More than 10.6 million individuals had paid their first month’s premium to officially trigger their 2018 health insurance coverage through the federal and state-based exchanges in February, about 9% fewer people than selected a plan during open enrollment but 3% higher than the same time last year, the Centers for Medicare & Medicaid Services reported today. About 87% of enrollees received an advanced premium tax credit. In 2017, average monthly enrollment fell by 20% among people who did not receive an advance premium tax credit, representing 85% of the enrollment loss for the year, according to a second report on trends in subsidized and unsubsidized enrollment. Among other trends, health insurance agents and brokers supported 42% of 2018 open enrollments in the federal platform exchanges, CMS said.