Nearly 18 million people have gained health insurance due to the Affordable Care Act, but 10.5 million are still uninsured and could sign up for plans on state and federal exchanges. Open enrollment in the federal and state exchanges start Nov. 1. Minnesota is also providing a limited special enrollment period for Minnesotans who were offered and enrolled in COBRA coverage, which runs until October 15. Also, losing insurance due to a layoff or job loss could qualify you to get health insurance coverage outside of open enrollment. Here is how to get health insurance in Minnesota.