Firms with 200 workers or fewer have seen premiums for family plans shoot up nearly one-quarter over the last five years. In Maryland's small-group market, insurers just announced that they'd be hiking prices by up to 30% next year. In Minnesota, new rate filings show small-group premiums up 16% for 2017. Thankfully, these are offers that quite a few businesses can refuse. http://www.investors.com/politics/commentary/for-some-businesses-rising-health-premiums-are-optional/