Certified Application Sample Clauses

Certified Application. Counselor Organizations must assure conformance to the following requirements: 1. Must not be engaged in the business of selling or issuing health insurance and may not be affiliated with an organization that sells or issues health insurance. 2. Must not be an Association that includes members of the insurance industry or who lobbies on behalf of the insurance industry. 3. Board members of an Assister organization who are engaged in or are affiliated with organizations that sell or issue health insurance must not participate in actions or decisions directly or indirectly related to operation of the Assister program. 4. Must not receive any consideration, directly or indirectly, from a health insurance issuer related to enrollment of individuals/employees in a QHP or non-QHP. Consideration includes any compensation, monetary or in-kind, including grants, influence, gifts or gratuities. 5. Must not be a provider entity (including but not limited to hospitals, clinics, and physician practices) directly owned by, a subsidiary of, or that exclusively contracts with a single insurer or its subsidiaries. An exception may be made if the provider can demonstrate that there are significant limitations on available insurers with whom to contract. 6. Must disclose to the HBE Navigator Program Manager any relationship they believe may be or may appear to be a potential conflict of interest. 7. Must disclose all business relationships with Carriers. Upon request of the Exchange, the organization must submit to the Exchange a list of all Carriers from which compensation has been received in the previous 12 months, the amount of compensation received from each Carrier during the previous 12 months, and the nature of the compensation (patient services or other work performed). This disclosure must be submitted even if the relationships are unrelated to plan enrollment and Assister functions. Not all relationships with carriers would disqualify an organization from serving as an Assister. This includes submitting a list of all business relationships with carriers and the amount of compensation received by the provider during the previous 12 months, even if the relationships are unrelated to plan enrollment and Assister functions. Not all relationships with carriers would disqualify an organization from serving as an Assister. 8. Monitor and assure that ▇▇▇▇▇▇▇▇▇ deliver assistance impartially, and must not allow any financial or non-financial interests influence or appear t...