TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER ww: HEALTH CARE SERVICE PLANS
PART 4515 NAVIGATOR, IN-PERSON COUNSELOR AND CERTIFIED APPLICATION COUNSELOR CERTIFICATION
Section 4515.10 Purpose
Section 4515.20 Definitions
Section 4515.30 Certification Required
Section 4515.40 Exemption from Certification
Section 4515.50 Application for Certification
Section 4515.60 Certification Renewal
Section 4515.70 Navigator, In-Person Counselor and Certified Application Counselor Prohibited Conduct
Section 4515.80 Reporting to the Director
Section 4515.90 Training Provider Responsibilities (Repealed)
Section 4515.100 Education Responsibilities of the Applicant for the Navigator, In-Person Counselor or Certified Application Counselor Certification or Renewal
Section 4515.110 State-Provided Education Course Curriculum
Section 4515.120 Certification Denial, Suspension, Nonrenewal, Probation, or Revocation
Section 4515.130 Regulatory Examinations
Section 4515.140 Felony Offense Review
AUTHORITY: Implementing and authorized by the Navigator Certification Act [215 ILCS 121]; Illinois Health Benefits Exchange Law [215 ILCS 122]; 42 U.S.C. 300gg-22; and 45 CFR 150.101(b)(2) and 150.201.
SOURCE: Adopted at 38 Ill. Reg. 2226, effective January 3, 2014; recodified from 50 Ill. Adm. Code 3125 to 50 Ill. Adm. Code 4515 at 41 Ill. Reg. 4976; amended at 43 Ill. Reg. 422, effective December 21, 2018; amended at 48 Ill. Reg. 12343, effective August 1, 2024; amended at 49 Ill. Reg. 12657, effective September 26, 2025.
Section 4515.10 Purpose
The purpose of this Part is to establish certification criteria for Navigator, In-Person Counselor or Certified Application Counselor certification; establish pre-certification education requirements for applicants for Navigators, In-Person Counselors or Certified Application Counselors certification; and establish continuing education requirements for Navigators, In-Person Counselors or Certified Application Counselors. Additionally, this Part establishes disqualification and non-compliance penalty provisions and felony offense review standards for Navigators, In-Person Counselors or Certified Application Counselors regardless of residency.
(Source: Amended at 49 Ill. Reg. 12657, effective September 26, 2025)
