The National Association of Insurance Commissioners voted to exclude broker commissions from calculations of medical loss ratio required under the Patient Protection and Affordable Care Act.

By majority vote, the NAIC endorsed a resolution urging a reworking of MLR rules. "Congress should expeditiously consider legislation amending the MLR provisions of the PPACA in order to preserve consumer access to agents and brokers," the resolution states. "The Department of Health and Human Services should take whatever immediate actions are available to the Department to mitigate the adverse effects the MLR rule is having on the ability of insurance producers to serve the demands and needs of consumers and to more appropriately classify producer compensation in the final PPACA MLR rule." 

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