Employees are putting their 401(k) contributions on the back burner as their concerns about paying for health care continue to grow, according to a Mercer workplace survey.

The survey of retirement plan participants who also receive health benefits at work found a host of contradictions in 2013, including the belief that the U.S. economy is improving but that those surveyed aren't seeing a positive impact in their own households yet.

The majority feel confident about their investment decisions but pessimistic about their retirement outlook and they aren't planning to increase their 401(k) contributions next year. Those closest to retirement are actually planning to decrease their contributions by about 18 percent, the survey found.

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