The district court ruled these individuals are "working owners" and compelled the Labor Department to deem the insurance plan they are joining a single-employer health plan under ERISA.

What if you could enroll in a group health plan just by downloading a software program? Sounds a bit fishy, doesn't it? But that's the heart of an issue currently being considered by a federal appeals court, and the outcome could deal a devastating blow to the Affordable Care Act and state insurance regulations.

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