A new study by Mercer shows that employers are feeling the pinch as enrollment ticks up and compliance demands grow under health reform.

The study found that most employers have seen an average 2 percent increase in enrollment as they extended eligibility for dependent coverage to employees' children up to age 26 under the ACA.

According to a survey of nearly 900 employers, the ACA's rule requiring employers to automatically enroll newly hired, or newly eligible, full-time employees into a health plan will cause enrollment to grow by another 2 percent on average in 2014, when the provision is slated to go into effect.

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