Given the uncertain impact of health care reform and a rocky economy, there's a lot for a broker to worry about these days. And it's all having a big effect on how they are looking at the benefits industry.

A MetLife study released Monday finds only 25 percent of benefits brokers and consultants with large clients, and 12 percent with small and mid-sized clients, are very optimistic about the benefits industry overall.

Three out of five respondents expect employer-paid medical insurance will still be an important growth opportunity in the next three years, but 73 percent are very concerned about reductions in commissions in light of health care reform.

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