Several state-based exchanges are showing signs of strain as the Jan. 1 start date for plan coverage nears.

In Oregon, Rocky King, the executive director of the troubled Cover Oregon, is taking a three-month medical leave.

Cover Oregon has enjoyed enthusiastic state support, but hasn't been able to get its enrollment site running. Until a few days ago, it couldn't even confirm it had succeeded at enrolling anyone at all.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.