Creating a New Competitive Health Insurance Marketplace
The Center for Consumer Information & Insurance Oversight
In 2014, individuals and employees of small businesses will have access to affordable coverage through a new competitive private health insurance market - the Health Insurance Marketplace, also known as the Affordable Insurance Exchange. The state-based Marketplace will provide individuals and small businesses with a "one-stop shop" to find and compare affordable, quality private health insurance options. The Marketplace will bring new transparency to the health insurance market so that Americans will be able to compare plans based on price, quality, benefits and other important features. By increasing competition between insurance companies and allowing individuals and small businesses to band together to purchase insurance, the Marketplace will help lower costs.
States across the country have received grants to establish a Health Insurance Marketplace - Opens in a new window . Use the map below to learn more about establishment grants in your State:
Health Insurance Exchange Establishment Grants
Health Insurance Marketplace Grants
The Marketplace Establishment grants recognize that States are making progress toward establishing a Marketplace but are doing so at different paces. States can choose when to apply for grant funding based on their needs and planned expenditures. States that are moving ahead on a faster pace can apply for multi-year funding, known as level two establishment grants. States that are making progress in establishing a Marketplace through a step-by-step approach can apply for funding for each project year, known as level one establishment grants.
States may initially apply for either level one or level two establishment grants, based on their progress. State can also choose when during this year to apply for grant funding based on their needs and planned expenditures. States will have multiple opportunities to apply for funding in the years ahead, including opportunities to apply for multiple level one grants as the planning process develops. As indicated in a November 29, 2011 Question and Answer document, CMS intends to award establishment grants through 2014. This process gives States maximum flexibility and ensures that States can move forward on their own timetables as they work to build a Marketplace.
*The Federated States of Micronesia, the Marshall Islands, and Palau did not apply because they were not eligible.
- February 3, 2020 Enhanced Direct Enrollment Approved Partners (Updated)
- November 5, 2019 FAQ: Quality Rating Information Bulletin’s (Quality Bulletin’s) Display Guidelines for Direct Enrollment (DE) Entities
- September 11, 2019 FAQ: Enhanced Direct Enrollment Participation Requirements for Non-Issuer of a Primary EDE Entity Environment
- August 15, 2019 Quality Rating Information Bulletin for Plan Year 2020 Health Insurance Exchanges Quality Rating System (QRS) for Plan Year (PY) 2019: Results at a Glance
- April 18, 2019 CMS-9926-F: Final HHS Notice of Benefit and Payment Parameters for 2020 Final 2020 Letter to Issuers on Federally-facilitated Exchanges Key Dates for Calendar Year 2019: QHP Certification in the FFEs; Rate Review; Risk Adjustment
- April 4, 2019 Guidance on Unified Rate Review Timeline: Timing of Submission of Rate Filing Justifications for the 2019 Filing Year for Single Risk Pool Coverage Effective on or after January 1, 2020
- March 19, 2019 2020 Final Actuarial Value Calculator 2020 Final Actuarial Value Calculator Methodology
- March 6, 2019 CMS-9921-NC: Request for Information Regarding the Sale of Individual Health Insurance Coverage Across State Lines Through Health Care Choice Compacts
- February 28, 2019 Section 1332 Pass-through Funding Tools and Resources