New federal regulations that look to combine the individual and small  group health insurance markets nationally could adversely affect small  businesses, local business leaders said yesterday.
The Affordable  Care Act regulations may lower premiums for individuals, but raise them  for small groups — primarily small businesses — by restricting the  number of rating factors that health insurers may use in setting  premiums, said Peter Forman, president of the South Shore Chamber of  Commerce.
“It will make small businesses second-class citizens by  raising premiums,” said Jon Hurst, who heads the Retailers Association  of Massachusetts.
“It’s an ironic and tragic step, considering Massachusetts was the model for the Affordable Care Act.”
In  a statement yesterday, state Undersecretary of Consumer Affairs Barbara  Anthony said she is reviewing the rule and working with the U.S.  Department of Health and Human Services “to determine whether there will  be any adverse effects in Massachusetts and whether they can be  mitigated.”
The regulations will restrict premium rating factors  to whether a plan is for an individual or a family, where a person  lives, how old the person is, and whether the person smokes, Forman  said.
The regulation will eliminate other existing factors  available in Massachusetts for premium rating, such as industry rating,  group size, participation rate and wellness cooperatives, he said.
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