Arkansas Health Connector is holding health care sign up drives across the state as the March 31 deadline approaches at 10:59pm local time to avoid paying a penalty.
At a signup event at First Presbyterian in North Little Rock, a line formed before doors opened at 10am.
As of midday, more than thirty people had been helped by an in-person navigator to select a plan through Medicaid or the federal health exchange.
The Arkansas Department of Human Services says more than 200,000 people have applied for the private option, which pays premiums through Medicaid expansion.
However, Jay Bradford with the Arkansas Insurance Department says signups on the exchange in the state have fallen well below the estimated 250,000 eligible.
"It needs to be a lot higher number," Bradford told reporters last week.
The latest numbers indicated approximately 34,000 had signed up in the state on the federal exchange, but that figure could top 50,000 as last minute signups continued Monday.