from July 15 to take an exam with the same, expired documentation (EOB July 14, 2020 July 30, 2020 October 13, 2020 for all testing sites). Candidates with expired documentation may schedule exams by calling Pearson VUE at 866-895-0496. Posted 3/24/20 Updated 4/7/2020 Updated 6/9/2020

IVY TECH TESTING CENTERS TO REOPEN JULY 15. Ivy Tech testing centers throughout the state of Indiana will begin reopening for testing of IDOI license candidates on July 15. Candidates may begin scheduling exams at Ivy Tech centers on June 12. Capacity will be limited at first with seats, days and times, and will vary by campus, however capacity is expected to increase as conditions allow. Candidates are encouraged to schedule an exam as soon as possible and, once scheduled, continue to check the availability of exams online as new exam dates and times may frequently become available. Candidates might also consider scheduling exams at testing centers in different locations of the state if more convenient dates and times are available. Posted 6/9/2020

LICENSE EXPIRATION DATES EXTENDED TO JUNE 30, 2020. Pursuant to Governor Holcomb's Executive Order 20-31, IDOI license expiration dates within the declared COVID-19 public health emergency in Indiana will be extended to June 30, 2020. Outstanding license renewal applications and/or continuing education (CE) requirements that were due on March 31, 2020, April 30, 2020 or May 31, 2020 are now due on June 30, 2020. The new license expiration dates and CE due dates will be reflected online by June 30, 2020. Posted 6/4/2020

EXPANDED AVAILABILITY OF INDIANAPOLIS AND TERRE HAUTE EXAM SITES. Due to the limited availability of license examinations amid COVID-19 exam site closures and sites operating at 50% “social-distancing” capacity, IDOI and Pearson VUE have partnered together to expand the availability of IDOI licensing examinations at Pearson VUE testing centers in Indianapolis (North Meridian) and Terre Haute. When scheduling an exam online, IDOI candidates may see earlier and more frequent exam availability at those sites. Therefore, IDOI and Pearson VUE encourage candidates to consider those locations as options for testing, schedule an exam as soon as they can, and continually check the scheduling website as new seats are frequently becoming available. Posted 6/1/2020

LICENSE EXPIRATION DATES EXTENDED TO JUNE 4, 2020. Pursuant to Governor Holcomb's Executive Order 20-27, license expiration dates within the declared public health emergency in Indiana will be extended to June 4, 2020. Outstanding license renewal applications and/or continuing education (CE) requirements that were due on March 31, 2020, April 30, 2020 or May 31, 2020 are now due on June 4, 2020. The new license expiration dates and CE due dates will be reflected online on May 31, 2020. Posted 5/11/2020

REOPENING OF PEARSON PROFESSIONAL TESTING CENTERS. As of May 1, 2020, Pearson VUE-owned and operated Pearson Professional Testing Centers are now open for testing in Indiana and throughout the United States for IDOI license candidates. The six Pearson centers in Indiana include Crown Point, Evansville, Fort Wayne, Indianapolis (2), and Terre Haute, and 21 centers are available in neighboring states. Due to the tentative closings of Ivy Tech testing centers until August 1 and Ball State until June 1, candidates may experience delays in availability of exams at Indiana testing centers when scheduling for exams. IDOI encourages candidates to schedule an exam as soon as possible and, once scheduled, continue to check the availability of exams online as new exam dates and locations are frequently coming available. Candidates may also consider scheduling exams at testing centers in different regions of the state or in other states if earlier exam dates are available. Posted 5/11/2020

AGENCY SERVICES/LICENSING E-MAIL UPDATES. A new Agency Services/Licensing e-mail subscription feature has been created in order to receive Agency Services/Licensing notices directly to your e-mail. To subscribe to e-mail updates, select the following icon posted here and at the top of this webpage:

Sign Up for UpdatesPosted 4/20/2020

COVID-19 ACTIONS WEBPAGE. The Indiana Department of Insurance (IDOI) has created a COVID-19 Actions webpage. Please visit this webpage for the latest IDOI actions and guidance in relation to COVID-19. Posted 3/26/2020

AGENCY SERVICES TELEWORKING THROUGH APRIL 17. As a COVID-19 precaution, all IDOI Agency Services/Licensing staff are teleworking through April 17, 2020 and returning to the office April 20, 2020. Online license application and renewal processes, and course applications/renewals submitted online, will experience normal processing times. However, applications or supporting documents submitted by paper/mail/fax may experience significantly longer processing times. Therefore, we highly encourage license applicants, licensees and course providers to utilize online licensing services and avoid paper processes when possible. Agency Services is continually monitoring the situation and will provide any updates to IDOI licensing requirements or procedures as they become available. Posted 3/19/2020

PEARSON VUE CORONAVIRUS UPDATE PAGE. Pearson VUE has released a Coronavirus Update Page dedicated to sharing updates with testing candidates, including individuals taking IDOI licensing examinations. "As concerns related to the coronavirus (COVID-19) continue, our first priority is to ensure the safety of our testing candidates," the webpage says, "We’ll share updates with you as quickly as possible – check back often for additional updates.Posted 3/11/2020

U.S. CENSUS 2020. The Indiana Department of Insurance (IDOI) is encouraging Hoosiers to participate in the 2020 U.S. Census. The following flyer explains the importance of the census to Hoosiers. Between March 12 and March 20, initial invitations to complete the census online or by phone will begin arriving at homes via the U.S. Postal Service. IDOI also encourages licensed Indiana insurance professionals to share the importance of the census when speaking with consumers and to share the flyer with consumers. For additional information on the census, please visit www.census.indiana.eduPosted 3/3/2020

NEW AGENCY SERVICES SPECIALIST. Please join us in welcoming Kiarra Pearson to the IDOI Agency Services division. Kiarra will serve as Agency Services Specialist, managing new/initial Resident Producer licensing and the Indiana Navigator certification program. For a full list of Agency Services contacts, please visit https://www.in.gov/idoi/2446.htm at the bottom of the page. Posted 2/26/2020

2020 EDUCATION ADVISORY COUNCIL MEETINGS NOTICE. The 2020 Education Advisory Council Meetings notice has been posted on the IDOI homepagePosted 1/7/2020 

NEW DEPUTY COMMISSIONER OF AGENCY SERVICES. Please join us in congratulating Randall Evans, former Deputy Commissioner of Agency Services, on his new position as Associate Commissioner of the Texas Department of Insurance. Randall’s last day with IDOI was December 30, 2019, after serving over 10 years at IDOI, first as a contractor and then in full-time leadership roles. Matt Tapp, former Navigator Program Director, has been named as Deputy Commissioner of Agency Services. A listing of Agency Services/Licensing contacts is available on the bottom of the Licensing home pagePosted 1/7/2020

2019

UPDATED EXAMINATION CONTENT OUTLINES. All IDOI insurance licensing examination Content Outlines have been updated and are posted on the IDOI/Pearson VUE exam scheduling landing page at https://home.pearsonvue.com/in/insurance. The outlines identify topics that must be taught in pre-licensing education courses and are tested on IDOI licensing examinations. The number of questions devoted to each topic on exams are noted in the outlines. The updated outlines will be effective on examinations taken on or after February 28, 2020.

The outlines were updated in conjunction with exam review workshops held October 15-17 with IDOI, Pearson VUE, Indiana pre-licensing education providers, and other subject matter experts and industry professionals. Posted 12/20/2019 

AGENCY SERVICES SPECIALIST JOB POSTING. The IDOI Agency Services division has an opening for an Agency Services Specialist. The Agency Services Specialist will be responsible for reviewing and processing Resident Producer (agent and agency) license applications and maintaining the Indiana Navigator certification program for Indiana. The full job posting and link to apply are available online at https://workforindiana.in.gov/job/Indianapolis-Agency-Services-Specialist-IN-46204/616790300/Posted 12/20/2019

CMS FACT SHEET RE: HEALTH INSURANCE EXCHANGE 2020 OPEN ENROLLMENT. Please see the following CMS Fact Sheet providing key updates and enhancements to HealthCare.gov for 2020 open enrollment. Posted 10/29/2019

NAIC CONSUMER ALERT RE: ENROLLING IN MARKETPLACE COVERAGE FOR 2020. Please see the following NAIC Consumer Alert regarding enrolling in Marketplace coverage for 2020. Posted 10/29/2019

FOR IMMEDIATE RELEASE: IDOI Deputy Commissioner Randall Evans Receives Regulator Recognition Award https://content.govdelivery.com/accounts/INDOI/bulletins/262da17 September 30, 2019

FSSA NOTICE RE: HEALTHY INDIANA PLAN. Please see the following FSSA notice for Healthy Indiana Plan (HIP) stakeholders and navigators. Posted 6/25/2019

INDUSTRY DAY WEBINAR. A copy of the IDOI Industry Day webinar hosted by IDOI and Pearson VUE on May 23, 2019 has been released. Thank you to all who participated in the webinar. The webinar provides helpful information regarding the changes to the IDOI licensing examination program. Education providers and other insurance licensing stakeholders are encouraged to view the webinar if they were unable to attend it or the in-person Industry Day on May 8, 2019. Posted 6/14/2019

MARKETPLACE WEBINAR INVITATION. Please see the following CMS Marketplace Webinar Invitation for Friday, June 14, 2019 from 2:00 PM ET to 3:00 PM ET, which will provide important Marketplace updates for Navigators and Certified Application Counselors. Please be sure to RSVP if you wish to attend the webinar. Posted 6/12/2019

NEW IDOI LICENSING EXAMINATION PROVIDER. The Indiana Department of Insurance (IDOI) is pleased to announce its new insurance licensing examination provider, Pearson VUE. Please see the following memo regarding the transition and a list of some of the new features and services provided by Pearson VUE. IDOI licensing candidates can now use the new website www.pearsonvue.com/in/insurance to schedule their licensing exams for dates beginning May 30, 2019. First-time users must first create an account by selecting the “Create account” box and following the prompts. For full guidance on examination policies and procedures, please refer to the new Candidate Handbook on the website. Posted 5/30/2019

UPDATED NAVIGATOR FAQS AND EXAM PROCEDURES WEBPAGE. The IDOI Navigator FAQs and Examination Procedure Checklist webpage have been updated, providing detail as to the updated guidelines and procedures for scheduling and taking IDOI insurance licensing examinations through IDOI’s new exam vendor, Pearson VUE, for exam dates beginning May 30, 2019. Posted 5/24/2019

IDOI EXAMS ON MAY 30, 2019 AND AFTER. Candidates wanting to take IDOI licensing examinations on May 30, 2019 and after must now schedule the exams through Pearson VUE either online through https://home.pearsonvue.com/in/insurance or by calling 866-895-0496. Exams on or after May 30, 2019 may no longer be scheduled through Performance Assessment Network (PAN). Posted 5/15/2019

INDUSTRY DAY PRESENTATION AND UPCOMING WEBINAR. Please see the following Industry Day slide-show presentation presented at the inaugural insurance “Industry Day” hosted by IDOI and Pearson VUE on May 8, 2019 at the Indiana Government Center in Indianapolis. Thank you to all who participated in the event. A live webinar will also be hosted by IDOI and Pearson VUE for those who missed the event and would like to learn about upcoming changes to the IDOI licensure examinations program. Details on the webinar are as follows:

IDOI Industry Day Webinar - Register Today!
Webinar: IDOI Exam Program Updates
Please join us:
Date: May 23, 2019
Time: 1pm - 3pm ET
Register here: https://pearsononline.webex.com/pearsononline/onstage/g.php?MTID=effe9049fc0ee5f7ab01ddd1604bb8928 Posted 5/13/19

UPDATED COURSE MATERIALS AND COURSE AUDITS. This is a reminder to all Indiana Education Providers that updates to any approved pre-licensing or continuing education course materials (e.g., course handouts, presentations, textbooks, outlines, etc.) must be submitted to IDOI before being implemented and delivered. IDOI approval is not required prior to implementing and delivering the updated material, as long as the material has been successfully submitted to IDOI. Updated course materials may be submitted to: Indiana Department of Insurance, c/o CE Coordinator, 311 W. Washington St. Suite 103, Indianapolis, IN 46204-2787.

In addition, an IDOI representative may conduct unannounced course audits of classroom or online courses to ensure compliance with approved course outlines and materials on record for courses, as well as laws and regulations pertaining to Indiana Education Providers. Non-compliance may result in an IDOI course approval being revoked or not renewed. Posted 5/13/19

IHCP BULLETIN RE: NEW FSSA MEMBER ELIGIBILITY SYSTEM. Please see the following Indiana Health Coverage Program (IHCP) bulletin regarding FSSA's new internal system for member eligibility for healthcare benefits going live at the end of April 2019. Posted 4/11/19

2019 INDUSTRY DAY. Please see the following invitation to the inaugural “Industry Day” hosted by the Indiana Department of Insurance (IDOI) and Pearson VUE. IDOI is excited to announce its partnership with Pearson VUE to develop and deliver Indiana insurance licensing examinations beginning on May 30, 2019. Education providers and other interested parties are invited to join us to receive an introduction to Pearson VUE’s testing services and important IDOI education provider and insurance licensing updates.

Event: Indiana Department of Insurance and Pearson VUE Industry Day

Date:   May 8, 2019

Time:  10 a.m. to 1 p.m. EDT

Place: Indiana Government Center South Auditorium

302 W. Washington St.

Indianapolis, IN 46204

Please RSVP online by April 30, 2019 here: RSVP

*Individual licensees registered and present throughout the event will receive three (3) hours of General Continuing Education. Posted 3/28/2019

UPDATED EDUCATION ADVISORY COUNCIL MEETINGS NOTICE. An updated 2019 Education Advisory Council Meetings notice has been posted on the IDOI homepagePosted 3/28/2019

UPGRADE FROM PRODUCEREDGE TO SIRCON FOR INDIVIDUALS. Effective February 18, 2019, Vertafore’s ProducerEDGE individual insurance license compliance system has been upgraded to Sircon for Individuals. FAQs regarding the upgrade are posted here.  The former URL to the ProducerEDGE website will now redirect to the Sircon for Individuals website located at https://www.sircon.com/products/individuals/index.jspPosted 2/18/2019

IHCP BULLETIN RE: GATEWAY TO WORK. Please see the following Indiana Health Coverage Programs (IHCP) bulletin regarding the Healthy Indiana Plan (HIP) Gateway to Work program. Posted 1/11/2019

IRS NOTICE RE: INDIVIDUAL MANDATE EXEMPTIONS. Please see IRS Notice 2019-05. Individual shared responsibility payment hardship exemptions may be claimed on a federal income tax return without obtaining a hardship exemption certification from the Marketplace for the 2018 tax year. Posted 1/3/2019

2018

FSSA NOTICE RE: BENEFITS PORTAL REDESIGN. Please see the following notice regarding the FSSA Benefits Portal redesign coming by the end of December 2018. Posted 12/19/2018

FSSA NOTICE RE: GATEWAY TO WORK. Please see the following FSSA notice regarding the Healthy Indiana Plan (HIP) Gateway to Work program. Posted 12/4/2018

IHCP BULLETIN. PE Adults will be served under the fee-for-service delivery system beginning January 1, 2019 Posted 12/4/2018

IDOI CONSUMER ALERT: ENROLLING IN MARKETPLACE COVERAGE FOR 2019. Please see the following IDOI Consumer Alert: Enrolling in Marketplace Coverage for 2019Posted 11/2/2018

NAIC HEALTHCARE REFORM FAQS AND HEALTH COVERAGE SHOPPING TOOL. Frequently Asked Questions About Health Care Reform and a Health Coverage Shopping Tool have been released by the NAIC Consumer Information (B) Subgroup. Posted 11/2/2018

2019 MARKETPLACE OPEN ENROLLMENT INFORMATION. Please see the following information released by the Centers for Medicare & Medicaid Services (CMS) regarding open enrollment for 2019 Health Insurance Marketplace coverage. Posted 10/31/2018

NAIC CONSUMER ALERT RE: ENROLLING IN MARKETPLACE COVERAGE FOR 2019. Please see the following NAIC Consumer Alert regarding enrolling in Marketplace coverage for 2019. Posted 10/23/2018

2019 MARKETPLACE CARRIER COVERAGE. Please see the following Indiana map showing carrier coverage by county for the 2019 Federal Marketplace. Carrier rate filing information for the Marketplace may be viewed online at www.in.gov/idoi/3054.htmPosted 10/11/2018

FSSA NOTICE RE: GATEWAY TO WORK. Please see the following FSSA notice regarding the Healthy Indiana Plan (HIP) Gateway to Work program. Posted 9/12/2018

FSSA NOTICE RE: NEW HEALTH COVERAGE APPLICATION SURVEY QUESTIONS. Please see the following FSSA notice regarding new optional survey questions on the Indiana Application for Health Coverage. Posted 7/17/2018

NEW NAVIGATOR EXAMINATION CONTENT OUTLINE. A new Indiana Navigator Examination Content Outline has been released. The outline combines information from the former Subject Matter Content Outline and Score Report and replaces both documents. The outline identifies topics that must be taught in Navigator Precertification Education (PE) courses and that are tested on the Navigator Examination. The number of questions devoted to each topic on the examination are noted in the outline. The outline should be used as the basis for developing new Navigator PE programs and for submitting renewal applications for existing Navigator PE programs at time of their next renewal.

The outline was developed in conjunction with the Navigator Exam Review & Item Writing Workshop held April 16-18 with representatives of Navigator PE programs, IDOI, FSSA, PSI Services and Professional Testing, Inc. Posted 5/16/2018

2019 MARKETPLACE BENEFIT AND PAYMENT PARAMETERS. Please see the 04-09-2018 CMS press release and fact sheet re: Health Insurance Marketplace Benefit and Payment Parameters for 2019. Posted 4/9/2018

FSSA NOTICE RE: HIP COMMUNICATION TOOLS. Please see the following FSSA notice regarding Healthy Indiana Plan (HIP) communication tools. Posted 3/15/2018

CORRECTION TO HIP TRAINING SLIDES. Slide 17 of the Healthy Indiana Plan training slides has been updated with the correct chart showing POWER Account payment amounts by federal poverty level. Posted 2/26/2018

RENEWAL OF HEALTHY INDIANA PLAN (HIP). On February 2, 2018, Indiana Governor Eric Holcomb joined HHS Secretary Alex Azar to announce CMS approval of the continuation and enhancement of the Healthy Indiana Plan (HIP) through 2020.  See the announcement, HIP renewal summary, FAQs and other useful materials regarding the HIP renewal online at www.in.gov/fssa/hip/2583.htm.  In addition, IDOI has released the following two HIP training slides in the “Education Providers” section of the IDOI website at www.in.gov/idoi/2823.htm.  These HIP training slides may be used by education providers as resources for developing new HIP continuing education (CE) courses for Navigators, as well as for supplemental materials for updating existing Navigator CE and precertification education (PE) courses. Posted 2/22/18

  1. 2018 HIP Waiver Renewal (as of 2/22/18)
  2. Healthy Indiana Plan (as of 2/26/18)

UPDATED SERVICE REQUEST FORM. An updated Navigator/AO Service Request Form has been posted. Posted 2/1/2018

NOTICE OF DISCONTINUANCE OF NAVIGATOR PRECERTIFICATION EDUCATION TRAINING RESOURCES. Effective January 19, 2018, the Indiana Department of Insurance (IDOI) is discontinuing its Navigator precertification education (PE) training resources available to Navigator PE providers offering Navigator PE courses in order to align with IDOI goals and priorities for Navigator precertification education.  The training resources being discontinued include the Indiana Navigator Training Resource Manual, Version 3.0 (last updated January 2017) and four (4) Indiana Navigator Training Resource Modules (last updated January 2017).

IDOI Navigator PE training resources may no longer be submitted with new or renewal Navigator PE provider applications.  Applicants must submit new and updated course materials that adhere to IC 27-19-4-11, 760 IAC 4-8 and the Indiana Navigator Subject Matter Content Outline.  Past training resources published by IDOI may be used for developing new and updated course materials.

If you have any questions regarding this notice, please contact Matt Tapp at mtapp@idoi.in.gov or 317-232-2414. Posted 1/19/2018

2017

November 30 – IHCP announces upcoming changes to the HIP program (IHCP bulletin BT201776)

The Federal Health Insurance Exchange Open Enrollment period runs from November 1, 2017, to December 15, 2017, with coverage starting on January 1, 2018.

General Facts for 2018

  • You should review your plan each year to ensure it meets your health and budget needs
  • Open Enrollment for 2018 is November 1, 2017, to December 15, 2017, which is 6 weeks shorter than last year
  • CareSource and Celtic/MHS/Ambetter are offering Marketplace coverage for 2018
  • Anthem and MDwise Marketplace will not offer Marketplace coverage in 2018, which will require policyholders to select a new plan or they can rely on the auto-reenroll process established by CMS
  • IU Health Plans will not offer off Marketplace coverage in 2018, which will require policyholders to select a new plan
  • Certified Indiana Navigators are available to help you enroll in a plan. Find one near you at https://in.accessgov.com/idoi/Forms/Page/idoi/find-a-navigator/1.

‚ÄčThe Process for Getting Coverage

  • Review: review your coverage and look for a letter from your plan about how your benefits and costs may change next year
  • Update: starting November 1, log in to the federal Marketplace and update your 2018 application – make sure your household income and other information is up-to-date for next year
  • Compare: compare your current plan with other plans that are available in your area
  • Choose: Select the health plan that best fits your budget and health needs. For help, contact a certified Navigator to enroll in your plan. Make sure you discuss:
    • What hospitals and doctors are “in-network”?
    • Are your current medications covered by the plan?
      • Is there a deductible associated with my medications?
      • Is a prior authorization required in order to have my medications covered?
    • Ask to look at the Summary of Benefits and Coverage, which provides an overview of what is covered under the plan as well as any costs to you associated with using the benefits
  • Enroll: Open enrollment for 2018 coverage is from November 1, 2017 to December 15, 2017.

Click here for important information and updates provided by Centers for Medicare and Medicaid Services regarding Federal Health Insurance Exchange 2018 Open Enrollment.

Map – 2018 Marketplace Carrier Coverage by County (as of 10/18/17)

April 28 – LICENSE PRINTING NOW AVAILABLE ONLINE. Indiana Navigator and Application Organization (AO) licenses may now be printed online at www.sircon.com/indiana by selecting "Print a License." Licenses may no longer be obtained by submitting a request to IDOI and must be printed online. Upon issuance or renewal of a Navigator certification or AO registration, online printing is free/no cost for 30 days. After 30 days of issuance or renewal, there is a processing fee to print a license. However, Navigators that have Basic (free/no cost) or Premium ($13.95/year) ProducerEDGE accounts with Sircon/Vertafore may print licenses at any time for free/no cost.

April 28 – Updated FAQs have been posted on the Indiana Navigators home page at www.in.gov/idoi/2823.htm.

March 16 – An updated CE Provider Course Approval Application has been posted online at www.in.gov/idoi/2938.htm.

March 10 – The Navigator annual renewal application steps have been updated to require a Navigator Conflict of Interest Form to be submitted if a Navigator has an actual or potential Conflict of Interest, as defined by the Conflict of Interest Policy, that has not been previously disclosed to the Indiana Department of Insurance.  Conflicts of Interest that have been previously disclosed do not need to be disclosed again with a renewal application.

January 30 – An updated Navigator/AO Service Request Form has been posted.

January 3 – Updates to the Navigator Precertification Education (PE) Program Criteria and Resources webpage, including the following:

  1. Release of Version 3.0 of Indiana Navigator Training Resource Manual (see "Revision History" in the back of the manual for specific updates to the manual).
  2. Release of four updated Indiana Navigator Training Resource Modules (The modules follow the four chapters of the Training Resource Manual).
  3. Release of an updated Indiana Navigator Subject Matter Content Outline (The outline follows the layout of the Training Resource Manual)
  4. Release of an updated Indiana Navigator Certification Examination Score Report. The Score Report outlines topics tested on the Indiana Navigator Certification Examination and number of questions devoted to each topic area. *NOTE: the Certification Examination has also been reviewed and updated to reflect any changes in the laws and regulations affecting Indiana Navigators.*

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2016

December 5 – An updated Navigator Precertification Education (PE) Provider Application has been posted online at www.in.gov/idoi/2936.htm.  The application must be used to apply for approval of or renew Navigator PE programs, directors and instructors.

October 26 – Indiana Department of Insurance Corrects Misleading Media Report Regarding Obamacare Premiums in Indiana

HAPPY 200 YEARS, INDIANA! Please join IDOI in celebrating the Indiana Bicentennial by downloading the IDOI Bicentennial flyer, printing it out and sharing it with your friends, colleagues, and consumers. The flyer, as well as an infographic that can be linked to your website or social media pages, is available on the IDOI website at www.in.gov/idoi/3051.htm.

Map - 2017 Marketplace Carrier Coverage by County (as of 10/18/16)

HIP EMPLOYER LINK. The State of Indiana’s HIP Employer Link now provides premium assistance for low-income Hoosiers eligible for their employer’s insurance plan. More information can be found here: http://hipemployerlink.in.gov.

July 6 – The Final Rule, adding 760 IAC 4 regarding matters relating to an individual acting as an Indiana Navigator and an entity acting as an Application Organization (AO) in Indiana, was posted on the Indiana Register website hereThe rule is effective July 10, 2016.

April 11 – Consumer Alert: IDOI Warns Hoosiers to Be Aware of Non-Compliant ACA Plans

March 16 – Notice of Public Hearing released regarding proposed administrative rule regarding certification and registration requirements, precertification education and examinations, continuing education, duties, conflicts of interest, privacy and security of information, reporting requirements, enforcement, and other matters relating to an individual acting as an Indiana Navigator and an entity acting as an Application Organization (AO) in Indiana. The public hearing will be held on April 12, 2016, at 9:30 a.m., at the Indiana Department of Insurance.

January 27 – Update to Application Organization (AO) Reporting Requirements webpage clarifying an AO's requirement for reporting the removal of an Indiana Navigator from the AO due to violation of Indiana laws or regulations.

January 15 – Updates to the Navigator Conflict of Interest Disclosure Form and AO Conflict of Interest Disclosure Form

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2015

Map - 2016 Marketplace Carrier Coverage by County (as of 11/16/15)

October 30 – Open Enrollment Begins on November 1, 2015: The Indiana Department of Insurance encourages Hoosiers to shop and compare different plan options

September 14 – Updates to Navigator Certification Examination Score Report

July 28 – Updates to List of Navigator Precertification Education (PE) Course Providers Open to Public

July 28 – Navigators and Application Organizations providing assistance in Spanish are now marked with an asterisk (*) on the Find a Navigator page of the Indiana Healthcare Reform website at www.in.gov/healthcarereform.

July 23 – Updates to Indiana Navigator FAQs and Service Request Form posted online at www.in.gov/idoi/2823.htm.

April 17 – Updates to List of Navigator Precertification Education (PE) Course Providers Open to Public

April 15 – "CMS Announces Opportunity to Apply for Navigator Grants in Federally-facilitated and State Partnership Marketplaces"

February 2 – Release of three HIP 2.0 Training Slides in the "Education Providers" section of this website at http://in.gov/idoi/2823.htm. These HIP 2.0 Training Slides may be used as resources for HIP 2.0 Navigator continuing education (CE) courses, as well as supplemental materials for updating existing Navigator CE and precertification education (PE) courses. Additional information on HIP 2.0 is available at http://www.hip.in.gov/.

  1. HIP 2.0 - Introduction, Plan Options, Cost Sharing, Benefits (as of 2/2/15)
  2. HIP 2.0 - Enrollment, Redetermination, Conversion (as of 2/2/15)
  3. HIP 2.0 - Special Populations (as of 2/2/15)

January 27 – APPROVAL OF HIP 2.0 – Governor Pence has announced the approval of the Healthy Indiana Plan (HIP) 2.0. Here is a link to the press release. Hoosiers can now apply for HIP 2.0 by mail, fax, or phone. For additional information and questions regarding HIP 2.0, visit http://www.hip.in.gov/. In addition, Indiana Navigator training provider resources for HIP 2.0 will be made available on this website in the coming days for both Navigator precertification education (PE) and continuing education (CE) providers.

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2014

Map - 2015 Marketplace Carrier Coverage by County (as of 11/18/14)

August 11 – NEWS RELEASE: "Over 1,000 Indiana Navigators Now Certified to Assist Hoosiers in Applying for Healthcare Coverage"

June 18 Updates to the Precertification Education (PE) Training Criteria and Resources section of the website, including the following:

  1. Release of Version 2.0 of Indiana Navigator Training Resource Manual (see "Revision History" in the back of the manual for specific updates to the manual).
  2. Release of four updated Indiana Navigator Training Resource Modules (The modules follow the four chapters of the Training Resource Manual).
  3. Release of Version 2.0 of the Indiana Navigator Subject Matter Content Outline (Outline follows the layout of the Training Resource Manual)
  4. Release of updated Indiana Navigator Certification Exam Score Report. The Score Report outlines topics tested on the Indiana Navigator Certification Exam and number of questions devoted to each topic area. *NOTE: the Certification Exam has also been updated to reflect changes to the laws and regulations that may affect Indiana Navigators. Such changes have also been noted in the Training Resource Manual.*

Map - 2014 Marketplace Carrier Coverage by County (as of 1/10/14)

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2013

Health Care Coverage: Current and Changing Processes (August 2013)

August 1 – Release of Indiana Navigators Website

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