Dwindling reimbursement for brokers may impact exchange enrollment

Insurance companies are facing major financial losses, and some payers, including Cigna and Aetna, said they will not pay licensed agents and brokers a commission for helping Americans enroll in individual health insurance coverage next year, according to Kaiser Health News.

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While paying some semblance of a commission, others say they will lower their commission rates. This decrease has led some brokers to take a backseat when open enrollment commences this week, which may impact consumers’ ability to enroll in coverage.

Enrollment is becoming more complex for consumers as insurers continue to exit marketplaces and those remaining have changed their networks moving forward into 2017. Due to the complex nature, many consumers utilize brokers, with 45 percent of California consumers using brokers to enroll in marketplace plans this year.

Brokers play a crucial roll in the enrollment process, helping Americans find plans based on their payers’ network of providers and covered drug lists. They also provide assistance if consumers have issues with coverage or claims throughout the year. However, some believe navigators and assisters will fill this broker-gap and can help ensure consumers gain access to coverage this year.

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