“Twenty (20) percent of small employers currently offering expect to significantly change their benefit package and/
or their employees’ premium cost-share the next time they renew their health insurance plans. Almost all significant
changes expected involve a decrease in benefits, an increase in employee cost-share, or both. Since enactment, one in eight (12%) small employers have either had their health insurance plans terminated or been told that their plan would not be available in the future. Plan elimination is the first major consequence of PPACA that small-business owners likely feel.”