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Companies putting together 2011 health benefits–and many have already begun the process–are in the uncomfortable position of having to make big-dollar decisions before some of the blurry language in the healthcare reform bill is clarified. The first complicated requirements set by the Patient Protection and Affordable Care Act go into effect for plan years starting after Sept. 23. “People are not appreciating how much of this law we won’t know for a long time,” says Susan Relland of the law firm Miller & Chevalier, who’s a board member at the American Benefits Council.

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