One of the primary features of the Affordable Care Act is the establishment of state-based health nsurance exchanges.
The National Association of Insurance Commissioners is urging the U.S. Office of Personnel Management to avoid opening a loophole that would disadvantage smaller insurers. In a letter to OPM, NAIC President and Iowa Commissioner of Insurance Susan Voss said that the Multi-State Plan program envisioned for the exchanges could provide some of the nation’s largest insurers with significant market advantages.