Common use of Navigator and Navigator Organization Conflicts of Interest Clause in Contracts

Navigator and Navigator Organization Conflicts of Interest. 2.1. Subrecipient agrees that during the term of this agreement it and the Navigators employed by it: 2.1.1. Shall not receive consideration directly or indirectly from any health insurance issuer in connection with enrollment of individuals or employees. 2.1.2. Shall disclose to Vermont Health Connect and to customers prior to assistance, any current or former relationships in the last 5 years with any health insurance or stop loss insurer, or subsidiary, or any existing employment relationship between a health insurer and the individual’s spouse or domestic partner. 2.1.3. Shall provide to customers impartial information about all qualified health plans for which customers are eligible. 2.1.4. Shall not allow personal or professional interests to influence the customers’ decisions. 2.1.5. Shall not in any way solicit or persuade customers to enroll in any specific health insurance plan. 2.1.6. Shall not in any way solicit or persuade customers to switch from one carrier to another. 2.1.7. Shall not in any way persuade or compel customers to select a particular provider. 2.1.8. Shall not in any way solicit or persuade customers to engage a particular agent or broker. 2.1.9. Shall not charge for Navigator services. 2.1.10. Shall not use the Navigator role for lead generation or profit. 2.1.11. Shall adhere to Vermont Health Connect monitoring and evaluation requirements. The Subrecipient shall be responsible for monthly reporting to Vermont Health Connect (VHC) via a standardized web-based reporting tool to be distributed in advance of the start date of this agreement. The reporting tool will include the following required elements: 1. A list of specific outreach/education activities for the month that includes for each activity:  Date of activity  Navigator Organization Conducting Activity (e.g., Subrecipient Organization, Site/Location of Subrecipient Organization, or Partner Organization)  Name of staff person conducting the activity  Type of Activity (categorized as follows below) − Attendance at a public event or setting (e.g., tabling/canvassing) − Informational meeting with community group, organization or employer − Gave presentation on VHC (includes in person, webinar, etc.) − Disseminated general information about VHC (e.g., via e-newsletter, etc.) − Materials distribution only (e.g., gave posters, pamphlets, etc. to another site or organization) − Media event (Public Service Announcement, Radio Show, Newspaper Ad, etc.) − Social Media Activity  Description of activity and/or additional comments  County of Activity  Audience for the activity? (categorized as follows below/choose all that apply) − General Public − Membership/followers (e.g., for email newsletter, social media) − Current VHC or Medicaid enrollees − Potential VHC enrollees − Those of low socioeconomic status (SES) or who serve those of low SES − Young Invincibles (e.g., for event/venue targeted at young adults) − Other professionals/organizations serving VHC target audience − Other (specify)  Estimated number of individuals reached  Whether the estimated number of people reached was: − Greater than anticipated − Less than anticipated − About the same as was anticipated  The number of follow up appointments that were scheduled as a result of the activity  What collateral materials were distributed? (categorized as follows below/choose all that apply) − brochure − contact card − pen − water bottle − tote bag 2. Number of individuals served for education/consultation only − "session" is defined as a single encounter, regardless of the number of individuals/family members included in it; e.g., a consultation/education session with a couple or family regarding their options for enrollment would be counted as ONE session); all sessions should be counted even if the individual returns and is counted elsewhere as completing an application at a later date