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The Center for Consumer Information & Insurance Oversight


State Health Insurance Marketplaces

In 2014, consumers and small businesses will have access to new health insurance marketplaces (or Exchanges). Consumers in every state (including the District of Columbia) will be able to buy insurance from qualified health plans available through a marketplace and about 18 million Americans may be eligible for tax credits to help pay for their health insurance.   

States across the country have received grants  to establish a new marketplace. States can create and operate their own marketplace (State-based Marketplace) or a hybrid called a State Partnership Marketplace in which the state runs certain functions. A Partnership Marketplace allows states to make key decisions and tailor the marketplace to local needs and market conditions.  The Federal government will establish and operate a marketplace in those states that do not establish their own.  

All marketplaces will launch open enrollment in October 2013.

Applications for approval of a State-based Marketplace were due December 14, 2012, and applications to participate in a State Partnership Marketplace were due February 15, 2013.A state must submit a Declaration letter conveying its intent to operate its own marketplace or partner with HHS. Declaration letters and other correspondence from States related to the Marketplace can be found here.

A list of conditionally approved marketplaces is below. To date, 19 states have been conditionally approved to operate State-based Marketplaces, including Mississippi and Utah, which have been conditionally approved to operate a Small Business Health Options (SHOP) Marketplace for small business owners and their employees. Additionally, seven states have been conditionally approved to operate a State Partnership Marketplace.

For further information, please contact the state directly. The applicable websites are indicated where available.

Note: People using assistive technology may not be able to fully access information in these files. For assistance, please email

Updated: October 1, 2013

Conditionally Approved State Marketplaces:




District of Columbia







Mississippi (SHOP)


New Mexico

New York

Oregon (Cover Oregon)

Rhode Island

Utah (Avenue H—SHOP)


Washington (Washington Health Plan Finder)

Conditionally Approved State Partnership Marketplaces:






New Hampshire

West Virginia