More than 150,000 Californians have signed up for Covered California so far, mostly with big-name statewide insurers such as Kaiser and Anthem Blue Cross.

In San Francisco, the smallest insurer on the exchange has also gotten a lot of interest. The Chinese Community Health Plan is a local HMO which — until now — has catered almost exclusively to Chinese Americans.

As Valerie Hamilton explains for the California Report, that raises some questions about what an ethnic community health plan should be in a multi-ethnic state.