Health Insurance Marketplace Open Enrollment Snapshot - Week 10 January 3, 2016 - January 9, 2016

News Release from Health.gov January 13, 2016

Since Open Enrollment began on November 1, nearly 8.7 million consumers 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 for the first time this Open Enrollment, cumulative data for certain local areas.

“Consumers have only two days left before the January 15 deadline to sign up for coverage starting February 1,” HHS Secretary Sylvia Burwell said. “We saw unprecedented demand for January 1st coverage and continue to make steady progress signing up new customers as open enrollment proceeds. We are focused on educating customers about the affordable options at HealthCare.gov and providing them the help they need to make the best coverage choices.”

Similar to last year, each week, the Centers for Medicare and 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 10

Jan 3 – Jan 9 Cumulative / Nov 1 – Jan 9

• Plan Selections (net) 74,239 / 8,682,471
• Applications Submitted (Number of Consumers) 253,565 / 11,066,884
• Call Center Volume 830,465 / 10,397,132
• Average Call Center Wait Time 1 minute 21 seconds / 10 minutes 33 seconds
• Calls with Spanish Speaking Representative 63,777 / 619,274
• Average Wait for Spanish Speaking Rep 9 seconds / 20 seconds
• HealthCare.gov Users 1,970,588 / 21,283,462
• CuidadoDeSalud.gov Users 148,444 / 1,079,026
• Window Shopping HealthCare.gov Users 503,652 / 7,491,314
• Window Shopping CuidadoDeSalud.gov Users 10,110 / 147,314

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 10 Cumulative Plan Selections Nov 1 – Jan 9

• Alabama 179,115
• Alaska 21,671
• Arizona 176,089
• Arkansas 66,635
• Delaware 26,698
• Florida 1,583,088
• Georgia 522,895
• Hawaii 11,949
• Illinois 348,932
• Indiana 183,185
• Iowa 50,083
• Kansas 89,229
• Louisiana 193,249
• Maine 78,891
• Michigan 325,200
• Mississippi 96,984
• Missouri 260,798
• Montana 55,474
• Nebraska 80,128
• Nevada 77,411
• New Hampshire 51,048
• New Jersey 262,400
• New Mexico 48,385
• North Carolina 563,830
• North Dakota 20,046
• Ohio 226,156
• Oklahoma 130,700
• Oregon 134,629
• Pennsylvania 411,675
• South Carolina 203,634
• South Dakota 23,320
• Tennessee 238,945
• Texas 1,120,440
• Utah 153,222
• Virginia 390,029
• West Virginia 34,827
• Wisconsin 220,260
• Wyoming 21,221

HealthCare.gov Local Area Snapshot

The Week 10 snapshot includes, for the first time this Open Enrollment, a look at plan section by Designated Market Areas (DMAs) which are local media markets. This 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 the national cumulative plan selection number.

Local Markets in HealthCare.gov States State Cumulative Plan Selections Nov 1 – Jan 9

• Abilene-Sweetwater Texas 9,364
• Albany Georgia 14,939
• Albuquerque-Santa Fe New Mexico 41,433
• Alexandria Louisiana 8,770
• Alpena Michigan 1,941
• Amarillo Texas 13,279
• Anchorage Alaska 13,942
• Atlanta Georgia 394,458
• Augusta Georgia 29,967
• Austin Texas 112,628
• Bangor Maine 22,144
• Baton Rouge Louisiana 41,186
• Beaumont-Port Arthur Texas 13,541
• Bend Oregon 9,967
• Billings Montana 15,640
• Biloxi-Gulfport Mississippi 8,802
• Birmingham (Ann and Tusc) Alabama 70,898
• Bluefield-Beckley-Oak Hill West Virginia 7,391
• Boise Idaho 875
• Boston (Manchester) Massachusetts 40,712
• Buffalo New York 1,217
• Burlington-Plattsburgh Vermont 4,818
• Butte-Bozeman Montana 9,264
• Casper-Riverton Wyoming 4,604
• Cedar Rapids-Wtrlo-Iwc & Dub Iowa 15,251
• Champaign & Sprngfld-Decatur Illinois 22,852
• Charleston South Carolina 41,274
• Charleston-Huntington West Virginia 16,116
• Charlotte North Carolina 189,940
• Charlottesville Virginia 15,145
• Chattanooga Tennessee 36,393
• Cheyenne-Scottsbluf Wyoming 6,038
• Chicago Illinois 278,687
• Cincinnati Ohio 44,946
• Clarksburg-Weston West Virginia 5,737
• Cleveland-Akron (Canton) Ohio 81,207
• Columbia South Carolina 39,227
• Columbia-Jefferson City Missouri 20,853
• Columbus Georgia 18,677
• Columbus Ohio 44,189
• Columbus-Tupelo-West Point Mississippi 12,678
• Corpus Christi Texas 17,604
• Dallas-Ft. Worth Texas 333,105
• Davenport-R. Island-Moline Iowa/Illinois 16,188
• Dayton Ohio 21,450
• Denver Colorado 6,705
• Des Moines-Ames Iowa 18,680
• Detroit Michigan 168,624
• Dothan Alabama 8,962
• Duluth-Superior Minnesota 6,535
• El Paso (Las Cruces) Texas 56,719
• Elmira (Corning) New York 1,149
• Erie New York 8,425
• Eugene Oregon 18,871
• Evansville Indiana 14,057
• Fairbanks Alaska 2,660
• Fargo-Valley City North Dakota 10,393
• Flint-Saginaw-Bay City Michigan 29,645
• Ft. Myers-Naples Florida 84,257
• Ft. Smith-Fay-Sprngdl-Rgrs Arkansas 21,599
• Ft. Wayne Indiana 21,401
• Gainesville Florida 18,136
• Glendive Montana 530
• Grand Rapids-Kalmzoo-B.Crk Michigan 65,950
• Great Falls Montana 7,695
• Green Bay-Appleton Wisconsin 49,004
• Greensboro-H.Point-W.Salem North Carolina 101,278
• Greenville-N.Bern-Washngtn North Carolina 40,539
• Greenvll-Spart-Ashevll-And North Carolina 110,013
• Greenwood-Greenville Mississippi 6,780
• Harlingen-Wslco-Brnsvl-Mca Texas 48,639
• Harrisburg-Lncstr-Leb-York Pennsylvania 59,028
• Harrisonburg Virginia 11,652
• Hattiesburg-Laurel Mississippi 10,713
• Helena Montana 2,581
• Honolulu Hawaii 11,949
• Houston Texas 298,346
• Huntsville-Decatur Alabama 35,878
• Idaho Falls-Pocatello Idaho 2,711
• Indianapolis Indiana 83,652
• Jackson Mississippi 38,558
• Jackson Tennessee 10,827
• Jacksonville Florida 94,591
• Johnstown-Altoona Pennsylvania 18,691
• Jonesboro Arkansas 5,419
• Joplin-Pittsburg Missouri 14,679
• Juneau Alaska 3,010
• Kansas City Kansas/Missouri 98,082
• Knoxville Tennessee 47,986
• La Crosse-Eau Claire Wisconsin 23,137
• Lafayette Indiana 3,102
• Lafayette Louisiana 24,003
• Lake Charles Louisiana 6,591
• Lansing Michigan 14,667
• Laredo Texas 12,225
• Las Vegas Nevada 54,593
• Lima Ohio 1,571
• Lincoln & Hastings-Krny Nebraska 35,750
• Little Rock-Pine Bluff Arkansas 32,178
• Louisville Kentucky 8,392
• Lubbock Texas 12,182
• Macon Georgia 21,213
• Madison Wisconsin 32,594
• Marquette Michigan 9,300
• Medford-Klamath Falls Oregon 13,730
• Memphis Tennessee 56,059
• Meridian Mississippi 3,875
• Miami-Ft. Lauderdale Florida 588,183
• Milwaukee Wisconsin 79,557
• Minneapolis-St. Paul Minnesota 10,795
• Minot-Bismarck-Dickinson North Dakota 11,302
• Missoula Montana 19,701
• Mobile-Pensacola (Ft Walt) Alabama 61,110
• Monroe-El Dorado Louisiana/Arkansas 19,782
• Montgomery-Selma Alabama 18,961
• Myrtle Beach-Florence Florida 38,001
• Nashville Tennessee 95,498
• New Orleans Louisiana 79,984
• New York New York 207,404
• Norfolk-Portsmth-Newpt News Virginia 75,197
• North Platte Nebraska 1,602
• Odessa-Midland Texas 11,345
• Oklahoma City Oklahoma 66,171
• Omaha Nebraska 35,793
• Orlando-Daytona Bch-Melbrn Florida 294,236
• Ottumwa-Kirksville Missouri 3,547
• Paducah-Cape Girard-Harsbg Illinois/Kentucky/Missouri 20,183
• Panama City Florida 20,405
• Parkersburg West Virginia 2,965
• Peoria-Bloomington Illinois 12,530
• Philadelphia Pennsylvania 275,638
• Phoenix (Prescott) Arizona 125,265
• Pittsburgh Pennsylvania 76,399
• Portland Oregon 87,649
• Portland-Auburn Maine 57,848
• Presque Isle Maine 4,035
• Quincy-Hannibal-Keokuk Illinois/Missouri/Iowa 7,059
• Raleigh-Durham (Fayetvlle) North Carolina 150,939
• Rapid City South Dakota 7,162
• Reno Nevada 21,251
• Richmond-Petersburg Virginia 72,720
• Roanoke-Lynchburg Virginia 49,112
• Rochestr-Mason City-Austin Minnesota/Iowa 1,317
• Rockford Illinois 12,270
• Salisbury Maryland 6,897
• Salt Lake City Utah 153,763
• San Angelo Texas 4,307
• San Antonio Texas 101,863
• Savannah Georgia 43,716
• Sherman-Ada Texas 8,850
• Shreveport Louisiana 33,634
• Sioux City Iowa 9,748
• Sioux Falls(Mitchell) South Dakota 17,460
• South Bend-Elkhart Indiana 23,907
• Spokane Washington 1,283
• Springfield Missouri 51,653
• St. Joseph Missouri 3,685
• St. Louis Missouri 120,460
• Tallahassee-Thomasville Florida 25,185
• Tampa-St. Pete (Sarasota) Florida 260,266
• Terre Haute Indiana 9,440
• Toledo Ohio 17,735
• Topeka Kansas 11,443
• Traverse City-Cadillac Michigan 24,968
• Tri-Cities Tennessee 24,187
• Tucson (Sierra Vista) Arizona 29,979
• Tulsa Oklahoma 45,241
• Tyler-Longview(Lfkn&Ncgd) Texas 22,045
• Victoria Texas 2,030
• Waco-Temple-Bryan Texas 24,708
• Washington, DC (Hagerstown) 167,238
• Wausau-Rhinelander Wisconsin 20,275
• West Palm Beach-Ft. Pierce Florida 176,371
• Wheeling-Steubenville Ohio 6,687
• Wichita Falls & Lawton Texas 9,680
• Wichita-Hutchinson Plus Kansas 34,056
• Wilkes Barre-Scranton Pennsylvania 44,090
• Wilmington Delaware 31,485
• Yakima-Pasco-Rchlnd-Knnwck Oregon 1,710
• Youngstown Ohio 13,804
• Yuma-El Centro Arizona 3,313
• Zanesville Ohio 1,196

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.
• 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.