North Carolina is again one of the country's busiest states for consumers signing up for health insurance under the Affordable Care Act. The state's reluctance to take part in the program means the federal government is running the marketplace.

 

The U.S. Department of Health and Human Services said Tuesday nearly a quarter-million North Carolina residents signed up for the first time or re-enrolled in health plans in the first month of the latest sign-up period. That trails only Florida and Texas.

 

New government data shows more than four out of 10 of the people who selected an insurance marketplace plan to take effect after December 31st were new customers. More than 90 percent qualified for subsidies to help them pay for policies.

 

North Carolina is one of 34 states where the federal government runs the marketplace where policies can be shopped because state officials refused to do it.

 

The Associated Press contributed to this report. 

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