Protesters who say insurance company lobbyists are working to undermine state efforts to implement the federal health care reform law interrupted the summer meeting here of the National Association of Insurance Commissioners, while the regulators themselves were split about the law’s wisdom and expressed concern about their ability to enforce consumer protections handed down by Washington.

Amidst the ruckus, regulators managed to adopt a medical loss ratio form that leans more toward a narrow definition opposed by the health insurance industry.

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