Mid-Feb Enrollment Report

EMBARGOED UNTIL FEBRUARY 12, 2014, 3:15PM EST
ASPE
Issue BRIEF
HEALTH INSURANCE MARKETPLACE: FEBRUARY ENROLLMENT REPORT For the period: October 1, 2013 February 1, 2014
February 12, 2014
This is the fourth in a series of issue briefs highlighting national and state-level enrollmentrelated information for the Health Insurance Marketplace (Marketplace hereafter).1 This brief includes data for states that are implementing their own Marketplaces (also known as StateBased 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). This brief also includes updated data on the characteristics of persons who have selected a Marketplace plan (by gender, age, and financial assistance status), and of the plans that they have selected (by metal level), along with additional demographic characteristics of people who have selected plans in the FFM. Cumulative enrollment-related activity during the first four months (10-1-13 to 2-1-14) of the initial open enrollment period is reported for several metrics, including: the number of visits to the Marketplace websites, the number of calls to the Marketplace call centers, the number of persons who have been determined or assessed eligible by the Marketplaces for Medicaid or the Childrens Health Insurance Program (CHIP),2 and the number of persons who have selected a plan through the Marketplace. This report features cumulative data for the four-month period because some people apply, shop, and select a plan across monthly reporting periods.
The previous Marketplace enrollment reports can be accessed at http://www.aspe.hhs.gov/health/reports/2012/ACAResearch/index.cfm. 2 Data related to Medicaid and CHIP eligibility in this report are based on applications submitted through the Marketplaces. October through December data based on applications submitted through state Medicaid/CHIP agencies were released by the Centers for Medicare & Medicaid Services in a separate report, Medicaid & CHIP: December Monthly Applications and Eligibility Determinations Report, January, 22, 2014, which can be accessed at http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/December-2013-EnrollmentReport.pdf. Comparable January 2014 enrollment data based on applications submitted through state Medicaid/CHIP agencies will be released in a subsequent report.
Department of Health and Human Services

Office of the Assistant Secretary for Planning and Evaluation http://aspe.hhs.gov EMBARGOED UNTIL FEBRUARY 12, 2014, 3:15PM EST
EMBARGOED UNTIL FEBRUARY 12, 2014, 3:15PM EST ASPE Issue Brief
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The cumulative number of individuals that have selected a Marketplace plan between 10-1-13 and 2-1-14 (including those who have paid a premium and those who have not yet paid a premium) is 3.3 million. Figure 1 shows that, consistent with expectations,3 the proportion of young adults (ages 18 to 34) who have selected a Marketplace plan through the SBMs and FFM has continued to grow faster in the fourth month of the open enrollment period than the prior three months, resulting in a 3 percentage point increase in the share of plan selections in the fourth month (27 percent) compared to the prior three months (24 percent). Figure 1
Trends in the Age Distribution of Individuals Who Have Selected a Marketplace Plan, 10-1-13 to 2-1-14
The proportion of young adults (ages 18-34) selecting a Marketplace plan increased by 3 percentage points during the fourth month of the initial open enrollment period (from 24% to 27%)
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 6% Marketplace Plan Selections During the First Three Months 10-1-13 to 12-28-13 5% Marketplace Plan Selections During the Fourth Month 12-29-13 to 2-1-14 24% 27% 70% 68%
Ages 0-17
Ages 18-34
Ages 35 & over
Notes: Represents cumulative monthly 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). The percent distribution excludes plan selections where the age is unknown. During the first three months, 2,153,421 individuals selected a Marketplace plan and during the fourth month, 1,146,071 individuals selected a Marketplace plan, for a total of 3,299,492 Marketplace plan selections for 10-1-13 to 2-1-14. Source: Centers for Medicare & Medicaid Services, as of 2-10-2014.
The general expectation is that people who are older and sicker are more likely to select coverage earlier in the initial enrollment period, while younger and healthier people will tend to wait until towards the end of the open enrollment period (which concludes March 31, 2014). The Numbers Behind Young Invincibles and the Affordable Care Act, Larry Levitt, Gary Claxton and Anthony Damico, Kaiser Family Foundatio n, December 17, 2013, available at http://kff.org/health-reform/perspective/the-numbers-behind-young-invincibles-and-theaffordable-care-act/.
ASPE Office of Health Policy February 2014 EMBARGOED UNTIL FEBRUARY 12, 2014, 3:15PM EST
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Additionally, Table 1 shows that a similar trend was observed in both the SBMs and the FFM, which experienced 2 percentage point and 4 percentage point increases in the proportion of young adult Marketplace plan selections (ages 18 to 34) during the fourth month of the open enrollment period. Table 1
Trends in the Distribution of Marketplace Plan Selections By Age Group (based on data reported as of 2-10-14) MARKETPLACE TOTAL Ages 0-17 Ages 18-34 Ages 35 & over Subtotal With Available Data on Age Total, All Ages SBM SUBTOTAL Ages 0-17 Ages 18-34 Ages 35 & over Subtotal With Available Data on Age Total, All Ages FFM SUBTOTAL Ages 0-17 Ages 18-34 Ages 35 & over Subtotal With Available Data on Age Total, All Ages Cumulative Total, First Three Months 10-1-13 to 12-28-13 Number % of Total Change, Fourth Month Only 12-29-13 to 2-1-14 Number % of Total Cumulative Total, First Four Months 10-1-13 to 2-1-14 Number % of Total
126,735 489,460 1,442,012 2,058,207 2,153,421 61,049 212,909 595,016 868,974 956,991 65,686 276,551 846,996 1,189,233 1,196,430
6% 24% 70% 100% n/a 7% 25% 68% 100% n/a 6% 23% 71% 100% n/a
60,192 318,055 796,138 1,174,385 1,146,071 21,516 114,187 293,725 429,428 402,913 38,676 203,868 502,413 744,957 743,158
5% 27% 68% 100% n/a 5% 27% 68% 100% n/a 5% 27% 67% 100% n/a
186,927 807,515 2,238,150 3,232,592 3,299,492 82,565 327,096 888,741 1,298,402 1,359,904 104,362 480,419 1,349,409 1,934,190 1,939,588
6% 25% 69% 100% n/a 6% 25% 68% 100% n/a 5% 25% 70% 100% n/a
Note: These percentages are based on the total number of plan selections for which the applicable data are available, excluding plan selections with unknown data for age. (Source: Centers for Medicare & Medicaid Services, as of 2-10-2014.)
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January Enrollment Growth

There was continued growth in total Marketplace plan selections in January, compared to the OctoberDecember period: Marketplace Total (SBMs and FFM) there was a 53 percent increase in plan selections in January o the 2,153,400 cumulative number in October-December rose by 1,146,100 in January to a cumulative four month total of 3,299,500
SBMs there was a 42 percent increase in plan selections in January o the 957,000 cumulative number for October-December rose by 402,900 in January to a cumulative four month total of 1,359,900
FFM there was a 62 percent increase in plan selections in January o the 1,196,400 cumulative number in October-December rose by nearly 743,200 in January to a cumulative four month total of nearly 1,939,600
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The following are highlights of Marketplace enrollment-related information for the first four months of the initial open enrollment period (see Appendix A, Appendix B and Appendix C for comparable state-level data).
Cumulative Highlights for the period: October 1, 2013 February 1, 2013
Marketplace Eligibility Determinations and Plan Selection Number of Eligible Persons who have Selected a Plan through the SBMs and FFM: 3.3 million Number of Persons who have had a Medicaid/CHIP Determination or Assessment through the Marketplaces: 3.2 million (does not include individuals applying through State Medicaid/CHIP agencies.) Marketplace Plan Selection by Gender 45 percent4 of the persons who have selected a Marketplace plan are male 55 percent of the persons who have selected a Marketplace plan are female Marketplace Plan Selection by Age 25 percent of the persons who have selected a Marketplace plan are between the ages of 18 and 34 o The percent of young adults who selected a Marketplace plan was 3 percentage points higher in January than it was from October through December (27 percent versus 24 percent)
31 percent of the persons who have selected a Marketplace plan are between the ages of 0 and 34 Marketplace Plan Selection by Metal Level 19 percent of the persons who have selected a Marketplace plan have selected a Bronze plan 62 percent of the persons who have selected a Marketplace plan have selected a Silver plan 12 percent of the persons who have selected a Marketplace plan have selected a Gold plan 7 percent of the persons who have selected a Marketplace plan have selected a Platinum plan
1 percent of the persons who have selected a Marketplace plan have selected a Catastrophic plan Marketplace Plan Selection by Financial Assistance 82 percent of the persons who have selected a Marketplace plan have selected a Marketplace Plan with Financial Assistance5 FFM Marketplace Plan Selection by Gender and Age 26 percent of the males who have selected a Marketplace plan through the FFM are males between 18 and 34 24 percent of the females who have selected a Marketplace plan through the FFM are males between 18 and 34 FFM Marketplace Plan Selection by Gender and Metal Level 66 percent of the females who have selected a Marketplace plan through the FFM have selected a Silver plan 63 percent of the males who have selected a Marketplace plan through the FFM have selected a Silver plan FFM Marketplace Plan Selection by Financial Assistance Status and Metal Level 72 percent of the persons who have selected a Marketplace plan with Financial Assistance through the FFM have selected a Silver plan 93 percent of the persons selecting a Silver plan in the FFM will be receiving Federal financial assistance in paying their premiums 25 percent of the persons who have selected a Marketplace plan without Financial Assistance through the FFM have selected a Silver plan
4 5
Based on the total number of plan selections for which the applicable data are available (excluding unknown). Represents individuals who have selected a Marketplace plan, and qualify for an advance premium tax credit (APTC), with or without a cost-sharing reduction (CSR).
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30 percent of the persons who have selected a Marketplace plan without Financial Assistance through the FFM have selected a Bronze plan FFM Marketplace Plan Selection by Metal Level and Age 64 percent of the young adults between the ages of 18 and 34 who selected a Marketplace plan through the FFM selected a Silver plan 15 percent of the young adults between the ages of 18 and 34 who selected a Marketplace plan through the FFM selected a Bronze plan 11 percent of the young adults between the ages of 18 and 34 who selected a Marketplace plan through the FFM selected a Gold plan 6 percent of the young adults between the ages of 18 and 34 who selected a Marketplace plan through the FFM selected a Platinum plan 4 percent of the young adults between the ages of 18 and 34 who selected a Marketplace plan through the FFM selected a Catastrophic plan o Young adults account for 97 percent of all catastrophic plan selections through the FFM
Monthly Data on Marketplace Plan Selection As shown in Figure 2, the cumulative number of persons who have selected a Marketplace plan has increased considerably since the end of the third month of the initial open enrollment period. Figure 2
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Trends in the Cumulative Number of Individuals Who Have Selected a Marketplace Plan, 10-1-13 to 2-1-14
Nearly 3.3 million people have selected a Marketplace plan since October 1st, including 2 million who have selected a plan through the FFM
Notes: Represents cumulative sums of weekly data on the number of unique individuals who have been determined eligible to enroll in a plan through the Marketplace (SBMs and FFM), and have selected a plan (with or without the first premium payment having been received by the issuer). Source: Centers for Medicare & Medicaid Services, as of 2-10-2014.
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Additionally, Table 2 shows that the cumulative number of young adults (ages 18 to 34) selecting a Marketplace plan grew faster than for other age groups when the four month period is compared to the three month period. The cumulative number of young adults selecting a Marketplace plan has increased by 65 percent (318,055) since December 28th (from 489,460 to 807,515). By comparison, there was a 55 percent increase in Marketplace plan selections for all other age groups during the same time period (from 1.6 million to 2.4 million). Table 2
Trend In the Cumulative Number of Marketplace Plan Selections By Age Group (based on data reported as of 2-10-14) MARKETPLACE TOTAL Ages 18 to 34 All Other Age Groups Combined Subtotal With Available Data on Age Marketplace Total SBM TOTAL Ages 18 to 34 All Other Age Groups Combined Subtotal With Available Data on Age Marketplace Total FFM TOTAL Ages 18 to 34 All Other Age Groups Combined Subtotal With Available Data on Age Marketplace Total Cumulative Total, First Three Months 10-1-13 to 12-28-13 Cumulative Total, First Four Months 10-1-13 to 2-1-14 % Change
489,460 1,568,747 2,058,207 2,153,421 212,909 656,065 868,974 956,991 276,551 912,682 1,189,233 1,196,430
807,515 2,425,077 3,232,592 3,299,492 327,096 971,306 1,298,402 1,359,904 480,419 1,453,771 1,934,190 1,939,588
65% 55% 57% 53% 54% 48% 49% 42% 74% 59% 63% 62%
Note: These percentages for Ages 18 to 34 and All Other Age Groups Combined are based on the total number of plan selections for which the applicable data are available, excluding plan selections with unknown data for age. Source: Centers for Medicare & Medicaid Services, as of 2-10-2014.
Marketplace Plan Selections by Age The proportion of Marketplace plan selections by persons between the ages of 18 and 34 has been increasing. Persons between the ages of 18 and 34 account for nearly a quarter (25 percent) of all Marketplace plan selections (SBMs and FFM) for the first four months of the initial open enrollment period (compared to 24 percent during the first three months of the initial open enrollment, and 27 percent during the month of January). o SBMs: 25 percent between the ages of 18 and 34 (10-1-13 to 2-1-14). o FFM: 25 percent between the ages of 18 and 34 (10-1-13 to 2-1-14).
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Table 3 shows the age distribution of the Marketplace plan selections (SBMs and FFM) during the first four months of the initial open enrollment period. Table 3
Comparison of the Age Distribution of Marketplace Plan Selections (SBM & FFM) For the Four Month period: 10-1-13 to 2-1-14 (based on data reported as of 2-10-14) Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 656 Total Ages 18 to 34 Percent of Total Individuals Who Have Selected a Marketplace Plan (1)
6% 9% 16% 16% 22% 31% 0% 100% 25%
(1) These percentages are based on the total number of plan selections for which the applicable data are available, excluding plan selections with unknown data for age. (Source: Centers for Medicare & Medicaid Services, as of 2-10-2014.)
Consumer Shopping Marketplace plan selection is expected to continue to grow. Consumer interest in gaining health coverage continues to be strong among Americans who currently lack insurance63 percent say they are likely to get health insurance in 2014. 7 Additionally, interest in the Marketplace is strong and growing. A majority of adults (63 percent) who are potentially eligible to enroll in coverage through a qualified health plan or Medicaid said they were aware of the Health Insurance Marketplace as a place where they might shop for coverage. Twenty-four percent of those potentially eligible reported that they had visited the Marketplace to shop for a plan by December, whether online, by phone, in person, or by mail, up from 17 percent in October.8 As noted in the October enrollment report, other programs such as Medicare Part D, employer sponsored insurance, and FEHBP have experienced a surge of enrollment as their respective open enrollment periods came to an end. A similar enrollment surge is expected for the end of the initial open enrollment period for the Marketplace.
Overview of Enrollment-Related Activity to Date

Selected a Marketplace Plan To date, 3.3 million persons have selected a Marketplace plan
6
There are nearly 400,000 uninsured persons over the age of 65; some persons over 65 have selected Marketplace plans. 7 Gallup daily tracking poll, December 3, 2012, accessed at http://www.gallup.com/poll/166115/one-four-uninsured-planremain.aspx?utm_source=alert&utm_medium=email&utm_campaign=syndication&utm_content=morelink&utm_te rm=Well-Being. 8 Sara R. Collins et. al., The Commonwealth Fund, Americans Experiences in the Health Insurance Marketplaces: Results from the First Three Months, January 2014.
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during the first four months of the initial open enrollment period, including 1.4 million in SBMs and 1.9 million in the FFM (these numbers include those who have paid a premium and those who have not yet paid a premium, regardless of when their coverage begins). The following are additional highlights of the preliminary data on the characteristics of Marketplace plan selections during the first four months of the initial open enrollment period (see Appendix A for national and state-level tables).9 Marketplace Plan Selections by Gender The gender distribution of Marketplace plan selections has remained constant. More than half of the people who have selected a Marketplace plan through the SBMs and FFM during the first four months of the initial open enrollment period are female (55 percent of the total for the Marketplace as a whole, excluding plan selections where gender is unknown), while the remaining 45 percent are male. The comparable proportions for the first three months of the initial open enrollment period were 54 percent and 46 percent, respectively. o SBMs: 53 percent female, 47 percent male (10-1-13 to 2-1-14). o FFM: 56 percent female, 44 percent male (10-1-13 to 2-1-14). By comparison, males account for half (50 percent) of the total non-elderly population in the United States (ages 0 to 64).10 Marketplace Plan Selections by Metal Level The proportion of Silver Marketplace plan selections has increased. Silver plans account for more than half (62 percent) of the Marketplace plan selections in the SBMs and FFM between 10-1-13 and 2-1-14 (compared with 60 percent during the first three months of the initial enrollment period). o SBMs: 58 percent Silver (10-1-13 to 2-1-14). o FFM: 65 percent Silver (10-1-13 to 2-1-14). The metal level distribution of the remaining Marketplace plan selections (SBMs and FFM) are as follows: bronze (19 percent), gold (12 percent), platinum (7 percent), and catastrophic (1 percent). Marketplace Plan Selections by Financial Assistance Status The proportion of Marketplace plan selections with financial assistance (i.e., Marketplace plan selections by individuals who are eligible to receive financial assistance) has also increased. Based on data for the first four months of the initial open enrollment period, more than eight out of
The percentages cited in this section are based on the total number of plan selections for which the applicable data are available, excluding plan selections with unknown data for a given metric (e.g., age, gender, metal level, etc.) Aggregate data on the total number of plan selections with available data for a given metric, and the corresponding number of plan selections with unknown data for a given metric can be found in Appendix Table C1. 10 ASPE analysis of the 2010-2012 Current Population Survey Annual Social and Economic Supplement (CPS ASEC, covering calendar years 2009-2011), adjusted using ASPEs TRIM3 microsimulation to include only estimated nonelderly U.S. citizens and others lawfully present.
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ten (82 percent) of the people who have selected a Marketplace plan through the SBMs and FFM are eligible to receive Federal financial assistance in paying their premiums.11 The comparable proportion for the first three months of the initial open enrollment period was 79 percent. o SBMs: 79 percent in Marketplace plans with financial assistance (10-1-13 to 2-114). o FFM: 83 percent in Marketplace plans with financial assistance (10-1-13 to 2-114). Tax credits for premium assistance may be available to individuals with family incomes between 100 and 400 percent of the Federal Poverty Level (138 to 400 percent of FPL in states taking the Federally-funded option to expand Medicaid). These percentages are consistent with previous estimates.12 Additional Characteristics of FFM Marketplace Plan Selections The following are highlights of preliminary data on additional characteristics of FFM Marketplace plan selections, based on cross-tabulations of the abovementioned metrics (see Appendix B for national and state-level tables). FFM Marketplace Plan Selections by Gender and Age o Young adults (ages 18-34) accounted for 26 percent of all males selecting Marketplace plans through the FFM, compared with 24 percent of all females selecting Marketplace plans through the FFM, and 25 percent of all FFM Marketplace plan selections as a whole. o Meanwhile, males between the ages of 0 and 34 accounted for nearly a third (32 percent) of all males selecting Marketplace plans through the FFM, compared with 29 percent for females, and 30 percent for all persons who selected a Marketplace plan through the FFM. FFM Marketplace Plan Selections by Gender and Metal Level o Females were more likely to select Silver plans in the FFM (66 percent versus 63 percent for males). o Males were more likely to select Bronze plans in the FFM (17 percent versus 15 percent for females).
11
This includes people who qualify for an advance premium tax credit (APTC), with or without a cost-sharing reduction (CSR). 12 For example, the Congressional Budget Office (CBO) estimates for CY 2014 were as follows: 6 million subsidized / 7 million total in Marketplace = 86% with financial assistance. (Source: "Effects on Health Insurance and the Federal Budget for the Insurance Coverage Provisions in the Affordable Care Act May 2013 Baseline," May 14, 2013, accessed at http://www.cbo.gov/sites/default/files/cbofiles/attachments/44190_EffectsAffordableCareActHealthInsuranceCover age_2.pdf.)
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FFM Marketplace Plan Selections by Financial Assistance Status and Metal Level o Persons selecting a Marketplace plan who are eligible to receive financial assistance were more likely to select Silver plans in the FFM (72 percent versus 25 percent for persons selecting a Silver Marketplace plan without financial assistance). o Persons selecting a Marketplace plan without financial assistance were more likely to select Bronze plans in the FFM than other metal levels (30 percent versus 13 percent for persons selecting a Marketplace plan with financial assistance). They were also more likely to select gold, platinum and catastrophic plans than were persons who are eligible to receive financial assistance. o More than nine out of ten (93 percent) of the persons selecting a Silver plan in the FFM are eligible to receive Federal financial assistance in paying their premiums.
FFM Marketplace Plan Selections by Metal Level and Age o Among young adults (ages 18 to 34), 64 percent selected a Silver plan, while 15 percent selected a Bronze plan, 11 percent selected a Gold plan, 6 percent selected a Platinum plan, and 4 percent selected a Catastrophic plan. o Nearly one out of three (30 percent) of the nearly 421,400 persons who selected a standalone dental plan through the FFM are young adults (ages 18-34). Table 4
Cumulative Marketplace Enrollment-Related Information For the Four Month period: 10-1-13 to 2-1-14 (1) (based on data reported as of 2-10-14) Visits on the Marketplace websites Calls to the Marketplace call centers Number of individuals who have selected a Marketplace plan Males who have selected a Marketplace plan (2) 18 to 34 year olds who have selected a Marketplace plan (2) Individuals who have selected a Silver Marketplace plan (2) Individuals who have selected a Marketplace plan with financial assistance (2)
Marketplace Total 63,921,542 15,707,711 3,299,492 45% 25% 62% 82%
SBM Total 19,557,165 5,045,180 1,359,904 47% 25% 58% 79%
FFM Total 44,364,377 10,662,531 1,939,588 44% 25% 65% 83%
(1) The reporting period is for the first 4 months is from 10-1-13 to 2-1-14. Any differences in reporting periods among states are noted in footnotes accompanying the Table in Appendix B. See Appendix D for methodological information. Visitors to the Marketplace websites is the sum of monthly data and has been unduplicated to the extent possible; however, we do not believe that all duplication has yet been removed. (2) Percentages shown in this table are based on the total number of plan selections for which the applicable data are available, excluding plan selections with unknown data for a given metric (e.g., age, gender, etc.) Source: Centers for Medicare & Medicaid Services, as of 2-10-2014.
Web Site and Call Center Volume Interest in the Marketplaces continues to be high, as
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measured by visits on the SBM and FFM websites (nearly 64 million),13 and calls to the SBM and FFM call centers (nearly 16 million) through the end of January.).
Methodological Overview
The data reported here have been generated by the information systems of the Centers for Medicare & Medicaid Services (CMS), based on information reported to CMS by SBMs, and information collected by the FFM for states with HHS-supported or fully run Marketplaces (including those run in partnership with states). Data for certain metrics are not yet available for some SBM states due to information system issues. (Please refer to Appendix D for additional methodological information.) As discussed earlier, this report includes cumulative data for the four-month period (10-1-13 to 2-1-14) because some people apply, shop, and select a plan across more than one monthly reporting period. To the extent possible, these counts seek to avoid potential duplication associated with monthly reporting. This report also includes preliminary data on the characteristics of persons who have selected a Marketplace plan (by gender, age, metal level, and financial assistance status for the SBMs and FFM; and for 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. We believe that the information contained in this issue brief provides the most systematic snapshot of enrollment-related activity in the Marketplaces to date because the data for the various metrics are counted using comparable definitions for data elements across states, and between the SBMs and FFM. It is important to note that the SBM enrollment-related data that are reported in this issue brief represent state data that have been reported to CMS through February 10, 2014, and may differ from comparable data that have previously been publicly reported on SBM websites or in media reports because that data may be based on different time periods or metric definitions from those used in this report.
APPENDICES
Appendix A: Characteristics of Marketplace Plan Selection by Gender, Age, Metal Level, and Financial Assistance, 10-1-2013 to 2-1-2014 A1 - Summary A2 - By Gender and State A3 - By Age and State A4 - By Metal Level and State
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13
Not all SBMs have provided updated data on website and call center activity through 2-1-14. In addition, duplication has been removed from the data on the cumulative number of website visitors to the extent possible; however, we do not believe that all duplication has been removed.
EMBARGOED UNTIL FEBRUARY 12, 2014, 3:15PM EST ASPE Issue Brief A5 - By Financial Assistance and State Additional Characteristics of FFM Marketplace Plan Selections, 10-1-2013 to 2-1-2014 B1 - Summary B2 - By Gender and Age and State B3 - By Gender and Metal Level and State B4 - By Financial Assistance Status and Metal Level and State B5 - By Metal Level and Age and State Total Marketplace Eligibility Determinations, and Marketplace Plan Selections by Marketplace Type and State, 10-1-2013 to 21-2014 Methodology and Technical Notes
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Appendix B:
Appendix C:
Page 25 Page 32 Page 35 Page 38 Page 41 Page 48
Appendix D:
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APPENDIX A: CHARACTERISTICS OF MARKETPLACE PLAN SELECTION BY GENDER, AGE, METAL LEVEL, AND FINANCIAL ASSISTANCE STATUS 10-1-2013 TO 2-1-2014 APPENDIX TABLE A1
Marketplace Plan Selection by Gender, Age, Metal Level, Financial Assistance Status, and Marketplace Type (1) 10-1-2013 to 2-1-2014
Marketplace Total (SBMs & FFM) Description Number (2)
% of Available Data, Excluding Unknown (3)
States Implementing Their Own Marketplaces (SBMs)

States With Marketplaces that are Supported by or Fully-Run by HHS (FFM)

Number (2)
Number (2)
Total Who Have Selected a Marketplace Plan Number of Individuals Who Have Selected a Marketplace Plan By Gender Female Male Subtotal: Plan Selections With Available Data on Gender Unknown Gender By Age Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34 By Metal Level Bronze Silver Gold Platinum 616,262 2,020,235 380,545 224,509 19% 62% 12% 7% 306,392 766,396 133,515 109,524 23% 58% 10% 8% 309,870 1,253,839 247,030 114,985 16% 65% 13% 6% 186,927 304,573 502,942 507,026 725,194 993,652 12,278 3,232,592 66,900 807,515 994,442 6% 9% 16% 16% 22% 31% 0% 100% n/a 25% 31% 82,565 123,761 203,335 206,444 299,420 376,458 6,419 1,298,402 61,502 327,096 409,661 6% 10% 16% 16% 23% 29% 0% 100% n/a 25% 32% 104,362 180,812 299,607 300,582 425,774 617,194 5,859 1,934,190 5,398 480,419 584,781 5% 9% 15% 16% 22% 32% 0% 100% n/a 25% 30% 1,798,362 1,469,909 55% 45% 708,903 620,030 53% 47% 1,089,459 849,879 56% 44%
3,299,492
n/a
1,359,904
n/a
1,939,588
n/a
3,268,271 31,221
100% n/a
1,328,933 30,971
100% n/a
1,939,338 250
100% n/a
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Marketplace Plan Selection by Gender, Age, Metal Level, Financial Assistance Status, and Marketplace Type (1) 10-1-2013 to 2-1-2014
Marketplace Total (SBMs & FFM) Description Number (2) Catastrophic Subtotal: Plan Selections With Available Data on Metal Level (4) Standalone Dental Unknown Metal Level By Financial Assistance Status With Financial Assistance Without Financial Assistance Subtotal: Plan Selections With Available Data on Financial Assistance Unknown Financial Assistance Status 2,644,380 588,865 82% 18% 1,026,683 266,974 79% 21% 1,617,697 321,891 83% 17%
States Implementing Their Own Marketplaces (SBMs)

States With Marketplaces that are Supported by or Fully-Run by HHS (FFM)

Number (2)
Number (2)
35,545
1%
16,384
1%
19,161
1%
3,271,788 421,941 27,704
100% n/a n/a
1,332,211 n/a 27,693
100% n/a n/a
1,939,577 421,941 11
100% n/a n/a
3,233,245 66,247
100% n/a
1,293,657 66,247
100% n/a
1,939,588 0
100% n/a
Notes: Percentages in this table have been rounded. Some numbers may not add to totals due to rounding. (1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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.
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APPENDIX TABLE A2
Marketplace Plan Selection by Gender, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2) Number Number of Plan Selections With Available Data on Gender (3) Number By Gender (% of Available Data, Excluding Unknown) Females % Males %
Description
States Implementing Their Own Marketplaces (SBMs) California Colorado Connecticut District of Columbia Hawaii Kentucky Maryland Massachusetts Minnesota Nevada New York Oregon (4) Rhode Island Vermont Washington SBM Subtotal 728,086 68,454 48,665 4,696 3,614 48,611 29,059 8,139 28,611 22,597 211,290 33,808 15,746 19,583 88,945 1,359,904 728,086 68,454 48,665 4,481 3,614 48,611 29,059 N/A 28,611 N/A 211,290 33,788 15,746 19,583 88,945 1,328,933 54% 53% 46% 52% 50% 52% 56% N/A 53% N/A 53% 60% 54% 53% 55% 53% 46% 47% 54% 48% 50% 48% 44% N/A 47% N/A 47% 40% 46% 47% 45% 47%
States With Marketplaces that are Supported by or Fully-Run by HHS (FFM) Idaho (5) New Mexico (5) Alabama Alaska Arizona Arkansas Delaware Florida Georgia Illinois Indiana 32,899 11,620 43,863 5,082 43,495 21,763 4,927 296,892 101,276 88,602 47,735 32,894 11,618 43,857 5,082 43,492 21,761 4,924 296,857 101,260 88,589 47,727 55% 56% 59% 52% 54% 56% 56% 56% 58% 54% 57% 45% 44% 41% 48% 46% 44% 44% 44% 42% 46% 43%
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Marketplace Plan Selection by Gender, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2) Number Iowa Kansas Louisiana Maine Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming FFM Subtotal MARKETPLACE TOTAL, All States 11,788 22,388 32,864 20,511 112,013 17,350 54,157 18,649 20,407 16,863 54,805 160,161 4,057 60,122 24,667 123,681 41,300 5,077 59,705 207,546 29,419 74,199 7,962 56,436 5,307 1,939,588 3,299,492 Number of Plan Selections With Available Data on Gender (3) Number 11,785 22,386 32,860 20,510 111,999 17,347 54,143 18,647 20,403 16,862 54,803 160,143 4,056 60,111 24,665 123,667 41,297 5,075 59,698 207,524 29,411 74,190 7,962 56,427 5,306 1,939,338 3,268,271 By Gender (% of Available Data, Excluding Unknown) Females % 56% 57% 60% 56% 56% 62% 56% 54% 54% 55% 55% 58% 53% 56% 56% 56% 58% 55% 56% 56% 52% 56% 58% 56% 55% 56% 55% Males % 44% 43% 40% 44% 44% 38% 44% 46% 46% 45% 45% 42% 47% 44% 44% 44% 42% 45% 44% 44% 48% 44% 42% 44% 45% 44% 45%
Description
Notes: N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have been rounded. Some numbers may not add to totals due to rounding. (1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D of this report.
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(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) Oregon's enrollment data distributions by gender are estimates based on analysis of enrollment files sent to issuers through December 31, 2013. The total rolls up to actual total QHP enrolled (plan selection) individuals, less some individuals for whom data were unavailable. Cover Oregon will update with actuals as soon as its electronic reporting application is configured and tested to accurately report enrollment breakouts. (5) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX TABLE A3
Marketplace Plan Selection by Age, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2)
Number
Description
Number of Plan Selections With Available Data on Age (3)

Number
By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%t
Ages 18-34
%
States Implementing Their Own Marketplaces (SBMs) California Colorado Connecticut District of Columbia Hawaii Kentucky (4) Maryland Massachusetts (5) Minnesota Nevada New York Oregon Rhode Island Vermont Washington SBM Subtotal 728,086 68,454 48,665 4,696 3,614 48,611 29,059 8,139 28,611 22,597 211,290 33,808 15,746 19,583 88,945 1,359,904 728,086 68,454 48,665 4,696 3,614 20,917 29,059 8,139 28,611 22,597 211,290 N/A 15,746 19,583 88,945 1,298,402 6% 13% 8% 8% 10% 11% 4% 13% 11% 8% 3% N/A 5% 8% 5% 6% 10% 7% 9% 7% 6% 9% 9% 9% 5% 7% 9% N/A 10% 9% 9% 10% 15% 16% 13% 37% 14% 17% 18% 22% 16% 15% 19% N/A 15% 11% 14% 16% 16% 14% 12% 21% 14% 17% 17% 14% 14% 17% 17% N/A 16% 13% 15% 16% 24% 19% 23% 15% 19% 22% 23% 19% 19% 19% 23% N/A 23% 22% 21% 23% 28% 30% 34% 13% 33% 25% 27% 23% 35% 30% 29% N/A 30% 37% 35% 29% 0% 0% 1% 1% 4% 0% 1% 0% 0% 4% 0% N/A 1% 0% 0% 0% 25% 23% 22% 44% 20% 25% 27% 31% 21% 22% 28% N/A 25% 20% 23% 25%
States With Marketplaces that are Supported by or Fully-Run by HHS (FFM) Idaho (6) New Mexico (6) Alabama Alaska Arizona Arkansas Delaware Florida Georgia Illinois Indiana Iowa Kansas Louisiana Maine 32,899 11,620 43,863 5,082 43,495 21,763 4,927 296,892 101,276 88,602 47,735 11,788 22,388 32,864 20,511 32,696 11,596 43,818 5,059 43,176 21,706 4,907 296,316 101,098 88,351 47,607 11,778 22,301 32,795 20,433 13% 7% 2% 7% 17% 4% 8% 3% 4% 5% 5% 3% 5% 3% 7% 9% 6% 10% 8% 7% 7% 6% 10% 11% 8% 8% 8% 10% 10% 7% 17% 13% 18% 20% 11% 13% 15% 13% 16% 16% 15% 16% 19% 19% 12% 15% 14% 17% 16% 14% 16% 15% 16% 19% 14% 15% 15% 15% 16% 12% 18% 22% 22% 21% 18% 23% 21% 25% 23% 21% 21% 21% 19% 22% 21% 28% 37% 31% 28% 32% 36% 35% 32% 27% 35% 36% 37% 31% 30% 40% 0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 26% 20% 28% 28% 18% 21% 20% 23% 27% 25% 23% 24% 28% 28% 19%
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Marketplace Plan Selection by Age, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2)
Number
Description
Number of Plan Selections With Available Data on Age (3)

Number
By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%t
Ages 18-34
%
Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming FFM Subtotal MARKETPLACE TOTAL, All States
112,013 17,350 54,157 18,649 20,407 16,863 54,805 160,161 4,057 60,122 24,667 123,681 41,300 5,077 59,705 207,546 29,419 74,199 7,962 56,436 5,307 1,939,588 3,299,492
111,738 17,337 54,078 18,595 20,305 16,836 54,658 159,643 4,000 59,912 24,588 123,532 41,206 5,040 59,577 206,822 29,120 73,940 7,951 56,393 5,282 1,934,190 3,232,592
5% 2% 3% 6% 9% 4% 5% 6% 18% 7% 5% 2% 5% 6% 3% 7% 16% 7% 4% 4% 9% 5% 6%
10% 11% 9% 8% 10% 8% 9% 9% 8% 7% 9% 9% 9% 9% 9% 11% 10% 10% 5% 8% 8% 9% 9%
16% 15% 18% 17% 17% 15% 14% 15% 18% 14% 17% 17% 15% 20% 16% 16% 21% 18% 12% 13% 19% 15% 16%
14% 17% 15% 15% 15% 14% 16% 17% 13% 14% 16% 15% 16% 14% 16% 17% 16% 16% 13% 11% 15% 16% 16%
21% 22% 22% 19% 19% 23% 25% 22% 16% 20% 21% 22% 22% 17% 23% 22% 15% 21% 22% 21% 18% 22% 22%
34% 33% 33% 35% 29% 36% 31% 30% 28% 38% 31% 36% 33% 33% 33% 27% 22% 27% 44% 43% 31% 32% 31%
0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
26% 26% 27% 25% 27% 23% 23% 25% 25% 20% 26% 26% 24% 29% 25% 27% 31% 28% 17% 20% 27% 25% 25%
Notes: N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have b een rounded. Some numbers may not add to totals due to rounding. (1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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) Kentucky's age distributions are for data submitted for the period of 12/21/13 through 2/1/14.
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(5) Massachusetts' enrollment data distributions are for the time period of 10/1/2013 - 1/25/2014. (6) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX TABLE A4
Marketplace Plan Selection by Metal Level, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2) Number Number of Plan Selections With Available Data on Metal Level (3) Number By Metal Level (4) (% of Available Data, Excluding Unknown) Bronze Plan % Silver Plan % Gold Plan % Platinum Plan % Catastrophic Plan %
Description
States Implementing Their Own Marketplaces (SBMs) California Colorado Connecticut District of Columbia Hawaii Kentucky (5) Maryland Massachusetts (6) Minnesota Nevada New York Oregon (7) Rhode Island Vermont Washington SBM Subtotal 728,086 68,454 48,665 4,696 3,614 48,611 29,059 8,139 28,611 22,597 211,290 33,808 15,746 19,583 88,945 1,359,904 728,086 68,454 48,665 4,696 3,614 20,932 29,059 8,139 28,611 22,597 211,290 33,794 15,746 19,583 88,945 1,332,211 23% 38% 16% 26% 39% 15% 26% 18% 22% 25% 17% 19% 23% 20% 35% 23% 63% 47% 58% 23% 22% 42% 47% 37% 35% 48% 53% 63% 59% 49% 54% 58% 7% 12% 24% 23% 17% 16% 17% 23% 13% 13% 12% 17% 18% 14% 10% 10% 7% 1% 0% 24% 22% 25% 9% 21% 29% 11% 16% 1% 0% 16% 0% 8% 1% 2% 2% 4% 0% 2% 1% 2% 1% 2% 2% 0% 1% 2% 0% 1%
States With Marketplaces that are Supported by or Fully-Run by HHS (FFM) Idaho (8) New Mexico (8) Alabama Alaska Arizona Arkansas Delaware Florida Georgia Illinois 32,899 11,620 43,863 5,082 43,495 21,763 4,927 296,892 101,276 88,602 32,899 11,620 43,863 5,082 43,495 21,763 4,927 296,892 101,276 88,602 14% 21% 9% 26% 11% 16% 14% 14% 11% 24% 69% 60% 73% 63% 52% 66% 53% 65% 63% 54% 13% 18% 10% 11% 19% 17% 24% 9% 10% 21% 4% 1% 6% 0% 18% 0% 9% 12% 15% 1% 0% 1% 1% 1% 1% 1% 1% 1% 1% 0%
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Marketplace Plan Selection by Metal Level, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2) Number Indiana Iowa Kansas Louisiana Maine Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming FFM Subtotal MARKETPLACE TOTAL, All States 47,735 11,788 22,388 32,864 20,511 112,013 17,350 54,157 18,649 20,407 16,863 54,805 160,161 4,057 60,122 24,667 123,681 41,300 5,077 59,705 207,546 29,419 74,199 7,962 56,436 5,307 1,939,588 3,299,492 Number of Plan Selections With Available Data on Metal Level (3) Number 47,735 11,788 22,388 32,864 20,511 112,013 17,350 54,157 18,649 20,407 16,863 54,805 160,161 4,057 60,122 24,667 123,681 41,289 5,077 59,705 207,546 29,419 74,199 7,962 56,436 5,307 1,939,577 3,271,788 By Metal Level (4) (% of Available Data, Excluding Unknown) Bronze Plan % 24% 21% 17% 18% 16% 12% 9% 19% 25% 22% 23% 12% 15% 16% 21% 21% 7% 15% 12% 16% 21% 14% 20% 12% 19% 21% 16% 19% Silver Plan % 68% 57% 56% 60% 73% 73% 73% 61% 54% 58% 59% 67% 72% 42% 58% 65% 67% 68% 70% 70% 62% 55% 61% 66% 70% 66% 65% 62% Gold Plan % 8% 15% 22% 12% 11% 12% 7% 19% 13% 11% 18% 17% 8% 40% 18% 12% 16% 16% 9% 9% 11% 26% 16% 22% 10% 9% 13% 12% Platinum Plan % 0% 6% 3% 10% 0% 3% 10% 0% 8% 8% 0% 4% 4% 0% 3% 2% 10% 0% 9% 5% 4% 4% 1% 0% 1% 5% 6% 7% Catastrophic Plan % 0% 1% 2% 1% 1% 1% 1% 2% 0% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 0% 1% 1% 2% 0% 1% 0% 1% 1%
Description
Notes:
Page 25
N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have b een rounded. Some numbers may not add to totals due to rounding. (1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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 preeffectuated 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 selected more than one plan type in their state (for example, some consumers 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. (5) Kentucky - Kentucky's enrollment data distributions by metal level are for the time period of 12/21/13 through 2/1/14. (6) Massachusetts - Massachusetts' enrollment data distributions by metal level are for the time period of 10/1/13 - 1/25/14. (7) Oregon - Oregon's enrollment data distributions by metal level are estimates based on analysis of enrollment files sent to issuers through December 31, 2013. The total rolls up to actual total QHP enrolled (plan selection) individuals, less some individuals for whom data were unavailable. Cover Oregon will update with actuals as soon as its electronic reporting application is configured and tested to accurately report enrollment breakouts. (8) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX TABLE A5
Marketplace Plan Selection by Financial Assistance Status, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2) Number Plan Selections With Available Data on Financial Assistance Status (3) Number By Financial Assistance Status (% of Available Data, Excluding Unknown) With Financial Assistance % Without Financial Assistance %
Description
States Implementing Their Own Marketplaces (SBMs) California Colorado Connecticut District of Columbia Hawaii Kentucky (4) Maryland Massachusetts Minnesota Nevada New York Oregon (5) Rhode Island Vermont Washington SBM Subtotal 728,086 68,454 48,665 4,696 3,614 48,611 29,059 8,139 28,611 22,597 211,290 33,808 15,746 19,583 88,945 1,359,904 727,648 68,454 48,665 4,696 3,614 48,611 N/A N/A N/A 22,597 211,290 33,808 15,746 19,583 88,945 1,293,657 87% 55% 72% 11% 30% 70% N/A N/A N/A 76% 70% 73% 88% 54% 79% 79% 13% 45% 28% 89% 70% 30% N/A N/A N/A 24% 30% 27% 12% 46% 21% 21%
States With Marketplaces that are Supported by or Fully Run by HHS (FFM) Idaho (6) New Mexico (6) Alabama Alaska Arizona Arkansas Delaware Florida Georgia Illinois Indiana 32,899 11,620 43,863 5,082 43,495 21,763 4,927 296,892 101,276 88,602 47,735 32,899 11,620 43,863 5,082 43,495 21,763 4,927 296,892 101,276 88,602 47,735 91% 76% 85% 86% 72% 90% 77% 88% 83% 75% 87% 9% 24% 15% 14% 28% 10% 23% 12% 17% 25% 13%
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Marketplace Plan Selection by Financial Assistance Status, Marketplace Type and State (1) 10-1-2013 to 2-1-2014
Total Number of Individuals Who Have Selected a Marketplace Plan (2) Number 11,788 22,388 32,864 20,511 112,013 17,350 54,157 18,649 20,407 16,863 54,805 160,161 4,057 60,122 24,667 123,681 41,300 5,077 59,705 207,546 29,419 74,199 7,962 56,436 5,307 1,939,588 3,299,492 Plan Selections With Available Data on Financial Assistance Status (3) Number 11,788 22,388 32,864 20,511 112,013 17,350 54,157 18,649 20,407 16,863 54,805 160,161 4,057 60,122 24,667 123,681 41,300 5,077 59,705 207,546 29,419 74,199 7,962 56,436 5,307 1,939,588 3,233,245 By Financial Assistance Status (% of Available Data, Excluding Unknown) With Financial Assistance % 83% 76% 85% 89% 86% 92% 83% 85% 86% 74% 82% 90% 83% 83% 76% 79% 84% 88% 78% 79% 84% 78% 84% 89% 91% 83% 82% Without Financial Assistance % 17% 24% 15% 11% 14% 8% 17% 15% 14% 26% 18% 10% 17% 17% 24% 21% 16% 12% 22% 21% 16% 22% 16% 11% 9% 17% 18%
Description
Iowa Kansas Louisiana Maine Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming FFM Subtotal MARKETPLACE TOTAL, All States
Notes: N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have b een rounded. Some numbers may not add to totals due to rounding.
Page 28
(1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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) Kentucky - Kentucky enrollment data distribution by financial assistance is incomplete. Kentucky was unable to provide data for two weeks during the month of November 2013. (5) Oregon - Oregon's enrollment data distributions by financial assistance are estimates based on analysis of enrollment files sent to issuers through December 31, 2013. The total rolls up to actual total QHP enrolled (plan selection) individuals, less some individuals for whom data were unavailable. Cover Oregon will update with actuals as soon as its electronic reporting application is configured and tested to accurately report enrollment breakouts. (6) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX B SUMMARY OF ADDITIONAL DEMOGRAPHIC CHARACTERISTICS OF FFM MARKETPLACE PLAN SELECTIONS 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 2-1-201410-1-2013 to 2-1-2014
FFM Total Description
Females
Males
Number (2)
Number (2)
Number (2)
Total Who Have Selected a Marketplace Plan Number of Individuals Who Have Selected a Marketplace Plan By Gender and Age Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34 By Age and Gender Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34
1,939,588 Number 104,362 180,812 299,607 300,582 425,774 617,194 5,859 1,934,190 5,398 480,419 584,781 Number 104,362 180,812 299,607 300,582 425,774 617,194 5,859 1,934,190 5,398 480,419 584,781
n/a % of Gender Total (4) 5% 9% 15% 16% 22% 32% 0% 100% n/a 25% 30% % of Age Group Total (5) 100% 100% 100% 100% 100% 100% 100% 100% n/a 100% 100%
1,089,459 Number 51,080 98,431 165,396 166,275 241,902 360,581 3,099 1,086,764 2,695 263,827 314,907 Number 51,080 98,431 165,396 166,275 241,902 360,581 3,099 1,086,764 2,695 263,827 314,907
849,879 Number 53,239 82,362 134,182 134,285 183,830 256,530 2,759 847,187 2,692 216,544 269,783 Number 53,239 82,362 134,182 134,285 183,830 256,530 2,759 847,187 2,692 216,544 269,783
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Page 31
FFM Total Description Number (2)

Females
Males
Number (2)
Number (2)
Total Who Have Selected a Marketplace Plan Number of Individuals Who Have Selected a Marketplace Plan By Gender and Metal Level (6) Bronze Silver Gold Platinum Catastrophic Subtotal: Plan Selections With Available Data on Metal Level (4) Standalone Dental Unknown Metal Level By Metal Level and Gender Bronze Silver Gold Platinum Catastrophic Subtotal: Plan Selections With Available Data on Metal Level (4) Standalone Dental Unknown Metal Level Number 309,870 1,253,839 247,030 114,985 19,161
1,939,588 Number 309,870 1,253,839 247,030 114,985 19,161
n/a % of Gender Total (4) 16% 65% 13% 6% 1%
1,089,459 Number 165,018 722,348 134,342 61,036 9,816
849,879 Number 144,815 531,366 112,650 53,932 9,337
1,939,577 421,941 11
100% n/a n/a % of Metal Level Total (5) 100% 100% 100% 100% 100%
1,089,459 234,543 n/a Number 165,018 722,348 134,342 61,036 9,816
849,879 187,392 n/a Number 144,815 531,366 112,650 53,932 9,337
1,939,577 421,941 11
100% n/a n/a
1,089,459 234,543 n/a
56% n/a n/a
849,879 187,392 n/a
44% n/a n/a
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With Financial Assistance

Without Financial Assistance

Number (2)
Number (2)
Total Who Have Selected a Marketplace Plan Number of Individuals Who Have Selected a Marketplace Plan By Financial Assistance Status and Metal Level (6) Bronze Silver Gold Platinum Catastrophic Subtotal: Plan Selections With Available Data on Metal Level (4) Standalone Dental Unknown Metal Level By Metal Level and Financial Assistance Status Bronze Silver Gold Platinum Catastrophic Subtotal: Plan Selections With Available Data on Metal Level (4) Standalone Dental Unknown Metal Level Number 309,870 1,253,839 247,030 114,985 19,161 1,939,577 421,941 11
1,939,588 Number
n/a % of Financial Assistance Status Total (4) 16% 65% 13% 6% 1%
1,617,697
Number 214,755 1,172,193 161,244 72,503 0
321,891
Number 95,115 81,646 85,786 42,482 19,161
309,870 1,253,839 247,030 114,985 19,161
1,939,577 421,941 11
100% n/a n/a % of Metal Level Total (5) 100% 100% 100% 100% 100% 100% n/a n/a
1,617,688 0 n/a Number 214,755 1,172,193 161,244 72,503 0 1,617,688 0 n/a
321,889 421,941 n/a Number 95,115 81,646 85,786 42,482 19,161 321,889 421,941 n/a
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Bronze Plan Selections

Silver Plan Selections

Number (2)
Number (2)
Total Who Have Selected a Marketplace Plan Number of Individuals Who Have Selected a Marketplace Plan By Metal Level and Age Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34 By Age and Metal Level (6) Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34
1,939,588 Number 104,362 180,812 299,607 300,582 425,774 617,194 5,859 1,934,190 5,398 480,419 584,781 Number 104,362 180,812 299,607 300,582 425,774 617,194 5,859 1,934,190 5,398 480,419 584,781
n/a % of Metal Level Total (4) 5% 9% 15% 16% 22% 32% 0% 100% n/a 25% 30% % of Age Group Total (5) 100% 100% 100% 100% 100% 100% 100% 100% n/a 100% 100%
309,870 Number 21,867 25,723 48,124 45,835 66,170 100,204 1,024 308,947 923 73,847 95,714 Number 21,867 25,723 48,124 45,835 66,170 100,204 1,024 308,947 923 73,847 95,714
1,253,839 Number 46,696 120,478 187,921 197,010 285,908 409,578 3,988 1,251,579 2,260 308,399 355,095 Number 46,696 120,478 187,921 197,010 285,908 409,578 3,988 1,251,579 2,260 308,399 355,095
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Gold Plan Selections Description Number (2)

Platinum Plan Selections

Catastrophic Plan Selections

Number (2)
Number (2)
Total Who Have Selected a Marketplace Plan Number of Individuals Who Have Selected a Marketplace Plan By Metal Level and Age Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34 By Age and Metal Level (6) Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34
247,030 Number 25,050 17,878 34,706 37,271 50,770 79,384 530 245,589 1,441 52,584 77,634 Number 25,050 17,878 34,706 37,271 50,770 79,384 530 245,589 1,441 52,584 77,634
n/a % of Metal Level Total (4) 10% 7% 14% 15% 21% 32% 0% 100% n/a 21% 32% % of Age Group Total 24% 10% 12% 12% 12% 13% 9% 13% n/a 11% 13%
114,985 Number 10,435 8,931 19,209 21,159 24,228 30,014 334 114,310 675 28,140 38,575 Number 10,435 8,931 19,209 21,159 24,228 30,014 334 114,310 675 28,140 38,575
19,161 Number 571 8,295 10,236 0 0 0 0 19,102 59 18,531 19,102 Number 571 8,295 10,236 0 0 0 0 19,102 59 18,531 19,102
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Standalone Dental Plan Selections Description Number (2)

Total Who Have Selected a Marketplace Plan Number of Individuals Who Have Selected a Marketplace Plan Number Who Have Selected a Standalone Dental Plan By Metal Level and Age Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34 By Age and Metal Level (6) Age < 18 Age 18-25 Age 26-34 Age 35-44 Age 45-54 Age 55-64 Age 65 Subtotal: Plan Selections With Available Data on Age Unknown Age Ages 18 to34 Ages 0 to 34
421,941 Number 18,764 41,095 84,612 78,558 91,839 105,283 1,218 421,369 572 125,707 144,471 Number 18,764 41,095 84,612 78,558 91,839 105,283 1,218 421,369 572 125,707 144,471
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 FFM Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D of this report.
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(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 preeffectuated 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.
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APPENDIX TABLE B2
FFM Marketplace Plan Selections by Gender, Age, and State (1) 10-1-2013 to 2-1-2014
Females Who Have Selected a Marketplace Plan (2)
Number
Description
Number With Available Data on Age (3)

Number
Females By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
Idaho (4) New Mexico (4) Alabama Alaska Arizona Arkansas Delaware Florida Georgia Illinois Indiana Iowa Kansas Louisiana Maine Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming FFM Subtotal
18,047 6,452 25,687 2,658 23,321 12,189 2,773 166,990 58,417 47,948 27,120 6,572 12,694 19,620 11,427 62,186 10,700 30,255 10,145 11,053 9,249 29,908 92,265 2,150 33,554 13,924 69,331 23,861 2,780 33,545 116,782 15,424 41,358 4,593 31,548 2,933 1,089,459
17,944 6,440 25,666 2,650 23,161 12,162 2,764 166,700 58,329 47,811 27,061 6,566 12,648 19,582 11,390 62,040 10,695 30,213 10,119 11,004 9,236 29,837 92,002 2,119 33,445 13,884 69,247 23,821 2,757 33,488 116,430 15,286 41,232 4,588 31,526 2,921 1,086,764
12% 7% 2% 7% 16% 4% 7% 3% 3% 4% 5% 3% 5% 2% 6% 5% 2% 3% 5% 8% 4% 4% 5% 17% 6% 5% 2% 4% 5% 3% 6% 14% 6% 3% 4% 7% 5%
8% 6% 10% 8% 7% 7% 6% 10% 10% 8% 8% 8% 10% 10% 6% 9% 10% 9% 8% 10% 8% 8% 9% 8% 6% 9% 9% 9% 10% 8% 11% 10% 10% 5% 8% 8% 9%
17% 13% 17% 21% 12% 13% 15% 12% 17% 15% 14% 15% 18% 19% 11% 15% 15% 17% 17% 17% 15% 14% 16% 17% 13% 17% 16% 15% 19% 15% 17% 20% 18% 11% 12% 19% 15%
15% 14% 17% 16% 13% 15% 14% 16% 19% 13% 14% 14% 15% 15% 12% 13% 16% 15% 14% 15% 14% 15% 17% 13% 13% 16% 14% 15% 14% 15% 17% 15% 16% 13% 11% 15% 15%
19% 22% 22% 21% 19% 23% 20% 25% 23% 22% 21% 22% 20% 22% 22% 22% 23% 22% 20% 19% 23% 25% 22% 16% 21% 22% 22% 22% 17% 24% 22% 15% 21% 22% 22% 19% 22%
29% 38% 32% 28% 34% 38% 38% 33% 27% 37% 38% 38% 33% 31% 43% 36% 33% 34% 36% 31% 37% 33% 31% 30% 40% 32% 37% 34% 34% 35% 27% 24% 28% 46% 44% 32% 33%
0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
25% 19% 27% 28% 18% 20% 21% 22% 27% 23% 22% 23% 28% 28% 17% 25% 25% 26% 24% 27% 23% 22% 25% 25% 20% 26% 25% 24% 29% 24% 27% 30% 28% 16% 20% 27% 24%
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Description
Males Who Have Selected a Marketplace Plan (2)

Number

Number
Males By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
14,847 5,166 18,170 2,424 20,171 9,572 2,151 129,867 42,843 40,641 20,607 5,213 9,692 13,240 9,083 49,813 6,647 23,888 8,502 9,350 7,613 24,895 67,878 1,906 26,557 10,741 54,336 17,436 2,295 26,153 90,742 13,987 32,832 3,369 24,879 2,373 849,879
14,748 5,154 18,146 2,409 20,012 9,542 2,140 129,583 42,755 40,529 20,538 5,209 9,652 13,209 9,042 49,684 6,640 23,851 8,474 9,297 7,599 24,820 67,624 1,880 26,456 10,702 54,271 17,382 2,281 26,082 90,370 13,826 32,699 3,363 24,858 2,360 847,187
14% 8% 2% 7% 19% 5% 10% 4% 4% 6% 7% 3% 6% 4% 8% 6% 3% 3% 6% 11% 4% 5% 7% 18% 8% 6% 3% 6% 8% 4% 8% 17% 8% 4% 5% 10% 6%
9% 6% 11% 8% 7% 8% 5% 11% 12% 9% 9% 8% 10% 10% 7% 10% 12% 10% 8% 9% 8% 9% 10% 7% 7% 9% 9% 9% 7% 9% 11% 10% 10% 6% 8% 8% 10%
17% 14% 18% 19% 11% 14% 14% 13% 16% 17% 16% 17% 19% 18% 13% 17% 15% 18% 18% 17% 16% 15% 15% 19% 14% 18% 18% 16% 20% 17% 16% 21% 18% 13% 14% 19% 16%
16% 14% 18% 17% 14% 16% 16% 16% 19% 14% 15% 15% 16% 17% 13% 14% 17% 16% 16% 16% 14% 16% 17% 14% 14% 16% 15% 16% 14% 17% 17% 16% 16% 15% 12% 14% 16%
17% 22% 22% 20% 18% 22% 22% 25% 23% 21% 20% 20% 19% 22% 21% 21% 21% 22% 19% 19% 23% 24% 22% 15% 20% 21% 21% 22% 17% 23% 21% 15% 21% 21% 21% 17% 22%
26% 35% 29% 27% 30% 35% 32% 31% 26% 33% 34% 36% 30% 28% 37% 31% 32% 31% 34% 27% 34% 30% 28% 26% 36% 30% 34% 31% 32% 30% 26% 20% 26% 41% 41% 31% 30%
0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0%
26% 20% 29% 27% 18% 21% 20% 24% 28% 26% 24% 25% 29% 29% 21% 27% 27% 28% 26% 27% 24% 24% 25% 26% 21% 27% 27% 25% 28% 26% 27% 31% 28% 19% 22% 27% 26%
Notes: N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have b een rounded. Some numbers may not add to totals due to rounding.
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(1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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 preeffectuated 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) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX TABLE B3
FFM Marketplace Plan Selection by Gender, Metal Level and State (1) 10-1-2013 to 2-1-2014
Females Who Have Selected a Marketplace Plan (2) Number Idaho (5) New Mexico (5) Alabama Alaska Arizona Arkansas Delaware Florida Georgia Illinois Indiana Iowa Kansas Louisiana Maine Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming FFM Subtotal 18,047 6,452 25,687 2,658 23,321 12,189 2,773 166,990 58,417 47,948 27,120 6,572 12,694 19,620 11,427 62,186 10,700 30,255 10,145 11,053 9,249 29,908 92,265 2,150 33,554 13,924 69,331 23,861 2,780 33,545 116,782 15,424 41,358 4,593 31,548 2,933 1,089,459 NumberWith Available Data on Metal Level (3) Number 18,047 6,452 25,687 2,658 23,321 12,189 2,773 166,990 58,417 47,948 27,120 6,572 12,694 19,620 11,427 62,186 10,700 30,255 10,145 11,053 9,249 29,908 92,265 2,150 33,554 13,924 69,331 23,854 2,780 33,545 116,782 15,424 41,358 4,593 31,548 2,936 1,089,455 Females By Metal Level (4) (% of Available Data, Excluding Unknown) Bronze Plan % 13% 20% 8% 25% 10% 15% 13% 13% 10% 23% 23% 21% 16% 17% 16% 11% 8% 18% 25% 21% 22% 11% 14% 16% 21% 20% 6% 14% 11% 15% 20% 13% 19% 11% 18% 20% 15% Silver Plan % 70% 61% 74% 64% 53% 68% 55% 67% 65% 56% 69% 58% 58% 63% 74% 74% 76% 63% 55% 60% 60% 68% 73% 43% 59% 67% 68% 70% 71% 72% 64% 56% 63% 67% 71% 67% 66% Gold Plan % 13% 18% 10% 10% 19% 17% 23% 8% 9% 20% 8% 15% 21% 11% 11% 12% 6% 18% 13% 11% 17% 16% 8% 40% 17% 12% 16% 15% 9% 8% 11% 26% 16% 21% 9% 8% 12% Platinum Plan % 4% 1% 6% 0% 18% 0% 9% 11% 14% 1% 0% 5% 3% 8% 0% 2% 10% 0% 8% 8% 0% 4% 4% 0% 2% 1% 9% 0% 8% 4% 4% 4% 1% 0% 1% 5% 6% Catastrophic Plan % 0% 0% 1% 1% 1% 0% 1% 1% 1% 0% 0% 1% 2% 1% 0% 1% 1% 2% 0% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 0% 1% 1% 2% 0% 1% 0% 1%
Description
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Description
Males Who Have Selected a Marketplace Plan (2) Number 14,847 5,166 18,170 2,424 20,171 9,572 2,151 129,867 42,843 40,641 20,607 5,213 9,692 13,240 9,083 49,813 6,647 23,888 8,502 9,350 7,613 24,895 67,878 1,906 26,557 10,741 54,336 17,436 2,295 26,153 90,742 13,987 32,832 3,369 24,879 2,373 849,879
Number With Available Data on Metal Level (3) Number 14,847 5,166 18,170 2,424 20,171 9,572 2,151 129,867 42,843 40,641 20,607 5,213 9,692 13,240 9,083 49,813 6,647 23,888 8,502 9,350 7,613 24,895 67,878 1,906 26,557 10,741 54,336 17,432 2,295 26,153 90,742 13,987 32,832 3,369 24,879 2,373 849,875
Males By Metal Level (4) (% of Available Data, Excluding Unknown) Bronze Plan % 15% 22% 9% 27% 11% 17% 14% 15% 12% 25% 25% 22% 18% 19% 17% 12% 11% 20% 26% 23% 23% 12% 16% 17% 22% 23% 8% 17% 13% 18% 23% 14% 22% 14% 20% 22% 17% Silver Plan % 68% 58% 72% 61% 51% 64% 50% 63% 61% 52% 66% 55% 54% 56% 72% 71% 70% 58% 52% 56% 57% 65% 70% 41% 56% 62% 65% 66% 69% 68% 60% 54% 59% 64% 69% 64% 63% Gold Plan % 13% 18% 11% 11% 18% 18% 25% 9% 10% 21% 9% 15% 22% 13% 11% 13% 8% 20% 13% 12% 19% 17% 8% 41% 18% 13% 16% 16% 8% 9% 12% 27% 16% 23% 10% 9% 13% Platinum Plan % 4% 1% 7% 0% 19% 0% 10% 13% 16% 1% 0% 7% 4% 12% 0% 3% 11% 0% 9% 9% 0% 5% 4% 0% 3% 2% 10% 0% 9% 5% 5% 5% 1% 0% 1% 6% 6% Catastrophic Plan % 0% 1% 1% 1% 1% 1% 1% 1% 2% 0% 0% 2% 2% 1% 1% 1% 1% 2% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 0% 1% 1% 2% 0% 1% 0% 1%
Notes: N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have been rounded. Some numbers may not add to totals due to rounding.
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(1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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 preeffectuated 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. (5) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX TABLE B4
FFM Marketplace Plan Selection by Financial Assistance Status, Metal Level and State (1) 10-1-2013 to 2-1-2014
Individuals Who Have Selected a Marketplace Plan With Financial Assistance (2) Number 29,791 8,880 37,374 4,351 31,289 19,624 3,801 260,325 84,268 66,745 41,739 9,805 17,063 27,873 18,246 96,348 15,887 44,928 15,801 17,586 12,450 44,844 144,631 3,383 50,125 18,715 97,174 34,782 4,473 46,501 163,874 24,798 58,178 6,693 50,497 4,855 1,617,697 With Financial Assistance By Metal Level (4) (% of Available Data, Excluding Unknown)
Description
Number With Available Data on Metal Level (3)
Bronze Plan % 12% 18% 5% 23% 10% 15% 13% 12% 8% 21% 22% 19% 13% 15% 14% 10% 7% 16% 23% 20% 18% 10% 13% 15% 21% 15% 5% 13% 11% 11% 17% 13% 16% 11% 17% 20% 13%
Silver Plan % 74% 68% 81% 69% 64% 71% 61% 72% 72% 64% 72% 65% 68% 68% 77% 79% 78% 69% 60% 64% 68% 73% 77% 47% 63% 76% 76% 75% 75% 82% 73% 62% 72% 72% 74% 68% 72%
Gold Plan % 11% 13% 9% 8% 15% 14% 20% 7% 8% 15% 6% 13% 17% 11% 9% 10% 5% 15% 11% 10% 13% 15% 7% 38% 14% 8% 12% 12% 8% 6% 7% 23% 12% 17% 8% 8% 10%
Platinum Plan % 3% 0% 5% 0% 13% 0% 7% 10% 12% 1% 0% 4% 2% 7% 0% 2% 10% 0% 6% 7% 0% 3% 3% 0% 2% 1% 8% 0% 7% 2% 3% 3% 1% 0% 1% 4% 4%
Catastrophic Plan % N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Number 29,791 8,880 37,374 4,351 31,289 19,624 3,801 260,325 84,268 66,745 41,739 9,805 17,063 27,873 18,246 96,348 15,887 44,928 15,801 17,586 12,450 44,844 144,631 3,383 50,125 18,715 97,174 34,773 4,473 46,501 163,874 24,798 58,178 6,693 50,497 4,855 1,617,688
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Description
Individuals Who Have Selected a Marketplace Plan Without Financial Assistance (2) Number 3,108 2,740 6,489 731 12,206 2,139 1,126 36,567 17,008 21,857 5,996 1,983 5,325 4,991 2,265 15,665 1,463 9,229 2,848 2,821 4,413 9,961 15,530 674 9,997 5,952 26,507 6,518 604 13,204 43,672 4,621 16,021 1,269 5,939 452 321,891
Number With Available Data on Metal Level (3)
Without Financial Assistance By Metal Level (4) (% of Available Data, Excluding Unknown)
Bronze Plan % 28% 30% 30% 44% 13% 31% 16% 30% 24% 34% 38% 33% 29% 33% 33% 22% 37% 33% 37% 32% 35% 21% 33% 25% 25% 39% 16% 31% 17% 36% 37% 20% 37% 20% 33% 29% 30%
Silver Plan % 25% 33% 32% 25% 23% 23% 26% 15% 19% 25% 36% 18% 19% 19% 37% 34% 22% 18% 18% 24% 31% 38% 26% 18% 29% 28% 33% 29% 38% 31% 24% 19% 21% 31% 34% 37% 25%
Gold Plan % 29% 32% 16% 26% 29% 41% 37% 19% 18% 38% 23% 28% 37% 19% 26% 28% 21% 40% 24% 20% 31% 26% 17% 52% 33% 26% 28% 34% 15% 19% 25% 46% 32% 48% 22% 15% 27%
Platinum Plan % 14% 3% 14% 0% 33% 0% 17% 29% 31% 3% 0% 14% 7% 23% 0% 7% 13% 0% 19% 17% 0% 10% 13% 0% 7% 5% 17% 0% 23% 13% 10% 11% 4% 0% 5% 17% 13%
Catastrophic Plan % 5% 2% 10% 6% 2% 5% 5% 8% 9% 1% 4% 8% 10% 7% 6% 9% 9% 10% 3% 7% 4% 6% 12% 5% 6% 3% 6% 7% 7% 2% 4% 4% 8% 2% 6% 2% 6%
Number 3,108 2,740 6,489 731 12,206 2,139 1,126 36,567 17,008 21,857 5,996 1,983 5,325 4,991 2,265 15,665 1,463 9,229 2,848 2,821 4,413 9,961 15,530 674 9,997 5,952 26,507 6,516 604 13,204 43,672 4,621 16,021 1,269 5,939 452 321,889
Notes:
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N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have been rounded. Some numbers may not add to totals due to rounding. (1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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 preeffectuated 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 have enrolled in both a health plan and a standalone dental plan, which may have different metal levels). As a result, the corresponding percentages also do not sum to 100 percent. This also affects the data for the Marketplace total. (5) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX TABLE B5
FFM Marketplace Plan Selection by Metal Level , Age, and State (1) 10-1-2013 to 2-1-2014
Individuals Who Have Selected a Bronze Marketplace Plan (2)
Number
Description

Number
Bronze By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
4,573 2,421 3,792 1,311 4,614 3,562 668 40,933 11,087 21,274 11,385 2,498 3,800 5,764 3,317 12,970 1,583 10,302 4,660 4,409 3,824 6,341 24,145 669 12,863 5,196 8,698 6,374 594 9,793 44,530 4,064 15,090 976 10,697 1,093 309,870
4,545 2,416 3,788 1,304 4,601 3,552 665 40,860 11,074 21,223 11,343 2,496 3,781 5,753 3,307 12,935 1,581 10,279 4,647 4,387 3,819 6,332 24,052 663 12,811 5,170 8,690 6,354 592 9,772 44,371 4,005 15,031 976 10,685 1,087 308,947
16% 9% 3% 10% 13% 6% 7% 5% 5% 5% 7% 4% 6% 5% 11% 6% 3% 4% 9% 12% 5% 5% 8% 14% 8% 8% 3% 7% 7% 4% 9% 20% 9% 4% 6% 9% 7%
7% 6% 10% 5% 6% 8% 6% 8% 10% 8% 7% 6% 9% 9% 6% 8% 10% 9% 6% 7% 7% 7% 8% 7% 6% 10% 9% 8% 9% 9% 10% 9% 8% 6% 7% 7% 8%
12% 13% 21% 21% 9% 15% 13% 13% 18% 16% 14% 16% 20% 20% 12% 17% 17% 20% 14% 16% 13% 15% 15% 18% 11% 18% 19% 16% 16% 19% 16% 18% 19% 11% 12% 18% 16%
13% 13% 19% 18% 11% 16% 14% 15% 18% 13% 14% 15% 14% 16% 13% 14% 15% 16% 13% 15% 12% 17% 16% 11% 11% 15% 16% 17% 13% 15% 16% 14% 16% 13% 11% 12% 15%
18% 21% 21% 21% 19% 22% 20% 24% 22% 21% 21% 24% 19% 22% 21% 20% 21% 21% 19% 19% 23% 24% 22% 17% 20% 20% 22% 21% 18% 22% 21% 15% 21% 23% 20% 20% 21%
32% 38% 26% 25% 41% 32% 39% 34% 27% 36% 37% 35% 31% 28% 38% 34% 33% 31% 40% 33% 39% 31% 32% 31% 43% 29% 32% 30% 37% 30% 27% 24% 26% 43% 43% 34% 32%
0% 0% 0% 0% 0% 0% 1% 1% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 1% 0% 0% 0%
20% 19% 31% 26% 15% 23% 19% 21% 28% 24% 22% 22% 29% 29% 18% 26% 28% 28% 20% 23% 20% 22% 22% 26% 17% 28% 27% 24% 25% 28% 27% 27% 27% 17% 19% 25% 24%
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Description
Individuals Who Have Selected a Silver Marketplace Plan (2)

Number

Number
Silver By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
22,745 6,966 32,239 3,184 22,703 14,415 2,589 192,616 64,032 48,010 32,355 6,709 12,637 19,786 14,910 81,296 12,743 32,858 10,035 11,886 9,875 36,493 115,328 1,723 34,669 15,956 82,286 28,107 3,568 41,981 129,635 16,202 45,265 5,232 39,325 3,480 1,253,839
22,619 6,955 32,211 3,174 22,554 14,387 2,581 192,462 63,985 47,922 32,300 6,705 12,621 19,761 14,862 81,134 12,735 32,841 10,013 11,847 9,869 36,434 115,056 1,702 34,595 15,924 82,226 28,067 3,545 41,920 129,334 16,078 45,154 5,228 39,310 3,468 1,251,579
11% 6% 2% 5% 18% 3% 6% 2% 2% 3% 4% 1% 3% 2% 6% 4% 1% 2% 3% 7% 2% 3% 5% 15% 5% 3% 1% 3% 5% 2% 5% 11% 4% 2% 3% 7% 4%
9% 6% 10% 9% 7% 7% 5% 11% 11% 9% 8% 8% 9% 10% 7% 10% 11% 9% 9% 11% 8% 9% 10% 8% 7% 9% 9% 9% 9% 8% 11% 11% 10% 5% 8% 8% 10%
18% 13% 17% 20% 11% 13% 14% 12% 16% 16% 15% 15% 18% 18% 12% 15% 15% 17% 19% 18% 16% 13% 15% 18% 14% 16% 17% 15% 20% 15% 16% 22% 17% 12% 12% 20% 15%
16% 14% 17% 16% 13% 16% 15% 16% 20% 13% 15% 15% 16% 16% 12% 14% 17% 16% 15% 16% 14% 15% 17% 13% 14% 16% 15% 16% 14% 16% 17% 17% 17% 14% 11% 15% 16%
18% 23% 22% 21% 18% 23% 23% 26% 24% 22% 21% 22% 21% 22% 22% 22% 23% 22% 19% 20% 23% 26% 23% 17% 21% 22% 22% 23% 18% 24% 23% 16% 22% 22% 22% 19% 23%
27% 38% 32% 29% 32% 37% 36% 32% 27% 37% 37% 38% 33% 32% 42% 35% 33% 33% 35% 29% 36% 33% 31% 30% 38% 33% 35% 34% 35% 35% 28% 23% 29% 44% 43% 31% 33%
0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
27% 19% 27% 28% 18% 21% 19% 23% 27% 25% 23% 23% 27% 28% 18% 25% 25% 27% 28% 29% 24% 22% 25% 26% 21% 25% 26% 24% 29% 23% 27% 33% 27% 17% 20% 28% 25%
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Description
Individuals Who Have Selected a Gold Marketplace Plan (2)

Number

Number
Gold By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
4,234 2,062 4,572 553 8,094 3,698 1,175 26,111 9,825 18,302 3,874 1,781 4,836 3,904 2,186 13,852 1,155 10,250 2,385 2,295 3,024 9,147 12,548 1,639 10,542 3,022 19,524 6,475 440 5,141 23,098 7,771 11,913 1,745 5,402 455 247,030
4,193 2,055 4,565 547 8,019 3,679 1,169 25,981 9,794 18,199 3,846 1,779 4,791 3,890 2,167 13,783 1,154 10,216 2,369 2,267 3,008 9,095 12,449 1,611 10,487 3,004 19,480 6,442 433 5,119 22,918 7,669 11,834 1,737 5,390 450 245,589
18% 11% 3% 13% 18% 8% 13% 7% 8% 8% 12% 5% 11% 7% 13% 11% 6% 5% 11% 16% 8% 8% 13% 22% 11% 10% 4% 10% 17% 8% 13% 24% 13% 7% 8% 15% 10%
7% 5% 8% 8% 6% 6% 5% 8% 8% 7% 8% 6% 8% 8% 6% 8% 9% 7% 7% 7% 7% 8% 7% 7% 6% 6% 7% 7% 6% 7% 8% 8% 8% 5% 6% 6% 7%
13% 14% 15% 18% 11% 10% 12% 11% 14% 16% 13% 14% 15% 16% 12% 15% 14% 15% 13% 14% 14% 14% 14% 16% 11% 17% 13% 14% 16% 15% 17% 17% 17% 12% 12% 18% 14%
13% 16% 15% 16% 14% 13% 14% 14% 18% 15% 16% 14% 15% 14% 15% 14% 17% 16% 16% 13% 16% 16% 17% 15% 14% 17% 13% 16% 10% 16% 18% 14% 17% 13% 12% 14% 15%
18% 22% 21% 22% 18% 22% 20% 23% 22% 21% 21% 18% 18% 22% 23% 21% 21% 22% 20% 18% 23% 23% 21% 14% 20% 21% 20% 21% 18% 22% 20% 14% 20% 20% 21% 12% 21%
30% 32% 38% 24% 32% 41% 35% 36% 30% 33% 31% 42% 32% 33% 32% 30% 32% 35% 33% 32% 32% 30% 28% 26% 36% 29% 43% 33% 32% 32% 24% 23% 26% 43% 42% 35% 32%
0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0%
21% 19% 23% 26% 17% 16% 18% 19% 22% 22% 21% 20% 23% 24% 18% 23% 23% 22% 20% 21% 20% 22% 21% 23% 18% 24% 20% 21% 22% 22% 25% 25% 24% 16% 17% 24% 21%
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Description
Individuals Who Have Selected a Platinum Marketplace Plan (2)

Number

Number
Platinum By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
1,231 122 2,755 0 7,930 0 454 35,429 15,171 937 5 669 671 3,161 0 2,872 1,800 0 1,521 1,657 0 2,367 6,688 0 1,617 415 11,902 1 440 2,700 9,266 1,257 921 0 749 277 114,985
1,225 121 2,750 0 7,854 0 452 35,227 15,087 930 4 669 667 3,143 0 2,865 1,798 0 1,518 1,645 0 2,345 6,642 0 1,592 413 11,869 1 436 2,678 9,194 1,246 917 0 747 275 114,310
16% 17% 3% N/A 18% N/A 12% 8% 8% 10% 0% 7% 8% 6% N/A 8% 6% N/A 9% 15% N/A 9% 12% N/A 14% 8% 5% 0% 9% 7% 11% 17% 13% N/A 10% 15% 9%
8% 7% 9% N/A 6% N/A 6% 8% 8% 7% 25% 6% 8% 7% N/A 9% 9% N/A 8% 9% N/A 7% 7% N/A 5% 9% 8% 0% 8% 8% 10% 9% 8% N/A 9% 7% 8%
18% 14% 21% N/A 13% N/A 19% 14% 16% 21% 0% 19% 19% 20% N/A 19% 14% N/A 19% 17% N/A 20% 19% N/A 16% 21% 16% 0% 25% 25% 22% 24% 23% N/A 18% 21% 17%
17% 21% 21% N/A 17% N/A 21% 17% 20% 22% 75% 18% 18% 21% N/A 18% 16% N/A 17% 17% N/A 22% 21% N/A 19% 24% 16% 0% 17% 21% 21% 19% 25% N/A 17% 20% 19%
18% 21% 22% N/A 18% N/A 17% 23% 22% 21% 0% 22% 21% 23% N/A 20% 22% N/A 19% 18% N/A 22% 20% N/A 19% 23% 22% 0% 17% 21% 19% 13% 17% N/A 21% 15% 21%
23% 20% 23% N/A 27% N/A 25% 30% 26% 19% 0% 28% 25% 23% N/A 25% 34% N/A 28% 23% N/A 20% 21% N/A 27% 15% 33% 100% 22% 18% 17% 18% 14% N/A 26% 23% 26%
0% 0% 0% N/A 0% N/A 0% 0% 0% 1% 0% 0% 0% 0% N/A 0% 0% N/A 0% 0% N/A 1% 0% N/A 0% 0% 0% 0% 0% 0% 0% 0% 1% N/A 0% 0% 0%
26% 21% 31% N/A 20% N/A 25% 22% 24% 28% 25% 25% 27% 27% N/A 29% 23% N/A 27% 27% N/A 27% 25% N/A 21% 30% 24% 0% 33% 33% 31% 33% 31% N/A 27% 28% 25%
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Description
Individuals Who Have Selected a Catastrophic Marketplace Plan (2)

Number
Number With Available Data on Age (3) Number
Catastrophic By Age (4) (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
148 66 617 42 291 113 52 2,969 1,479 259 225 158 512 337 125 1,444 135 910 79 198 180 571 1,799 35 606 150 1,539 454 45 229 1,563 207 1,210 20 383 11 19,161
148 66 617 42 285 113 52 2,967 1,478 258 224 156 509 337 125 1,442 135 907 79 197 180 569 1,795 33 602 149 1,537 454 45 227 1,550 203 1,208 20 382 11 19,102
4% 3% 0% 2% 14% 7% 10% 2% 1% 6% 7% 3% 2% 1% 6% 1% 2% 3% 3% 1% 1% 4% 4% 15% 6% 1% 1% 3% 2% 2% 5% 9% 2% 0% 4% 9% 3%
41% 38% 50% 33% 29% 49% 27% 49% 47% 28% 38% 40% 47% 52% 41% 44% 41% 43% 41% 46% 35% 31% 43% 30% 35% 52% 46% 46% 49% 51% 43% 32% 40% 45% 35% 36% 43%
55% 59% 50% 64% 58% 44% 63% 49% 52% 66% 55% 56% 51% 47% 53% 55% 57% 54% 57% 53% 64% 66% 53% 55% 59% 47% 54% 51% 49% 48% 52% 59% 58% 55% 60% 55% 54%
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
96% 97% 100% 98% 86% 93% 90% 98% 99% 94% 93% 97% 98% 99% 94% 99% 98% 97% 97% 99% 99% 96% 96% 85% 94% 99% 99% 97% 98% 98% 95% 91% 98% 100% 96% 91% 97%
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Description
Individuals Who Have Selected a Standalone Dental Marketplace Plan (2)

Number
Standalone Dental By Age (% of Available Data, Excluding Unknown) Age < 18

%
Age 18-25
%
Age 26-34
%
Age 35-44
%
Age 45-54
%
Age 55-64
%
Age 65
%
Ages 18-34
%
Number
5,248 2,883 14,597 955 6,126 4,481 1,066 64,406 30,625 20,741 9,484 2,465 3,211 7,623 2,990 22,153 3,534 10,568 3,133 1,981 3,210 12,792 18,074 411 10,654 5,925 33,178 7,573 643 12,906 62,459 5,766 20,445 1,551 7,380 704 421,941
5,207 2,880 14,596 954 6,115 4,475 1,065 64,354 30,589 20,696 9,472 2,465 3,206 7,622 2,987 22,113 3,533 10,559 3,119 1,977 3,207 12,769 18,067 411 10,630 5,918 33,171 7,566 643 12,901 62,320 5,730 20,421 1,551 7,377 703 421,369
26% 8% 0% 3% 7% 6% 4% 2% 3% 5% 5% 2% 3% 1% 8% 5% 3% 3% 10% 5% 4% 5% 2% 7% 8% 5% 1% 3% 1% 1% 7% 15% 5% 1% 3% 3% 4%
8% 6% 10% 8% 6% 8% 7% 11% 11% 8% 9% 9% 11% 11% 6% 11% 11% 10% 8% 9% 8% 9% 9% 10% 6% 10% 10% 9% 8% 10% 11% 11% 10% 6% 9% 9% 10%
18% 17% 21% 25% 18% 17% 20% 16% 20% 21% 18% 21% 22% 24% 14% 23% 17% 23% 19% 22% 19% 19% 21% 20% 17% 22% 23% 22% 28% 23% 20% 25% 22% 19% 18% 24% 20%
16% 17% 20% 18% 19% 19% 18% 18% 22% 16% 18% 17% 18% 20% 15% 17% 19% 18% 16% 21% 16% 20% 21% 23% 17% 18% 18% 20% 16% 20% 19% 18% 19% 17% 16% 17% 19%
14% 21% 22% 21% 20% 22% 23% 25% 22% 21% 21% 21% 20% 21% 23% 21% 22% 20% 20% 20% 25% 24% 23% 18% 21% 21% 22% 22% 19% 23% 21% 14% 21% 20% 22% 17% 22%
17% 30% 26% 25% 29% 28% 29% 27% 21% 29% 29% 29% 27% 23% 34% 24% 28% 25% 29% 23% 29% 22% 24% 22% 31% 24% 26% 24% 28% 23% 22% 16% 23% 36% 31% 31% 25%
0% 0% 0% 0% 1% 0% 0% 1% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
26% 23% 31% 33% 24% 25% 26% 27% 31% 28% 28% 30% 32% 35% 20% 33% 28% 33% 26% 31% 26% 28% 30% 30% 24% 32% 33% 31% 35% 33% 31% 35% 32% 25% 27% 33% 30%
Notes:
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N/A means that the data for the respective metric is not yet available for a given state. Percentages in this table have been rounded. Some numbers may not add to totals due to rounding. (1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D 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 number of individuals who have selected a Catastrophic plan through the Marketplace only includes data for persons who are under the age of 30; it does not include data for persons ages 30 and over who may qualify to purchase a Catastrophic plan a with a hardship exemption. (5) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014.
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APPENDIX C TOTAL MARKETPLACE ELIGIBILITY DETERMINATIONS, AND MARKETPLACE PLAN SELECTIONS BY MARKETPLACE TYPE AND STATE, 10-1-2013 TO 2-1-2014
Total Marketplace Eligibility Determinations, and Marketplace Plan Selections By Marketplace Type and State (1) (2) 10-1-2013 to 2-1-2014
Number of Individuals Determined Eligible to Enroll in a Marketplace Plan State Name Total Eligible to Enroll in a Marketplace Plan (3) Number Eligible to Enroll in a Marketplace Plan with Financial Assistance (4) Number Determined or Assessed Eligible for Medicaid / CHIP by the Marketplace (5) Number
Number of Individuals Who Have Selected a Marketplace Plan (6) Number
States Implementing Their Own Marketplaces (SBMs) California Colorado (8) Connecticut District of Columbia Hawaii (10) Kentucky (11) Maryland Massachusetts (12) Minnesota (13) Nevada New York Oregon (15) Rhode Island Vermont (16) Washington SBM Subtotal 1,003,516 123,820 74,280 8,030 9,453 261,168 38,375 5,943 94,789 78,181 476,385 59,242 24,893 52,595 177,618 2,488,288 750,799 45,504 51,429 1,717 1,906 89,971 31,589 N/A 33,786 50,444 225,118 43,428 18,196 17,307 96,515 1,457,709 850,000 N/A 52,989 7,518 N/A 190,555 81,040 N/A 61,784 101,389 178,145 76,578 32,718 18,686 361,743 2,013,145 728,086 68,454 48,665 4,696 3,614 48,611 29,059 8,139 28,611 22,597 211,290 33,808 15,746 19,583 88,945 1,359,904
States With Marketplaces that are Supported by or Fully-Run by HHS (FFM) Idaho (17) New Mexico (17) Alabama Alaska Arizona Arkansas Delaware Florida Georgia Illinois 59,353 28,411 111,951 11,121 110,702 47,742 12,063 748,434 272,262 203,922 42,172 17,203 54,823 6,888 65,002 31,164 6,930 436,222 136,594 120,852 8,796 17,439 16,270 2,470 56,333 48,667 6,484 99,746 51,531 115,628 32,899 11,620 43,863 5,082 43,495 21,763 4,927 296,892 101,276 88,602
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Total Marketplace Eligibility Determinations, and Marketplace Plan Selections By Marketplace Type and State (1) (2) 10-1-2013 to 2-1-2014
Number of Individuals Determined Eligible to Enroll in a Marketplace Plan State Name Total Eligible to Enroll in a Marketplace Plan (3) Number 111,792 33,511 52,997 84,725 39,523 255,055 51,953 134,931 33,948 45,665 35,781 148,752 326,120 8,405 159,694 63,357 286,926 109,313 13,000 163,734 586,342 61,518 200,865 20,204 133,006 11,864 4,778,942 7,267,230 Eligible to Enroll in a Marketplace Plan with Financial Assistance (4) Number 72,029 19,661 28,296 44,559 25,842 147,654 25,638 73,363 22,687 28,744 19,514 84,223 204,794 5,531 91,285 32,119 154,414 58,677 7,713 82,649 301,708 42,713 100,248 12,373 86,982 7,625 2,698,891 4,156,600 Determined or Assessed Eligible for Medicaid / CHIP by the Marketplace (5) Number 60,431 25,566 8,944 7,591 4,803 34,032 6,887 27,286 3,258 9,360 4,734 104,689 48,451 4,071 78,575 9,750 29,365 16,425 2,420 41,743 80,368 31,646 27,860 14,879 60,085 1,427 1,168,010 3,181,155
Number of Individuals Who Have Selected a Marketplace Plan (6) Number 47,735 11,788 22,388 32,864 20,511 112,013 17,350 54,157 18,649 20,407 16,863 54,805 160,161 4,057 60,122 24,667 123,681 41,300 5,077 59,705 207,546 29,419 74,199 7,962 56,436 5,307 1,939,588 3,299,492
Indiana Iowa Kansas Louisiana Maine Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia West Virginia Wisconsin Wyoming FFM Subtotal MARKETPLACE TOTAL, All States
Notes: N/A means that the data for the respective metric is not yet available for a given state. (1) Unless otherwise noted, the data in this table represent cumulative Marketplace enrollment-related activity for 10/1/13 to 2/1/14. For additional methodological information, please refer to Appendix D of this report. (2) 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 this table because we believe that there is duplication in these metrics.
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(3) Individuals Determined Eligible to Enroll in a Plan Through the Marketplace (i.e., a Marketplace plan) represents the total number of individuals for whom a Completed Application has been received and who are determined to be eligible for plan enrollment through the Marketplace during the reference period, whether or not they qualify for advance payments of the premium tax credit or cost-sharing reductions. These individuals may or may not have enrolled in coverage by the end of the reference period. Individuals who have been determined or assessed eligible for Medicaid or CHIP are not included. (4) Individuals Determined Eligible to Enroll in a Plan Through the Marketplace with Financial Assistance represents the to tal number of individuals determined eligible to enroll in a Marketplace plan who qualify for an advance premium tax credit (APTC), with or without a cost-sharing reduction (CSR). (5) Individuals Determined or Assessed Eligible for Medicaid / CHIP by the Marketplace represents the number of individuals who have been determined or assessed by the Marketplace as eligible for Medicaid or CHIP, based on modified adjusted gross income (MAGI). In some states, Completed Applications for individuals, whom the Marketplace has assessed as potentially eligible for Medicaid or CHIP, based on MAGI, are transferred to the relevant state agency for a final eligibility determination. In these assessment states the data include those accounts where a final decision is pending. In other states, the Market place has been delegated the final Medicaid/CHIP determination responsibility for these individuals. Thus, this data element includes FFM determinations and assessments, regardless of the state Medicaid/CHIP agencys final eligibility determination. These da ta may vary from accounts transferred via flat file to states by the FFM. Quality assurance continues on Medicaid assessments and determinations in advance of transfers to states and these figures might alter further based on that review. Note: this data element does not include eligibility determinations made by State Medicaid/CHIP agencies based on applications originally submitted to the State agency or other Medicaid/CHIP assessments or determinations. (6) Individuals Who Have Selected a Marketplace plan represents the total number of In dividuals 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. This is also known as pre-effectuated enrollment. (8) Because the Colorado Marketplace does not have an integrated eligibility system, application and eligibility data pertain only to QHP assessments, while data for Individuals Assessed Eligible for Medicaid/CHIP are not a vailable. In addition, the "Number of Individuals Applying for Coverage through the Marketplace" does not include individuals who are determined eligible for Medicaid/CHIP. The Colorado Marketplace is unable to provide data on these applicants, as individuals are only permitted to complete a QHP application if they are determined ineligible for Medicaid/CHIP. (10) Because the Hawaii Marketplaces eligibility system is not integrated with its state Medicaid department, the data for Individuals Assessed Eligible for Medicaid/CHIP are not available at this time. In addition, the Marketplace is in the process of receiving data from the state Medicaid department on applicants who have been determined ineligible for Medicaid or CHIP. It is anticipated that the proportion of QHP eligible individuals with Financial Assistance will increase as these applicants are transferred from the Medicaid agency to the Marketplace. (11) For Kentucky, the totals for "Individuals Determined Eligible to Enroll in a Marketplace Plan" and "Individuals Determined or Assessed Eligible for Medicaid/CHIP" have not been reconciled to eliminate duplicates, and thus may be overestimates. (12) Massachusetts data for "Number of Individuals Enrolled in a QHP (Plan Selection)" data is for the time period 10/1/13 through 1/23/14, and "Number of Individuals Enrolled in a QHP (Effectuated Enrollment)" is for the time period 10/1/13 through 1/28/13. In addition, Massachusetts has not submitted updated data for "Number of Individuals Applying for Coverage Through the Marketplace" or "Number of Individuals Determined Eligible for Enrollment into a QHP" since the time period ending on 11/30/13. Because the Massachusetts Marketplace does not process eligibility (MAGI) determinations for Medicaid or CHIP, data for Individuals Determined or Assessed Eligible for Medicaid/CHIP are not available. Massachusettss Total Number of Completed Applications does not include completed paper applications because these data are not yet available. (13) Minnesota's cumulative data for Individuals Determined Eligible to Enroll in a Marketplace Plan, Individuals Determined Eligible to Enroll in a Marketplace Plan with Financial Assistance, and Individuals Who Have Selected a Marketplace Plan do not include adults between 133% and 200% of the Federal Poverty Level (FPL) because these individuals are enrolled in the MinnesotaCare program. In addition, children up to 275% FPL are covered through the Medicaid program. Hence, when comparing Minnesota's cumulative data for these indicators with other State-Based Marketplaces, the number of individuals determined eligible for MinnesotaCare and enrolled in MinnesotaCare are worth noting. (15) Oregon's data for "Total Eligible with APTC" is an estimate based on analysis of enrollment files sent to issuers through December 31, 2013. The total rolls up to actual total QHP eligible individuals. Cover Oregon will update with actuals as soon as its electronic reporting application is configured and tested to accurately report determinations. (16) For Vermont, the totals for "Individuals Determined Eligible to Enroll in a Marketplace Plan" and "Individuals Determined or Assessed Eligible for Medicaid/CHIP" may include duplicates, and thus may be overestimates. (17) Idaho and New Mexico are Federally supported SBMs for 2014; they are using the FFM platform for 2014. Source: Centers for Medicare & Medicaid Services, as of 2-10-2014.
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APPENDIX D: METHODOLOGY AND TECHNICAL NOTES

The data that are reported in this issue brief have been generated by the information systems of the Centers for Medicare & Medicaid Services, based on information reported to CMS by SBMs, and information collected by the FFM for states with Marketplaces supported by or fully run by HHS (including those run in partnership with states). Unless otherwise noted, the data in this issue brief represent cumulative Marketplace enrollmentrelated activity for the 10-1-13 to 2-1-14 reporting period, with information available as of 2-1014. We believe that the information contained in this issue brief provides the most systematic snapshot of enrollment-related activity in the Marketplaces to date because the data for the various metrics are counted using comparable definitions for data elements across states, and between the SBMs and FFM (see table below). It is important to note that the SBM enrollment-related data that are reported in this issue brief represent state data that have been reported to CMS through February 10, 2014, and may differ from comparable data that have previously been publicly reported on SBM websites or in media reports because that data may be based on different time periods or metric definitions from those used in this report. While this issue brief includes some data for all states, data for certain metrics are not available for some states due to information system issues. For example, CMS did not receive data on some metrics for certain states, as noted in Appendix A and Appendix B. The following section provides highlights of major methodological changes since the January Marketplace Enrollment Report. For additional technical information about the metrics that are included in this report, please refer to the earlier Marketplace enrollment reports.14
Highlights of Major Methodological Changes Since the January Marketplace Enrollment Report
Reporting of Cumulative Four-Month Data - This report includes cumulative data for the fourmonth period (10-1-13 to 2-1-14) because some peoples 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
14
The previous Marketplace Enrollment Reports can be accessed at http://www.aspe.hhs.gov/health/reports/2012/ACAResearch/index.cfm.
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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. Data on the Number of Individuals Determined or Assessed Eligible for Medicaid/CHIP by the Marketplace The data for this metric increased at a faster rate than some of the other metrics due to the inclusion of updated data for California (the previous report only contained data for California through November 2013). SBM Data Not all SBMs have provided updated data on website and call center activity through 2-1-14. For state-specific technical notes, please see the footnotes of the tables in Appendix A, Appendix B, and Appendix C. 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 February 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. Catastrophic Plan Selection The number of individuals who have selected a Catastrophic plan through the Marketplace only includes data for persons who are under the age of 30; it does not include data for persons ages 30 and over who may qualify to purchase a Catastrophic plan a with a hardship exemption. 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.
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APPENDIX TABLE D1
Summary of Marketplace Monthly EnrollmentRelated Information By Marketplace Type (10-1-13 to 2-1-14) Completed Applications (1) Number of Individuals Applying for Coverage in Completed Applications (1) Eligible for Marketplace Plan Enrollment Eligible for Marketplace Plan with Financial Assistance (non-add) Other Marketplace Plan-Eligible Individuals (non-add) Determined or Assessed Eligible for Medicaid/CHIP by the Marketplace Pending/Other Total Individuals Eligible to Enroll in a Marketplace Plan Marketplace Eligible Individuals Who Have Selected a Marketplace Plan Marketplaces Total (SBMs and FFMs) Number 6,497,003 11,485,366 7,267,230 4,156,600 3,110,630 3,181,155 1,089,106 7,267,230 3,299,492 % of Total* n/a 100.0% 63.3% 36.2% 27.1% 27.7% 9.5% 100.0% 45.4% States Implementing Their Own Marketplaces (SBMs) % of Number Total* 2,569,610 n/a 5,396,996 2,488,288 1,457,709 1,030,579 2,013,145 947,688 2,488,288 1,359,904 100.0% 46.1% 27.0% 19.1% 37.3% 17.6% 100.0% 54.7% States With Marketplaces that are Supported by or Fully-Run by HHS (FFM) % of Number Total* 3,927,393 n/a 6,088,370 4,778,942 2,698,891 2,080,051 1,168,010 141,418 4,778,942 1,939,588 100.0% 78.5% 44.3% 34.2% 19.2% 2.3% 100.0% 40.6%
(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. (Note: The Pending/Other totals shown in this table represent the sums of the corresponding state-level Pending/Other counts in Appendix B, which may differ slightly from the difference between the total number of individuals applying for coverage in completed applications and the total number of individuals with processed eligibility determinations). *** 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 2-10-2014.

Mid-Feb Enrollment Report

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Mid-Feb Enrollment Report

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EMBARGOED UNTIL FEBRUARY 12, 2014, 3:15PM EST

Department of Health and Human Services

Ages 35 & over

January Enrollment Growth

Overview of Enrollment-Related Activity to Date

Marketplace Total 63,921,542 15,707,711 3,299,492 45% 25% 62% 82%

SBM Total 19,557,165 5,045,180 1,359,904 47% 25% 58% 79%

FFM Total 44,364,377 10,662,531 1,939,588 44% 25% 65% 83%

Page 12 Page 14 Page 17 Page 19

Page 25 Page 32 Page 35 Page 38 Page 41 Page 48

States Implementing Their Own Marketplaces (SBMs)

States With Marketplaces that are Supported by or Fully-Run by HHS (FFM)

States Implementing Their Own Marketplaces (SBMs)

States With Marketplaces that are Supported by or Fully-Run by HHS (FFM)

3,271,788 421,941 27,704

100% n/a n/a

1,332,211 n/a 27,693

100% n/a n/a

100% n/a n/a

Number of Plan Selections With Available Data on Age (3)

By Age (% of Available Data, Excluding Unknown) Age < 18

Number of Plan Selections With Available Data on Age (3)

By Age (% of Available Data, Excluding Unknown) Age < 18

10% 11% 9% 8% 10% 8% 9% 9% 8% 7% 9% 9% 9% 9% 9% 11% 10% 10% 5% 8% 8% 9% 9%

FFM Total Description Number (2)

1,939,588 Number 309,870 1,253,839 247,030 114,985 19,161

n/a % of Gender Total (4) 16% 65% 13% 6% 1%

1,089,459 Number 165,018 722,348 134,342 61,036 9,816

n/a % of Gender Total (4) 15% 66% 12% 6% 1%

849,879 Number 144,815 531,366 112,650 53,932 9,337

n/a % of Gender Total (4) 17% 63% 13% 6% 1%

1,089,459 234,543 n/a Number 165,018 722,348 134,342 61,036 9,816

849,879 187,392 n/a Number 144,815 531,366 112,650 53,932 9,337

100% n/a n/a

1,089,459 234,543 n/a

56% n/a n/a

849,879 187,392 n/a

44% n/a n/a

FFM Total Description Number (2)

With Financial Assistance

Without Financial Assistance

n/a % of Financial Assistance Status Total (4) 16% 65% 13% 6% 1%

Number 214,755 1,172,193 161,244 72,503 0

n/a % of Financial Assistance Status Total (4) 13% 72% 10% 4% 0%

Number 95,115 81,646 85,786 42,482 19,161

309,870 1,253,839 247,030 114,985 19,161

1,617,688 0 n/a Number 214,755 1,172,193 161,244 72,503 0 1,617,688 0 n/a

FFM Total Description Number (2)

Bronze Plan Selections

Silver Plan Selections

Gold Plan Selections Description Number (2)

Platinum Plan Selections

Catastrophic Plan Selections

Standalone Dental Plan Selections Description Number (2)

Number With Available Data on Age (3)

Females By Age (% of Available Data, Excluding Unknown) Age < 18

12% 7% 2% 7% 16% 4% 7% 3% 3% 4% 5% 3% 5% 2% 6% 5% 2% 3% 5% 8% 4% 4% 5% 17% 6% 5% 2% 4% 5% 3% 6% 14% 6% 3% 4% 7% 5%

Males Who Have Selected a Marketplace Plan (2)

Number With Available Data on Age (3)

Males By Age (% of Available Data, Excluding Unknown) Age < 18

14% 8% 2% 7% 19% 5% 10% 4% 4% 6% 7% 3% 6% 4% 8% 6% 3% 3% 6% 11% 4% 5% 7% 18% 8% 6% 3% 6% 8% 4% 8% 17% 8% 4% 5% 10% 6%

Number With Available Data on Metal Level (3)

Platinum Plan % 3% 0% 5% 0% 13% 0% 7% 10% 12% 1% 0% 4% 2% 7% 0% 2% 10% 0% 6% 7% 0% 3% 3% 0% 2% 1% 8% 0% 7% 2% 3% 3% 1% 0% 1% 4% 4%

Number With Available Data on Metal Level (3)