Post-it notes with health reform cycle After the ACA took effect, enrollment in AHPs fell, partlybecause many small businesses were buying new ACA plans and manyexisting association plans had to comply with ACA rules. (Photo:Shutterstock)

When the Trump administration in June issued rules making it easier for smallemployers to band together to buy health insurance, “we startedlooking immediately,” recalled Scott Lyon, a top executive at theSmall Business Association of Michigan.

Although he offered traditional small-group health insurance tohis association's employees and members, Lyon liked adding anew option for both: potentially less expensive coveragethrough an association health plan, which doesn't have to meet allthe rules of the Affordable Care Act.

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