Employers who postponed action on health reform compliance will now be going full tilt to continue meeting the legislation's provisions that take effect this year and beyond. But even larger strategic questions loom over their roles as benefit sponsors.

It's now become clear that most employers waited for the Supreme Court's decision before developing a strategy on provisions in the Patient Protection and Affordable Care Act, as evidenced by a Mercer survey taken just after the ruling. Moreover, consultants found that the waiting game continues for 16% of the more than 4,000 respondents, who admitted no action will be taken on 2014 compliance until after the November elections. Forty percent said they will begin examining these parts of the law now that the court has ruled.

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