Enrollment – assist individuals, families, and small businesses with enrollment in Qualified Health Plans and insurance affordability programs;
Outreach – inform the public about kynect Health Coverage and health insurance options and insurance affordability programs; and
Education – provide information to individuals and small businesses regarding health insurance, insurance affordability programs, and QHP selection.
Application Assistance – Submit applications for other public assistance programs on behalf of Kentuckians.
Specific Duties:
Provide accurate and unbiased information to help the population understand and enroll for benefits;
Focus on understanding and meeting needs of underserved, vulnerable, and difficult to access populations;
Will primarily work with the public outside of their offices;
Conduct enrollment activities in a face-to-face or approved remote manner so that more consumers can be reached;
Have an important role in conducting outreach and educational activities to better reach underserved and vulnerable populations;
Serve all Exchange consumers requesting their services, without discrimination;
Offer to refer individual consumer to other Navigators, CACs, or insurance agents, but shall provide services at the request of the consumer; and
Register for and successfully complete required Annual State Based Marketplace (SBM) kynector Certification training and any training required by Division of Health Benefit Exchange (DHBE).
Conduct all activities in a manner that is ethically sound and culturally appropriate DHBE reserves the right to approve and/or disapprove outreach and education locations, times, and methods for remote outreach. DHBE and the Contractor shall agree to substitute locations and to approved methods for remote execution of activities. Unlike the individual market, SHOP enrollment is a year-round process. Enrollment and education activities for SHOP shall occur year-round.
Information for a minimum of 2 outreach events per county will be submitted by the 19th of the month prior on calendar template. Each of these 2 community events will generate 10 contacts and/or 2 applications. (Note: Additional outreach events should be added throughout the month when invitations are received.)
Monthly reports will be combined by team leads and submitted to KPCA by the 5th of each month. Reports include: kynector outreach and enrollment metrics data, consumer satisfaction surveys, photos of events, and invoices.
Position Supervised by: CAC Coordinator Personnel Supervised by this position: None