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Overview

Benefitter asked the open-ended question, “What do you want your legislators to know about the ACA?” and 1,028 brokers responded. “We had 50 single-spaced pages of feedback,” says Benefitter CEO Brian Poger, 80% of which was critical. Here are the top seven concerns:
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7) Compressed timeline

This was a top concern for 4% of brokers.

The fact that most small groups renew in December combined with the open enrollment periods for Medicare and individual plans makes for a compressed timeline.
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6) Employer dumping

This was a top concern for 5% of brokers.

Several brokers said many of their group clients have dropped benefits and transitioned their employees to the individual market.
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5) Other law nuances

This was a top concern for 11% of brokers.

Website malfunctions, the uneven expansion of Medicaid and confusion over “grandmothering” have led to frustration.
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4) Plan quality

This was a top concern for 11% of brokers.

Many said health insurance products have diminished in quality with higher deductibles and more narrow networks.
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3) Reduced role of brokers

This was a top concern for 21% of brokers.

Limits on medical loss ratio and other factors have resulted in reduced commissions despite an increased workload.
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2) Increased complexity

This was a top concern for 22% of brokers.

The complex regulatory environment has made it more difficult and more time consuming to educate clients.
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1) Rate increases

This was a top concern for 26% of brokers.

Significantly higher premiums for their group clients is the top complaint brokers have with the health care law.
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