Article

The Obama Care reforms, a threat to the health insurance brokers

Topic: InsurancePublished September 2, 2011

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Obama Care, a major health care reform taken by President Obama, is paving a way for "lower healthcare premiums". According to this regulation a health insurance companies have to maintain a minimum loss ratio (MLR) for health care or health quality improvement activities and this is a minimum of either 80 or 85 percent of their premium revenue, minus taxes. Administrative expenses, marketing, and profits count for the remaining 15 or 20 percent. But while this has been done so that an insurer can get a better "value" from the health insurance, in real life, they are reducing the insurance brokers’ commissions to reduce premium growth. A considerable number of insurers today are making adjustments to premiums by cutting up the commissions of health insurance brokers so that they can increase the minimum loss ratio or MLR. The individuals and small group plans are all showing the same tendency to keep the premiums low. This in turn is making the job of the health insurance brokers quite difficult, so much so that it may result in shutting down their business. The regulation of Obama Care focuses on the areas of increasing coverage of insurance, reducing cost and taking the social burden off. The 2,000 pages of Obama Care contain all details regarding the details of changes and the requirements that must be met by the individuals, insurance companies and health care professionals. Some of the changes to be taken place immediately include, health insurance companies from now onwards have to renew the coverage and unless you are a fraud or misrepresented the facts, they can no longer end or refuse to renew the coverage. They can also no longer drop the coverage due to some unknown reasons. This means the insurance company can no longer drop your coverage if you have any particular illness and file a massive amount of claims. They can also no longer drop the coverage due to some unknown reasons. Since the health insurance companies must spend a minimum of 80-85% of every premium on health care benefits and the difference, if any, has to be refunded according to the plan, the commissions of the health insurance agents are not excluded from the total calculation, and this has become a problem for the health insurance agents. rnTherefore, the insurance companies must include it in the 15-20% overhead which has become a problem. The health insurance brokers who have played a big role in educating the people about the importance of health insurance, MLR regulation has come up a threat to them.

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