A survey by Hewitt Associates Inc. found that 90 percent of employers expect that their health care plans will lose their “grandfathered” status by 2014.  The national health care reform law allows health plans to obtain grandfathered status if they existed when the law took effect and do not significantly alter their coverage.  Fifty-one percent of employers with self-funded insurance plans expect to lose the protected status by 2011 and 21 percent expect to lose it by 2012.  In addition, 46 percent of other employers expect to lose “grandfathered” status by 2011 and 18 percent expect to lose it by 2012.

News release: Hewitt Associates Survey 

Hewitt Associates. (2010). For most large employers, flexibility to change health care programs outweighs benefits gained under grandfather provisions.