martes, 8 de septiembre de 2015

CMS Fact Sheet: Quarterly Effectuated Enrollment Release

Centers for Medicare & Medicaid Services

September 8, 2015
Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries

June 30, 2015 Effectuated Enrollment Snapshot
On June 30, 2015, about 9.9 million consumers had effectuated Health Insurance Marketplace coverage – which means those individuals paid their premiums and had an active policy at the end of June.1 These numbers are consistent with HHS’s effectuated enrollment target of 9.1 million for the end of 2015.
Of the approximately 9.9 million consumers nationwide with effectuated Marketplace enrollments at the end of June 2015, about 84 percent, or more than 8.3 million consumers, were receiving an advanced premium tax credit (APTC) to make their premiums more affordable throughout the year. The average APTC for those enrollees who qualified for the financial assistance was $270 per month.2  
There were 7.2 million consumers with effectuated enrollments at the end of June 2015 through the 37 Federally-Facilitated Marketplaces (including State Partnership Marketplaces) and supported State-based Marketplaces (collectively known as states) and 2.7 million through the remaining State-based Marketplaces.3
“Consumers from coast-to-coast are continuing to show how important health coverage is to their families,” said HHS Secretary Sylvia Burwell. “Millions of Americans are benefiting from the peace of mind that comes with having quality coverage at a price they can afford as they access coverage through the Affordable Care Act’s Marketplace.”
CMS releases Marketplace state-by-state effectuated enrollment snapshots on a quarterly basis, detailing how many consumers have an effectuated enrollment, how many are benefiting from APTC and/or cost-sharing reductions (CSR), and the distribution of effectuated enrollment by qualified health plan metal level. The first Marketplace enrollment snapshot for 2015 was released on June 2 and covered effectuated enrollment through March 31, showing that 10.2 million consumers had effectuated coverage. Today’s snapshot also provides an update through June 30 on the number of individuals with citizenship, immigration status, or household income data matching issues.
The Marketplace effectuated enrollment snapshot provides point-in-time estimates. CMS expects enrollment numbers will change over time as consumers find other coverage or experience changes in life circumstances such as employment status or marriage, which may cause consumers to change, newly enroll in, or terminate their plans.4
For more in-depth information, the full fact sheet can be viewed at


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