Agents and brokers who want to help their clients enroll in coverage through one of the coming federal health insurance exchanges will be able to do so once they register with regulators and will get paid according to what the market will bear.

On the other hand, state-based exchanges, or "marketplaces" as the government is now calling them, will have the power to set their own compensation standards, including deciding whether they or issuers pay broker commissions.

Either way, in the latest effort to clear up haziness on the question, the government is now once more officially on record as saying that it believes brokers will continue to play an important role in health care and that they should indeed get paid for their expertise.  

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