Health Insurance Marketplace: Summary Enrollment Report For the Initial Annual Open Enrollment Period. Effectuated Enrollment


CMS does not yet have comprehensive and accurate data about effectuated enrollment (that is, the number of individuals who have effectuated their enrollment and gained coverage through payment of the first premium). However, some issuers have made public statements indicating that 80 percent to 90 percent of the people who have selected a Marketplace plan have made premium payments.12 Issuers have the flexibility to determine when premium payments are due.

12 For example, the Blue Cross Blue Shield Association recently estimated that roughly 80 to 85 percent of the people who had selected one of their plans through the Marketplace went on to pay their first month's premium, based on data for policies that took effect on 2-1-14 or earlier (for more information, see “Blue Cross Says ‘80-85’ Percent of Obamacare Enrollees Are Paying,” by Bruce Japsen, Forbes, April 2, 2014, accessed at Additionally, Wellpoint recently reported that 90 percent of those who have signed up for their plans through the Marketplace have paid their premiums (for more information, see “WellPoint: Surge in young health exchange customers may ease premium hikes” by Maureen Groppe, IndyStar, April 30, 2014, accessed at is consistent with estimates from Aetna, WellPoint, Health Care Services Corporation, and Blue Shield of California, who recently indicated that between 80 to 85 percent of the people who had selected their plans had paid through February 2014 (for more information, see “Administration: 4.2 million people signed up for Obamacare plans through February” by Kyle Cheney, Politico, March 11, 2014, accessed at Similarly, Blue Cross and Blue Shield of Minnesota has stated that 95 percent of the people who signed up for coverage that took effect on 1-1-14 had paid premiums by the deadline of 1-10-14 (for more information, see “One-Fifth of New Enrollees Under Health Care Law Fail to Pay First Premium,” Robert Pear, The New York Times, February 13, 2014, accessed at

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