The second sign-up season under President Barack Obama's health overhaul has opened in New York and elsewhere.
Sixteen New York insurers are offering individual plans while nine will have coverage for businesses with 50 or fewer workers. Open enrollment began Saturday.
New York state officials say deductibles and co-payments will be flat but premiums will rise about 4.5 percent during the second year.
A nonprofit group's survey showed general satisfaction among New Yorkers who got insurance the first year, though nearly one-fourth reported some difficulty getting accepted by doctors as a new patient.
New York's exchange enrolled 370,604 people with commercial and nonprofit insurers in the first year. Another 525,283 enrolled in Medicaid and 64,875 in the state's Child Health Plus coverage.
Online: New York State Health Exchange: https://nystateofhealth.ny.gov/