The National Association of Insurance Commissioners (NAIC) has adopted a resolution expressing its commitment to preserving the role of health insurance agents.
If states and federal do a poor job of creating the new “Navigator” program that is supposed to help consumers use the new health insurance exchange system, “this program could provide an avenue for untrained individuals to evade producer licensing requirements and expose consumers to harm,” members of the NAIC, Kansas City, Mo., resolved Tuesday at the NAIC summer meeting in Seattle.
To understand the changes made by the Affordable Care Act, the legislative package that includes the Patient Protection and Affordable Care Act (PPACA), “employers and consumers will need professional guidance even more in the future,” NAIC members resolved. “It is important for federal policymakers to acknowledge the critical role of producers and to establish standards for the exchanges so that insurance professionals will continue to be adequately compensated for the services they provide, and so that the duties of exchange navigators appropriately reflect the important role of insurance producers who are skilled, knowledgeable, educated and licensed and regulated.”
The Affordable Care Act, will require states to set up a new system of nonprofit “Navigators” to help individuals and small groups buy subsidized health coverage from a new “health insurance exchange” distribution system.
The exchange system is supposed to start up in 2014.
Some of the consumer groups and health policy followers who are seeking to influence the NAIC and federal regulators say policymakers should minimize or eliminate the amount of money going to intermediaries, and that any intermediaries that participate in the navigator systems must not earn commissions from insurers.