It seems like any reason at all is sufficient to opt out of Obamacare and, according to the law itself, nobody is really required to participate.
“No individual, company, business, nonprofit entity, or health insurance issuer offering group or individual health insurance coverage shall be required to participate in any Federal health insurance program created under this Act (or any amendments made by this Act), or in any Federal health insurance program expanded by this Act (or any such amendment), and there shall be no penalty or fine imposed upon any such issuer for choosing not to participate in such programs.”
http://www.coachisright.com/the-law-itself-says-virtually-no-one-has-to-participate-in-obamacare/
Does this work? It’s from the Obamacare law itself.
42 USC § 18115 - Freedom not to participate in Federal health insurance programs
No individual, company, business, nonprofit entity, or health insurance issuer offering group or individual health insurance coverage shall be required to participate in any Federal health insurance program created under this Act (or any amendments made by this Act), or in any Federal health insurance program expanded by this Act (or any such amendments), and there shall be no penalty or fine imposed upon any such issuer for choosing not to participate in such programs.
http://www.law.cornell.edu/uscode/text/42/18115?quicktabs_8=1#quicktabs-8
One method of persuading compliance is to deluge someone with requirements, including a tiny note amounting to “you don’t have to comply”. Most people get so caught up in the verbiage they don’t notice, and won’t let go of the frenzy even if they do find it.
By the time they ramp up the costs of private health care by imposing coverage requirements on the private company, so much that you lose it or cannot afford it, you are required to go on the Obamacare plan.
The act still requires my forced association (another 1st amendment violation) to participate in an approved non-Federal health insurance program.