State Based Marketplace Enrollment Holds Strong; Indicating That Enrollment Should Have Been Even Higher

With California announcing final numbers this morning, state based marketplaces are reporting that enrollment held strong. 3,015,237 have signed up for 2018 coverage — that compares to the total CMS number released last year of 3,014,198. Combining and current sign-ups for state based marketplaces, overall enrollment is 96% of last year’s 12.2 million despite the significant obstacles put in place by the Trump Administration. enrollment set records this year and surpassed expectations. Nearly 8.8 million people signed up for health coverage through Demand from new consumers this year outpaced new enrollments last year every single week with a total of about 2.5 million new people signing up for coverage. Almost 6.3 million returning consumers actively renewed their coverage or were automatically re-enrolled compared to nearly 6.2 million people last year.

Strong Enrollment in state based marketplaces underscores just how much higher enrollment in states would have been this year if not for the Trump administration’s actions.

All three of the states that concluded their enrollment periods on or near the shortened federal deadline of December 15 did not match their totals from last year; including Idaho, Maryland and Vermont. Note: Maryland extended their deadline to 12/22 two days before the 12/15 deadline.

This year, California and New York comprised about 59% of State Based Marketplace enrollment. Neither changed their final deadline and both spent significant resources on outreach and advertising. New enrollment is a key indicator for the impact of outreach, and both California and New York saw more new enrollment compared to last year — 103% and 117% of OE4 respectively. In contrast, new enrollment was 82% of last year, albeit with just 45 days.

Of the 10 states who have their own state based marketplaces and whose deadline has lapsed, 7 surpassed their totals from last year (CO, CT, DC, MA, MN, NY, WA). This includes Colorado which surpassed its total last year according to CMS data.

Despite the Trump administration’s decisions to cut the Open Enrollment period in half and to stop the majority of outreach in states, consumer demand for coverage and lower net premiums were likely important factors that helped boost enrollment nationally.

The table below walks through where each state currently stands:

* Colorado’s 2017 plan selection number of 161,568 is the final number that CMS released for Colorado plan selections; however, Colorado uses 172,361. The difference can be attributed to the date. CMS released numbers as of the final deadline of 1/31 while Colorado kept signing people up until 2/3. If using the 172,361 number, instead of being nearly 3% over last year, Colorado finished about 4% down. ** Maryland extended their 12/15 deadline until 12/22 two days before the final deadline. ***Final numbers have not been released for Rhode Island or Vermont.
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