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“The Obama administration said Friday that it would charge insurance companies for the privilege of selling health insurance to millions of Americans in new online markets run by the federal government.  The cost of these ‘user fees’ can be passed on to consumers. The proposed fees could add 3.5 percent to premiums for private health plans sold in insurance exchanges operated by the federal government.  Indeed, it now appears that federal officials could be running the exchanges — alone or in partnership with local officials — in more than half the states.”

http://www.nytimes.com/2012/12/01/health/health-insurers-will-be-charged-to-use-new-exchanges.html?_r=0