 [ Symptoms ] lost 30 pounds in three months nausea every time they still can not diagnose me [ Disease ] since you have employer coverage it is up to your employer what plans are being offered it is true however that in most states there are one or two dominant insurers in both the individual and small employer market one of the goals of the aca is to try to increase the number of options available for people who shop through the marketplace unfortunately that goal was not reached in all areas at least for 2014