California Exchange Comments on the Broker's Role

insurehound

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I see where this is going...like we all didn't know this already.

Effect of Health Reform on Brokers

December 12, 2011 12:14 PM

Question: What is the health care reform impact on California health care brokers?

Answer: California health insurance brokers and agents have already been negatively affected by health reform. One of the first provisions of the Affordable Care Act (ACA) was the Medical Loss Ratio (MLR) regulation which has reduced the commission rate for brokers in the individual and small group market by 30% or more.

In 2014, brokers may find themselves excluded from commissions in the individual Exchange in California. And while the Shop Exchange for small businesses will most likely want brokers to participate. the small group market may be decimated by the exclusive availability of subsidies in the individual Exchange causing many small groups to become collections of individual plans funded by defined employer contributions.

We at CAHBA believe that these forces will drive those brokers who wish to thrive in the post health reform world to adopt fee-based business models because individuals and employers will need guidance that goes beyond eligibility and enrollment assistance available at the Exchanges.
 
Probably won't matter in a few weeks.... till the next big plan comes along.
 
California bureaucrats in charge of their state's Exchange would be wise to remember recent history when determining how agents should be treated.. (Sage advice for the other 56 states as well!)

"Tension between insurers and their intermediaries first boiled over in California, in 1993, when an ancestor of the health insurance exchange, the Health Insurance Purchasing Cooperative (HIPC), gave employers that came to it directly a "no-broker" discount. The HIPC was a miserable failure until 1997, when it eliminated the no-broker discount and became a famous example of why insurance exchanges need brokers."

Source: Mapping the PPACA world for agents and brokers | LifeHealthPro

-ac
 
Check out the link, and the 3 min video/audio of a woman with her sick child, who can't see a doctor because they don't have insurance. When asked why no coverage, she said she dropped her employer coverage because it was too expensive. Then she was told that Obamacare will give her subsidies for insurance. Wrong! Since she has employer offered coverage, as long as it's below 9.5% of her income, she is not eligible for subsidies.

She's in for a disappointment..........mis-information runs wild and just the beginning. Get ready to start pulling your hair out as you hear commercials and see incorrect news stories.

California bets big on marketing to spread the health care gospel | Marketplace.org
 

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