Health Insurance Marketplace: Summary Enrollment Report For the Initial Annual Open Enrollment Period. Appendix A: Characteristics of Marketplace Plan Selection by Gender, Age, Metal Level, and Financial Assistance Status 10-1-2013 to 3-31-2014 (including Additional SEP Activity Through 4-19-14)

05/01/2014

Marketplace Plan Selection by Gender, Age, Metal Level, Financial Assistance Status, and Marketplace Type


Marketplace Plan Selection by Gender, Age, Metal Level, Financial Assistance Status, and Marketplace Type (1)

Total Who Have Selected a Marketplace Plan

DescriptionMarketplace Total Number(SBMs & FFM)Marketplace Total % of Available Data, Excluding Unknown (3) (SBMs & FFM)States Implementing Their Own Marketplaces Number (2) (SBMs)States Implementing Their Own Marketplaces % of Available Data, Excluding Unknown (3) (SBMs)States With Marketplaces that are Supported by or Fully-Run by HHS Number (2) (FFM)States With Marketplaces that are Supported by or Fully-Run by HHS % of Available Data, Excluding Unknown (3) (FFM)
Number of Individuals Who Have Selected a Marketplace Plan8,019,763n/a2,573,585n/a5,446,178n/a

Marketplace Plan Selection by Age

DescriptionMarketplace Total Number(SBMs & FFM)Marketplace Total % of Available Data, Excluding Unknown (3) (SBMs & FFM)States Implementing Their Own Marketplaces Number (2) (SBMs)States Implementing Their Own Marketplaces % of Available Data, Excluding Unknown (3) (SBMs)States With Marketplaces that are Supported by or Fully-Run by HHS Number (2) (FFM)States With Marketplaces that are Supported by or Fully-Run by HHS % of Available Data, Excluding Unknown (3) (FFM)
Age < 18497,5226%141,9066%355,6167%
Age 18-25869,47611%264,45310%605,02311%
Age 26-341,379,46717%446,13817%933,32917%
Age 35-441,371,64517%431,24317%940,40217%
Age 45-541,814,83723%595,92123%1,218,91622%
Age 55-642,036,25125%664,20826%1,372,04325%
Age ≥6536,5040%15,6621%20,8420%
Unknown Age14,063n/a14,056n/a7n/a

Marketplace Plan Selection by Gender

10-1-2013 to 3-31-2014 (Including SEP Activity through 4-19-14)

DescriptionMarketplace Total Number(SBMs & FFM)Marketplace Total % of Available Data, Excluding Unknown (3) (SBMs & FFM)States Implementing Their Own Marketplaces Number (2) (SBMs)States Implementing Their Own Marketplaces % of Available Data, Excluding Unknown (3) (SBMs)States With Marketplaces that are Supported by or Fully-Run by HHS Number (2) (FFM)States With Marketplaces that are Supported by or Fully-Run by HHS % of Available Data, Excluding Unknown (3) (FFM)
Female4,301,65654%1,307,66753%2,993,98955%
Male3,633,92046%1,182,94447%2,450,97645%
Unknown Gender84,187n/a82,974n/a1,213n/a

Marketplace Plan Selection by Metal Level

DescriptionMarketplace Total Number(SBMs & FFM)Marketplace Total % of Available Data, Excluding Unknown (3) (SBMs & FFM)States Implementing Their Own Marketplaces Number (2) (SBMs)States Implementing Their Own Marketplaces % of Available Data, Excluding Unknown (3) (SBMs)States With Marketplaces that are Supported by or Fully-Run by HHS Number (2) (FFM)States With Marketplaces that are Supported by or Fully-Run by HHS % of Available Data, Excluding Unknown (3) (FFM)
Bronze1,585,02220%645,82725%939,19517%
Silver5,238,31465%1,482,72558%3,755,58969%
Gold682,9729%218,1419%464,8319%
Platinum393,1645%176,3857%216,7794%
Catastrophic125,5852%36,7951%88,7902%
Unknown Metal Level14,066n/a14,056n/a10n/a

Marketplace Plan Selection by Financial Assistance Status

DescriptionMarketplace Total Number(SBMs & FFM)Marketplace Total % of Available Data, Excluding Unknown (3) (SBMs & FFM)States Implementing Their Own Marketplaces Number (2) (SBMs)States Implementing Their Own Marketplaces % of Available Data, Excluding Unknown (3) (SBMs)States With Marketplaces that are Supported by or Fully-Run by HHS Number (2) (FFM)States With Marketplaces that are Supported by or Fully-Run by HHS % of Available Data, Excluding Unknown (3) (FFM)
With Financial Assistance6,670,45885%1,987,19682%4,683,26286%
Without Financial Assistance1,201,10515%438,18918%762,91614%
Unknown Financial Assistance Status148,200n/a148,200n/a0n/a

APPENDIX TABLE A1

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

Description
Marketplace Total
(SBMs & FFM)
States Implementing Their Own Marketplaces (SBMs) States With Marketplaces that are Supported by or Fully-Run by HHS (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 8,019,763 n/a 2,573,585 n/a 5,446,178 n/a
By Gender
Female 4,301,656 54% 1,307,667 53% 2,993,989 55%
Male 3,633,920 46% 1,182,944 47% 2,450,976 45%
Subtotal: Plan Selections With Available Data on Gender 7,935,576 100% 2,490,611 100% 5,444,965 100%
Unknown Gender 84,187 n/a 82,974 n/a 1,213 n/a
By Age
Age < 18 497,522 6% 141,906 6% 355,616 7%
Age 18-25 869,476 11% 264,453 10% 605,023 11%
Age 26-34 1,379,467 17% 446,138 17% 933,329 17%
Age 35-44 1,371,645 17% 431,243 17% 940,402 17%
Age 45-54 1,814,837 23% 595,921 23% 1,218,916 22%
Age 55-64 2,036,251 25% 664,208 26% 1,372,043 25%
Age ≥65 36,504 0% 15,662 1% 20,842 0%
Subtotal: Plan Selections With Available Data on Age 8,005,702 100% 2,559,531 100% 5,446,171 100%
Unknown Age 14,063 n/a 14,056 n/a 7 n/a
Ages 18 to 34 2,248,943 28% 710,591 28% 1,538,352 28%
Ages 0 to 34 2,746,465 34% 852,497 33% 1,893,968 35%
By Metal Level
Bronze 1,585,022 20% 645,827 25% 939,195 17%
Silver 5,238,314 65% 1,482,725 58% 3,755,589 69%
Gold 682,972 9% 218,141 9% 464,831 9%
Platinum 393,164 5% 176,385 7% 216,779 4%
Catastrophic 125,585 2% 36,795 1% 88,790 2%
Subtotal: Plan Selections With Available Data on Metal Level (4) 8,005,697 100% 2,559,529 100% 5,446,168 100%
Standalone Dental 1,129,739 n/a n/a n/a 1,129,739 n/a
Unknown Metal Level 14,066 n/a 14,056 n/a 10 n/a
By Financial Assistance Status
With Financial Assistance 6,670,458 85% 1,987,196 82% 4,683,262 86%
Without Financial Assistance 1,201,105 15% 438,189 18% 762,916 14%
Subtotal: Plan Selections With Available Data on Financial Assistance 7,871,563 100% 2,425,385 100% 5,446,178 100%
Unknown Financial Assistance Status 148,200 n/a 148,200 n/a 0 n/a

Notes:

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

Unless otherwise noted, the data in this table represent cumulative data on the number of unique individuals who have been determined eligible to enroll in a Marketplace plan through the SBMs and 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 (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) 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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