Health Insurance Marketplace: Summary Enrollment Report For the Initial Annual Open Enrollment Period. Appendix B: Summary of Additional Demographic Characteristics of Ffm Marketplace Plan Selections, 10-1-2013 to 3-31-2014 (including Additional SEP Activity Through 4-19-14)

05/01/2014

APPENDIX TABLE B1

FFM Marketplace Plan Selections by Gender and Age; Gender and Metal Level; Financial Assistance Status and Metal Level; and Metal Level and Age (1) 10-1-2013 to 3-31-2014 (Including SEP Activity through 4-19-14)

 

Description FFM Total Females - FFM Males - FFM
Number (2) % of Available Data, Excluding Unknown (3) Number (2) % of Available Data, Excluding Unknown (3) Number (2) % of Available Data, Excluding Unknown (3)
Total Who Have Selected a Marketplace Plan
Number of Individuals Who Have Selected a Marketplace Plan 5,446,178 n/a n/a 2,993,989 n/a n/a 2,450,976 n/a n/a
By Gender and Age Number % of Gender Total (4) % of Age Group Total (5) Number % of Gender Total (4) % of Age Group Total (5) Number % of Gender Total (4) % of Age Group Total (5)
Age < 18 355,616 7% 100% 173,916 6% 49% 181,588 7% 51%
Age 18-25 605,023 11% 100% 327,513 11% 54% 277,385 11% 46%
Age 26-34 933,329 17% 100% 501,185 17% 54% 431,970 18% 46%
Age 35-44 940,402 17% 100% 510,268 17% 54% 429,925 18% 46%
Age 45-54 1,218,916 22% 100% 679,095 23% 56% 539,538 22% 44%
Age 55-64 1,372,043 25% 100% 790,623 26% 58% 581,120 24% 42%
Age ≥65 20,842 0% 100% 11,386 0% 55% 9,446 0% 45%
Subtotal: Plan Selections With Available Data on Age 5,446,171 100% 100% 2,993,986 100% 55% 2,450,972 100% 45%
Unknown Age n/a n/a n/a n/a n/a n/a n/a n/a n/a
Ages 18 to 34 1,538,352 28% 100% 828,698 28% 54% 709,355 29% 46%
Ages 0 to 34 1,893,968 35% 100% 1,002,614 33% 53% 890,943 36% 47%
Ages 0 to 20 545,186 10% 100% 272,446 9% 50% 272,740 11% 50%
By Gender and Metal Level Number % of Gender Total (4) % of Metal Level Total (5) Number % of Gender Total (4) % of Metal Level Total (5) Number % of Gender Total (4) % of Metal Level Total (5)
Bronze 939,195 17% 100% 481,577 16% 51% 457,410 19% 49%
Silver 3,755,589 69% 100% 2,116,539 71% 56% 1,638,197 67% 44%
Gold 464,831 9% 100% 248,478 8% 53% 216,212 9% 47%
Platinum 216,779 4% 100% 113,606 4% 52% 103,093 4% 48%
Catastrophic 88,790 2% 100% 44,718 1% 50% 44,049 2% 50%
Subtotal: Plan Selections With Available Data on Metal Level 5,446,168 100% 100% 2,993,989 100% 55% 2,450,976 100% 45%
Standalone Dental 1,129,739 n/a n/a 619,257 n/a n/a 510,230 n/a n/a
Unknown Metal Level 10 n/a n/a n/a n/a n/a n/a n/a n/a
Description FFM Total With Financial Assistance - FFM Without Financial Assistance - FFM
Number (2)
% of Available Data, Excluding Unknown
(3)
Number (2) % of Available Data, Excluding Unknown (3) Number (2) % of Available Data, Excluding Unknown (3)
Total Who Have Selected a Marketplace Plan
Number of Individuals Who Have Selected a Marketplace Plan   5,446,178 n/a n/a 4,683,262  n/a n/a 762,916  n/a n/a
By Financial Assistance and Metal Status Level (6) Number   % of Financial  Assistance Status Total (4) % of Metal Level Total (5) Number % of Financial Assistance Status Total (4) % of Metal Level Total (5) Number  % of Financial Assistance Status Total (4) % of Metal Level Total (5)
Bronze  939,195  17% 100% 688,280  15% 73% 250,915  33% 27%
Silver  3,755,589  69% 100% 3,566,549  76% 95% 189,040  25% 5%
Gold   464,831 9% 100% 302,373  6% 65% 162,458  21% 35%
Platinum   216,779 4% 100% 137,233  3% 63% 79,546  10% 37%
Catastrophic   88,790 2% 100% n/a  n/a n/a 88,789  12% 100%
Subtotal: Plan Selections With Available Data on Metal Level  5,446,168 100% 100% 4,683,254  100% 86% 762,914  100% 14%
Standalone Dental   1,129,739 n/a n/a n/a n/a 1,129,739  n/a n/a
Unknown Metal Level   10 n/a n/a n/a  n/a n/a n/a  n/a n/a
Description FFM Total Bronze Plan Selections - FFM Silver Plan Selections - FFM
Number (2)
% of Available Data, Excluding Unknown
(3)
Number (2)
% of Available Data, Excluding Unknown (3)
Number (2)
% of Available Data, Excluding Unknown (3)
Total Who Have Selected a Marketplace Plan
Number of Individuals Who Have Selected a Marketplace Plan   5,446,178 n/a n/a 939,195  n/a n/a 3,755,589  n/a n/a
By Metal Level and Age (6) Number % of Metal Level Total (4) % of Age Group Total (5) Number % of Metal Level Total  (4) % of Age Group Total (5) Number  % of Metal Level Total (4) % of Age Group Total (5)
Age < 18   355,616 7% 100% 72,978  8% 21% 198,852  5% 56%
Age 18-25  605,023  11% 100% 91,007  10% 15% 426,657  11% 71%
Age 26-34  933,329  17% 100% 163,409  17% 18% 618,914  16% 66%
Age 35-44  940,402  17% 100% 153,586  16% 16% 664,683  18% 71%
Age 45-54  1,218,916 22% 100% 208,191  22% 17% 871,671  23% 72%
Age 55-64  1,372,043  25% 100% 246,558  26% 18% 959,146  26% 70%
Age ≥65  20,842 0% 100% 3,464  0% 17% 15,663  0% 75%
Subtotal: Plan Selections With Available Data on Age  5,446,171  100% 100% 939,193  100% 17% 3,755,586  100% 69%
Unknown Age   n/a n/a n/a n/a  n/a n/a n/a  n/a n/a
Ages 18 to 34   1,538,352 28% 100% 254,416  27% 17% 1,045,571  28% 68%
Ages 0 to 34   1,893,968 35% 100% 327,394 35%   17% 1,244,423 33%   66%
Description Gold Plan Selections - FFM Platinum Plan Selections - FFM Catastrophic Plan Selections - FFM
Number (2)
% of Available Data, Excluding Unknown
(3)
Number (2)
% of Available Data, Excluding Unknown (3)
Number (2)
% of Available Data, Excluding Unknown (3)
Total Who Have Selected a Marketplace Plan
Number of Individuals Who Have Selected a Marketplace Plan 464,831 n/a n/a 216,779 n/a n/a 88,790 n/a n/a
By Metal Level and Age (6) Number % of Metal Level Total (4) % of Age Group Total (5) Number % of Metal Level Total (4) % of Age Group Total (5) Number % of Metal Level Total (4) % of Age Group Total (5)
Age < 18 58,275 13% 16% 24,332 11% 7% 2,287 3% 1%
Age 18-25 37,767 8% 6% 19,470 9% 3% 32,298 36% 5%
Age 26-34 72,999 16% 8% 39,641 18% 4% 41,124 46% 4%
Age 35-44 76,526 16% 8% 42,333 20% 5% 6,358 7% 1%
Age 45-54 94,783 20% 8% 44,417 20% 4% 4,422 5% 0%
Age 55-64 123,377 27% 9% 45,933 21% 3% 2,294 3% 0%
Age ≥65 1,104 0% 5% 651 0% 3% n/a n/a n/a
Subtotal: Plan Selections With Available Data on Age 464,831 100% 9% 216,777 100% 4% 88,790 100% 2%
Unknown Age 0 n/a n/a n/a n/a n/a 0 n/a n/a
Ages 18 to 34 110,766 24% 7% 59,111 27% 4% 73,422 83% 5%
Ages 0 to 34 169,041 36% 9% 83,443 38% 4% 75,709 85% 4%

 

Description Standalone Dental Plan Selections - FFM
Number (2) % of Available Data, Excluding Unknown (3)
Total Who Have Selected a Marketplace Plan
Number of Individuals Who Have Selected a Marketplace Plan 1,129,739 n/a n/a
Number Who Have Selected a Standalone Dental Plan By Metal Level and Age Number % of Metal Level Total (4) % of Age Group Total (5)
Age < 18 63,448 6% 18%
Age 18-25 132,948 12% 22%
Age 26-34 248,591 22% 27%
Age 35-44 221,772 20% 24%
Age 45-54 238,276 21% 20%
Age 55-64 221,195 20% 16%
Age ≥65 3,505 0% 17%
Subtotal: Plan Selections With Available Data on Age 1,129,735 100% 21%
Unknown Age n/a n/a n/a
Ages 18 to 34 381,539 34% 25%
Ages 0 to 34 444,987 39% 23%

Notes:

Percentages in these tables table have been rounded. Some numbers may not add to totals due to rounding.

(1) Unless otherwise noted, the data in these tables represent cumulative data on the number of unique individuals who have been determined eligible to enroll in a Marketplace plan through the FFM, and have selected a plan (with or without the first premium payment having been received by the issuer). Special Enrollment Period (SEP) activity includes plan selections that were made between 4-1-14 and 4-19-14 by those who qualified for an SEP because they were “in line” on 3-31-14, as well as those who experienced a qualifying life event or a complex situation related to applying for coverage in the Marketplace. For additional methodological information, please refer to Appendix F of this report.

(2) For each metric, the data represent the total number of Individuals Determined Eligible to Enroll in a plan Through the Marketplace who have selected a plan through the FFM (with or without the first premium payment having been received directly by the Marketplace or the issuer) during the reference period, excluding plan selections with unknown data for a given metric. This is also known as pre-effectuated enrollment.

(3) 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.

(4) Represents the vertical percentage for the data that are being shown based on a given set of metrics. For example, if the rows show Age Groups and the columns show Gender, then this percentage represents the data for a given Age Group / Gender combination as a percentage of the comparable Gender total for all Age Groups (e.g., Persons between the ages of 18 and 34 represent X percent of the all of the Female Marketplace Plan selections).

(5) Represents the horizontal percentage of the data that are being shown based on a given set of metrics. For example, if the rows show Age Groups and the columns show Gender, then this percentage represents the data for a given Age Group / Gender combination as a percentage of the comparable Age Group total for all Genders (e.g., Females represent X percent of the Marketplace Plan selections for persons between the ages of 18 and 34).

(6) 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. To the extent possible, duplication associated with standalone dental plan selection has been removed from the data shown in this table.

Source: Centers for Medicare & Medicaid Services, as of 4-29-2014.

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