The people spoke, their responses are tabulated, and the results are official.

No, it's not November's presidential election (although it turns out that brokers have a strong preference about that…). It's time for the results of the BenefitsPRO annual health care survey for 2016. More than 400 brokers offered their opinions on the current state of the industry; identified trends they are expecting for the rest of 2016 and beyond; and cited the threats and opportunities they must navigate to thrive in a fast-changing marketplace.

ACA

Since the 2015 survey was released, businesses and consumers have had a full year to wrestle with the provisions of the Affordable Care Act, negotiate federally mandated exchanges and enroll in exchange-based health plans. It's no secret that some state exchanges have struggled. More than 46 percent of respondents said those struggles have had no effect on their business; 38 percent reported it has hurt a little or significantly; and 15 percent said it has helped them a little or significantly.

When the creation of public exchanges was announced, some brokers anticipated a possible opportunity to expand their services by helping individuals enroll. Today, opinions are evenly divided about whether that opportunity materialized: 41 percent said demand has been somewhat or very strong, while 44 percent report weak or moderate demand. (The other responding brokers do not work with individuals.)

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