Midsize employers are not getting help.

Employers 50-500 FTE’s will need help with admin because their in-house staff will be unable, or unwilling to do it themselves. BenStaff is built to help these employers by outsourcing menial but meaningful benefit transactions. Our professionals will do the work, or support existing staff.

“Will private exchanges step up, not just to provide defined contribution technologies and decision tools, but as plan administrators and legal fiduciaries as it relates to ACA compliance? Will private exchanges that collect and disperse contributions from employers to employees under the defined contribution model be ready to take legal responsibility as trustees? Will they be ready to manage FSAs, HRAs and HSAs for multiple employers? Will they step up to serve as liaison to HHS, DOL and IRS as it’s related to reporting and compliance?”

http://www.theihcc.com/en/communities/health_care_exchange_solutions/small-employer-private-exchanges-wherefore-art-tho_hjrftt96.html