NAIC Forms 'Producer Task Force'

Dave020

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At least they are looking at agents and agent comp.


BestWire Services -

Dec. 3: A new National Association of Insurance Commissioners task force will consider producers' concerns about their future under the health reform act.

The NAIC announced the task force formation shortly after the U.S. Department of Health and Human Services adopted the NAIC's recommendations for determining medical loss ratios recommendations that agents and brokers decried as undermining their traditional role in the marketplace.

The MLR rules, now in a public comment period, count producer commissions as administrative expenses.

"With the recent issuance by HHS of the medical loss ratio regulations to be imposed on insurers, there is a very real possibility the role of health insurance agents will be impacted in a negative way," Florida Insurance Commissioner Kevin McCarty, chairman of the task force, said in a statement.

"Health insurance is a complex product and experienced and licensed agents are a valuable resource for consumers. We intend to work with the agent community and our colleagues at HHS to maintain that resource."

The NAIC agreed to create the new subgroup after declining to put to a vote a proposal to exclude producer compensation from MLR calculations at its fall national meeting in October.

The proposal had the backing of at least 12 commissioners, including McCarty.

The task force will work with HHS on producer issues. In August, state insurance commissioners adopted a resolution asserting the need for state and federal officials to "recognize and protect the indispensable role" of agents and brokers in health care reform.

"The NAIC task force can play an important role in helping to ensure that licensed agents and brokers are fairly compensated for the services they provide," said Ted Besesparis, spokesman for the National Association of Professional Insurance Agents.

"The task force can also help to dispel any notion that the health insurance exchanges should be set up as mere 'web portals' that provide consumers with a lesser degree of service by providing them with too few choices and making them fend for themselves."

The task force is expected to schedule its first meeting via conference call in mid-December, according to the NAIC.
 
How dare the NAIC form a task force without inviting any of our distinguished forum members to participate! Perhaps it's not too late to nominate one of our own?

I wonder what this task force will actually do besides hold regular conference calls between each other. Isn't the MLR mandate now a done deal and effective 1/1/2010? Thought it was.

-AC
 
It's a done deal as long as the states and carriers roll over. The feds lack the legal authority to mandate loss ratios. Nor can they require citizens to buy something they don't want and tax them if they refuse to comply.

It absolutely amazes me how this administration has been able to run roughshod over private industry (Chrysler, GM, AIG . .) and have gotten away with it.
 
The Commissioners are probably starting to see the writing on the wall. If there are no agents and carriers are cutting home office staff, then consumers are going to turn to the DOI to handle problems.

As much as any bureaucrat likes to expand his turf, now is not the time to be asking the Governor and State Legislature for more money. They better cut off this problem before it occurs.
 
Seems so silly, really. I mean PPACA clearly states that Trade Unions, Civic Oganizations and the Dept of Fish and Game can serve as navigators. What do they need agents for?

(voicemail) Thank you for calling the California Department of Fish and Game. Our health plan navigator is currently busy spawning salmon out back in the pond. Please leave a message and we will get back to you just as soon the the sperm has fertilized the eggs

(voicemail) Thank you for calling ACORN, a community service organization. Our health plan navigator is currently assisting a couple in setting up a child prostitution ring. Please leave a message and we will get back to you just as soon as we begin importing young Honduran girls

;)
 
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