Six State Experiences with Marketplace Renewals: A Look Back and a Glimpse Forward

A health insurance marketplace renewal process that accounts for both enrollee convenience and the changing value of financial assistance from year to year will likely play an important role in maintaining overall enrollment and long-term sustainability for state-based marketplaces. Through marketplace enrollment data and interviews with marketplace officials, insurer representatives and navigators, this paper examines how six state-based marketplaces experienced the first year of renewals. It finds that while the marketplaces approached renewals differently, they faced similar challenges, but were successful overall in retaining a substantial proportion of their 2014 enrollees.