CMS NEWS: Biweekly Enrollment Snapshot

FOR IMMEDIATE RELEASE
February 2, 2017
Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries

WEEKS 12 through 14, JAN 15- JAN 31 2017

On January 31, 2017, Open Enrollment for 2017 coverage ended with more than 9.2 million plan selections in states that use the HealthCare.gov eligibility and enrollment platform. Those selections were made from a market that experienced a 25 percent increase over the previous year in the average premium for the benchmark second-lowest cost silver plan as well as a 28 percent decline in the number of issuers participating over the past year.

This Open Enrollment Snapshot covers the period from January 15, 2017 through January 31, 2017.

This snapshot does not include plan selections from State-based Marketplaces. CMS will release a detailed final enrollment report in March, including final plan selection data from State-based Marketplaces.

Of the more than 9.2 million consumers who selected a plan through the HealthCare.gov platform, about 3 million are new consumers, which means 33 percent of all plan selections were from new consumers. In addition to the approximately 3 million new HealthCare.gov consumers, about 6.2 million were returning Marketplace consumers.

This year’s plan selection totals take into account any consumer initiated or insurer initiated cancellations that occurred during Open Enrollment.

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 due to life changes like starting a new job or getting married occur. In addition, as in previous years, the biweekly snapshot does not report the number of consumers who have paid premiums to effectuate their enrollment.

A more detailed report that looks at plan selections across all states for the entire Open Enrollment period will be released in March.

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

Federal Marketplace Snapshot

Federal Marketplace Snapshot	Weeks 12-14 Jan 15-Jan 31	Cumulative Nov 1 –  Jan 31
Plan Selections (net)	376,260	9,201,805
Applications Submitted (Number of Consumers)	1,085,388	12,545,172
Call Center Volume	2,440,514	12,622,981
Calls with Spanish Speaking Representative	226,025	866,668
HealthCare.gov Users	6,437,510	27,874,430
CuidadoDeSalud.gov Users	255,564	996,273
Window Shopping HealthCare.gov Users	406,327	4,205,012
Window Shopping CuidadoDeSalud.gov Users	9,390	70,099

HealthCare.gov State-by-State Snapshot

The Snapshot provides cumulative individual plan selections for the 39 states using the HealthCare.gov platform.

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

State	Cumulative Plan Selections Nov 1 – Jan 31
Alaska	19,145
Alabama	178,414
Arkansas	70,404
Arizona	196,291
Delaware	27,584
Florida	1,760,025
Georgia	493,880
Hawaii	18,938
Iowa	51,573
Illinois	356,403
Indiana	174,611
Kansas	98,780
Kentucky	81,155
Louisiana	143,577
Maine	79,407
Michigan	321,451
Missouri	244,382
Mississippi	88,483
Montana	52,473
North Carolina	549,158
North Dakota	21,982
Nebraska	84,371
New Hampshire	53,024
New Jersey	295,067
New Mexico	54,653
Nevada	89,061
Ohio	238,843
Oklahoma	146,286
Oregon	155,430
Pennsylvania	426,059
South Carolina	230,211
South Dakota	29,622
Tennessee	234,125
Texas	1,227,290
Utah	197,187
Virginia	410,726
Wisconsin	242,863
West Virginia	34,045
Wyoming	24,826

HealthCare.gov Local Market Snapshot

The Weeks 12 through 14 snapshot includes a look at plan selection by Designated Market Areas (DMAs) which are local media markets. These data provide 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 for 2017. Plan selections for those DMAs only include data for the portion of the DMA that is using the HealthCare.gov platform, so the amounts reported in the snapshot do not represent plan selections for the entire DMA. However, in cases where a DMA includes portions of multiple states but all of those states use the HealthCare.gov platform, the reported amounts reflect the whole DMA. 

Local Markets in HealthCare.gov States	State	Cumulative Plan Selections Nov 1 –  Jan 31
Abilene-Sweetwater	Texas	9,707
Albany	Georgia	12,410
Albuquerque-Santa Fe	New Mexico	45,155
Alexandria	Louisiana	5,316
Alpena	Michigan	1,418
Amarillo	Texas	14,339
Anchorage	Alaska	12,334
Atlanta	Georgia	377,719
Augusta	Georgia	24,960
Austin	Texas	113,863
Bangor	Maine	21,030
Baton Rouge	Louisiana	28,659
Beaumont-Port Arthur	Texas	15,298
Bend	Oregon	8,647
Billings	Montana	12,150
Biloxi-Gulfport	Mississippi	8,672
Birmingham (Ann and Tusc)	Alabama	65,773
Bluefield-Beckley-Oak Hill	West Virginia	6,559
Boise	Idaho	854
Boston (Manchester)	Massachusetts	42,492
Bowling Green	Kentucky	5,161
Buffalo	New York	1,319
Burlington-Plattsburgh	Vermont	5,239
Butte-Bozeman	Montana	10,930
Casper-Riverton	Wyoming	5,525
Cedar Rapids-Wtrlo-IWC & Dub	Iowa	14,563
Champaign & Sprngfld-Decatur	Illinois	23,237
Charleston	South Carolina	44,256
Charleston-Huntington	West Virginia	17,634
Charlotte	North Carolina	182,958
Charlottesville	Virginia	10,562
Chattanooga	Tennessee	34,054
Cheyenne-Scottsbluf	Wyoming	5,616
Chicago, IL	Illinois	282,236
Cincinnati, OH	Ohio	50,573
Clarksburg-Weston	West Virginia	4,799
Cleveland-Akron (Canton)	Ohio	79,754
Columbia	South Carolina	45,420
Columbia-Jefferson City	Missouri	14,267
Columbus	Georgia	18,510
Columbus	Ohio	53,660
Columbus-Tupelo-West Point	Mississippi	12,355
Corpus Christi	Texas	21,238
Dallas-Ft. Worth	Texas	341,633
Davenport-R. Island-Moline	Iowa/Illinois	16,119
Dayton	Ohio	22,166
Denver	Colorado	8,329
Des Moines-Ames	Iowa	18,987
Detroit	Michigan	162,464
Dothan	Alabama	8,055
Duluth-Superior	Minnesota	5,545
El Paso (Las Cruces)	Texas	60,865
Elmira (Corning)	New York	1,234
Erie	Pennsylvania	9,808
Eugene	Oregon	21,435
Evansville	Indiana	17,306
Fairbanks	Alaska	1,952
Fargo-Valley City	North Dakota	11,059
Flint-Saginaw-Bay City	Michigan	30,553
Ft. Myers-Naples	Florida	99,980
Ft. Smith-Fay-Sprngdl-Rgrs	Arkansas	23,189
Ft. Wayne	Indiana	19,859
Gainesville	Florida	18,991
Glendive	Montana	498
Grand Rapids-Kalmzoo-B.Crk	Michigan	61,165
Great Falls	Montana	7,190
Green Bay-Appleton	Wisconsin	50,734
Greensboro-H.Point-W.Salem	North Carolina	94,596
Greenville-N.Bern-Washngtn	North Carolina	39,429
Greenvll-Spart-Ashevll-And	North Carolina	117,053
Greenwood-Greenville	Mississippi	5,415
Harlingen-Wslco-Brnsvl-Mca	Texas	58,837
Harrisburg-Lncstr-Leb-York	Pennsylvania	55,983
Harrisonburg	Virginia	11,287
Hattiesburg-Laurel	Mississippi	10,217
Helena	Montana	2,690
Honolulu	Hawaii	18,934
Houston	Texas	359,932
Huntsville-Decatur	Alabama	40,749
Idaho Falls-Pocatello	Idaho	2,378
Indianapolis	Indiana	81,443
Jackson	Mississippi	30,436
Jackson	Tennessee	8,839
Jacksonville	Florida	101,388
Johnstown-Altoona	Pennsylvania	19,352
Jonesboro	Arkansas	4,884
Joplin-Pittsburg	Missouri	12,920
Juneau	Alaska	866
Kansas City	Kansas/Missouri	99,409
Knoxville	Tennessee	49,636
La Crosse-Eau Claire	Wisconsin	20,044
Lafayette	Indiana	3,986
Lafayette	Louisiana	18,276
Lake Charles	Louisiana	5,317
Lansing	Michigan	17,729
Laredo	Texas	15,037
Las Vegas	Nevada	65,113
Lexington	Kentucky	22,811
Lima	Ohio	2,647
Lincoln & Hastings-Krny	Nebraska	37,469
Little Rock-Pine Bluff	Arkansas	34,258
Louisville	Kentucky	35,182
Lubbock	Texas	13,330
Macon	Georgia	20,407
Madison	Wisconsin	36,958
Marquette	Michigan	8,978
Medford-Klamath Falls	Oregon	14,612
Memphis	Tennessee	55,747
Meridian	Mississippi	4,915
Miami-Ft. Lauderdale	Florida	635,826
Milwaukee	Wisconsin	95,195
Minneapolis-St. Paul	Minnesota	12,945
Minot-Bismarck-Dickinson	North Dakota	12,496
Missoula	Montana	17,398
Mobile-Pensacola (Ft Walt)	Alabama	65,402
Monroe-El Dorado	Louisiana/Arkansas	12,209
Montgomery-Selma	Alabama	20,851
Myrtle Beach-Florence	Florida	44,577
Nashville	Tennessee	96,627
New Orleans	Louisiana	64,010
New York	New York	231,915
Norfolk-Portsmth-Newpt News	Virginia	78,256
North Platte	Nebraska	1,663
Odessa-Midland	Texas	12,666
Oklahoma City	Oklahoma	74,597
Omaha	Nebraska	36,668
Orlando-Daytona Bch-Melbrn	Florida	337,079
Ottumwa-Kirksville	Missouri	3,381
Paducah-Cape Girard-Harsbg	Illinois/Kentucky/Missouri	23,636
Panama City	Florida	23,244
Parkersburg	West Virginia	3,003
Peoria-Bloomington	Illinois	13,938
Philadelphia	Pennsylvania	286,501
Phoenix (Prescott)	Arizona	156,628
Pittsburgh	Pennsylvania	83,401
Portland, OR	Oregon	103,405
Portland-Auburn	Maine	58,722
Presque Isle	Maine	4,090
Quincy-Hannibal-Keokuk	Illinois/Missouri/Iowa	7,452
Raleigh-Durham (Fayetvlle)	North Carolina	149,774
Rapid City	South Dakota	8,954
Reno	Nevada	22,703
Richmond-Petersburg	Virginia	74,035
Roanoke-Lynchburg	Virginia	53,748
Rochestr-Mason City-Austin	Minnesota/Iowa	1,737
Rockford	Illinois	13,132
Salisbury	Maryland	7,863
Salt Lake City	Utah	197,056
San Angelo	Texas	4,726
San Antonio	Texas	113,612
Savannah	Georgia	40,683
Sherman-Ada	Texas	10,477
Shreveport	Louisiana	27,408
Sioux City	Iowa	11,317
Sioux Falls(Mitchell)	South Dakota	22,818
South Bend-Elkhart	Indiana	26,209
Spokane	Washington	1,288
Springfield	Missouri	49,077
St. Joseph	Missouri	4,093
St. Louis	Missouri	119,918
Tallahassee-Thomasville	Florida	29,794
Tampa-St. Pete (Sarasota)	Florida	299,899
Terre Haute	Indiana	8,962
Toledo	Ohio	20,202
Topeka	Kansas	12,613
Traverse City-Cadillac	Michigan	26,280
Tri-Cities	Tennessee	25,676
Tucson (Sierra Vista)	Arizona	34,104
Tulsa	Oklahoma	52,415
Tyler-Longview(Lfkn&Ncgd)	Texas	30,021
Victoria	Texas	2,562
Waco-Temple-Bryan	Texas	24,980
Washington, DC (Hagerstown)	Virginia/Maryland/District of Columbia	185,562
Wausau-Rhinelander	Wisconsin	22,576
West Palm Beach-Ft. Pierce	Florida	195,158
Wheeling-Steubenville	Ohio	6,306
Wichita Falls & Lawton	Texas	11,531
Wichita-Hutchinson Plus	Kansas	37,700
Wilkes Barre-Scranton	Pennsylvania	46,783
Wilmington	Delaware	30,413
Yakima-Pasco-Rchlnd-Knnwck	Oregon	1,871
Youngstown	Ohio	14,095
Yuma-El Centro	Arizona	3,237
Zanesville	Ohio	1,724

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.

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 selected the same plan or a new plan for 2017, were automatically re-enrolled into their plan, or were signed up for January 1 coverage through a suggested alternate plan.

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 with Marketplaces that use the HealthCare.gov platform for the 2017 benefit year, including those with Federally-facilitated Marketplaces, 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 or CuidadoDeSalud.gov user total.