For the period: October 1 – November 30
December 11, 2013
This is the second in a series of issue briefs highlighting national and state-level enrollment-related information for the Health Insurance Marketplace (Marketplace hereafter). This brief includes data for states that are implementing their own Marketplaces (also known as State-Based Marketplaces or SBMs), and states with Marketplaces that are supported by or fully-run by the Department of Health and Human Services (including those run in partnership with states, also known as the Federally-facilitated Marketplace or FFM).
Cumulative enrollment-related activity during the first two months of the initial open enrollment period (10-1-13 to 11-30-13) are reported for several metrics, including: the number of unique visitors to the Marketplace websites, the number of calls to the Marketplace call centers, the number of completed applications submitted to the Marketplaces, the number of eligibility determinations processed by the Marketplaces for enrollment in a Marketplace plan (used throughout this report—also known as a Qualified Health Plan or QHP), the number of persons who have been determined or assessed eligible for Medicaid or the Children’s Health Insurance Program (CHIP) by the Marketplaces,1 and the number of persons who have selected a plan through the Marketplace.
This report features cumulative data for the two month period because some people apply, shop, and select a plan across monthly reporting periods. We believe that this cumulative data provides the best “snapshot” of Marketplace enrollment activity to date. We are working to eliminate “duplication” associated with counting people in more than one month – some SBM data systems are still working to unduplicate counts in their cumulative data, so all duplication has not yet been removed from this report. In the FFM, duplicate counts have been removed, so if a person applied for a Marketplace plan in October, and then selected a Marketplace plan in November, this person would only be counted once in the cumulative data. Future monthly enrollment reports during the initial open enrollment period will continue to provide updated cumulative data. The cumulative October-November number of individuals who have selected a plan of 364,682 less the previously reported number for October enrollment number of 106,185 who have selected a plan yields an unduplicated count of 258,497 who have selected a plan for November.
The following are highlights of Marketplace enrollment-related information for the first two months of the initial open enrollment period (see Appendix A for state-level data).
Cumulative Highlights for the period: October 1 – November 30
Marketplace Website and Call Center Activity
- Visitors on the SBM and FFM websites: 39.1 million
- Calls to the SBM and FFM call centers: 5.2 million
Marketplace Applications and Applicants
- Completed Applications submitted to the SBMs and FFM: 1.8 million
- Total Persons Applying for Coverage in Completed Applications submitted to the SBMs and FFM: 3.7 million
Marketplace Eligibility Determinations and Plan Selection
- Total Persons Determined Eligible to Enroll in a Marketplace plan by the SBMs and FFM: 2.3 million
- Number of Eligible Persons who have Selected a Plan through the SBMs and FFM: nearly 365,000
- Number of Eligible Persons who have Not Yet Selected a Marketplace Plan through the SBMs and FFM: 1.9 million
- Total Persons Determined or Assessed Eligible for Medicaid/CHIP by the SBMs and FFM: over 803,000
- Number of Persons who have Selected a Marketplace Plan or had a Medicaid/CHIP Determination or Assessment: 1.2 million
Figure 1 shows that the cumulative number of persons who have selected a Marketplace plan through the FFM has increased considerably since the end of the first month, as progress has been made in resolving technical issues. In all Marketplaces – SBM and FFM – more than a quarter million enrollees were added in November alone, with FFM plan selection in November outpacing that of October by more than four times.
As noted in the previous Marketplace enrollment report,2 the data in this report represent a “snapshot” of Marketplace enrollment-related activity, based on available data, which uses comparable definitions for the data elements across states, and between the SBM and FFM states. However, it is important to note that the SBM enrollment-related data that are reported in this issue brief may differ from comparable data that have previously been publicly reported on SBM websites or in media reports due to differences in time periods and metric definitions.
1 Data related to Medicaid and CHIP eligibility in this report are based on applications submitted through the Marketplaces. October 2013 data based on applications submitted through state Medicaid/CHIP agencies was released by the Centers for Medicare & Medicaid Services in a separate report, “Medicaid & CHIP: October Monthly Applications and Eligibility Determinations Report, December 3, 2013,” which can be accessed at http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/Medicaid-CHIP-Monthly-Enrollment-Report.pdf. Comparable November 2013 enrollment data based on applications submitted through state Medicaid/CHIP agencies will be released in a subsequent report.
2 U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation (ASPE), “Health Insurance Marketplace: November Enrollment Report, November 13, 2013,” ASPE Issue Brief, which can be accessed at http://www.aspe.hhs.gov/health/reports/2013/MarketPlaceEnrollment/rpt_enrollment.pdf.