Health Insurance Marketplace: March Enrollment Report. For the period: October 1, 2013 - March 1, 2014. Highlights of Major Methodological Changes Since the February Marketplace Enrollment Report

03/11/2014

Reporting of Cumulative Five-Month Data - This report includes cumulative data for the five-month period (10-1-13 to 3-1-14) because some people’s process of applying, shopping, and selecting a plan may span across multiple monthly reporting periods (for example, a person may have applied for a Marketplace plan in October and then selected a Marketplace plan in December). We believe that these cumulative data provide the best “snapshot” of Marketplace enrollment-related activity to date. Ongoing efforts are underway to eliminate duplication associated with counting people in more than one month. Additionally, some SBM data systems are still working to eliminate duplication in their cumulative counts, so all duplication has not yet been removed in this report.

Data on Total Number of Completed Applications and Total Individuals Applying for Coverage in Completed Applications – We are no longer showing data on the total number of completed applications and total number of individuals applying for coverage in completed applications in Appendix C and in the main body of this report because we believe that there is duplication in these metrics.

SBM Data – While all SBMs have provided updated data on call center activity, not all SBMs have provided updated data on website visits. For additional state-specific technical notes, please see the footnotes of the tables in Appendix C, and in the Addendum to the March Marketplace Enrollment Report.

Data on Characteristics of Marketplace Plan Selections by Metal Level – The FFM subtotals for each metal tier type do not sum to the total number of Plan Selections With Available Data on Metal Level due to instances where consumers enrolled in more than one plan type in their state (for example, some consumers may have enrolled in both a health plan and a standalone dental plan). As a result, the corresponding percentages also do not sum to 100 percent. This also affects the data for the Marketplace total. For the March enrollment report, to the extent possible, duplication associated with standalone dental plan selection has been removed from the data shown for each metal tier type. Additionally, separate totals for standalone dental plan selections are shown separately where appropriate. Data distributions for States with very small numbers of Marketplace plan selections for a given metal level have been suppressed.

Standalone Dental Plan Selection – For the FFM, total standalone dental plan selections includes data for both the “High” and “Low” standalone dental plan metal tier types. For the SBMs, separate data are not yet available on standalone dental plan selections.

Data on Additional Characteristics of FFM Marketplace Plan Selections – This report also includes preliminary additional data on the characteristics of persons who have selected a Marketplace plan through the FFM (by Gender and Age; Gender and Metal Level; Financial Assistance Status and Metal Level; and Metal Level and Age). In some cases, the data for certain characteristics of Marketplace plan selections are not yet available. For this reason, for each metric, we have calculated the comparable percentages based on the number of plan selections with known data for that metric.

APPENDIX TABLE D1

Summary of Marketplace Monthly Enrollment-Related Information By Marketplace Type
(10-1-13 to 3-1-14)
Marketplaces Total (SBMs and FFMs) States Implementing Their Own Marketplaces (SBMs) States With Marketplaces that are Supported by or Fully-Run by HHS (FFM)
Number % of Total* Number % of Total* Number % of Total*
Completed Applications (1) 8,211,932 n/a 3,315,796 n/a 4,896,136 n/a
Number of Individuals Applying for Coverage in Completed Applications (1) 14,594,930 100.0% 7,052,437 100.0% 7,542,493 100.0%
Eligible for Marketplace Plan Enrollment 8,751,907 60.0% 2,758,933 39.1% 5,992,974 79.5%
Eligible for Marketplace Plan with Financial Assistance (non-add) 5,246,641 35.9% 1,703,871 24.2% 3,542,770 47.0%
Other Marketplace Plan-Eligible Individuals (non-add) 3,505,266 24.0% 1,055,062 15.0% 2,450,204 32.5%
Determined or Assessed Eligible for Medicaid/CHIP by the Marketplace 4,377,932 30.0% 2,999,061 42.5% 1,378,871 18.3%
Pending/Other 1,629,175 11.2% 1,458,527 20.7% 170,648 2.3%
Total Individuals Eligible to Enroll in a Marketplace Plan 8,751,907 100.0% 2,758,933 100.0% 5,992,974 100.0%
Marketplace Eligible Individuals Who Have Selected a Marketplace Plan 4,242,325 48.5% 1,621,239 58.8% 2,621,086 43.7%

(1) We are no longer showing data on the total number of completed applications and total number of individuals applying for coverage in completed applications in Appendix C and in the main body of this report because we believe that there is duplication in these metrics.

* Percent of total represents the percent of total individuals applying for coverage in completed applications, or the percent of total individuals eligible to enroll in a Marketplace plan who have selected a Marketplace plan.

** Pending/Other does not sum to 100 percent due to differences in process flows and potentially missing data.

*** Total SBM and FFM data on the number of persons with processed eligibility determinations or assessments do not add to the total number of persons applying for coverage in completed applications due to missing data and differences in process flow for Marketplace plan and Medicaid/CHIP eligibility determinations / assessments.

Source: Centers for Medicare & Medicaid Services, as of 3-7-2014.

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