"At one time in New Jersey, there were 23 insurance carriers.

Now it has compressed down to five or six over the last couple years. The strong have survived, but brokers have had to merge their agency or get out. When you compress 23 down to five, life becomes very, very tumultuous for a broker who doesn't have that much to choose from anymore."

— David Mordo, owner of D. Mordo Employee Benefits & Consulting, LLC, which serves the greater New York City area, told AIS's Health Plan Week.