Health Insurance Marketplace 2015 Open Enrollment Period: January Enrollment Report. B1 – Marketplace Plan Selection by Enrollment Type, Marketplace Type and State

01/29/2015

Marketplace Plan Selection by Enrollment Type in States Using the HealthCare.gov Platform, by State, 2015 (1) 11-15-14 to 1-16-15

Description Total Number of Individuals Who Have Selected a 2015 Marketplace Plan (1) Distribution By Enrollment Type (2)
New Consumers (3) Consumers Reenrolling in Marketplace Coverage (4)
Number % of Total % of Total
States Using the HealthCare.gov Platform (5)
State-Based Marketplaces (SBMs) Using the HealthCare.gov Platform (6)
Nevada (7) 52,498 100% 0%
New Mexico 43,054 43% 57%
Oregon (7) 90,345 100% 0%
Subtotal - SBMs Using the HealthCare.gov Platform 185,897 87% 13%
Federally-FacilitatedMarketplace (FFM) States
Alabama 134,205 41% 59%
Alaska 16,724 38% 62%
Arizona 169,178 40% 60%
Arkansas 54,885 35% 65%
Delaware 20,449 39% 61%
Florida 1,270,995 43% 57%
Georgia 425,927 43% 57%
Illinois 286,888 40% 60%
Indiana 185,730 41% 59%
Iowa 36,718 42% 58%
Kansas 80,064 42% 58%
Louisiana 137,142 42% 58%
Maine 61,964 35% 65%
Michigan 299,750 33% 67%
Mississippi 81,251 44% 56%
Missouri 209,336 41% 59%
Montana 47,206 32% 68%
Nebraska 61,474 43% 57%
New Hampshire 46,642 33% 67%
New Jersey 211,788 38% 62%
North Carolina 458,676 40% 60%
North Dakota 15,606 33% 67%
Ohio 196,073 37% 63%
Oklahoma 101,026 44% 56%
Pennsylvania 422,284 34% 66%
South Carolina 161,941 46% 54%
South Dakota 18,040 36% 64%
Tennessee 184,486 41% 59%
Texas 918,890 44% 56%
Utah 116,423 39% 61%
Virginia 316,584 44% 56%
West Virginia 27,471 38% 62%
Wisconsin 177,157 34% 66%
Wyoming 17,821 37% 63%
TOTAL – States Using the HealthCare.gov Platform 7,156,691 42% 58%

Notes:
“N/A” means that the data for the respective metric are not yet available for a given state.
* Indicates that the data reported for the current month only include new consumers, and exclude reenrollees.
(1) Unless otherwise noted, the data in these tables represent cumulative data on the number of unique individuals who have selected or have been automatically reenrolled into a 2015 Marketplace medical plan for enrollment through the Marketplaces (with or without the first premium payment having been received directly by the issuer). This is also known as pre-effectuated enrollment, because enrollment is not considered effectuated until the first premium payment is made, and this figure includes plan selections for which enrollment has not yet been effectuated. Individuals who have cancelled or terminated their Marketplace plans are not included in the total number of plan selections. These data also do not include: standalone dental plan selections; or individuals who may have selected a 2014 Marketplace plan during the reporting period, as a result of having been granted a Special Enrollment Period (SEP). This table only reflects data for the individual market Marketplaces. For additional technical notes, please refer to Appendix D of this report.
(2) “Distribution by Enrollment Type” represents the percentage of plan selections with available data on enrollment type that are new consumers vs. consumers reenrolling in Marketplace coverage.
(3) “New Consumers” are those individuals who selected a 2015 Marketplace medical plan (with or without the first premium payment having been received directly by the issuer) as of the reporting date, and did not have a Marketplace plan selection as of November 2014. Individuals who have cancelled or terminated their Marketplace plans are not included in the total number of plan selections. These data also do not include: standalone dental plan selections; or individuals who may have selected a 2014 Marketplace plan during the reporting period, as a result of having been granted a Special Enrollment Period (SEP).
(4) “Consumers Reenrolling in Marketplace Coverage” are those individuals who had a Marketplace plan selection as of November 2014, and have either actively submitted a 2015 application and selected a 2015 Marketplace medical plan or have been automatically reenrolled in Marketplace coverage – with or without the first premium payment having been received directly by the issuer). Individuals who have cancelled or terminated their Marketplace plans are not included in the total number of plan selections. These data also do not include: standalone dental plan selections; or individuals who may have selected a 2014 Marketplace plan during the reporting period, as a result of having been granted a Special Enrollment Period (SEP). It is important to note that the reenrollment data in this report may include some individuals who were reenrolled in Marketplace coverage as of 1-16-15, but who may ultimately decide not to retain Marketplace coverage for 2015 (for example, because they have obtained coverage through another source such as an employer or Medicaid/CHIP). We anticipate that to the extent possible, the plan selection data in future reports will exclude these individuals (e.g., due to the subsequent cancellation or termination of their coverage).
(5) For the HealthCare.gov states, the data on 2015 Marketplace plan selections includes data for new consumers and consumers who reenrolling in Marketplace coverage (including data for consumers who actively reenrolled in Marketplace coverage, and data for automatic reenrollees).
(6) Nevada, New Mexico, and Oregon are using the HealthCare.gov platform for 2015.
(7) Nevada and Oregon changed Marketplace platforms in 2015. Therefore, their 2015 Marketplace plan selections are generally being classified as new consumers for operational enrollment and reporting purposes. However, a small number of 2015 plan selections in these states may be classified as consumers reenrolling in Marketplace coverage in cases where an individual who had an active 2014 Marketplace plan selection in a HealthCare.gov state signs up for 2015 coverage in Oregon or Nevada.
Source: Centers for Medicare & Medicaid Services, as of 1-26-15.

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