{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/38.2-3455.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/38.2-3455.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/38.2-3455.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/38.2-3455.html"}],"law_id":64550,"edition_id":1,"section_id":64550,"structure_id":14589,"section_number":"38.2-3455","catch_line":"Definitions","history":"2013, cc. 595, 791; 2014, cc. 752, 769; 2020, cc. 916, 917.","full_text":"As used in this article, unless the context requires otherwise:\n\t\t“Exchange” means either a (i) federal health benefit exchange established by the Secretary of the U.S. Department of Health and Human Services pursuant to \u00a7 1321 of the Patient Protection and Affordable Care Act codified as 42 U.S.C. \u00a7 18041(c) in the Commonwealth or (ii) state-based exchange established pursuant to Chapter 65 (\u00a7 38.2-6500 et seq.) and \u00a7 1311 (b) of the Patient Protection and Affordable Care Act codified as 42 U.S.C. \u00a7 18031.\n\t\t“Health carrier” has the same meaning assigned to that term in \u00a7 38.2-3438.\n\t\t“Navigator” means an individual or entity described in 42 U.S.C. \u00a7 1311(i)(2) that is selected to perform the activities and duties identified in 42 U.S.C. \u00a7 18031 (i) in the Commonwealth. “Navigator” does not include an individual or entity licensed as an agent under Chapter 18 (\u00a7 38.2-1800 et seq.) of this title to sell, solicit, or negotiate contracts of insurance or annuity in the Commonwealth.\n\t\t“Other affordable care options” means the programs provided under the state plan for medical assistance services pursuant to pursuant to Title XIX of the Social Security Act, as amended, and the Family Access to Medical Insurance Security (FAMIS) Plan developed pursuant to Title XXI of the Social Security Act, as amended.\n\t\t“Qualified dental plan” means a limited scope dental plan that has in effect a certification that the plan meets the criteria for certification described in \u00a7 1311(d)(2)(B)(ii) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.\n\t\t“Qualified health plan” means a health benefit plan that has in effect a certification that the plan meets the criteria for certification described in \u00a7 1311(c) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.\n\t\t“Secretary” means the Secretary of the U.S. Department of Health and Human Services.","order_by":null,"text":{"0":{"id":234923,"text":"As used in this article, unless the context requires otherwise:\n\t\t“Exchange” means either a (i) federal health benefit exchange established by the Secretary of the U.S. Department of Health and Human Services pursuant to \u00a7 1321 of the Patient Protection and Affordable Care Act codified as 42 U.S.C. \u00a7 18041(c) in the Commonwealth or (ii) state-based exchange established pursuant to Chapter 65 (\u00a7 38.2-6500 et seq.) and \u00a7 1311 (b) of the Patient Protection and Affordable Care Act codified as 42 U.S.C. \u00a7 18031.\n\t\t“Health carrier” has the same meaning assigned to that term in \u00a7 38.2-3438.\n\t\t“Navigator” means an individual or entity described in 42 U.S.C. \u00a7 1311(i)(2) that is selected to perform the activities and duties identified in 42 U.S.C. \u00a7 18031 (i) in the Commonwealth. “Navigator” does not include an individual or entity licensed as an agent under Chapter 18 (\u00a7 38.2-1800 et seq.) of this title to sell, solicit, or negotiate contracts of insurance or annuity in the Commonwealth.\n\t\t“Other affordable care options” means the programs provided under the state plan for medical assistance services pursuant to pursuant to Title XIX of the Social Security Act, as amended, and the Family Access to Medical Insurance Security (FAMIS) Plan developed pursuant to Title XXI of the Social Security Act, as amended.\n\t\t“Qualified dental plan” means a limited scope dental plan that has in effect a certification that the plan meets the criteria for certification described in \u00a7 1311(d)(2)(B)(ii) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.\n\t\t“Qualified health plan” means a health benefit plan that has in effect a certification that the plan meets the criteria for certification described in \u00a7 1311(c) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.\n\t\t“Secretary” means the Secretary of the U.S. Department of Health and Human Services.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":14589,"edition_id":1,"name":"Navigators","identifier":"7","label":"article","depth":3,"order_by":1,"parent_id":12993,"metadata":{},"date_created":"2026-06-26 03:48:47","date_modified":"2026-06-26 03:48:47","permalink":{"id":215571,"object_type":"structure","relational_id":14589,"identifier":"7","token":"38.2\/34\/7","url":"\/38.2\/34\/7\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12993,"edition_id":1,"name":"Provisions Relating to Accident and Sickness Insurance","identifier":"34","label":"chapter","depth":2,"order_by":1,"parent_id":12698,"metadata":{},"date_created":"2026-06-26 03:44:07","date_modified":"2026-06-26 03:44:07","permalink":{"id":214887,"object_type":"structure","relational_id":12993,"identifier":"34","token":"38.2\/34","url":"\/38.2\/34\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12698,"edition_id":1,"name":"Insurance","identifier":"38.2","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:49","date_modified":"2026-06-26 03:43:49","permalink":{"id":210661,"object_type":"structure","relational_id":12698,"identifier":"38.2","token":"38.2","url":"\/38.2\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":64550,"structure_id":14589,"section_number":"38.2-3455","catch_line":"Definitions","url":"\/38.2-3455\/","token":"38.2\/34\/7\/38.2-3455","metadata":false},{"id":74749,"structure_id":14589,"section_number":"38.2-3456","catch_line":"Prohibited activities","url":"\/38.2-3456\/","token":"38.2\/34\/7\/38.2-3456","metadata":false},{"id":67193,"structure_id":14589,"section_number":"38.2-3457","catch_line":"Application for registration","url":"\/38.2-3457\/","token":"38.2\/34\/7\/38.2-3457","metadata":false},{"id":65145,"structure_id":14589,"section_number":"38.2-3458","catch_line":"Power of Commission to investigate navigators","url":"\/38.2-3458\/","token":"38.2\/34\/7\/38.2-3458","metadata":false},{"id":56089,"structure_id":14589,"section_number":"38.2-3459","catch_line":"Grounds for termination, placing on probation, revocation, or suspension of registration","url":"\/38.2-3459\/","token":"38.2\/34\/7\/38.2-3459","metadata":false},{"id":79516,"structure_id":14589,"section_number":"38.2-3460","catch_line":"Sufficiency of federal requirements; additional standards and qualifications for navigators","url":"\/38.2-3460\/","token":"38.2\/34\/7\/38.2-3460","metadata":false}],"next_section":{"id":74749,"structure_id":14589,"section_number":"38.2-3456","catch_line":"Prohibited activities","url":"\/38.2-3456\/","token":"38.2\/34\/7\/38.2-3456","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/38.2-3455\/","history_text":"

This law was first created in 2013. The record of its establishment is cataloged in chapters 595<\/a> and 791<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. It has been modified 2 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 2014, chapters 752<\/a> and 769<\/a>; in 2020, chapters 916<\/a> and 917<\/a>.<\/p>","references":[{"id":83154,"section_number":"38.2-3451","catch_line":"Essential health benefits","order_by":null,"url":"\/38.2-3451\/"},{"id":80784,"section_number":"38.2-6513","catch_line":"Navigators","order_by":null,"url":"\/38.2-6513\/"}],"refers_to":[{"id":67482,"section_number":"38.2-1800","catch_line":"Definitions","order_by":null,"url":"\/38.2-1800\/"},{"id":57210,"section_number":"38.2-3438","catch_line":"Definitions","order_by":null,"url":"\/38.2-3438\/"},{"id":75766,"section_number":"38.2-6500","catch_line":"Definitions","order_by":null,"url":"\/38.2-6500\/"}],"permalink":{"id":215573,"object_type":"law","relational_id":64550,"identifier":"38.2-3455","token":"38.2\/34\/7\/38.2-3455","url":"\/38.2-3455\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/38.2-3455\/","token":"38.2\/34\/7\/38.2-3455","dublin_core":{"Title":"Definitions","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-3455","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

As used in this article, unless the context requires otherwise:\n\t\t“Exchange<\/span>” means either a (i) federal health benefit exchange<\/span> established by the Secretary<\/span> of the U.S. Department of Health and Human Services pursuant to \u00a7 1321 of the Patient Protection and Affordable Care Act codified as 42 U.S.C. \u00a7 18041(c) in the Commonwealth or (ii) state<\/span>-based exchange<\/span> established pursuant to Chapter 65 (\u00a7 38.2-6500<\/a> et seq.) and \u00a7 1311 (b) of the Patient Protection and Affordable Care Act codified as 42 U.S.C. \u00a7 18031.\n\t\t“Health carrier” has the same meaning assigned to that term in \u00a7 38.2-3438<\/a>.\n\t\t“Navigator<\/span>” means an individual or entity described in 42 U.S.C. \u00a7 1311(i)(2) that is selected to perform the activities and duties identified in 42 U.S.C. \u00a7 18031 (i) in the Commonwealth. “Navigator<\/span>” does not include an individual or entity licensed as an agent under Chapter 18 (\u00a7 38.2-1800<\/a> et seq.) of this title to sell, solicit, or negotiate contracts<\/span> of insurance<\/span> or annuity in the Commonwealth.\n\t\t“Other affordable care options<\/span>” means the programs provided under the state<\/span> plan for medical assistance services pursuant to pursuant to Title XIX of the Social Security Act, as amended, and the Family Access to Medical Insurance<\/span> Security (FAMIS) Plan developed pursuant to Title XXI of the Social Security Act, as amended.\n\t\t“Qualified dental plan<\/span>” means a limited scope dental plan that has in effect a certification that the plan meets the criteria for certification described in \u00a7 1311(d)(2)(B)(ii) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.\n\t\t“Qualified health plan<\/span>” means a health benefit plan that has in effect a certification that the plan meets the criteria for certification described in \u00a7 1311(c) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.\n\t\t“Secretary<\/span>” means the Secretary<\/span> of the U.S. Department of Health and Human Services.<\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nDEFINITIONS (\u00a7 38.2-3455)\n\nAs used in this article, unless the context requires otherwise:\n\t\t“Exchange” means either a (i) federal health benefit exchange\nestablished by the Secretary of the U.S. Department of Health and Human Services\npursuant to \u00a7 1321 of the Patient Protection and Affordable Care Act codified\nas 42 U.S.C. \u00a7 18041(c) in the Commonwealth or (ii) state-based exchange\nestablished pursuant to Chapter 65 (\u00a7 38.2-6500 et seq.) and \u00a7 1311 (b) of the\nPatient Protection and Affordable Care Act codified as 42 U.S.C. \u00a7 18031.\n\t\t“Health carrier” has the same meaning assigned to that term in \u00a7\n38.2-3438.\n\t\t“Navigator” means an individual or entity described in 42 U.S.C.\n\u00a7 1311(i)(2) that is selected to perform the activities and duties identified\nin 42 U.S.C. \u00a7 18031 (i) in the Commonwealth. “Navigator” does not\ninclude an individual or entity licensed as an agent under Chapter 18 (\u00a7\n38.2-1800 et seq.) of this title to sell, solicit, or negotiate contracts of\ninsurance or annuity in the Commonwealth.\n\t\t“Other affordable care options” means the programs provided under\nthe state plan for medical assistance services pursuant to pursuant to Title XIX\nof the Social Security Act, as amended, and the Family Access to Medical\nInsurance Security (FAMIS) Plan developed pursuant to Title XXI of the Social\nSecurity Act, as amended.\n\t\t“Qualified dental plan” means a limited scope dental plan that has\nin effect a certification that the plan meets the criteria for certification\ndescribed in \u00a7 1311(d)(2)(B)(ii) of the Patient Protection and Affordable Care\nAct, P.L. 111-148, as amended.\n\t\t“Qualified health plan” means a health benefit plan that has in\neffect a certification that the plan meets the criteria for certification\ndescribed in \u00a7 1311(c) of the Patient Protection and Affordable Care Act, P.L.\n111-148, as amended.\n\t\t“Secretary” means the Secretary of the U.S. Department of Health\nand Human Services.\n\nHISTORY: 2013, cc. 595, 791; 2014, cc. 752, 769; 2020, cc. 916, 917.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}