Paul Siperke, co-owner of Cleveland brewery Fat Head's, plans to keep providing health insurance to his employees. But he's irked by the continual price fluctuations in the group's policy — this year caused partly by the Affordable Care Act. Milan Jovanovic /WCPN hide caption

toggle caption Milan Jovanovic /WCPN

Small employers can still enroll in Affordable Care Act coverage through insurers or brokers, but not through the online exchanges. iStockphoto hide caption

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An employee of Covered California works in the newly opened call center in Rancho Cordova, Calif. Covered California is the state's new health insurance exchange. Rich Pedroncelli/AP hide caption

toggle caption Rich Pedroncelli/AP

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