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[quote=Anonymous][quote=Anonymous][quote=Anonymous]You can do compacts among states to sell insurance across state lines as a PP described.  Far more efficient is to simply be able to sell across the country.  This doesn't mean no regulation; it means federal regulation instead of state regulation.

Insurance companies traditionally have been very against federal regulation because they would have limited ability to sway a national regulator.  They can easily sway state insurance regulators--often this is a political post and state legislators are very insurance company friendly--in fact many supplement low legislator salaries by being insurance brokers.

It is crazy we do not have a regime for federal regulation of insurance companies at least as an option.[/quote]
Correct.. sometimes, state Insurance Commissioners are in cahoots with the insurance companies that they are supposed to be regulating, and end up working for them:

https://www.washingtonpost.com/investigations/drinks-junkets-and-jobs-how-the-insurance-industry-courts-state-commissioners/2016/10/02/1069e7a0-6add-11e6-99bf-f0cf3a6449a6_story.html?utm_term=.9af9604a0076

"Benafield [AK insurance commissioner] ultimately decided the case in United Healthcare’s favor — a 2008 ruling that stood to save the company millions of dollars. Nearly two years later, by the time a judge vacated the commissioner’s orders because there was “an appearance of impropriety in the proceedings,” Benafield had moved on: [u]She was working for United Healthcare, having joined at least three of her predecessors representing insurers in Arkansas[/u]."[/quote]

But Blue Cross of Nebraska doesn't WANT to enter the insurance market in Sarasota. They don't know the providers or that particular market. They can't negotiate lower rates for the 176 Sarasotans who (inexplicably) decide BC of NE is the right plan for them. It's high risk for them. They'd much rather try to get more Nebraskans to enroll.[/quote]

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