Health care reform provides plenty of challenges for employers. From preparing for the exchanges to ensuring compliance and everything in between, employers have their hands full.

But it's more than just a problem with busywork. Many of these changes are causing employers to second-guess their benefit offerings, and this uncertainty is trickling down to employees.  

"Some may keep the same plans; some may shift more costs to employees, resulting in higher copayments, deductibles and premiums; and some may choose to send their employees to their state's exchange," says Audrey Boone Tillman, executive vice president of corporate services at Aflac. "Until they have an understanding of what their employer's choice may be, it's difficult for employees to prepare."

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