Source: https://insurance.az.gov/producers/types-licenses
Timestamp: 2020-03-31 10:48:32
Document Index: 224168343

Matched Legal Cases: ['§ 20', '§ 20', '§ 11', '§ 20', '§ 20', '§ 20', '§ 20']

Types of Licenses | Arizona Department of Insurance
Mon, 09/01/2014 - 07:25
WHAT IS A CERTIFIED APPLICATION COUNSELOR?
A certified application counselor is an individual who is licensed by the Arizona Department of Insurance and who is authorized by the United States Department of Health and Human Services to perform activities and duties described by 45 CFR 155.225, which are:
Provide information to individuals and employees about the full range of QHP (Qualified Health Plan) options and insurance affordability programs for which they are eligible;
Assist individuals and employees to apply for coverage in a QHP through the Exchange and for insurance affordability programs; and,
Help to facilitate enrollment of eligible individuals in QHPs and insurance affordability programs. ARS § 20-336(1); 45 CFR 155.225(c).
A navigator is defined by ARS § 20-336(5) as a person (individual or organization) licensed by the Arizona Department of Insurance who is authorized by the United States Department of Health and Human Services to perform activities and duties described by 42 USC 18031 and 45 CFR 155.215, which include
Educating the public about the Health Insurance Marketplace;
Presenting fair, accurate and impartial information about health plan options, including acknowledgement of options available outside of the Marketplace;
Helping individuals select qualified health plans ("QHP");
Referring individuals who encountered problems with the health plan in which they are enrolled to the Department of Insurance;
Providing culturally and linguistically appropriate information based on the population being served; and,
Accommodating persons with disabilities.
WHAT IS A PORTABLE ELECTRONICS ADJUSTER?
A portable electronics adjuster is a person licensed in Arizona to adjust only portable electronics insurance claims. The person must either be:
A resident of Canada who holds an adjuster license in another state that permits the person to adjust portable electronics insurance in that state; or,
A resident of another state who is not licensed as an insurance adjuster, but is permitted to adjust portable electronics insurance claims in the resident state.
WHAT IS A RISK MANAGEMENT CONSULTANT
A risk management consultant is an employee of a political subdivision (county, city, town, health care district, etc.) with a population of more than one million persons whose governing body is composed of members of a county board of supervisors. The risk management consultant may procure insurance or establish a self-insurance program to provide health, accident, life or disability benefits for employees or officers of the political subdivision, or to pay the political subdivision's property and casualty losses. ARS §§ 11-981, 20-331.01.
WHAT IS A SELF-SERVICE STORAGE AGENT
A self-service storage agent is a person who owns or is the managing agent of a self-service storage facility that offers or sells insurance covering property loss or damage to stored personal property in connection with an incidental to the rental of space at a self-service storage facility.
WHAT IS A LIFE AND HEALTH ADMINISTRATOR (OR TPA)?
A life and health administrator, also know as a third-party administrator ("TPA") collects money or processes claims for residents of Arizona in connection with life or health insurance coverage. Arizona Revised Statutes ("ARS") § 20-485 provides a full definition, including the types of entities that are not considered TPAs.
WHAT IS A TRAVEL INSURANCE PRODUCER?
A travel insurance producer is a business entity that itself, or through travel retailers, offers and issues insurance coverage for personal risks incident to planned travel, including interruption or cancellation of a trip or event; loss of baggage or personal effects; damages to accommodations or rental vehicles; or, sickness, accident, disability or death while traveling. ARS § 20-333
WHAT IS A UTILIZATION REVIEW AGENT
A utilization review agent (URA), defined in ARS § 20-2501, determines the medical necessity and appropriateness of health care services.
The Department may authorized an Arizona-licensed insurance producer to issue insurance policies using a mechanical vending machine if the producer provides required information to the Department. ARS § 20-293