ASPE Issue Brief Page
ASPE Office of Health Policy May 2014
percent of the total surge, who selected a Marketplace plan during March (including additional SEP activity reported through Saturday, April 19th).
of the total number of people who selected a Marketplace plan and
of the young adults (ages 18-34) who selected a Marketplace plan did so during the last month of the initial open enrollment period (including additional SEP activity reported through Saturday, April 19th).
The number of young adults who selected Marketplace plans doubled during the last month of the initial open enrollment period, from nearly 1.1 million (during the first 5 months) to more than 2.2 million (including additional SEP activity reported through Saturday, April 19th).
Over the course of the initial open enrollment period, consumer interest in the Marketplace was high, as measured by 98 million website visits and 33 million calls to the call centers (FFM and SBMs combined, including additional SEP activity reported through Saturday, April 19th).
This report captures cumulative enrollment-related activity during the initial open enrollment period
(10-1-13 to 3-31-14)
, including activity associated with individuals who qualified for a Special Enrollment Period (SEP) that was reported through 4-19-14. The data on SEP activity include information for those who qualified for an SEP because they
line” on 3
as well as those who qualified for an SEP for other reasons.
Several metrics are reported, 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 Children’s Health Insurance Program (CHIP),
and the number of persons who have selected a plan through the Marketplace. The cumulative number of individuals that have selected a Marketplace plan between 10-1-13 and 3-31-14, including additional SEP activity reported through April 19th is over 8 million (including those who have paid a premium and those who have not yet paid a premium).
Those who had started the enrollment process on or before March 31st
(i.e., those who were “in line”)
were allowed to complete that process, even if their enrollment was not finalized before March 31. This accommodation was made so that people who had demonstrated a good faith effort to enroll during the Open Enrollment Period were not penalized if the Marketplace websites or call centers could not complete their enrollment by March 31st.
The SEP for individuals who were “in
line” on 3
-31-14 ended on 4-15-14 for the FFM. Most SBMs followed the federal guidelines regarding individuals who started the process before 3/31 but could not finish, allowing applicants to complete the application and select a plan by April 15th. Other states, including Colorado, Nevada, Oregon, and Maryland allowed consumers additional time beyond April 15th to complete the enrollment process and obtain coverage in 2014. For example,
SEP continued through April 18, 2014, while Oregon established an
SEP which continues through April 30. Colorado’s SEP extends through May
30th, and Nevada will offer an SEP from April 1, 2014
May 30, 2014 to individuals who have either successfully registered or attempted to register for an account on Nevadahealthlink.com prior to March 31, 2014.
Data related to Medicaid and CHIP eligibility in this report are based on applications submitted through the Marketplaces. October through March 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:
2014 Monthly Applications, Eligibility Determinations, and Enrollment Report,”
May 1, 2014, which can be accessed at http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/March-2014-Enrollment-Report.pdf.