Reforming the Health Insurance Market for Small Businesses

Abstract

FACED with possible extinction, the private health insurance industry has emerged as a vocal advocate of reforming the way it does business. Since January 1990, the Health Insurance Association of America (HIAA) has proposed extensive regulation of the pricing, marketing, underwriting, and design of policies sold to small-business groups.1 Similar proposals for reform have been made by the Blue Cross and Blue Shield Association and by the National Association of Insurance Commissioners (NAIC). It is remarkable to see a reform proposal coming from the industry most likely to oppose it. It is also surprising that, with the rest of the . . .