In a survey of 500 small business owners, the National Association of Insurance Commissioners (NAIC) found that 64 percent of respondents are not confident picking a health insurance policy that fits their company's budgets or their employees' needs.

In addition, one-third of small business owners said they cannot afford to provide their employees with health insurance.

The survey also found that 60 percent of respondents were unclear about the tax implications of providing health insurance to their employees, while just 27 percent said they understand all the factors that affect their health premiums.

"In this economic environment, small business owners need to be especially mindful of any decision that will affect their financial future," said NAIC president and New Hampshire insurance commissioner Roger Sevigny. "Now, more than ever, it is important they get smart about their choices and consider the implications that making a bad decision could have on their business and their employees' future."

In a recent consumer survey from the New York Times and CBS News, health care was seen as one of the top three most important problems currently facing the country.