The state of Utah has reached an agreement with the federal government to continue operating its 2-year-old health insurance exchange for small employers, a model that could provide an additional option for other states seeking to expand health insurance coverage, Business Insurance reported.

Under the agreement, Utah will keep running its "Avenue H" exchange for businesses with up to 50 full-time employees, while the federal government will start an exchange for individuals. Utah's model will allow the state and federal governments to offer exchanges completely independent of each other, an option that was not offered under the original 2010 Patient Protection and Affordable Care Act.

Iowa is among seven states that opted to run their exchanges as federal-state partnerships. Other options include a federally run or state-run exchange.