Insurance Exchanges

This document contains final regulations relating to requirements for Affordable Insurance Exchanges (Exchanges) to report information on enrollments in qualified health plans, and it directs exchanges to report to the IRS and to taxpayers certain information necessary to reconcile the premium tax credit with advance credit payments and to administer the premium tax credit generally.
 

The Health Insurance Exchange (HIX) Compare dataset provides information on benefit design and cost sharing for health plans offered in all 50 states and the District of Columbia. Specifically, the dataset includes data on premiums, network composition, deductibles, out-of-pocket limits, and copayment and coinsurance amounts. This data, updated May 1, 2014, was collected from state and federal government-sponsored exchange websites, and will provide perspective on consumer choice and affordability under the ACA.
 

This is the sixth in a series of issue briefs highlighting national and state-level enrollment-related information for the Health Insurance Marketplace (Marketplace). This brief includes data for State-Based Marketplaces (SBMs), Federally-Facilitated Marketplaces (FFMs), and Marketplaces that are run by states in partnership with the federal government. This brief also includes updated data on the characteristics of persons who have selected a Marketplace plan (by gender, age, and financial assistance status) and the plans that they have selected (by metal level), and it includes self-reported race/ethnicity data on persons who have selected a Marketplace plan through the FFM.
 

The ACA has created a Health Insurance Marketplace (Marketplace) in every state, which offers individuals and small businesses the opportunity to shop from an array of affordable, comprehensive health insurance plans.  For those states that opted to operate a State-based Marketplace (SBM) or State Partnership Model (SPM), the ACA provides significant flexibility in the design and structure of the Marketplace; hundreds of policy and operational decisions had to be addressed during the Marketplace implementation process. CBPP has evaluated SBM and SPM states across a number of these Marketplace design questions and compiled the information in this interactive tool.
 

Even though the ACA’s first Open Enrollment period has ended, the work of enrolling young adults in health insurance is not done yet, and it does not need to wait until the next round of open enrollment, starting on November 15, 2014. Many situations trigger Special Enrollment Periods, allowing consumers to purchase health insurance plans on the marketplace outside of Open Enrollment. Importantly, young people are more likely to experience these life events than other age group. This report identifies the events that trigger special enrollment periods and demonstrate how young people are systematically more likely to qualify.