Skip to Main Content

Health Insurance Marketplace Open Enrollment Snapshot - Week 12

Date
2016-01-27
Title
Health Insurance Marketplace Open Enrollment Snapshot - Week 12
Contact
go.cms.gov/media

Health Insurance Marketplace Open Enrollment Snapshot - Week 12
January 17, 2016 – January 23, 2016

With the final January 31 deadline just days away, about 8.9 million consumers have signed-up for health coverage through the HealthCare.gov platform or had their coverage automatically renewed. This week’s snapshot includes weekly and cumulative data for enrollment through HealthCare.gov, a breakdown of cumulative data for 38 states using the HealthCare.gov platform, and cumulative data for local markets.

“The clock is ticking with just four days left before January 31, the final enrollment deadline for 2016 health coverage,” said U.S. Secretary for Health and Human Services, Sylvia Burwell. “We are focused on making sure people know that financial help is available, the deadline is fast approaching and that we’re here to help them enroll – so that they don't risk having to pay a penalty of $695 or more for not having health insurance.”

Overall, net plan selections for Week 12 totaled 103,172. Over the same time period, net new plan selections totaled 144,971. Net new plan selections take into account new plan selections in the reporting week minus any consumer or insurer-initiated cancelations for new plan selections. As a reminder, this year the number of net plan selections accounts for both insurer and consumer-initiated cancellations that occur before the end of Open Enrollment. This is a change from last year, and it will result in a larger number of cancellations being accounted for during, rather than after, Open Enrollment. Last year, cancellations from insurers that happened during Open Enrollment were reflected only in reports on effectuated enrollment after the end of Open Enrollment. There will likely be a smaller difference this year between plan selection totals at the end of Open Enrollment and subsequent effectuated enrollment.

Similar to last year, each week, the Centers for Medicare & Medicaid Services (CMS) will release weekly Open Enrollment snapshots for the HealthCare.gov platform, which is used by the Federally-facilitated Marketplaces and State Partnership Marketplaces, as well as some State-based Marketplaces. These snapshots provide point-in-time estimates of weekly plan selections, call center activity and visits to HealthCare.gov or CuidadoDeSalud.gov. The final number of plan selections associated with enrollment activity to date could fluctuate as plan changes or cancellations occur, such as in response to life changes like starting a new job or getting married. In addition, the weekly snapshot only looks at plan selections and does not include the number of consumers who paid their premiums to effectuate their enrollment.

HHS will continue to produce more detailed reports that look at plan selections across the Federally-facilitated Marketplace and State-based Marketplaces later in the Open Enrollment period.

Definitions and details on the data are included in the glossary.

Federal Marketplace Snapshot

Federal Marketplace Snapshot Week 12
Jan 17  – Jan 23
Cumulative
Nov 1 – Jan 23
Plan Selections (net) 103,172 8,939,274
Applications Submitted (Number of Consumers) * *
Call Center Volume 918,603 12,454,334
Average Call Center Wait Time 4 minutes 25 seconds 9 minutes 48 seconds
Calls with Spanish Speaking Representative 73,956 774,588
Average Wait for Spanish Speaking Rep 14 seconds 21 seconds
HealthCare.gov Users 2,693,592 25,367,559
CuidadoDeSalud.gov Users 202,424 1,475,339
Window Shopping HealthCare.gov Users 492,562 8,390,521
Window Shopping CuidadoDeSalud.gov Users 11,311 168,101

* Applications submitted could not be validated this week.

HealthCare.gov State-by-State Snapshot

Consumers across the country continued to explore their health insurance options by reaching out to a call center representative at 1-800-318-2596, attending enrollment events in their local communities, or visiting HealthCare.gov or CuidadoDeSalud.gov. Individual plan selections for the states using the HealthCare.gov platform include:

Week 12 Cumulative Plan Selections
Nov 1 – Jan 23
Alabama 182,895
Alaska 21,853
Arizona 185,459
Arkansas 68,622
Delaware 26,538
Florida 1,623,718
Georgia 543,142
Hawaii 13,194
Illinois 358,353
Indiana 185,710
Iowa 51,964
Kansas 93,852
Louisiana 198,511
Maine 80,399
Michigan 329,017
Mississippi 99,967
Missouri 268,445
Montana 55,891
Nebraska 82,884
Nevada 79,055
New Hampshire 52,331
New Jersey 268,847
New Mexico 50,603
North Carolina 575,374
North Dakota 20,393
Ohio 226,421
Oklahoma 135,448
Oregon 138,862
Pennsylvania 417,707
South Carolina 215,503
South Dakota 24,267
Tennessee 248,387
Texas 1,174,314
Utah 162,006
Virginia 394,896
West Virginia 35,217
Wisconsin 227,129
Wyoming 22,100

HealthCare.gov Local Area Snapshot

The Week 12 snapshot includes a look at plan section by Designated Market Areas (DMAs) which are local media markets. These data provides another level of detail to better understand total plan selections within local communities. Some DMAs include one or more counties in a state that is not using the HealthCare.gov platform in 2016. Plan selections for those DMAs only include data for the portions of these areas that are using the HealthCare.gov platform, so the cumulative totals in the snapshot do not represent plan selections for the entire DMA. In addition, some DMAs cross into multiple states that use the HealthCare.gov platform and those totals are cumulative for all HealthCare.gov states in that DMA. Because some communities do not fall into a DMA, cumulative plan selections for local markets will not total to the national cumulative plan selection number.

Local Markets in HealthCare.gov States State Cumulative Plan Selections
Nov 1 – Jan 23
Abilene-Sweetwater Texas 9,923
Albany Georgia 15,854
Albuquerque-Santa Fe New Mexico 43,245
Alexandria Louisiana 9,252
Alpena Michigan 1,954*
Amarillo Texas 14,024
Anchorage Alaska 14,141
Atlanta Georgia 410,182
Augusta Georgia 31,166
Austin Texas 115,970
Bangor Maine 22,631
Baton Rouge Louisiana 42,225
Beaumont-Port Arthur Texas 14,249
Bend Oregon 10,216
Billings Montana 15,916
Biloxi-Gulfport Mississippi 9,385
Birmingham (Ann and Tusc) Alabama 72,619
Bluefield-Beckley-Oak Hill West Virginia 7,458
Boise Idaho 875**
Boston (Manchester) Massachusetts 41,806
Buffalo New York 1,258
Burlington-Plattsburgh Vermont 4,906
Butte-Bozeman Montana 9,354
Casper-Riverton Wyoming 4,883
Cedar Rapids-Wtrlo-IWC & Dub Iowa 15,848
Champaign & Sprngfld-Decatur Illinois 23,447
Charleston South Carolina 44,225
Charleston-Huntington West Virginia 15,967
Charlotte North Carolina 195,030
Charlottesville Virginia 15,543
Chattanooga Tennessee 37,347
Cheyenne-Scottsbluf Wyoming 6,292
Chicago, IL Illinois 286,011
Cincinnati, OH Ohio 46,006
Clarksburg-Weston West Virginia 5,849
Cleveland-Akron (Canton) Ohio 81,049
Columbia South Carolina 41,711
Columbia-Jefferson City Missouri 21,359
Columbus Georgia 19,364
Columbus Ohio 44,444
Columbus-Tupelo-West Point Mississippi 13,348
Corpus Christi Texas 18,690
Dallas-Ft. Worth Texas 346,817
Davenport-R. Island-Moline Iowa/Illinois 16,769
Dayton Ohio 22,059
Denver Colorado 6,946
Des Moines-Ames Iowa 19,288
Detroit Michigan 170,893
Dothan Alabama 9,173
Duluth-Superior Minnesota 6,582
El Paso (Las Cruces) Texas 60,860
Elmira (Corning) New York 1,187
Erie Pennsylvania 8,643
Eugene Oregon 19,368
Evansville Indiana 14,072
Fairbanks Alaska 2,655
Fargo-Valley City North Dakota 10,618
Flint-Saginaw-Bay City Michigan 30,024
Ft. Myers-Naples Florida 86,868
Ft. Smith-Fay-Sprngdl-Rgrs Arkansas 22,230
Ft. Wayne Indiana 21,615*
Gainesville Florida 18,852
Glendive Montana 530*
Grand Rapids-Kalmzoo-B.Crk Michigan 66,611
Great Falls Montana 7,763*
Green Bay-Appleton Wisconsin 50,190
Greensboro-H.Point-W.Salem North Carolina 103,011
Greenville-N.Bern-Washngtn North Carolina 41,674
Greenvll-Spart-Ashevll-And North Carolina 113,433
Greenwood-Greenville Mississippi 6,979
Harlingen-Wslco-Brnsvl-Mca Texas 52,106
Harrisburg-Lncstr-Leb-York Pennsylvania 61,620
Harrisonburg Virginia 11,910
Hattiesburg-Laurel Mississippi 10,947
Helena Montana 2,608
Honolulu Hawaii 13,194
Houston Texas 313,740
Huntsville-Decatur Alabama 36,575
Idaho Falls-Pocatello Idaho 2,735*
Indianapolis Indiana 85,176
Jackson Mississippi 39,189
Jackson Tennessee 11,238
Jacksonville Florida 97,240
Johnstown-Altoona Pennsylvania 19,149
Jonesboro Arkansas 5,573
Joplin-Pittsburg Missouri 15,192
Juneau Alaska 2,999
Kansas City Kansas/Missouri 102,165
Knoxville Tennessee 49,472
La Crosse-Eau Claire Wisconsin 23,394
Lafayette Indiana 3,151*
Lafayette Louisiana 24,803
Lake Charles Louisiana 6,701
Lansing Michigan 14,636
Laredo Texas 14,130
Las Vegas Nevada 55,675
Lima Ohio 1,589*
Lincoln & Hastings-Krny Nebraska 36,979
Little Rock-Pine Bluff Arkansas 33,191
Louisville Kentucky 8,495
Lubbock Texas 12,814
Macon Georgia 22,036
Madison Wisconsin 33,477
Marquette Michigan 9,444
Medford-Klamath Falls Oregon 14,035
Memphis Tennessee 59,942
Meridian Mississippi 3,969
Miami-Ft. Lauderdale Florida 605,675
Milwaukee Wisconsin 83,503
Minneapolis-St. Paul Minnesota 11,063
Minot-Bismarck-Dickinson North Dakota 11,450*
Missoula Montana 19,735
Mobile-Pensacola (Ft Walt) Alabama 62,880
Monroe-El Dorado Louisiana/Arkansas 20,332
Montgomery-Selma Alabama 19,309
Myrtle Beach-Florence Florida 39,504
Nashville Tennessee 98,484
New Orleans Louisiana 81,849
New York New York 212,643
Norfolk-Portsmth-Newpt News Virginia 77,841
North Platte Nebraska 1,679
Odessa-Midland Texas 12,088
Oklahoma City Oklahoma 68,484
Omaha Nebraska 37,084
Orlando-Daytona Bch-Melbrn Florida 303,271
Ottumwa-Kirksville Missouri 3,655
Paducah-Cape Girard-Harsbg Illinois/Kentucky/Missouri 20,633
Panama City Florida 21,073
Parkersburg West Virginia 2,815*
Peoria-Bloomington Illinois 13,024
Philadelphia Pennsylvania 276,400
Phoenix (Prescott) Arizona 131,758
Pittsburgh Pennsylvania 78,170
Portland, OR Oregon 90,737
Portland-Auburn Maine 58,899
Presque Isle Maine 4,092
Quincy-Hannibal-Keokuk Illinois/Missouri/Iowa 7,213
Raleigh-Durham (Fayetvlle) North Carolina 154,176
Rapid City South Dakota 7,484
Reno Nevada 21,744
Richmond-Petersburg Virginia 75,163
Roanoke-Lynchburg Virginia 48,356
Rochestr-Mason City-Austin Minnesota/Iowa 1,337*
Rockford Illinois 12,599
Salisbury Maryland 6,834
Salt Lake City Utah 162,482
San Angelo Texas 4,524
San Antonio Texas 105,952
Savannah Georgia 45,169
Sherman-Ada Texas 9,193
Shreveport Louisiana 34,951
Sioux City Iowa 10,084
Sioux Falls(Mitchell) South Dakota 18,105
South Bend-Elkhart Indiana 24,034
Spokane Washington 1,269*
Springfield Missouri 53,145
St. Joseph Missouri 3,756
St. Louis Missouri 123,916
Tallahassee-Thomasville Florida 25,995
Tampa-St. Pete (Sarasota) Florida 261,849
Terre Haute Indiana 9,629
Toledo Ohio 17,831
Topeka Kansas 11,830
Traverse City-Cadillac Michigan 25,248
Tri-Cities Tennessee 24,835
Tucson (Sierra Vista) Arizona 31,478
Tulsa Oklahoma 46,872
Tyler-Longview(Lfkn&Ncgd) Texas 22,969
Victoria Texas 2,140
Waco-Temple-Bryan Texas 25,744
Washington, DC (Hagerstown)   167,140
Wausau-Rhinelander Wisconsin 20,580
West Palm Beach-Ft. Pierce Florida 180,674
Wheeling-Steubenville Ohio 6,285
Wichita Falls & Lawton Texas 10,142
Wichita-Hutchinson Plus Kansas 35,925
Wilkes Barre-Scranton Pennsylvania 45,274
Wilmington Delaware 31,982
Yakima-Pasco-Rchlnd-Knnwck Oregon 1,741*
Youngstown Ohio 13,031
Yuma-El Centro Arizona 3,706
Zanesville Ohio 1,242

*Because there was a change of 11 or fewer enrollments for Week 12, data for Week 11 was used as a placeholder to adhere to privacy standards.
**Because there was a change of 11 or fewer enrollments for Week 11 and 12, data for Week 10 was used as a placeholder to adhere to privacy standards.

Glossary

Plan Selections:  The weekly and cumulative metrics provide a preliminary total of those who have submitted an application and selected a plan. Each week’s plan selections reflect the total number of plan selections for the week and cumulatively from the beginning of Open Enrollment to the end of the reporting period, net of any cancellations from a consumer or cancellations from an insurer during that time.

Because of further automation in communication with issuers, the number of net plan selections reported this year account for issuer-initiated plan cancellations that occur before the end of Open Enrollment for reasons such as non-payment of premiums. This change will result in a larger number of cancellations being accounted for during Open Enrollment than last year. Last year, these cancellations were reflected only in reports on effectuated enrollment after the end of Open Enrollment. As a result, there may also be a smaller difference this year between plan selections at the end of Open Enrollment and subsequent effectuated enrollment, although some difference will remain because plan cancellations related to non-payment of premium will frequently occur after the end of Open Enrollment.

Plan selections include those consumers who are automatically re-enrolled into their current plan or another plan with similar benefits, which occurs at the end of December.

To have their coverage effectuated, consumers generally need to pay their first month’s health plan premium. This release does not include totals for effectuated enrollments.

Net New Plan Selections: Weekly net new plan selections take into account new plan selections minus any consumer or insurer-initiated cancelations for new plan selections.

Marketplace: Generally, references to the Health Insurance Marketplace in this report refer to 38 states that use the HealthCare.gov platform. The states using the HealthCare.gov platform are Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

HealthCare.gov States: The 38 states that use the HealthCare.gov platform for the 2016 benefit year, including the Federally-facilitated Marketplace, State Partnership Marketplaces and State-based Marketplaces.

Local Markets: Cumulative plan selections for local markets are based on Designated Market Areas (DMAs) which are media markets. Some DMAs include one or more counties in a state that is not using the HealthCare.gov platform in 2016. Plan selections for those DMAs only include data for the portions of these areas that are using the HealthCare.gov platform, so the cumulative totals in the snapshot do not represent plan selections for the entire DMA.

Applications Submitted:  This includes a consumer who is on a completed and submitted application or who, through the automatic re-enrollment process, which occurs at the end of December, had an application submitted to a Marketplace using the HealthCare.gov platform. If determined eligible for Marketplace coverage, a new consumer still needs to pick a health plan (i.e., plan selection) and pay their premium to get covered (i.e., effectuated enrollment). Because families can submit a single application, this figure tallies the total number of people on a submitted application (rather than the total number of submitted applications).

Call Center Volume:  The total number of calls received by the Federally-facilitated Marketplace call center over the course of the week covered by the snapshot or from the start of Open Enrollment. Calls with Spanish speaking representatives are not included.

Calls with Spanish Speaking Representative:  The total number of calls received by the Federally-facilitated Marketplace call center where consumers chose to speak with a Spanish-speaking representative. These calls are not included within the Call Center Volume metric.

Average Call Center Wait Time: The average amount of time a consumer waited before reaching a customer service representative. The cumulative total averages wait time over the course of the extended time period.

HealthCare.gov or CuidadodeSalud.gov  Users: These user metrics total how many unique users viewed or interacted with HealthCare.gov or CuidadodeSalud.gov, respectively, over the course of a specific date range. For cumulative totals, a separate report is run for the entire Open Enrollment period to minimize users being counted more than once during that longer range of time and to provide a more accurate estimate of unique users. Depending on an individual’s browser settings and browsing habits, a visitor may be counted as a unique user more than once.

Window Shopping HealthCare.gov Users or CuidadoDeSalud.gov Users: These user metrics total how many unique users interacted with the window-shopping tool at HealthCare.gov or CuidadoDeSalud.gov, respectively, over the course of a specific date range. For cumulative totals, a separate report is run for the entire Open Enrollment period to minimize users being counted more than once during that longer range of time and to provide a more accurate estimate of unique users. Depending on an individual’s browser settings and browsing habits, a visitor may be counted as a unique user more than once. Users who window-shopped are also included in the total HealthCare.gov or CuidadoDeSalud.gov user total.