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Biweekly Enrollment Snapshot

Date
2017-02-03
Title
Biweekly Enrollment Snapshot
Contact
press@cms.hhs.gov

Biweekly Enrollment Snapshot
WEEKS 12 through 14, JAN 15 – JAN 31, 2017 

On January 31, 2017, Open Enrollment for 2017 coverage ended with more than 9.2 million plan selections in states that use the HealthCare.gov eligibility and enrollment platform. Those selections were made from a market that experienced a 25 percent increase over the previous year in the average premium for the benchmark second-lowest cost silver plan as well as a 28 percent decline in the number of issuers participating over the past year. [1]

This Open Enrollment Snapshot covers the period from January 15, 2017 through January 31, 2017.

This snapshot does not include plan selections from State-based Marketplaces. CMS will release a detailed final enrollment report in March, including final plan selection data from State-based Marketplaces.

Of the more than 9.2 million consumers who selected a plan through the HealthCare.gov platform, about 3 million are new consumers, which means 33 percent of all plan selections were from new consumers. In addition to the approximately 3 million new HealthCare.gov consumers, about 6.2 million were returning Marketplace consumers.

This year’s plan selection totals take into account any consumer initiated or insurer initiated cancellations that occurred during Open Enrollment.

These snapshots provide point-in-time estimates of biweekly plan selections, call center activity, and visits to HealthCare.gov or CuidadoDeSalud.gov. The final number of plan selections associated with enrollment activity during a reporting period may change as plan modifications or cancellations due to life changes like starting a new job or getting married occur. In addition, as in previous years, the biweekly snapshot does not report the number of consumers who have paid premiums to effectuate their enrollment.

A more detailed report that looks at plan selections across all states for the entire Open Enrollment period will be released in March.
Definitions and details on the data are included in the glossary.

Federal Marketplace Snapshot 

Federal Marketplace Snapshot

Weeks 12-14 Jan 15-Jan 31

Cumulative Nov 1 – Jan 31

Plan Selections (net)

376,260

9,201,805

Applications Submitted (Number of Consumers)

1,085,388

12,545,172

Call Center Volume

2,440,514

12,622,981

Calls with Spanish Speaking Representative

226,025

866,668

HealthCare.gov Users

6,437,510

27,874,430

CuidadoDeSalud.gov Users

255,564

996,273

Window Shopping HealthCare.gov Users

406,327

4,205,012

Window Shopping CuidadoDeSalud.gov Users

9,390

70,099

 HealthCare.gov State-by-State Snapshot 

The Snapshot provides cumulative individual plan selections for the 39 states using the HealthCare.gov platform. 

Individual plan selections for the states using the HealthCare.gov platform include: 

State

Cumulative Plan Selections Nov 1 – Jan 31

Alaska

19,145

Alabama

178,414

Arkansas

70,404

Arizona

196,291

Delaware

27,584

Florida

1,760,025

Georgia

493,880

Hawaii

18,938

Iowa

51,573

Illinois

356,403

Indiana

174,611

Kansas

98,780

Kentucky

81,155

Louisiana

143,577

Maine

79,407

Michigan

321,451

Missouri

244,382

Mississippi

88,483

Montana

52,473

North Carolina

549,158

North Dakota

21,982

Nebraska

84,371

New Hampshire

53,024

New Jersey

295,067

New Mexico

54,653

Nevada

89,061

Ohio

238,843

Oklahoma

146,286

Oregon

155,430

Pennsylvania

426,059

South Carolina

230,211

South Dakota

29,622

Tennessee

234,125

Texas

1,227,290

Utah

197,187

Virginia

410,726

Wisconsin

242,863

West Virginia

34,045

Wyoming

24,826

HealthCare.gov Local Market Snapshot 

The Weeks 12 through 14 snapshot includes a look at plan selection by Designated Market Areas (DMAs) which are local media markets. These data provide 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 for 2017. Plan selections for those DMAs only include data for the portion of the DMA that is using the HealthCare.gov platform, so the amounts reported in the snapshot do not represent plan selections for the entire DMA. However, in cases where a DMA includes portions of multiple states but all of those states use the HealthCare.gov platform, the reported amounts reflect the whole DMA. 

Local Markets in HealthCare.gov States

State

Cumulative Plan Selections Nov 1 – Jan 31

Abilene-Sweetwater

Texas

9,707

Albany

Georgia

12,410

Albuquerque-Santa Fe

New Mexico

45,155

Alexandria

Louisiana

5,316

Alpena

Michigan

1,418

Amarillo

Texas

14,339

Anchorage

Alaska

12,334

Atlanta

Georgia

377,719

Augusta

Georgia

24,960

Austin

Texas

113,863

Bangor

Maine

21,030

Baton Rouge

Louisiana

28,659

Beaumont-Port Arthur

Texas

15,298

Bend

Oregon

8,647

Billings

Montana

12,150

Biloxi-Gulfport

Mississippi

8,672

Birmingham (Ann and Tusc)

Alabama

65,773

Bluefield-Beckley-Oak Hill

West Virginia

6,559

Boise

Idaho

854

Boston (Manchester)

Massachusetts

42,492

Bowling Green

Kentucky

5,161

Buffalo

New York

1,319

Burlington-Plattsburgh

Vermont

5,239

Butte-Bozeman

Montana

10,930

Casper-Riverton

Wyoming

5,525

Cedar Rapids-Wtrlo-IWC & Dub

Iowa

14,563

Champaign & Sprngfld-Decatur

Illinois

23,237

Charleston

South Carolina

44,256

Charleston-Huntington

West Virginia

17,634

Charlotte

North Carolina

182,958

Charlottesville

Virginia

10,562

Chattanooga

Tennessee

34,054

Cheyenne-Scottsbluf

Wyoming

5,616

Chicago, IL

Illinois

282,236

Cincinnati, OH

Ohio

50,573

Clarksburg-Weston

West Virginia

4,799

Cleveland-Akron (Canton)

Ohio

79,754

Columbia

South Carolina

45,420

Columbia-Jefferson City

Missouri

14,267

Columbus

Georgia

18,510

Columbus

Ohio

53,660

Columbus-Tupelo-West Point

Mississippi

12,355

Corpus Christi

Texas

21,238

Dallas-Ft. Worth

Texas

341,633

Davenport-R. Island-Moline

Iowa/Illinois

16,119

Dayton

Ohio

22,166

Denver

Colorado

8,329

Des Moines-Ames

Iowa

18,987

Detroit

Michigan

162,464

Dothan

Alabama

8,055

Duluth-Superior

Minnesota

5,545

El Paso (Las Cruces)

Texas

60,865

Elmira (Corning)

New York

1,234

Erie

Pennsylvania

9,808

Eugene

Oregon

21,435

Evansville

Indiana

17,306

Fairbanks

Alaska

1,952

Fargo-Valley City

North Dakota

11,059

Flint-Saginaw-Bay City

Michigan

30,553

Ft. Myers-Naples

Florida

99,980

Ft. Smith-Fay-Sprngdl-Rgrs

Arkansas

23,189

Ft. Wayne

Indiana

19,859

Gainesville

Florida

18,991

Glendive

Montana

498

Grand Rapids-Kalmzoo-B.Crk

Michigan

61,165

Great Falls

Montana

7,190

Green Bay-Appleton

Wisconsin

50,734

Greensboro-H.Point-W.Salem

North Carolina

94,596

Greenville-N.Bern-Washngtn

North Carolina

39,429

Greenvll-Spart-Ashevll-And

North Carolina

117,053

Greenwood-Greenville

Mississippi

5,415

Harlingen-Wslco-Brnsvl-Mca

Texas

58,837

Harrisburg-Lncstr-Leb-York

Pennsylvania

55,983

Harrisonburg

Virginia

11,287

Hattiesburg-Laurel

Mississippi

10,217

Helena

Montana

2,690

Honolulu

Hawaii

18,934

Houston

Texas

359,932

Huntsville-Decatur

Alabama

40,749

Idaho Falls-Pocatello

Idaho

2,378

Indianapolis

Indiana

81,443

Jackson

Mississippi

30,436

Jackson

Tennessee

8,839

Jacksonville

Florida

101,388

Johnstown-Altoona

Pennsylvania

19,352

Jonesboro

Arkansas

4,884

Joplin-Pittsburg

Missouri

12,920

Juneau

Alaska

866

Kansas City

Kansas/Missouri

99,409

Knoxville

Tennessee

49,636

La Crosse-Eau Claire

Wisconsin

20,044

Lafayette

Indiana

3,986

Lafayette

Louisiana

18,276

Lake Charles

Louisiana

5,317

Lansing

Michigan

17,729

Laredo

Texas

15,037

Las Vegas

Nevada

65,113

Lexington

Kentucky

22,811

Lima

Ohio

2,647

Lincoln & Hastings-Krny

Nebraska

37,469

Little Rock-Pine Bluff

Arkansas

34,258

Louisville

Kentucky

35,182

Lubbock

Texas

13,330

Macon

Georgia

20,407

Madison

Wisconsin

36,958

Marquette

Michigan

8,978

Medford-Klamath Falls

Oregon

14,612

Memphis

Tennessee

55,747

Meridian

Mississippi

4,915

Miami-Ft. Lauderdale

Florida

635,826

Milwaukee

Wisconsin

95,195

Minneapolis-St. Paul

Minnesota

12,945

Minot-Bismarck-Dickinson

North Dakota

12,496

Missoula

Montana

17,398

Mobile-Pensacola (Ft Walt)

Alabama

65,402

Monroe-El Dorado

Louisiana/Arkansas

12,209

Montgomery-Selma

Alabama

20,851

Myrtle Beach-Florence

Florida

44,577

Nashville

Tennessee

96,627

New Orleans

Louisiana

64,010

New York

New York

231,915

Norfolk-Portsmth-Newpt News

Virginia

78,256

North Platte

Nebraska

1,663

Odessa-Midland

Texas

12,666

Oklahoma City

Oklahoma

74,597

Omaha

Nebraska

36,668

Orlando-Daytona Bch-Melbrn

Florida

337,079

Ottumwa-Kirksville

Missouri

3,381

Paducah-Cape Girard-Harsbg

Illinois/Kentucky/Missouri

23,636

Panama City

Florida

23,244

Parkersburg

West Virginia

3,003

Peoria-Bloomington

Illinois

13,938

Philadelphia

Pennsylvania

286,501

Phoenix (Prescott)

Arizona

156,628

Pittsburgh

Pennsylvania

83,401

Portland, OR

Oregon

103,405

Portland-Auburn

Maine

58,722

Presque Isle

Maine

4,090

Quincy-Hannibal-Keokuk

Illinois/Missouri/Iowa

7,452

Raleigh-Durham (Fayetvlle)

North Carolina

149,774

Rapid City

South Dakota

8,954

Reno

Nevada

22,703

Richmond-Petersburg

Virginia

74,035

Roanoke-Lynchburg

Virginia

53,748

Rochestr-Mason City-Austin

Minnesota/Iowa

1,737

Rockford

Illinois

13,132

Salisbury

Maryland

7,863

Salt Lake City

Utah

197,056

San Angelo

Texas

4,726

San Antonio

Texas

113,612

Savannah

Georgia

40,683

Sherman-Ada

Texas

10,477

Shreveport

Louisiana

27,408

Sioux City

Iowa

11,317

Sioux Falls(Mitchell)

South Dakota

22,818

South Bend-Elkhart

Indiana

26,209

Spokane

Washington

1,288

Springfield

Missouri

49,077

St. Joseph

Missouri

4,093

St. Louis

Missouri

119,918

Tallahassee-Thomasville

Florida

29,794

Tampa-St. Pete (Sarasota)

Florida

299,899

Terre Haute

Indiana

8,962

Toledo

Ohio

20,202

Topeka

Kansas

12,613

Traverse City-Cadillac

Michigan

26,280

Tri-Cities

Tennessee

25,676

Tucson (Sierra Vista)

Arizona

34,104

Tulsa

Oklahoma

52,415

Tyler-Longview(Lfkn&Ncgd)

Texas

30,021

Victoria

Texas

2,562

Waco-Temple-Bryan

Texas

24,980

Washington, DC (Hagerstown)

Virginia/Maryland/District of Columbia   

185,562

Wausau-Rhinelander

Wisconsin

22,576

West Palm Beach-Ft. Pierce

Florida

195,158

Wheeling-Steubenville

Ohio

6,306

Wichita Falls & Lawton

Texas

11,531

Wichita-Hutchinson Plus

Kansas

37,700

Wilkes Barre-Scranton

Pennsylvania

46,783

Wilmington

Delaware

30,413

Yakima-Pasco-Rchlnd-Knnwck

Oregon

1,871

Youngstown

Ohio

14,095

Yuma-El Centro

Arizona

3,237

Zanesville

Ohio

1,724

Glossary 

Plan Selections:  The cumulative metric represents the total number of people who have submitted an application and selected a plan, net of any cancellations from a consumer or cancellations from an insurer that have occurred to date. The biweekly metric represents the net change in the number of non-cancelled plan sections over the two-week period covered by the report. 

To have their coverage effectuated, consumers generally need to pay their first month’s health plan premium. This release does not report the number of effectuated enrollments. 

New Consumers: A consumer is considered to be a new consumer if they did not have Marketplace coverage at the start of Open Enrollment on November 1st, 2016. 

Renewing Consumers: A consumer is considered to be a renewing consumer if they had 2016 Marketplace coverage on November 1st, 2016 at the start of Open Enrollment and either actively selected the same plan or a new plan for 2017, were automatically re-enrolled into their plan, or were signed up for January 1 coverage through a suggested alternate plan. 

Marketplace: Generally, references to the Health Insurance Marketplace in this report refer to 39 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, Kentucky, 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 39 states with Marketplaces that use the HealthCare.gov platform for the 2017 benefit year, including those with Federally-facilitated Marketplaces, State Partnership Marketplaces, and State-based Marketplaces. 

Consumers on Applications Submitted:  This includes consumers who are requesting coverage on a completed and submitted application, including an application that is created through the automatic re-enrollment process, which occurs at the end of December, in a state that is 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 requesting coverage on a submitted application (rather than the total number of submitted applications). 

Call Center Volume:  The total number of calls received by the call center for the 39 states that use the HealthCare.gov platform over the course of the weeks 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.

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.

[1] U.S. Department of Health and Human Services, “Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace.” ASPE Research Brief, ASPE, October 24, 2016, available at: https://aspe.hhs.gov/sites/default/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf.