RIGHT SPEAK: ObamaMESS: Some Still Lack Coverage Under Obamacare

Months after the sign-up deadline, thousands of Americans who purchased health insurance through the Affordable Care Act still don't have coverage due to problems in enrollment systems.

In states including California, Nevada and Massachusetts, which are running their own online insurance exchanges, some consumers picked a private health plan and paid their premiums only to learn recently that they aren't insured.

Others received a policy but then got married, had a baby or another "life event" that required their coverage to be updated, yet have been waiting months for the change to take effect.

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Some figures have been made public. Minnesota said it has a backlog of about 6,500 requests for changes due to a life event while Oregon reported about 8,200 such requests pending.

In Nevada, about 150 people have joined a lawsuit seeking class-action status against that state's exchange and Xerox Corp., which helped set up the marketplace. Thousands of residents remain uninsured despite paying premiums or completing all steps to enroll, according to the suit, filed in Clark County.

Robert Rolain of Las Vegas, one of the plaintiffs, said that in October, he signed up his wife, Linda, using the state exchange for a Nevada Health Co-Op plan starting March 1.

In November, a tumor was found on her brain, and doctors discussed surgery.

Mr. Rolain paid $136 toward the first month's premium, which was offset by a tax credit of $420, according to a copy of his statement and a receipt. Mr. Rolain said he was dumbfounded when he took his wife to an oncologist in March and learned she wasn't covered. They postponed surgery for two months, he said, until they got notice that she was insured.

"She wasn't so far along when they found the spot. Now the doctor said it had spread up the whole left side of her head," said Mr. Rolain, 73, whose wife had surgery May 14.