Filed Under:Risk Management, Corporate Risk

New HHS Rules Define Producer Role in Health Exchange

NU Online News Service, March 13, 12:57 p.m. EDT

WASHINGTON—Health exchange regulations finalized by the Obama administration Monday envision allowing agents, brokers and private companies, to sell coverage on the exchange to individuals and employers through privately-run websites.

Officials of the National Association of Health Underwriters, whose members will be most directly affected by the exchanges, say they are still evaluating the rules for their impact on its members.

They did caution that the regulation merely provides a regulatory floor, and that states are free to enact conditions of participation above and beyond those outlined by HHS.

“This will likely include some manner of user fees or assessments on participating issuers,” say the analysts.

“While HHS encourages states to study the impact of various funding arrangements on risk selection, insurer participation, and provider contracting, the ultimate determination will be left up to the state,” they say.

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