HEALTH COVERAGE ENROLLMENT REPORT

JANUARY 2014

Table of Contents
Website Statistics..................................................1 Enrollment Status of All Applications.................2 Enrollment by County..........................................3 Enrollment by Age................................................4 Enrollment by Metal Level...................................6 Enrollment by Gender..........................................7 Family Size on Applications.................................8 Enrollments by Federal Poverty Level.................9 Quality Health Plans by Carrier...........................11 Call Center Data...................................................12
*This report represents data taken from Oct. 1, 2013 through Jan. 31, 2014.

Website Statistics

Web Visits

9,544,209

= 200,000

Unique Visitors

Page Views

1,385,272
= 200,000

Accounts Created

52,420,263
Unique Page Views

396,193
= 10,000

33,449,537
= 2 Million

1

Enrollment Status of Applications
Enrollments Completed
Enrolled in QHP (Tax Credit) QHP (No Tax Credit) Medicaid Newly Eligible Adults Medicaid Redeterminations (Previously Covered) Previously Eligible But Not Enrolled Total Total 71,063 18,180 172,135 260,379 82,584 604,341

71,063 260,250

18,180

254,721

QHP (Tax Credit) QHP (No Tax Credit) Medicaid Newly Eligible Adults Medicaid Redeterminations (Previously Covered) QHP – Tax Credit: Includes individuals who have purchased a qualified health plan (private health plan) that qualified for a tax credit to lower their monthly insurance premiums. QHP – No Tax Credit: Includes individuals who purchased a qualified health plan that either did not qualify for a tax credit or did not apply for financial help. Medicaid Newly Eligible Adults: Includes newly eligible individuals who have qualified and enrolled in a Medicaid plan under the Medicaid expansion and does not include those who have transitioned from other Medicaid programs. Medicaid Previously Eligible but not Enrolled: Includes individuals (children, pregnant women, low-income families) who are newly enrolling but were eligible under old Medicaid eligibility rules. Medicaid Redeterminations: Includes individuals who were already enrolled in a Medicaid program and have had their eligibility status converted, re-determined or renewed through Washington Healthplanfinder as opposed to newly determined.

In Process Applications
Application Status QHP (Need To Pay) Total 67,734

QHP (Need to Pay): Includes individuals who have completed an application for a Qualified Health Plan that is awaiting payment.

2

Enrollment by County
COUNTY ADAMS ASOTIN BENTON CHELAN CLALLAM CLARK COLUMBIA COWLITZ DOUGLAS FERRY FRANKLIN GARFIELD GRANT GRAYS HARBOR ISLAND JEFFERSON KING KITSAP KITTITAS KLICKITAT LEWIS LINCOLN MASON OKANOGAN PACIFIC PEND OREILLE PIERCE SAN JUAN SKAGIT SKAMANIA SNOHOMISH SPOKANE STEVENS THURSTON WAHKIAKUM WALLA WALLA WHATCOM WHITMAN YAKIMA QHP 223 267 1,735 1,347 1,435 4,814 53 880 494 91 654 48 806 875 1,385 957 29,850 3,146 594 460 942 141 659 699 498 169 7,041 877 1,829 158 8,640 6,056 573 3,061 80 704 4,320 334 2,089 Medicaid Redeterminations 2,450 754 8,558 4,276 2,838 16,321 165 4,760 2,273 318 6,897 84 6,701 3,654 1,614 973 57,164 6,484 1,342 895 3,611 477 2,273 2,594 912 709 27,862 561 5,280 374 21,410 22,519 2,117 8,052 155 2,766 7,548 907 21,602 Medicaid Newly Covered 979 816 6,646 3,464 2,964 15,612 180 4,085 1,620 265 3,605 87 3,592 3,251 2,445 1,589 68,152 8,051 1,715 963 3,241 355 2,159 2,091 1,016 503 27,458 950 4,683 339 22,334 21,811 1,707 9,588 171 2,049 9,169 1,299 13,497 % of Total Enrolled 0.604% 0.304% 2.805% 1.505% 1.1987% 6.086% 0.065% 1.6108% 0.726% 0.111% 1.847% 0.0362% 1.838% 1.2886% 0.901% 0.582% 25.701% 2.928% 0.604% 0.383% 1.290% 0.161% 0.843% 0.891% 0.401% 0.228% 10.329% 0.395% 1.953% 0.144% 8.676% 8.345% 0.728% 3.428% 0.067% 0.914% 3.484% 0.420% 6.159%

*QHP enrollment includes 261 additional enrollees in “Unknown” County. *Medicaid Previously Eligible enrollment includes 220 that did not map to Washington counties. *Medicaid Redeterminations enrollment includes 133 that did not map to Washington counties.

3

Medicaid Enrollment by Age Medicaid Newly Covered
AGE <19 19-25 26-35 36-50 51-64 >64 Total Enrollment 48,817 35,601 62,935 59,226 48,018 124 254,721 Percentage of Total

19% 13% 25% 23% 21% 0%
100%

Medicaid Redeterminations
AGE <19 19-25 26-35 36-50 51-64 >64 Total Enrollment 186,240 12,229 19,668 24,763 17,449 34 260,383 Percentage of Total 71.5% 4.7% 7.6% 9.5% 6.7% 0.01% 100%

Medicaid Newly Covered: Includes Medicaid Newly Eligible Adults who have qualified and enrolled in a Medicaid plan under the Medicaid expansion and does not include those who have transitioned from other Medicaid programs. This number also includes Medicaid Previously Eligible but not Enrolled adults (children, pregnant women, low-income families) who are newly enrolling but were eligible under old Medicaid eligibility rules. Medicaid Redeterminations: Includes individuals who were already enrolled in a Medicaid program and have had their eligibility status converted, re-determined or renewed through Washington Healthplanfinder as opposed to newly determined.

4

Qualified Health Plan Enrollment by Age
AGE < 18 18-25 26-34 35-44 45-54 55-64 65 and older Total Enrollment 3,907 7,736 12,492 13,714 18,995 31,940 459 89,243 Percentage of Total 4.4% 8.7% 13.9% 15.4% 21.3% 35.8% 0.05% 100%

35,000 30,000 25,000 20,000 15,000 10,000 5,000 0 < 18 18-25 26-34 35-44 45-54 55-64 65 and older

Note: Individuals who are eligible for Medicare are not eligible to enroll in health insurance coverage through Washington Healthplanfinder. Some individuals over the age of 65 may enroll through Washington Healthplanfinder if they are not eligible for Medicare.

5

Enrollment by Metal Level
Metal Level Bronze Catastrophic Gold Silver Total Enrollment 31,817 59 9,159 48,208 89,243 Percentage of Total 35.7% .07% 10.3% 54% 100%

Gold Plans: Cover 80 percent of the cost of essential health benefits, while the patient pays 20 percent. Silver Plans: Cover 70 percent of the cost of essential health benefits, while the patient pays 30 percent. Bronze Plans: Cover 60 percent of the cost of essential health benefits, while the patient pay 40 percent.

31,817 48,221

9,159 59

Bronze

Catastrophic

Gold

Silver

Note: Health insurance carriers in Washington did not submit any “Platinum” plans for regulatory approval to be offered in Washington Healthplanfinder.

6

Enrollment by Gender
Medicaid Enrollments (Newly Covered) by Gender
Gender Male Female Enrollment 114,287 140,434 254,721

Total

45%
Gender Male Female Enrollment 122,876 137,507 260,383

55%

Medicaid Enrollments (Redeterminations) by Gender

Total

47%
Gender Male Female Enrollment 40,159 49,084 89,243

53%

Qualified Health Plan Enrollments by Gender

Total

45%

55%
7

Family Size on Applications
QHP Family Size
Household Members 1 2 3 4 5 6 7 8 10 Applications 41251 16911 2445 1185 255 58 15 4 1

All Enrollments Family Size
Household Members 1 2 3 4 5 6 7 8 9 10 11 12 13 Applications 124513 23712 10946 6221 2774 984 324 131 59 30 18 7 2

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2

The total applications on this chart includes applications for individuals who are fully enrolled.

8

Enrollments by Federal Poverty Level
FPL <100% > 138 - <= 150 % > 150 - <= 200 % > 200- <= 251 % > 250 - <= 300 % > 300 - <= 400 % >=100 - <= 138 % No Tax Credit Total Enrollment 1,687 7,377 24,147 14,910 10,129 12,245 1,579 17,169 89,243 Percentage of Total

1.9%
8.3% 27.1% 16.7% 11.3% 13.7% 1.7% 19.2% 100%

25,000 20,000 15,000 10,000 5,000 0

9

QHP Enrollments by Federal Poverty Level - Metal Levels
Bronze Level
FPL Greater than 250 % Less than 250 % No Tax Credit Total Enrollment 11,835 11,173 8,809 31,817 Percentage of Total 37.2% 35.1% 27.8% 100%

Silver Level
FPL Greater than 250 % Less than 250 % No Tax Credit Total Enrollment 7,754 35,274 5,180 48,208 Percentage of Total 16% 73% 11% 100%

Gold Level
FPL Greater than 250 % Less than 250 % No Tax Credit Total Enrollment 2,767 3,236 3,156 9,159 Percentage of Total 30% 35% 35% 100%

10

Quality Health Plans By Carrier
Gender BridgeSpan CHPW Enrollment 1,907 2,031 11,736 15,549 1,589 14,794 1,288 23,628 16,721 89,243 % 2.1% 2.2% 13.2% 17.4% 1.8% 16.6% 1.4% 26.5% 18.7% 100%

Coordinated Care Group Health Kaiser Northwest LifeWise Molina Premera Premera MSP Total

Please note that not all health insurance plans are available in all counties. Please see health insurance plans by county below

Pediatric Dental Enrollees
Total Health Insurance Companies by County BridgeSpan – King, Kitsap, Pierce, Skagit, Snohomish, Thurston, and Spokane Community Health Plan of Washington – Adams, Benton, Chelan, Clark, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, King, Kitsap, Lewis, Okanogan, Pacific, Pend Oreille, Pierce, Skagit, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Yakima Coordinated Care – Adams, Benton, Chelan, Douglas, Franklin, Grant, Grays Harbor, King, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Yakima Group Health Cooperative – Benton, Columbia, Franklin, Island, King, Kitsap, Kittitas, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, and Yakima LifeWise Health Plan of Washington – All 39 counties Molina Health Care of Washington – King, Pierce and Spokane Premera Blue Cross – All counties except Clark Kaiser Foundation Health Plan of the Northwest– Clark and Cowlitz (Small Business and Individual Market) Delta Dental of Washington, Kaiser Foundation Health Plan of the Northwest, LifeWise, Premera Blue Cross – All 39 counties (Pediatric Dental Only) Dental Health Services – Benton, Chelan, Clark, Cowlitz, Douglas, Franklin, GraysHarbor, Island, Jefferson, King, Kitsap, Kittitas, Lewis, Mason, Pierce, SanJuan, Skagit, Snohomish, Spokane, Thurston, Wahkiakum,Whatcom, Yakima 3,624

11

Call Center Data

Call Center Total Call Volume Total Handled Calls Total Deferred Calls Average Wait Time Total Spanish Language Calls Total Calls for other Languages other than Spanish and English

Total 118,104 106,979 623,127 Initial and internal wait queues: 2:02 minutes; internal wait queues: 40:00 minutes 10,118 offered 7,675 handled 1,479 offered 454 handled

Note: Data for enrollments through the toll-free Customer Support Center are not yet available.

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