Role of a Navigator
Organizations that serve as navigators/in-person assisters are contracted to:
- Provide individuals and families with free assistance to help them achieve successful enrollments into health coverage through the MNsure marketplace
- Attempt to provide assistance to any consumer who contacts them for help
- Have certified navigators listed on the MNsure Assister Directory
- Comply with MNsure's data privacy and security standards and conflict of interest disclosure requirements
The specific duties and responsibilities of a navigator organization are outlined in the contract attachments:
MNsure does not contract with individuals. Individuals must be on the roster of a contracted organization in order to become certified as a navigator.
Becoming a Partner
Navigator organizations are formally contracted partners with MNsure and are not insurance agents or brokers. To become a partner, organizations must first submit an application.
MNsure is accepting applications on a rolling basis for a contract period beginning no earlier than July 1, 2022, and ending June 30, 2025.
How to submit an application online through the Agency Management Program (AMP).
To contract with MNsure an organization must provide a DUNS number (how to obtain a DUNS number) and SWIFT Vendor ID (how to obtain a SWIFT Vendor ID). MNsure cannot provide support for obtaining these numbers.
Organizations will be notified of the outcome of their application. If approved, a contract will be sent for electronic signature via DocuSign for review and signature.
Submit questions to firstname.lastname@example.org. Please carefully review all steps in the instructions before contacting MNsure for assistance.
Training and Certification
Before actively assisting consumers through the MNsure marketplace, each staff member who will deliver direct consumer assistance at your organization must be certified by MNsure.
Once a contract is executed with the organization, the organization's primary contact will receive information on how to add staff to their roster for certification through the Agency Management Program (AMP).
To be certified, staff must:
- Pass a background check
- Complete training and pass knowledge assessments
Training is available online, so courses can be taken when convenient. Training will:
- Include web-based knowledge assessments
- Most likely take less than 20 hours to complete
Certification is confirmed once training has been completed, knowledge assessments have been passed, and a background check has cleared. Once an individual is certified, they will receive a unique assister ID number to use when assisting consumers.
Contracted organizations will be paid quarterly based on a state-run report. Certified navigators must be associated with an eligible case through approved methods for the organization to receive a payment. Payments are issued no later than 60 days following the end of the quarter. The current payment rate is:
- $70 per successful determination of eligibility for Medical Assistance.
- $70 per per individual enrolled in MinnesotaCare.
- $70 per successful determination of eligibility for a qualified health plan (QHP).
The Assister Resource Center (ARC) provides ongoing support and information to certified assisters. During the contracting process, questions can be submitted to email@example.com.