That's because the "employer mandate" of the Patient Protection & Affordable Care Act requires businesses with 50 or more full-time employees to offer those workers health insurance.
http://www.arkansasbusiness.com/article/94386/affordable-care-act-amplifies-risk-of-misclassifying-employees
http://www.arkansasbusiness.com/article/94386/affordable-care-act-amplifies-risk-of-misclassifying-employees
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