Recent news indicates that health insurers, states and employers may not be prepared for health insurance exchanges. A new report shows that consumers are in the same boat.

According to a survey conducted by Princeton Survey Research Associates International and released by InsuranceQuotes.com, while 40 percent of Americans expect health care reform to have a major effect on their lives and 39 percent forecast a minor effect, 90 percent of Americans don’t know when the new health insurance exchanges will open.

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