START OF 2018 OPEN ENROLLMENT PERIOD

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Rhode Island: 27.5K QHPs, 97% paid (sort of)

As I noted last week, Rhode Island is doing exactly what every state exchange (as well as HC.gov) should be doing, assuming they have the technical capability to do so: They're updating their "enrollment" data weekly by purging those who didn't pay by the payment deadline, thus keeping their enrollment data as "clean" as possible. As a result, their "total" enrollment tally has actually dropped over the past 2 weeks as they cull unpaid enrollees from the official count. This is a good thing.

Unfortunately, since they're the only state doing this so far (both VT and MA are also tracking payment rates, but they're not lowering the "total" number accordingly), it also means that their "total" data is out of sync with everyone else's. This skews my national payment rate calculation a bit, but RI's numbers are so low anyway that it shouldn't have much of an impact one way or the other.

In any event, as of January 31st:

RENEWAL UPDATE
As of January 31, 2015, 78% of Year One customers have renewed (selected a plan) for 2015 (77% of renewing customers paid the first month’s premium).

Total New Customers: 7,588 (7,056 paid)
Total Renewed Customers: 19,887 (19,580 paid)
Total HealthSource RI enrollments for 2015 coverage: 27,475 (26,636 paid)

*Note: Individuals who selected a plan but did not pay by their selected ‘coverage effective date’ were cancelled. Reported enrollment values (plan selections, paid and unpaid) will fluctuate, with potential net decrease due to plan selection cancellation, after the January 23 coverage payment deadline.

Again, without knowing how many people were actually purged, it's difficult to know what the payment rate as a percent of total QHPs selected is, but whatever. The highest number I have was 28,789 as of 1/17; that would be a 92.5% payment rate. Of course, there have 2 more weeks of selections since then, so it's a bit messy.

Anyway, here's some demographic info re. plan switchers & metal levels:

Renewed Customers
2015 vs. 2014 Selection by Plan, by Metal Level and by Insurer

61% of renewing individuals have selected a different plan for 2015
38% of renewing individuals have selected a plan with a different carrier for 2015
81% of renewing individuals have selected a plan in the same metal level for 2015; 6% of renewing individuals bought up by metal level for 2015, while 13% bought down by metal level for 2015

...and here's the SHOP data:

SHOP Enrollment
Cumulative as of January 31, 2015

Small employer accounts created: 1,936
Small employer applications completed: 556

Small employer enrollment (paid and unpaid): 455
These employers represent 3,333 covered lives

Small employer enrollment (paid): 444
These employers represent 3,229 covered lives

76% of small employers are enrolled in the Full Choice Model