(April 19, 2016, 12:35 PM EDT) -- CINCINNATI — An insurer’s intentional flouting of Patient Protection and Affordable Care Act (ACA) spending caps provides injury in fact sufficient for standing, an employer and its workers told the Sixth Circuit U.S. Court of Appeals on April 7 (Daniel Soehnlen, et al. v. Fleet Owners Insurance Fund, et al., No. 16-3124, 6th Cir.)....