U.S. Senator Mary L. Landrieu, D-La., chair of the Senate Committee on Small Business and Entrepreneurship, and Sen. Johnny Isakson, R-Ga., have introduced S. 2068, the Access to Independent Health Insurance Advisors Act, a companion bill and a shot in the arm for a medical loss ratio bill in the House that has many supporters but has gained no traction.
This legislation addresses that provision of the Affordable Care Act (ACA) known as the medical loss ratio (MLR) that many feel has squeezed the livelihood of agents and brokers by excluding their commissions from the healthcare, quality and care portion of the ratio.
The MLR rule, which went into effect on Jan. 1, 2011, mandates that at least 80% (individual and small group) or 85% (large group) of premiums collected by the carrier must be spent on "health care quality improvement."
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