Short Takes On News & Events

Brokers Win A Round

By Julie Appleby

June 30th, 2011, 5:11 PM

Insurance brokers won a round in their battle over the future of sales commissions on Thursday when a key committee of state insurance regulators voted to endorse a controversial bill now before Congress.

The task force of the National Association of Insurance Commissioners said they would endorse the bill — sponsored by Rep. Mike Rogers, R-Mich. — which would remove sales agent fees from administrative costs insurers must report under a provision in the federal health law.

The endorsement still needs approval from the full executive committee of the NAIC, which last year recommended to federal officials that broker fees be included in the calculation of the so-called medical loss ratio. That recommendation was accepted.  To remove broker fees from the calculation would take congressional action.

The Rogers bill would make it easier for insurers to meet the federal requirement that they spend at least 80 percent of revenue on medical care, leaving 20 percent for other costs, such as sales and marketing, profits and executive compensation. Insurers that don’t meet that spending target must issue rebates to consumers.

Without the legislation, agents say their commissions will be cut and many agents could lose their jobs, leaving individuals and small businesses with less help in choosing insurance coverage. They back the legislation and other efforts in state legislatures. Commissions range widely, from 3 percent to 10 percent of premiums, according to the NAIC. Some can earn more in selling policies to individuals.

Consumer groups say such fees are clearly administrative costs and should be included.

“This bill would shift billions that consumers could expect to see in rebates or lower premiums to insurance companies as profits and brokers as compensation,” says Carmen Balber of Consumer Watchdog.

No meeting has yet been scheduled for the full executive committee to take up the endorsement proposals, said NAIC spokeswoman Vanessa Sink.

jappleby@kff.org

3 Responses to “Brokers Win A Round”

  1. WellRead29 says:

    Clearly the writers of the PPACA have thrown to the curb and discounted the contributions of hundreds of thousands of hard-working Americans who literally hold the hands of business and make sure that their employees are well taken care of when they need to select or use their health insurance.

    The Progressives have made their case clearly through legislative and regulatory action: They and the Administrative have decided en banc that Producers and Brokers are a bad deal for America. Duck my friends, they have painted the bullseye upon you.

    Welcome to the club.

    WR29

  2. Susan says:

    Bogus. Once products are standardized, there will be NO need for brokers. An apple is an apple. Brokers are sucking too much money out of the system that is already overpriced for the average person. If the commissions are not to be included in the MLR and driven back this way, then at least commissions must be made public, to each purchaser, so that each individual can “put some skin in the game” and decide whether this service is something they want, can do without, or can find someone who’ll do it cheaper.

  3. Broker says:

    Susan your point is bogus. First, there will be no standardization of plans. They will have to meet the various requirements of PPACA, but that covers about 50% of plan design at most. We will compete on the balance. Second, brokers spend a significant part (if not a majority) of their time helping plan sponsors and plan members with administrative issues and problems that have absolutely nothing to do with plan design nor sales. Brokers have in fact become extensions of the HR department of most small businesses. I for one would have no issue (or problem justifying) charging a fee. It however is illegal in this and a good number of states. This is a complex issue that you obviously don’t understand.