CMS NEWS: Biweekly Enrollment Snapshot

FOR IMMEDIATE RELEASE
November 30, 2016
Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries

Biweekly Enrollment Snapshot

WEEKS 3 AND 4, NOV 13 – 26, 2016 Four weeks into Open Enrollment, millions of Americans continue to visit HealthCare.gov and sign up for Marketplace plans, demonstrating the strong demand for quality, affordable coverage.  Over 2.1 million people have selected plans using the HealthCare.gov platform since Open Enrollment began on November 1, including over half a million new consumers and 1.6 million consumers renewing their coverage. Enrollments for these two weeks represent an increase of 167,000 plan selections versus the third and fourth weeks of Open Enrollment last year. In addition, the total number of plan selections at this point exceeds last year by over 97,000, even though this year’s totals include two fewer days. In addition to national data, this snapshot includes state-by-state plan selection estimates for those states using HealthCare.gov.

“With plans available for less than $75 per month in premiums, 2.1 million Americans have already selected coverage through HealthCare.gov, more than had signed up at this time last year,” said Department of Health and Human Services Secretary Sylvia Burwell. “I hear from people across the country just how much coverage matters to them, so I continue to encourage all Americans who need health insurance for 2017 to visit HealthCare.gov and check out their options. Consumers should be sure to enroll by December 15^th for coverage that starts January 1^st.”

As in past years, enrollment weeks are measured Sunday through Saturday. Since this year Open Enrollment began on a Tuesday, the cumulative totals reported in this snapshot reflect two fewer days than last year’s Week 4 snapshot, yet enrollment exceeds last year’s total.

Every two weeks during Open Enrollment, the Centers for Medicare and Medicaid Services (CMS) will release 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 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 occur, such as due to life changes like starting a new job or getting married. In addition, as in previous years, the biweekly snapshot only reports new plan selections, active plan renewals and, starting at the end of December, auto-renewals; it does not report the number of consumers who have paid premiums to effectuate their enrollment.

Later in the Open Enrollment period, HHS will produce more detailed reports that look at plan selections across the Marketplace, including both states using the HealthCare.gov platform and State-based Marketplaces using their own enrollment platforms.

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

Federal Marketplace Snapshot

Federal Marketplace Snapshot	Weeks 3 and 4 Nov 13 - 26	Cumulative Nov 1 – Nov 26
Plan Selections (net)	1,129,499	2,137,717
New Consumers	273,059	519,492
Consumers Renewing Coverage	856,440	1,618,225
Consumers on Applications Submitted	1,804,840	3,862,599
Call Center Volume	1,297,952	2,545,851
Calls with Spanish Speaking Representative	85,516	172,642
HealthCare.gov Users	4,226,761	8,040,513
CuidadoDeSalud.gov Users	137,566	253,634
Window Shopping HealthCare.gov Users	562,007	1,681,789
Window Shopping CuidadoDeSalud.gov Users	10,223	23,931

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

Week 4	Cumulative Nov 1 – Nov 26
Alabama	48,509
Alaska	4,742
Arizona	38,222
Arkansas	13,826
Delaware	5,875
Florida	514,580
Georgia	106,905
Hawaii	4,726
Illinois	68,192
Indiana	33,707
Iowa	12,099
Kansas	24,778
Kentucky	20,276
Louisiana	25,863
Maine	15,653
Michigan	66,100
Mississippi	18,493
Missouri	61,615
Montana	12,395
Nebraska	23,096
Nevada	19,899
New Hampshire	10,554
New Jersey	65,215
New Mexico	12,071
North Carolina	134,049
North Dakota	4,635
Ohio	47,535
Oklahoma	31,803
Oregon	40,290
Pennsylvania	102,110
South Carolina	50,205
South Dakota	8,005
Tennessee	55,434
Texas	220,379
Utah	46,652
Virginia	92,136
West Virginia	7,876
Wisconsin	62,809
Wyoming	6,408

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.

Plan selections will include those consumers who are automatically re-enrolled into a plan, 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 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 1^st, 2016.

Renewing Consumers: A consumer is considered to be a renewing consumer if they had 2016 Marketplace coverage on November 1^st, 2016 at the start of Open Enrollment and either actively select the same plan or a new plan for 2017 or are automatically re-enrolled into a plan, which occurs at the end of December.

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 that use the HealthCare.gov platform for the 2017 benefit year, including the Federally-facilitated Marketplace, 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 orCuidadoDeSalud.gov user total.