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Navigator & CAC Resources

Scroll down to find information on how to become a new Navigator including how to become licensed and registered, materials for assisters to use during enrollments, immigration enrollment resources, and more!

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Click here to learn about getting licensed
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Click here for enrollment appointment resources
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Click here to learn how to get ready for assisting
Icon of a travel document or passport with a globe symbol on the cover, set against an orange circle background.
Click here for immigrant enrollment resources

Getting licensed and registered

Icon of a medal with a star in the center and two ribbons hanging below.

Scroll down to find resources to help you get started as a Navigator or CAC.

The following materials will help you find the necessary documents and applications to fill out. If you have any questions, please reach out to Adam VanSpankeren at adam.vanspankeren@wisc.edu

To start the application process the following must be met:

  1. Complete 16 hours of accident and health prelicensing. See list of courses offered.

  2. Complete any federally mandated training required under the federal health care exchange.

  3. Schedule and pass a navigator exam through the PSI website at PSI WI exams. Exam fee is $75.

  4. Submit fingerprinting through fieldprintwisconsin.com. Use Fieldprint code FPWIOCIINSURANCE.

  5. Apply online at nipr.com  or via paper: Individual Navigator Application.

For more information click the button to download our PDF.

Click here to download a new Navigator/CAC walkthrough
  • Screenshot of the Wisconsin Office of the Commissioner of Insurance website featuring a navigation menu with links for various types of navigator licenses and applications.

    Office of the Commissioner of Insurance

    OCI’s registration and licensing process for Wisconsin Navigators and Certified Application Counselors .

    OCI
  • Screenshot of a registration process for a technical assistance portal showing step 1: selecting an MLMS application and agreeing to terms and conditions, with options to select an application, check a box to agree, and click next.

    Accessing 2023 FFM Assister Certification Training

    Video which walks through how to access and interact with Plan Year 2023 FFM Assister Certification Training.

    MLMS Video
  • A webpage titled '2023 Federally-facilitated Marketplace (FFM) Assister Training' listing various training resources and guides related to assistor training and certification for the federal health insurance marketplace.

    FFM Assister Training Resources

    A compilation of resources to support you in getting through the FFM Assister Training located on the CMS Enterprise Portal.

    CMS Website
  • Cover page of a guide titled 'Intermediary Guide to Wisconsin Insurance Law'.

    Intermediary Guide to Wisconsin Insurance Law

    The official study guide from OCI. Use it to help you prepare for the exam. Focus on chapters 1-4.

    OCI Study Guide
  • A document titled 'Wisconsin Limited Line: Navigator Series 22-14' outlining health insurance topics. Sections include ACA provisions, health insurance concepts, types of plans, and ACA benefits.

    Navigator Exam Outline

    Navigator Exam Outline from PSI.

    Exam Outline
  • A document from the Wisconsin Office of the Commissioner of Insurance discussing mandated benefits in health insurance policies, including health insurance policies, coverage for maternity and mental health, health maintenance organizations (HMOs), and services provided by chiropractors, dentists, and nonphysician providers.

    Mandated Benefits in Health Insurance Policies

    Health insurance policies sold in Wisconsin often include mandated benefits. These are benefits an insurer must include in certain types of health insurance policies. Most mandated benefits apply to health insurance sold to both groups and to individuals.

    PDF
  • A table with federal requirements and instructions for initial CDO and CAC activities, including application renewal, new CDOs, and contract execution details.

    CAC & CDO Brief Guidance

    Brief review of federal and state requirements for Certified Application Counselors and Certified Application Counselors Designated Organizations.

    PDF
  • Presentation slide titled "How to Apply for Navigator Licenses Using the NIPR," covering Wisconsin, Fall 2022. Includes images of diverse people: a grandfather and child outdoors, a woman with two children, and a woman wearing a headset outdoors, along with icons of a state map, a group of people, and a headset.

    Instructions on Apply for a Navigator License

    Instructions on using the NIPR to apply for an Individual Navigator License or Navigator Business Entity License.

    PDF

Getting ready to assist

Checklist with five checked boxes and a pen
  • Screenshot of health insurance marketplace assistant microlearning platform with modules on reporting life changes, reporting income, and account creation.

    Marketplace Assister Microlearning

    On this site, you will find an optional selection of short and interactive microlearning modules to help you assist Health Insurance Marketplace consumers. You must provide some information to enter the site.

    Modules:

    1. Reporting Life Changes

    2. Reporting Income

    3. Account Creation

    Go to Microlearning
  • Screenshot of the REGTAP website showing a list of scheduled training events with columns for title, date, format, location, time, and duration.

    Registration for Technical Assistance Portal (REGTAP)

    Make certain you’re registered for the Marketplace Assister Webinar Series via RegTap.

    REGTAP serves as a centralized information portal for the Centers for Medicare & Medicaid Services (CMS) resources and training related to the Health Insurance Marketplace, the No Surprises Act (NSA) and other CMS policies.

    Go to RegTap

Resources for appointments

Icon of an open book with lines representing text.
  • Screenshot of a table with columns labeled Item, Reason, and Suggested Language. Topics include finding support, obtaining consent, determining household income, checking health insurance coverage, and reviewing income over the past three months.

    Enrollment Appointment Guide

    Step-by-step guide for Marketplace enrollments. Provides links to supportive resources.

    Word Doc
  • A checklist titled 'My Marketplace Application Checklist' with ten items related to health insurance application requirements, including household information, income details, employer information, tax filing plans, policy numbers, and legal documentation.

    My Marketplace Application Checklist

    When you apply for Health Insurance you’ll need to give this information about you and your household.

    PDF Checklist
  • A table titled 'Reference Chart: Special Enrollment Periods' outlining eligibility and coverage details for loss of minimum essential coverage and pregnancy-related coverage, including qualifying events, prior coverage requirements, timing, and effective dates.

    Marketplace SEP Table

    Special Enrollment Period (SEP) guide for Assisters .

    Health Reform | Beyond the Basics
  • Table showing 2022 poverty guidelines for 48 contiguous states with annual income thresholds based on household size, highlighting amounts from $13,590 for 1 person up to $174,950 for 14 persons, with additional columns for higher household sizes.

    2022 FPL by Month or Year

    Download spreadsheets that display FPL by month and year to figure out best coverage options for consumers. Downloadable spreadsheets are on the righthand side of the webpage.

    Link to HSS Poverty Guidelines
  • Title page of a document titled "Modified Adjusted Gross Income under the Affordable Care Act," updated March 2021, explaining the calculation of MAGI with sections on what it includes and deducts.

    MAGI

    Learn how to calculate MAGI: Modified Adjusted Gross Income (MAGI).

    About MAGI PDF
  • Table showing healthcare insurance details for 2022, including premium contribution levels based on household income, employer-sponsored insurance affordability threshold, and out-of-pocket maximums for different health plans and income levels.

    Income Guidelines & Thresholds Guide

    Find all the changing threshold income limits that impact enrollment from year to year.

    Health Reform | Beyond the Basics
  • Screenshot of a financial planning calculator and chart for family size of 4, showing annual, monthly, biweekly, and weekly expense calculations for the year 2021.

    FPL Calculator

    Use this calculator to get an estimate of where your family falls on the FPL.

    ABC for Health Calculator
  • Table comparing eligibility for different immigrant programs under the ACA, SNAP, Medicaid, CHIP, TANF, and SSI, as of April 2018, with columns indicating whether applicants are eligible, not eligible, or have specific options, with a note about the entry date of August 22, 1996.

    Immigrant Eligibility Chart

    A quick guide to immigrant eligibility for Marketplace, Medicaid and other programs.

    National Immigration Law Center
  • Screenshot of a webpage titled 'Health Insurance Marketplace Calculator' from the Kaiser Family Foundation, featuring options to select a state and enter a zip code to estimate health insurance premiums and subsidies.

    Health Insurance Marketplace Calculator

    Estimate Health Insurance Premiums and Subsidies for Health Insurance Coverage through Marketplaces

    Click Here

Resources for immigrants

Icon of a passport with a globe symbol on the front cover.

Scroll down to find resources for immigrant enrollment assistance.

Find information on protecting immigrant families, a reference guide to immigration documents, memos regarding Afghan and Ukrainian refugees, and more.

You can also find helpful information and resources by visiting Immigrantbenefitswi.org. There you will find free-to-download toolkits to help spread the word, more immigration resources, and health information for immigrants with BadgerCare Plus.

Have questions?

Feel free to reach out to Caroline Gomez-Tom at caroline.gomez@wisc.edu

  • Sample United States Permanent Resident Card with personal details, photo, barcode, and MRZ at bottom.

    Reference Guide to Immigration Documents

    This reference guide walks through examples of the different immigration document types that can be used in Healthcare.gov

    Guide on Health Reform | Beyond the Basics
  • Official document from the Wisconsin Department of Health Services, dated July 19, 2021, titled 'DMS Operations Memo 21-17.' It is addressed to Income Maintenance Supervisors, Income Maintenance Lead Workers, and Income Maintenance Staff, discussing health care eligibility changes for citizens of the Compact of Free Association (COFA) countries. The memo is from Jonelle Brom, Bureau Director, and Jori Mundy, Deputy Bureau Director. The document lists affected programs, including Medicaid, FoodShare, SeniorCare, BadgerCare Plus, Caretaker Supplement, and FoodShare Employment and Training. It includes cross references to relevant handbooks and policy sections.

    Medicaid Eligability for Citizens of the Compacts of Free Association (COFA) Countries

    How citizens of the Compacts of Free Association (COFA) countries can become eligible for the BadgerCare Plus and Medicaid programs.

    DMS Memo
  • An informational webpage titled "Know Your Rights" by Protecting Immigrant Families, discussing public charge policies, with links to guides, facts, and resources in multiple languages.

    Protecting Immigrant Families

    The Protecting Immigrant Families (PIF) coalition is dedicated to providing community-facing materials on public charge to better equip immigrants with what they need to make the best decision for themselves and for their families.

    Know Your Rights Webpage
  • Document from the Department of Health & Human Services, Centers for Medicare & Medicaid Services, titled 'Health Coverage Options for Certain Ukrainian Nationals' dated July 13, 2022, discussing health coverage options for Ukrainians displaced by the Ukraine invasion.

    Health Coverage Options for Ukrainian Nationals

    Ukrainians who have been displaced by Russia’s February 24, 2022 invasion will be eligible for health insurance. Most Ukrainians can access health insurance through Medicaid, Refugee Medical Assistance and HealthCare.gov (Marketplace).

    July CMS Memo

  • BadgerCare Plus, Medicaid, and FoodShare Eligibility Change for Certain Ukrainians

    Explains BadgerCare Plus, Medicaid, and FoodShare eligibility for certain Ukrainian Nationals.

    DMS Memo
  • Document titled 'Health Coverage Options for Afghan Evacuees' issued by the Department of Health & Human Services from 2021, detailing eligibility for Afghan evacuees including refugee and immigrant categories.

    Health Coverage Options for Afghan Evacuees November 1, 2021

    Afghan evacuees arriving in the United States will be eligible for health insurance. Afghan evacuees can access health insurance through Medicaid, HealthCare.gov (Marketplace) and Refugee Medical Assistance.

    Nov CMS Memo

  • Afghan New Arrivals and Access to Public Benefits

    This document provides a summary of newly arrived Afghans’ eligibility for federal public benefits. It specifically covers eligibility based on the immigration statuses most common among newly arrived Afghans.

    Click Here
  • A detailed table outlining various immigration and Medicaid eligibility categories, including CHIP, Full-Scope Medicaid, and other statuses, with conditions and requirements listed in multiple columns.

    Access to State-Funded Public Benefits in Wisconsin for Survivors, Based on Immigration Status

    The chart shows eligibility based on immigration status. Applicants must also meet all other program eligibility requirements, such as income/resource limits.

    Click Here
  • See a list of immigration statuses that qualify someone for Marketplace coverage.

    Immigration Status and the Marketplace

    See a list of immigration statuses that qualify someone for Marketplace coverage.

    Go to HealthCare.Gov