Some advisory firms are considering changing their employee health care plans by asking employees to purchase insurance through public exchanges with some company reimbursement. "[W]e've been talking with our peers, and we're not out of line if we ask for 20% cost-sharing from the employees," said Rob Siegmann, chief operating officer at a firm that now covers all its employees' premium costs. "We feel that providing top-notch benefits keeps people here, but that's an unsustainable path as premiums go up."

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