Open enrollment for health insurance under the Affordable Care Act will end Dec. 15. If you live in New Hampshire and get either private coverage or Medicaid under the law, we would like to hear from you. Please share your story using the form below. Your name and comments may be published, but your contact information will not. A Times reporter or editor might contact you to learn more about your story.

If you have coverage through the Affordable Care Act this year and have looked at your options for 2018, are your costs generally going up or down? *

Do you qualify for a subsidy to help with the cost of your premiums? If so, about how much?

Are you considering alternatives to coverage through the Affordable Care Act because of the cost? If so, what? *

Would you continue to buy health insurance if it were no longer a requirement? Why or why not? *

What do you think about New Hampshire's plan to require many non-disabled Medicaid recipients to work for at least 20 hours a week?

What is your name? * First and last preferred, please.

Where do you live? (city and state, please.) * City and state, please.

How old are you?

What is your email address? *