Banco Popular de Puerto Rico

7:00 a.m. The morning begins with checking my smartphone and going through LinkedIn and Twitter. I then check emails and respond accordingly.

For decades, health care consumers have been told once you have a problem, then you should go to the doctor. But now, as high-deductible health plans become ever more prevalent, employers are encouraging employees to go to the doctor first - before they get sick - and in turn the employer will often cover the visit at 100%.

Most experts are predicting massive consolidation among DC record keepers - with the big push just about to begin, especially with four national record keepers representing more than 100,000 defined contribution plans likely to change ownership in the next few months.

Behavior change may very well be one of the keys to true health care reform. Given the proper market environment, American consumers will respond accordingly and adapt.

Are you pessimistic or are you optimistic about the Supreme Court's June decision to basically uphold all of PPACA? What is your plan in this sea of personal and corporate uncertainty?

In the movie armageddon, Earth faces destruction from a giant asteroid on a collision course with our planet before it is saved by the heroic sacrifice of the character played by Bruce Willis. As 2014 hurtles toward us, brokers across the country helplessly search for a savior from the cataclysmic PPACA disaster. "Help us, Supreme Court!" No? Then, "Help us, Republicans!" Maybe. Maybe not.

So we now know the U.S. Supreme Court's ruling on the most bitterly disputed provisions of PPACA. Regardless of your political persuasion, you may not have found that ruling to be favorable. In fact, I'd be stunned if you were prepared to embrace the overall commentary of the ruling. Many of you were absolutely convinced that the entire piece of legislation would be found to be unconstitutional. Others thought that surely certain provisions would be overturned. Even we thought that some portions of the legislation would be thrown out.

After the June 28 Supreme Court ruling that found the Patient Protection and Affordable Care Act to be constitutional, many group medical producers felt that their business was over. I want to begin by saying that there has never been more opportunity than there is right now and that there will be for the foreseeable future.

Under health reform, state health care exchanges are slated to operate in 2014 - not much time to figure out the role a broker will play in the system. As we await more definitive information on what exactly constitutes a "navigator," one can look toward California, which is further along in setting up its exchange, as a potential model, says Neil Crosby, director of sales at Westlake Village, Calif.-based Warner Pacific Insurance Services.

As health care costs continue their upward trajectory, employers everywhere are left searching for ways to manage their benefit costs, and many are looking to wellness programs as the solution. In fact, a recent Express Scripts study reveals that 81% of employers surveyed intend to offer a wellness plan in the next two years.