Elisa Carrero assists Julian Gauiria, of Paterson, N.J., with enrollment in the health insurance exchange in November. Signups continue to be brisk, health officials say. Tyson Trish/North Jersey/Landov hide caption

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Under Kevin Counihan, Connecticut's health insurance exchange used concerts and storefront offices to reach customers. Courtesy of Chion Wolf/WNPR hide caption

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President Obama announced in early April that more than 7 million people had signed up for health insurance through the exchanges. Win McNamee/Getty Images hide caption

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Maritza Martinez worked with an insurance agent at a kiosk in a Miami mall to find the right health insurance plan for 2014. Joe Raedle/Getty Images hide caption

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Oregon is still using paper applications to enroll people through the Affordable Care Act. iStockphoto hide caption

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Affordable Care Act navigator Nini Hadwen helps Floridians shop for health insurance in October. Joe Raedle/Getty Images hide caption

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