Kansas Health Exchange - Agent Warning

Yagents

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thought it might be of interest. B sure to read the training recs. Startin' to get a little concerned:1err:

So, let me get this straight. The state wants to replace licensed agents with navigators who are not licensed and can't actually give advice? As they interpret the law, it seems agents were doomed on the day the law was passed. They redirected commissions to "grants" that will be funded by the consumer (through higher premiums) and taxpayers if the exchange is implemented. Grants are government operated beasts of inefficiency with Navigator Directors being overpaid and implementation/ongoing administrative costs more than projected. While I believe navigators are necessary for a segment of the population in hard to reach places, licensed agents are better prepared to handle the rest of the population. A combination is the best solution. Otherwise, you are putting a lot of small businesses out on the streets. Kansas agents beware!

Read More: Kansas Health Institute: Exchange planning group eyes governing structure

Navigator Training Recommendations

Navigators
The reform law also requires that there be "navigators" to help guide people through the expected complexities of an exchange. The assumption is that many people, particularly those who are poor or ill, might need help figuring out how to use the online system.
Navigators, according to the Affordable Care Act, cannot be paid for their services by insurance companies so that there is no incentive for them to steer those they help to a particular health plan.
Instead, the expectation is the navigators would be volunteers affiliated with church or business groups or other organizations that are able to effectively connect with subpopulations of the uninsured.
Navigator organizations would be funded by government grants. The law doesn't exclude insurance agents and brokers from serving as navigators, but because they couldn't earn commissions, there is thought to be little incentive for them to want to do it.
 
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"Navigators, according to the Affordable Care Act, cannot be paid for their services by insurance companies so that there is no incentive for them to steer those they help to a particular health plan."


Yea......like these insurance company's are dieing to insure all these sick people......
 
Within 6 weeks, enrollment will be so bad and so far behind the states will be begging for agents to get involved.
 
If the Exchange will be patterned after Mass Health Connector, https://www.mahealthconnector.org/portal/binary/com.epicentric.contentmanagement.servlet.ContentDeliveryServlet/About%20Us/Commonwealth%20Choice/Fact%20Sheets/CommChoice%20Fact%20Sheet%20English.pdf , there will only be 3 levels, GOLD/SILVER/BRONZE. People will pick what they can afford, based on subsidy they qualify for and the medical conditions they have.

No Navigator needed..just someone that people can call and yell at when they punch in the numbers and find that they don't qualify for much $$ help in relation to the premium cost.
:D
 
The state wants to replace licensed agents with navigators who are not licensed and can't actually give advice?

Dave Ramsey gives advice all the time and he isn't licensed.
 
That private exchange looks kinda like this: Health Insurance Quotes | Health Insurance for Individuals, Families and the Self-employed.

Basically quotit, but with better software organizing the plans.
- - - - - - - - - - - - - - - - - -
Looks like the federal exchange is going to have 3 vendors. Bidding is still out, but I've heard its down to 4 players.

The states are still scratching their heads, I think. This is going to be one hell of a clusterfluuck with the consumer getting the shaft in the end. Just at the call center I'm in I come behind other agents and wonder what some are thinking with their recommendations. The comp clamp down is going to breed that stuff.

The health ins. distribution model is going to go away from the agent to the call center/exchange, which is bad for the consumer. I think the incentive to serve the customer leaves when you know you'll never have to see/talk to them again.

The navigators may work with 3 plans available like PCIP, but to expect the consumer to understand current plan coverages and underwriting differences between the different carriers without a knowledgeable agent is foolish I think. I have to explain what a deductible is a LOT. Of course I also have to explain that you cant buy insurance after you get out of the hospital to cover the bills you just incurred too....eesh.

With the volume I do, I see plenty of situations that shouldn't be happening- people playing by the rules and still getting screwed, but what these idiots are doing is worse than what we've got. They regulated free market out of the process and now blame the free market for the mess they created.

Newt put forth some really good ideas in the Herman Cain 'debate' thing. He's got a better understanding of the issues than most. Man I wish he was more electable, I think he's got a better grip on the issues than anybody else.
 
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