The exchange builders in states with active exchange design programs still seem to be deciding how to work with health insurance agents and brokers.
Mark Hall and Katherine Swartz touch on producer relationship considerations in a paper on exchange construction efforts in California, Colorado and Maryland.
In California, agents "complained vocally at one point that the exchange would freeze them out of selling through the exchange," the researchers say. "Efforts have been taken to reassure them that their participation is welcome, especially for the employers’ Small Business Health Options Program (SHOP) exchange, recognizing that most employers rely on agents to help them choose insurance."
But "the compensation and role of agents remain to be determined," the researchers say.