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Charles Dharapak/AP File Photo

This March 23, 2010, file photo shows 22 pens next to President Barack Obama as he signs the health care reform bill in the East Room of the White House in Washington. Multiple pens are used to sign legislation, and then distributed to supporters of the legislation. Your medical plan is facing an unexpected expense, so you probably are, too. It's a new, $63-per-head fee to cushion the cost of covering people with pre-existing conditions under President Barack Obama’s health overhaul. The charge, buried in a recent regulation, works out to tens of millions of dollars for the largest company health plans, and much of that is likely to be passed on to employees.

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