The trend isn't news but here's some data that helps to quantify it: About half (47 percent) of Americans with employer-based health insurance say more money is being taken out of their paychecks each month for health insurance than a year ago.

That's according to the latest Bankrate.com survey that also found 44 percent are experiencing higher out-of-pocket expenses, including deductibles and copayments, compared to a year ago.

Upper-middle-income Americans with employer-based health insurance (annual household incomes between $50,000 and $74,999) are the most likely to report more money being taken from their paychecks and higher out-of-pocket expenses, Bankrate.com said. Overall, respondents in this group feel the hardest hit by the Patient Protection and Affordable Care Act. Out of all income levels, they are the most likely to feel that the law has had a negative effect on their health insurance (47 percent).

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