Fact Sheets Dec 08, 2021

Marketplace 2022 Open Enrollment Period Report: National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 4.6 million Americans have signed up for 2022 individual market health insurance coverage through the Marketplaces since the start of the 2022 Marketplace Open Enrollment Period (OEP) on November 1. This includes 3.9 million plan selections in the 33 states using the HealthCare.gov for the 2022 plan year, through December 4, 2021 (Week 5), and 625,000 plan selections in the 17 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through November 27, 2021 (Week 4). Total nationwide plan selections include 923,000 consumers (20% of total) who are new to the Marketplaces for 2022, and 3.6 million consumers (80% of total) who have active 2021 coverage and returned to their respective Marketplaces to renew or select a new plan for 2022.

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

Marketplace and Consumer Type

Cumulative 2022 OEP Plan Selections[1]

Total: All States

4,572,318

New Consumers

923,256

Returning Consumers[2]

3,649,062

Total HealthCare.gov States

3,946,945

New Consumers

797,169

Returning Consumers

3,149,776

Total SBM States[3]

625,373

New Consumers

126,087

Returning Consumers

499,286

 

2022 Marketplace Open Enrollment Period Plan Selections by State (New Consumers and Actively Returning Consumers)

 

State

Platform

Cumulative 2022 OEP Plan Selections

Alaska

HealthCare.gov

8,966

Alabama

HealthCare.gov

75,609

Arkansas

HealthCare.gov

25,389

Arizona

HealthCare.gov

60,696

California

SBM

309,584

Colorado

SBM

45,893

Connecticut

SBM

17,863

Delaware

HealthCare.gov

10,759

District of Columbia

SBM

852

Florida

HealthCare.gov

1,220,238

Georgia

HealthCare.gov

260,452

Hawaii

HealthCare.gov

7,186

Idaho

SBM

7,393

Iowa

HealthCare.gov

26,982

Illinois

HealthCare.gov

101,475

Indiana

HealthCare.gov

51,410

Kansas

HealthCare.gov

38,728

Kentucky

SBM

4,898

Louisiana

HealthCare.gov

30,153

Maine

SBM

13,820

Maryland

SBM

20,810

Massachusetts

SBM

22,555

Michigan

HealthCare.gov

102,362

Minnesota

SBM

10,566

Missouri

HealthCare.gov

79,719

Mississippi

HealthCare.gov

52,932

Montana

HealthCare.gov

16,592

North Carolina

HealthCare.gov

236,193

North Dakota

HealthCare.gov

10,717

Nebraska

HealthCare.gov

37,005

Nevada

SBM

16,089

New Hampshire

HealthCare.gov

15,902

New Jersey

SBM

30,002

New Mexico

SBM

7,203

New York

SBM

40,851

Ohio

HealthCare.gov

86,487

Oklahoma

HealthCare.gov

53,386

Oregon

HealthCare.gov

52,379

Pennsylvania

SBM

50,376

Rhode Island

SBM

1,506

South Carolina

HealthCare.gov

110,538

South Dakota

HealthCare.gov

15,314

Tennessee

HealthCare.gov

86,668

Texas

HealthCare.gov

747,860

Utah

HealthCare.gov

111,344

Vermont

SBM

1,695

Virginia

HealthCare.gov

106,141

Washington

SBM

23,417

Wisconsin

HealthCare.gov

86,685

West Virginia

HealthCare.gov

7,953

Wyoming

HealthCare.gov

12,725

 

Glossary

HealthCare.gov States: The 33 states that use the HealthCare.gov platform for the 2022 coverage year, including the Federally-facilitated Marketplace and State-based Marketplaces that use the federal platform (HealthCare.gov). For 2022, Kentucky, Maine, and New Mexico transitioned to state Marketplace platforms and are not included in the 33 states using HealthCare.gov for 2022. The 33 states for 2022 include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

State-based Marketplace (SBM) States: The 17 states and the District of Columbia with Marketplaces that operate their own eligibility and enrollment platforms. The 18 SBMs for 2022 are California, Colorado, Connecticut, the District of Columbia, Idaho, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, and Washington. Generally, the data metric definitions provided here are applicable to the SBM metrics, with some exceptions. Please contact the SBMs for additional information on their metrics.

Cumulative 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 from November 1, 2021 through the end of the reporting period. 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 (HealthCare.gov States): A consumer is considered to be a new consumer if they did not have 2021 Marketplace coverage through December 31, 2021, and made a 2022 plan selection.

New Consumers (SBM States): A consumer is considered to be a new consumer if they did not have 2021 Marketplace coverage in a SBM that uses its own platform, and made a 2022 plan selection on or after November 1, 2021.

Returning Consumers (HealthCare.gov States): A consumer is considered to be a renewing consumer if they have 2021 Marketplace coverage through December 31, 2021, and either actively select the same plan or a new plan for 2022. The returning consumers count doesn’t currently include consumers who have been automatically re-enrolled in their current plan.

Returning Consumers (SBM States): A consumer is considered to be a returning consumer if they have 2021 Marketplace coverage through December 31, 2021, and either actively select the same plan or a new plan for 2022. The returning consumers count doesn’t currently include consumers who have been automatically re-enrolled in their 2021 plan or an alternate suggested plan. SBMs have reported the following data on plan selections for auto re-enrolled consumers.

 

SBM

Auto Re-enrollee Plan Selections

Total

2,992,017

CA

1,293,360

CO

Not reported

CT

75,197

DC

14,864

ID

57,980

KY

63,328

ME

46,060

MD

139,237

MA

239,912

MN

96,692

NV

72,760

NJ

255,257

NM

30,509

NY

86,525

PA

278,280

RI

29,552

VT

23,106

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[1] For states using the HealthCare.gov platform, cumulative data include plan selections from November 1 – December 4, 2021. Due to the timing of data collection from SBMs, cumulative data for SBMs include plan selections from November 1 – November 27, 2021.

[2] The returning consumers metric in this report only includes consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2022 coverage, and excludes consumers who have been automatically re-enrolled in their 2021 plan or a suggested alternate plan. Please see the glossary for data on auto re-enrolled consumers that SBMs have reported to CMS.

[3] In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with incomes below 200 percent of the FPL, who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP.  From November 1 – November 27, 2021, New York had a total of 937,908 individuals enroll in a BHP.  Minnesota’s data was unavailable at the time of this report.