Here is Wikipedias description of the foreign company put in charge of the health care exchange:

[Ed Note: COPY/PASTE text removed, link added above instead. See my note below for more explanation. - BF]

Todd Monka @ 1:

I removed the long copy/pasted text from your comment, and replaced it with a link to the Wikipedia "Controversies" section of the Serco Group entry you were copying and pasted from. We don't allow long text to be copy/pasted here from other sites, particularly with no attribution. Moreover, your copy/paste included the footnote numbers from the text, but not the links for them. So that is all now available at the link I added to your comment.

Substantively, you were copying from the Wikipedia entry for the British parent company (Serco Group) of the U.S.-based firm (Serco Inc.) that is handling the paper applications for insurance under ACA. FWIW, they are not "in charge of the health care exchange", as you described them. And their employees handling paper applications are here in the U.S. (some 8,000 of them in 45 states, for all of their different government contracts, including processing patent applications, etc.) Here's a bit more from WaPo about the actual company you were talking about.