A recent New York Times report shows that 13% of those who signed up for health insur­ance in 2015 through the Afford­able Care Act have become unen­rolled, pri­mar­i­ly because they failed to pay their share of pre­mi­ums.   Of the total exchange enroll­ment as of March 31, there were 10.2 mil­lion signed and 8.7 mil­lion receiv­ing gov­ern­ment subsidies