Brookings Institution, Paul Morigi, Associated Press
WASHINGTON — Younger people went for President Barack Obama at election time, but will they buy his health insurance?
New government figures show it's an older, costlier crowd that's signing up so far for health insurance under Obama's health care law. Enrollments are lower for the healthy, younger Americans who will be needed to keep premiums from rising.
Young adults from 18 to 34 are only 24 percent of total enrollment, the administration said Monday in its first signup figures broken down for age, gender and other details.
With the HealthCare.gov website now working, the figures cover the more than 2 million Americans who had signed up for government-subsidized private insurance through the end of December in new federal and state markets.
Enrolling young and healthy people is important because they generally pay more into the system than they take out, subsidizing older adults. While 24 percent is not a bad start, say independent experts, it should be closer to 40 percent to help keep premiums down.
Adults ages 55-64 were the most heavily represented in the signups, accounting for 33 percent of the total. Overall, the premiums paid by people in that demographic don't fully cover their medical expenses. Some are in the waiting room for Medicare; that coverage starts at age 65.
The administration and its allies remain confident they'll be able to get young adults interested. Many experts expected older, sicker people to be more heavily represented in the early numbers. Younger people might procrastinate, waiting until the March 31 enrollment deadline is near, weighing whether they want to risk tax penalties for remaining uninsured.
"The dynamic of younger people is that they are going to get educated, they are going to get informed, and they are going to enroll as we get closer to that deadline," said Aaron Smith, founder of Young Invincibles, an advocacy group for young adults.
Insurers, nonprofit groups and advocates are moving ahead with marketing campaigns that were put on hold when the federal website that serves 36 states was struggling.
Administration officials said that in the coming weeks they plan to increase outreach to young people in 25 communities located in states served by the federal website. That effort includes a national youth enrollment day on Feb. 15 and targeted outreach by sororities and fraternities, as well as Voto Latino, which focuses on Hispanic youth.
But even if the age mix remains tilted toward older adults, "it's nothing of the sort that would trigger instability in the system," said Larry Levitt, an insurance expert with the nonpartisan Kaiser Family Foundation. Premiums would go up next year for the overhaul, along with taxpayer costs per enrollee, but not enough to push the system into a "death spiral" in which rising premiums discourage healthy people from signing up.
Still, he said, "it underscores a need to heighten outreach efforts to young people."
Considering that the federal health care website was down most of the time in October, administration officials said they were pleased that the percentage of young adults was as high as it was.
"We think that more and more young people are going to sign up as time goes by," said Gary Cohen, head of the Health and Human Services Department's office in charge of Obama's push to cover the uninsured.
With Monday's numbers, a fuller picture has started to emerge of who's signing up.
Some of the highlights:
— The administration continues to play catch-up. Originally, officials hoped to sign up more than 3.3 million people through the end of 2013, nearly halfway to the goal of 7 million enrollments by the end of March. Instead, enrollment as of Dec. 31 was not quite 2.2 million.
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