New HHS Rules Define Producer Role in Health Exchange

Health-exchange regulations finalized by the Obama administration March 12 envision allowing agents, brokers and private companies to sell coverage on the exchange to individuals and employers through privately run Web sites.

A report issued by Beth Mantz-Steindecker, John J. Leppard and Ira S. Loss of Washington Analysis, a Washington think tank for buy-side security analysts and brokers, says the rules provide great flexibility to the states to carve out a key role for agents and brokers.

They add it is unlikely that private companies will be permitted to assess consumer eligibility for premium subsidies, cost-sharing arrangements or other affordability programs.

The analysts say that with Republicans currently in control of the majority of state governments—and with most Democratic-controlled states placing an emphasis on initial insurer participation rather than restrictive control—“we think that this rule sets the framework for more market-driven exchanges than some have feared.”

The analysts’ comments were supported by officials of the National Association of Insurance and Investment Advisors.

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.

Featured Video

Most Recent Videos

Video Library ››

Top Story

6 homeowners’ policy endorsements agents and brokers need to know

It's the insurance agent or broker's job to explain a policy to the buyer, including the available endorsements, and they need to know which endorsement best fits the client’s situation.

Top Story

Top large commercial brokers and insurers based on customer satisfaction

The key variables driving overall commercial insurance customer satisfaction are broker expertise and insurer profitablity, according to the J.D. Power 2016 Large Commercial Insurance Study.

More Resources

Comments

eNewsletter Sign Up

PropertyCasualty360 Daily eNews

Get P&C insurance news to stay ahead of the competition in one concise format - FREE. Sign Up Now!

Mobile Phone

Advertisement. Closing in 15 seconds.