Included in the health care reform bill passed in 2009 is something called MLR or Minimum Loss Ratio. This portion of the law mandates that at least 80% of premium for small group and 85% for large group must go towards claims leaving the rest for administrative costs. As the bill is currently written, agent commission is considered an administrative cost.
This poses a problem to the insurance industry. To meet MLR, commissions have been cut, leaving the future of the health insurance agent in question. Agents play a very critical role in helping consumers find the best priced quality coverage that fits the consumer’s individual need. Because there are many choices when looking at insurance, it is hard for the consumer to pick a plan that suits them best. Agents are able to listen to the clients, understand their situation, tolerance for risk, expected claims, and find the policy that would best cover the client. When they evaluate the situation, they help the client save money by understanding their out-of-pocket costs and premiums. Agents also help clients at claim time, assisting in communications with the insurance carrier. If the role of the insurance agent is phased out, the client would have no one on their side helping them find the best product for their needs.
Senate Bill 2068 would remove agent commission from administrative cost, ensuring that the role of the insurance agent stays intact. This would be a great benefit to consumers as it will ensure they have access to professional and knowledgeable guidance from a health insurance agent.
MIBS supports Senate Bill 2068. We believe the agent plays a critical role in the insurance and health industries and want that to continue into the future.
To find out more about the bill or contact your Senators you can visit the NAIFA website.






