The Affordable Care Act public exchange system is heading toward its fourth annual open enrollment period with a future that's about as uncertain as it was in 2014.

Open enrollment for coverage that starts Jan. 1 is set to start Nov. 1.

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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.