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Chart showing increase In Q1 2018, 10.6 million people had coverage through the ACA exchanges; that includes 9.2 million who receive federal premium subsidies. (Photo: Shutterstock)

In the first quarter of 2018, enrollment in the individual insurance market continued its downward trend, with the drop concentrated in off-exchange plans where enrollees are not eligible for subsidies to help pay for coverage under the Affordable Care Act and are on the hook for the whole amount of premiums, including recent price hikes.

So reports the Kaiser Family Foundation, which says that the first-quarter decline compared with Q1 of 2017 totaled 12 percent. Still, it adds that enrollment in ACA exchange-sold plans increased by 3 percent in 2018 after receding from its peak of 11.1 million people in 2016.

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Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.

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