Well, when the ACA co-op in my state went under it cost me $5000 in commissions (right before Christmas, than you Barry) and I have dozens of clients still fighting to get claims from 2015 paid. I am not saying there should be no regulation at all, but if the "crossing state lines" idea is so unattractive to insurance companies, why did the federal government have to create a law to stop it and who is that law helping? (Seriously, I don' know)
I'm going to give you a Pre ACA on why crossing state lines doesn't work. And this isn't an ACA issue. It's been state driven way before anyone had heard of Obama.
The laws in each state were different prior to ACA. TX had a $5 million lifetime max. And dependent coverage to 25.
Utah had a $1 million max. (Maybe $2?). No clue on dependent age.
From a states rights perspective, the Utah legislature doesn't get to pass laws that affect TX citizens. Because if you are annoyed with the DOI, you have no recourse to vote out the legislators who are supporting it.
As an FYI, provider relations and contracting with 1000s of providers IS very costly.
You are annoyed that no one is left (and I'm on board with blaming ACA) on the Utah Exchange. But states lines is not the solution. There are other carriers there who have the infrastructure in place and they don't want to participate.
I am very sorry about the commissions and claims!