More than a month after the launch of Delaware's health insurance exchange, officials report only four Delawareans enrolled for insurance coverage under the Affordable Care Act.

As of Tuesday, Delaware's marketplace guide organizations reported four enrollments, 31 enrollment applications completed and 218 accounts created for possible enrollment.

Four community organizations were hired to provide marketplace guides, using a $4 million federal grant.

Brandywine Women's Health Associates in Wilmington reports three enrollments. Christiana Care Health Services in Newark reports one.

The Delmarva Foundation for Medical Care in Easton, Maryland, and Westside Family Healthcare in Wilmington both have yet to report a single enrollment, application, or account created.

State officials said Wednesday that enrollment has been hampered by problems with the federal website, and delays in background checks for marketplace guides.