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“What if there were a way for even small employers to escape some Affordable Care Act rules blamed for driving up costs? Some see self-insurance for medical care, which is exempt from the law’s taxes, benefit rules and price restrictions taking effect next year, as just such an opportunity… In some circumstances, self-insurance by small businesses with younger employees could cause premiums in the small-group insurance market to rise by 25 percent, according to previous research from the Commonwealth Fund and the Urban Institute.”

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