Employers are finding that just trying to explain the Patient Protection and Affordable Care Act to employees is one of the costliest ramifications to date.

Helping employees understand PPACA placed right behind the fee employers have to pay for the Patient-Centered Outcomes Research Institute and administrative costs incurred during implementation as the most-expensive single elements related to the law this year.

That comes from a survey by the International Foundation of Employee Benefits Plans. The foundation calculated responses from 728 benefits plan experts, primarily human resources and benefits professionals at companies with single-employer plans.

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