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

itoggle 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

itoggle caption iStockphoto

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

itoggle caption Rich Pedroncelli/AP