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ACA Magnifying Glass Land o’Lakes’ new multi-state plan is an expansion of a group health plan it launched in 2017 for individual farmers within its network under a state-specific statute in Minnesota. (Photo: Getty)

Self-insured plans, as well as those that don’t comply with the Affordable Care Act’s requirements on basic coverage, are steaming ahead—even if they don’t have approval.

Marlene Satter

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