Navigators

 

Hello, Marketplace Navigators!

Welcome to the Navigator resources page for Virginia’s Insurance Marketplace.

Here, you will find materials and resources to help you reach Virginians and assist them with up-to-date information about quality, affordable health insurance, and financial savings.

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Access the Navigator Portal

If you are a certified Navigator, log in to the Marketplace portal to manage your account.

Login

About the State-based Marketplace (SBM) Transition

Virginia has transitioned to a state-based marketplace — Virginia’s Insurance Marketplace — starting November 1, 2023, for Plan Year 2024.

The Exchange hosts Town Hall meetings and provides updates and Frequently Asked Questions to support Navigators and other stakeholders with transition and ongoing Exchange activities. Use the links below to access Navigator information made available by the Exchange.

Navigator Town Halls, FAQs & Resources

Navigator Town Halls provide updates on current conditions affecting HBE Navigators. Presentation materials from past Town Halls are available below.

Navigator FAQs provides a cumulative record of commonly asked questions and answers. The file is updated frequently and includes historical content. Our knowledge base has additional resources including job aids for navigating the Virginia Insurance Marketplace Enrollment Platform. 

Navigator and Assister Resources

Contact us with any questions at Assisterprograms@scc.virginia.gov.

  • 1. Apply for (or maintain) a registration through the Virginia Bureau of Insurance.

    Navigators in Virginia must maintain a registration with BOI in accordance with 38.2 VAC 34-7. Visit Sircon to submit an application for registration with the Bureau of Insurance or to check the status of an application.

    The application includes fees: $15 Application Fee and $8.55 Sircon Service Fee (approximate).

    Note that as part of the BOI registration Navigators must submit a Criminal History Record Report (CHRR) that is less than 90 days old.

    • Virginia Residents will need to download form (SP-167) from the http://www.vsp.state.va.us/  and have the results mailed back to them.
    • Non-residents will need a CHRR from their home state less than 90 days old and have the results mailed back to them.
  • 2. Complete Navigator and Assister training through the Marketplace Learning Management System.
    • Current Virginia-certified Navigators will be eligible to complete a shorter training program for plan year 2024. You would have received an auto-generated email from no-reply@scc.virginia.gov providing your login ID. Visit https://marketplacelms.scc.virginia.gov/ to begin.
    • Navigators new to the Virginia Exchange will be required to take the full Marketplace training program for plan year 2024. Navigators without LMS accounts will need to send a request for a new LMS account along with their name, navigator organization name, unique email, unique cell number, and certification number (if applicable) to MarketplaceLMS@scc.virginia.gov.
    • Training will be completed at https://marketplacelms.scc.virginia.gov/.
    • To receive certification of training completion, you must receive a passing score of 80 on module tests. 
    • Your navigator organization will create an assister portal account on the Marketplace Platform on your behalf at www.enroll.marketplace.virginia.gov/hix/account/user/login.
    • Verify your profile information in collaboration with your organization.

  • Navigator organizations apply annually for grants awarded by the Exchange pursuant to § 38.2-6513 of the Code of Virginia. Grants are issued annually by September 1. Once a navigator organization is selected for grant award, it can proceed with the following steps. The Navigator Request for Applications (RFA) is found at Navigator-Program-Req-App.pdf (scc.virginia.gov).

    The Exchange will create a Navigator portal account on the Marketplace Platform for your organization. 

    1. Verify the information on this portal account is accurate.
    2. Create assister portal accounts on the Marketplace Platform for all Navigators operating under your organization.
    3. Require navigators to complete (or maintain) required registration through the Virginia Bureau of Insurance, complete Navigator and Assister training through the Marketplace Learning Management System.
    4. Navigator Grantees will provide Navigator Program Services to the SCC in accordance with the RFA, the grantee’s executed Navigator Agreement, and applicable federal and state law. Questions regarding the Navigator Program should be sent to Assisterprograms@scc.virginia.gov.

  • Registered Navigators are required to report any of the following to the Commission at Assisterprograms@scc.virginia.gov within 30 days:

    • Any felony convictions (include facts and circumstances around conviction).
    • Any administrative action taken against the Navigator in another state or by another governmental agency in the Commonwealth.
  • A navigator shall not:
    • Engage in any activity that would require an insurance agent license.
    • Offer advice about which qualified health or dental plan is better or worse for an individual or employer.
    • Act as an intermediary between employer and insurer that offers qualified health or dental plans offered through an exchange.
    • Violate any unfair trade practice and privacy requirements applicable to the activities of Navigators.
    • Receive compensation for services or duties as a Navigator, including compensation from health carriers.
  • An individual or entity shall not claim to be and/or conduct business as a Navigator without:
    • Being selected as such in accordance with federal or state law.
    • Having evidence of successful completion of all Navigator requirements prescribed by the Virginia Exchange.
    • Meeting additional requirements outlined in §38.2-3457.

    If any individual or entity engages in one or more of the prohibited activities above, a complaint may be filed with the Commission. If the complaint is verified after investigation, the individual or entity may be ordered to cease and desist further prohibited conduct.

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Access the Marketplace Learning Management System

Marketplace-certified Navigators help Virginians access quality health coverage. Navigator training and certification for Plan Year 2024 is now available. Click the link below to access assister training.

Learning Management System

Marketplace LMS FAQs provide updates to assist with the Learning Management System. 

Questions regarding the Marketplace Learning Management System or account request should be sent to LMS@marketplace.virginia.gov.

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Partner Resources

Thank you for your continued partnership with Virginia's Insurance Marketplace. 

With your support and outreach, Virginians across the Commonwealth will gain access to high-quality, affordable comprehensive health coverage. Our partner resource materials are designed to raise Marketplace awareness, provide information about enrollment periods, and more. The Virginia’s Insurance Marketplace partner toolkits include flyers, sample newsletter text, and social media graphics you can use in your outreach efforts.