Kentucky's health insurance exchange, Kynect, is running relatively smoothly, and the state has spent $11 million on promotional efforts and reports 1,000 enrollments a day. Navigators and other assisters are in high demand, holding educational events and helping people enroll at fairs, festivals and other events. Many agents are also helping people enroll through exchanges, and some say the state should do more to promote their services and the benefits of talking with an expert.

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