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

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

Although he offered traditional small-group health insurance to his association’s employees and members, Lyon liked adding a new option for both: potentially less expensive coverage through an association health plan, which doesn’t have to meet all the rules of the Affordable Care Act.

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