Legislation could exclude insurance agents from medical loss ratio provision of the Affordable Care Act

Two U.S. senators have drafted a new legislation that would exclude insurance agencies from the medical loss ratio provision of the Affordable Care Act. The provision requires insurers to spend no less than 80% of the money they collect from premiums on improving medical care. The provision would have dire implications for agents as it includes the money they collect from commissions. Senators Mary Landrieu, D-La., and Johnny Isakson, R-Ga., have introduced the legislation to the House of Representatives and hope that it will bring insurance agents the protections they…

Read More

Commissioner Dave Jones reflects on achievements a year after taking office

California Insurance Commissioner Dave Jones has been in office for a full year now and he has taken the occasion of this anniversary to reflect on the accomplishments he has been a part of from 2011. In a statement released by the state’s Department of Insurance, the Commissioner notes that his time in office has been filled with confrontation with the insurance industry. Indeed, many of the actions coming from the Commissioner have been met with opposition from insurers, especially the bid to give state regulators more authority over the…

Read More

Texas petitions federal government to delay enactment of the medical loss ratio provision of the Affordable Care Act

As some states seek exemptions from the controversial medical loss ratio provision of the Affordable Care Act, Texas officials are looking to the enacted of the plan delayed. The provision requires insurance companies to spend at least 80% of the money they collect from premiums on improving medical care. Insurers have been opposed to the provision since it was passed in 2010, arguing that it would hurt their ability to stay competitive in the market. Federal regulators have, thus far, been unwilling to cave to the concerns of insurers. State…

Read More

HHS upholds medical loss ratio provision, changes some aspects of the overarching law

Despite daunting opposition, the Department of Health and Human Services has remained firm on the medical loss ratio provision of the Affordable Care Act. The medical loss ratio provision requires that insurers pay no less than 80% of premium money on improving medical care. The provision has gained rabid opposition from the nation’s health insurance companies, who have been fighting to have administrative expenses and independent insurance broker fees removed from the mandate. The HHS, however, has issued a final ruling on the matter, claiming that most of the nation’s…

Read More

Federal report shows that most insurers can meet the medical loss ratio requirement

The medical loss ratio provision of the Affordable Care Act, which requires insurers to spend at least 80% of the money they collect from premiums on improving medical care, is a source of constant controversy throughout the country. Insurers have claimed that the rule cripples their ability to remain financial solvent in the current economic climate. The Government Accountability Office has released a new report countering the claims from the insurance industry. The report shows that most all insurance companies in the U.S., both large and small, are able to…

Read More