Health insurers who want to sell plans in states that refuse to create new U.S. health-care marketplaces will have to pay fees for the federal government to regulate them.

Insurers will pay a fee of 3.5 percent of their premiums to sell plans in a federally run health exchange, the government said Nov. 30 in a regulatory filing. The exchanges are new marketplaces somewhat like online travel services where uninsured people will buy policies.

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