(Adds UnitedHealth Group comment in 5th paragraph)
By Caroline Humer and Susan Cornwell
Nov 6 (Reuters) - A top U.S. health insurer gave the first
detailed view of how the problem-plagued rollout of President
Barack Obama's signature healthcare law is affecting the
industry, saying on Wednesday it had cut its enrollment
forecasts by at least a half and expected the government to
delay the sign-up deadline.
Humana Inc said that because of technical problems
preventing millions of Americans from accessing the federal
HealthCare.gov website since it opened on Oct. 1, the company
had slashed its expectations of signing on 500,000 new plan
members to an estimate of closer to 250,000.
The open enrollment period ends on March 31, and Republican
and Democratic lawmakers are asking the Obama administration to
give people more time to sign up for plans offered in online
marketplaces. U.S. Health and Human Services Secretary Kathleen
Sebelius rejected the idea at a Senate hearing on Wednesday.
"We are still at the beginning of a six-month open
enrollment that ends at the end of March, and there's plenty of
time to sign up for the new plans," she said.
UnitedHealth Group, the largest healthcare insurer
in the United States, said on Wednesday it would work with the
federal government "if a decision is made to allow individuals
more time to sign up."
The insurance industry has lobbied against an extension that
would include delaying the law's penalty for Americans who do
not obtain coverage by the end of March, saying it would leave
them with a heavier concentration of sicker, costlier patients.
That would create even greater business losses and higher prices
for consumers down the road, and could require the federal
government to come in and cover some of the damage.
But Humana said on Wednesday it was assuming a delay at this
point, and that it already cut its view for profits from the new
business that it had expected from healthcare reform.
"We're waiting for guidance from the government around
whether they are going to change mandates and whether they are
going to do things to extend the enrollment period," Humana
Chief Operating Officer Jim Murray said during a call with
investors to discuss quarterly results.
"Given where we're at today, our assumption is that there
will be an extension to the open enrollment period," he said.
The 2010 Affordable Care Act, also known as Obamacare,
mandates that everyone have health insurance coverage or pay a
fine. It also set up online exchanges, or marketplaces, for
millions of uninsured Americans to enroll.
Sebelius said that the agency was updating enrollment
targets, one of which called for about a million people to sign
up through December. "I can tell you, our early enrollment
numbers are going to be very low."
The Obama administration has not made enrollment data public
since the new insurance marketplaces opened, but is expected to
provide figures next week. As many as 7 million Americans were
expected to sign up for coverage, according to the Congressional
Budget Office.
The problems at HealthCare.gov, which serves consumers in 36
states, have cast doubt on whether enrollment will come close to
that forecast, or include some 2.7 million young and healthy
Americans that the government says are needed to offset the cost
of sicker beneficiaries and keep Obamacare financially viable.
The administration says it is working around the clock to
have HealthCare.gov working smoothly by Nov. 30 so that people
can sign up in time for coverage on Jan. 1. Humana is offering
plans through the site in 12 states, including Florida and
Texas, home to a large concentration of the uninsured. It also
sells coverage on state-run exchanges in Kentucky and Colorado.
CREATING NEW PROBLEMS
While Republicans have opposed the healthcare law all along
as an unwarranted expansion of the federal government and
criticized the website rollout, some Democrats are also calling
for a delays in aspects of the law. They include Senator Joe
Manchin, a Democrat from West Virginia who wants a delay in the
sign-up penalty in 2014 and Senator Jeanne Shaheen of New
Hampshire persuaded nine fellow Democrats to join her in urging
the administration to extend the enrollment period.
"We think that the administration has the authority to act
(to extend the deadline) without additional legislation, but
that's always an option," Shaheen told a Reuters reporter in a
Capitol Hill hallway earlier in the week.
Robert Zirkelbach, spokesman for industry's main lobby group
AHIP, said this week that a delay of one year "could have a
destabilizing effect on insurance markets, resulting in higher
premiums and coverage disruptions."
This would mean a smaller and sicker insurance pool for the
health plans being offered, increasing the costs to insurers and
resulting in them raising rates for 2015 or dropping out. It
could also put the federal government on the hook for covering
some insurer losses under the law.
Paul Ginsburg, president of the Center for Studying Health
System Change in Washington, said that the administration's
insistence against a delay "means that they appreciate the
damage that such a delay would do, and don't want to do it
unless it's necessary."
Douglas Holtz-Eakin, president of the American Action Forum
and former advisor to Republican Senator John McCain, said
increasing delays could also work against the goal of signing up
more people.
"It sends the signal that this isn't working," he said.
"That's not an appealing reason to go sign up."
(Additional reporting by Lewis Krauskopf, David Morgan and
Roberta Rampton; Editing by Michele Gershberg and Grant McCool)
© 2026 Thomson/Reuters. All rights reserved.