The National Association of Insurance Commissioners approved regulations for implementing medical loss ratio provisions of the new health care reform law and vowed to continue to work to resolve concerns agents and brokers have regarding the rules impacting their compensation.

At the close of the annual meeting in Orlando last Thursday, the NAIC decided against moving to exempt agents' commissions from the MLR formula in the MLR blank it approved for delivery to the Department of Health and Human Services.

MLR rules, under the Patient Protection and Affordable Care Act, require individual and small-market group health insurers to spend 80 percent of their premiums on patient care, and large group insurers to spend 85 percent.

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