Close Close

Life Health > Health Insurance > Your Practice

Action Set on MLR Bill

Your article was successfully shared with the contacts you provided.

A House panel plans to act on and report out to the House floor soon legislation that would exempt agent commissions from the Medical Loss Ratio (MLR) provision of the healthcare reform law.

Reliable sources said the House Energy and Commerce Committee will take up the bill shortly after it returns from its Easter/Passover recess on April 16.

The action is likely timed to synch with the Washington meeting of the Independent Insurance Agents and Brokers (IIAB), which starts on April 24.

A spokesman for the E&C panel said that, “We don’t have a timeline for mark-up yet.”

The bill is H.R. 1206, the Access to Professional Health Insurance Advisors Act of 2011.

It is sponsored by Rep. Mike Rogers, R-Mich., and Rep. John Barrow, D-Ga. It was introduced last March.

Similar legislation, S. 2068, the Access to Independent Health Insurance Advisors Act, was introduced in the Senate in February by Sen. Mary L. Landrieu, D-La., chair of the Senate Committee on Small Business and Entrepreneurship, and Sen. Johnny Isakson, R-Ga. Sens. Lisa Murkowski, R-Alaska, and Ben Nelson, D-Neb., are also cosponsors of that legislation.

The bills are somewhat different, but generally seek to “clarify” that producer compensation would not be considered as part of MLR ratio. This provision limits administrative costs in health insurance premiums to 15 percent of large groups and 20 percent for small groups. As a result, agents say their commissions have been cut up to half on health insurance products.

Agency trade groups declined to confirm or deny that House action was pending.

“We will be watching this summer for what the Supreme Court decides relative to the constitutionality of the healthcare law as it may determine the pathway forward in terms of timing and issues the House will move. We are working closely with the Energy and Commerce Committee staff to be ready,” said John Greene, NAHU’s vice president of congressional affairs.


© 2023 ALM Global, LLC, All Rights Reserved. Request academic re-use from All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.