WASHINGTON — Most of the people choosing health plans under the Affordable Care Act — about 80 percent — are paying their initial premiums as required for coverage to take effect, several large insurers said Tuesday on the eve of a House hearing about the law.
But the health insurance industry said the total of eight million people who signed up included "many duplicate enrollments" for consumers who tried to enroll more than once because of problems on the website.
"Insurers have many duplicate enrollments in their system for which they never received any payment," said Mark Pratt, a senior vice president of America's Health Insurance Plans, an industry trade group.
"It may be a matter of months," Mr. Pratt added, "before insurers know how many people activated their coverage by paying their share of premiums."
President Obama said last month that eight million people had signed up for health insurance under the Affordable Care Act, surpassing the administration's original goal of seven million in the federal and state insurance exchanges.
In testimony prepared for a hearing of a panel of the House Energy and Commerce Committee on Wednesday, Mr. Pratt said, "Health insurers have been doing everything possible to encourage exchange enrollees to pay their premiums."