Health Insurance Marketplace 2015 Open Enrollment Period: January Enrollment Report. Executive summary

01/29/2015

The Health Insurance Marketplace (“the Marketplace”) plays a critical role in achieving one of the Affordable Care Act’s goals of reducing the number of uninsured Americans by providing affordable, high-quality health insurance for individual and small group consumers. This report provides data for enrollment-related activity in the individual market Marketplace during roughly the first two months of the 2015 Open Enrollment period for all 50 states and the District of Columbia.

Section I of the report focuses on the 37 states that are using the HealthCare.gov platform for 2015 (also known as “HealthCare.gov states”) for the first two months of the 2015 Open Enrollment and covers the period 11-15-2014 to 1-16-2015. The 37 HealthCare.gov states include 35 states that used the HealthCare.gov platform in both 2014 and 2015 and Oregon and Nevada, which are new to the HealthCare.gov platform in 2015.2 These 37 states account for 75 percent of total Marketplace plan selections in this report.

The data available for these states include Marketplace plan selections for new consumers and consumers reenrolling in Marketplace coverage. The reenrollee data include both consumers who actively reenrolled in Marketplace coverage (i.e., people who returned to the Marketplace to select a new plan or actively renew their existing plan), and consumers who have been automatically reenrolled into coverage (i.e., people who retained coverage without returning to the Marketplace and selecting a plan, including some who may have subsequently returned to the Marketplace to actively select a plan).

The data included in this report cover the same reporting period as the most recent Weekly Enrollment Snapshot for the 37 HealthCare.gov states, and the metrics that are reported in both places are generally consistent (see Appendix Table D1 for additional information on how the data in this report compare with the data in the most recent Weekly Enrollment Snapshot).3 This report also includes data relating to completed applications, eligibility determinations, website visitors, and call center activity for the HealthCare.gov states; data on the overall distribution of Marketplace plan selections in these states by gender, age, metal level, financial assistance status (i.e., whether the consumer has been determined eligible for advance premium tax credits or cost-sharing reductions), race/ethnicity, and rural status.

Section II of the report focuses on the 14 states (including the District of Columbia) that are operating their own Marketplace platform for 2015 (see page 9). Most of the 14 states include activity for the period 11-15-2014 to 1-17-2015, but data for California are through 1-18-2015). These 14 states account for 25 percent of Marketplace plan selections in this report. The data available for these states include new consumers and reenrollees (please see Appendix Table D2 for additional information on the Marketplace plan selection data that are available for various states). Additionally, some data are available for certain states relating to completed applications, eligibility determinations, website visitors, call center activity; and the overall distribution of Marketplace plan selections by gender, age, metal level, and financial assistance status.(See Appendix Table D3 for a summary of which additional metrics are available for each state).


2 For more information about data on Marketplace plan selections for the 2014 coverage year, please see the Marketplace Summary Enrollment Report, which can be accessed at http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Apr2014/ib....

3 The Centers for Medicare & Medicaid Services publishes weekly Open Enrollment snapshots that provide preliminary point-in-time estimates for weekly data that could fluctuate based on consumers changing or canceling plans or having a change in status such as a new job or marriage; data revisions may mean that the weekly totals from the snapshots may not sum to the cumulative numbers. The weekly snapshots can be accessed at http://www.hhs.gov/healthcare/facts/blog/index.html.

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