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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>64550</law_id><section_number>38.2-3455</section_number><catch_line>Definitions</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-3451</reference><reference>38.2-6513</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="34">Provisions Relating to Accident and Sickness Insurance</unit><unit label="article" level="3" order_by="1" identifier="7">Navigators</unit></structure><text>
						<section><p>As used in this article, unless the context requires otherwise:
		&#x201C;<span class="dictionary">Exchange</span>&#x201D; means either a (i) federal health benefit <span class="dictionary">exchange</span> established by the <span class="dictionary">Secretary</span> of the U.S. Department of Health and Human Services pursuant to &#xA7;&#xA0;1321 of the Patient Protection and Affordable Care Act codified as 42 U.S.C. &#xA7;&#xA0;18041(c) in the Commonwealth or (ii) <span class="dictionary">state</span>-based <span class="dictionary">exchange</span> established pursuant to Chapter 65 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-6500/">38.2-6500</a> et seq.) and &#xA7;&#xA0;1311 (b) of the Patient Protection and Affordable Care Act codified as 42 U.S.C. &#xA7;&#xA0;18031.
		&#x201C;Health carrier&#x201D; has the same meaning assigned to that term in &#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-3438/">38.2-3438</a>.
		&#x201C;<span class="dictionary">Navigator</span>&#x201D; means an individual or entity described in 42 U.S.C. &#xA7;&#xA0;1311(i)(2) that is selected to perform the activities and duties identified in 42 U.S.C. &#xA7;&#xA0;18031 (i) in the Commonwealth. &#x201C;<span class="dictionary">Navigator</span>&#x201D; does not include an individual or entity licensed as an agent under Chapter 18 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-1800/">38.2-1800</a> et seq.) of this title to sell, solicit, or negotiate <span class="dictionary">contracts</span> of <span class="dictionary">insurance</span> or annuity in the Commonwealth.
		&#x201C;<span class="dictionary">Other affordable care options</span>&#x201D; means the programs provided under the <span class="dictionary">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 <span class="dictionary">Insurance</span> Security (FAMIS) Plan developed pursuant to Title XXI of the Social Security Act, as amended.
		&#x201C;<span class="dictionary">Qualified dental plan</span>&#x201D; means a limited scope dental plan that has in effect a certification that the plan meets the criteria for certification described in &#xA7;&#xA0;1311(d)(2)(B)(ii) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.
		&#x201C;<span class="dictionary">Qualified health plan</span>&#x201D; means a health benefit plan that has in effect a certification that the plan meets the criteria for certification described in &#xA7;&#xA0;1311(c) of the Patient Protection and Affordable Care Act, P.L. 111-148, as amended.
		&#x201C;<span class="dictionary">Secretary</span>&#x201D; means the <span class="dictionary">Secretary</span> of the U.S. Department of Health and Human Services.</p></section></text><history>2013, cc. 595, 791; 2014, cc. 752, 769; 2020, cc. 916, 917.</history><metadata></metadata></law>
