END OF 2018 OPEN ENROLLMENT (WASHINGTON STATE)

Time: D H M S

OE5

UPDATE 01/15/18: Since I originally posted this, the deadlines for 2 more states have passed (CO & MN), and I have minor, non-final enrollment updates for MA, MN, DC & WA. Everything in this post has been updated accordingly, including the table below.

As I keep stressing, the 2018 Open Enrollment Period is still going on across 6 states 4 states (+DC). Colorado's deadline is Friday night. Minnesota's is Sunday, followed immediately by Washington State on Monday. Eight days later, Massachusetts closes the books on the 23rd. Finally, eight days after that, OE5 officially ends for the last three state-based exchanges in California, DC and New York State.

UPDATE 1/13/18: Colorado's deadline passed last night, so we're now down to 5 states + DC: 79.9 million people, or roughly 24.5% of the population.

UPDATE 1/15/17: Minnesota's deadline passed last night, so we're now down to 4 states + DC: 74.3 million people, or roughly 23% of the population. (Note: I had a miscalculation in an earlier version of this post)

Happy New Year!

2018 Open Enrollment has officially (and unofficially) ended for 44 states.

HOWEVER...there are 6 other states, as well as the one in the District of Columbia, which have deadlines later than December 31st:

  • Colorado: Jan. 12th for coverage starting Feb. 1st.
  • Minnesota: Jan. 14th for coverage starting Feb. 1st.
  • Washington State: Jan. 15th for coverage starting Feb. 1st.
  • Massachusetts: Jan. 23rd for coverage starting Feb. 1st.
  • California: Jan. 31st (enroll by Jan. 15th for Feb. 1st coverage; enroll by Jan. 31st for Mar. 1st coverage)
  • District of Columbia: Jan. 31st (enroll by Jan. 15th for Feb. 1st coverage; enroll by Jan. 31st for Mar. 1st coverage)
  • New York: Jan. 31st (enroll by Jan. 15th for Feb. 1st coverage; enroll by Jan. 31st for Mar. 1st coverage)

Collectively, these states/DC represent over 85.5 million people, or 26% of the entire U.S. population.

Ten days ago the Washington Health Benefit Exchange reported having enrolled around 231,500 people in 2018 policies after having purged a few thousand who were auto-renewed but then cancelled. This still left them over 6,000 enrollees ahead of last year's final total of 225,600.

Today, with one day left for people to sign up before the January 15th deadline, the Seattle Times reports that WA's tally is up to 234,000:

Washington state is on pace to increase the number of people with health insurance despite efforts by the Republican Congress and the Trump administration to gut the laws known as Obamacare that expanded insurance coverage across the nation.

Of all the state-based exchanges, the one in DC has gone the longest without a formal enrollment update; the last one only included data through December 5th, a whopping 5 weeks ago. Fortunately, the DC board of directors held their monthly meeting last night and produced the following update.

As shown, the tally as of 1/8/18 is 21,352 QHP selections, slightly below last year's 21,437 as of the same date. Since DC (along with California and New York) are sticking with the full 3-month Open Enrollment Period, it should provide a good apples-to-apples comparison (and the fact that very few DC enrollees have CSR assistance also means there's a nominal CSR loading impact, either).

The final, official DC ACA exchange tally last year was 21,248, so technically speaking they've already surpassed that figure...but again, it was 21,437 as of 1/8/17, which means there were at least a few hundred people who were dropped off at the tail end due to cancelling or non-payment of their first premium.

Over at Politico, reporter Jennifer Haberkorn has a pretty impressive scoop about an internal Trump Administration memo from last March which lays out a list of 10 different executive measures Trump planned on taking to muck around with the ACA exchanges and the 2018 Open Enrollment Period:

Trump’s secret plan to scrap Obamacare

Early last year as an Obamacare repeal bill was flailing in the House, top Trump administration officials showed select House conservatives a secret road map of how they planned to gut the health law using executive authority.

The March 23 document, which had not been public until now, reveals that while the effort to scrap Obamacare often looked chaotic, top officials had actually developed an elaborate plan to undermine the law — regardless of whether Congress repealed it.

MNsure, Minnesota's ACA exchange, has just posted their latest official enrollment numbers. It's only a minor update from this unofficial 110K figure a week ago, but every enrollment counts.

111,667 QHP selections bumps them up another 1,667, with 5 days left to go for Minnesota residents to #GetCovered for 2018. It's worth noting that enrollment in MinnesotaCare, MN's name for the ACA's Basic Health Program, has actually dropped slightly since the last hard number update I confirmed back in mid-November (93,049).

Michael Bertaut is a conservative healthcare economist in Louisiana. He and I disagree on most political issues, and he's obviously not a fan of the ACA, but he seems to be intellectually honest about his positions, and he and I have found some common ground over ACA-related stuff in the past.

Case in point: The individual mandate. Bertaut may not care for the ACA overall, but he does recognize, as I do, that if you're going to utilize the "3-legged stool" model for individual market enrollment, it has to include both a positive and negative inducement to encourage (or goad) people into enrolling...aka the Carrot and the Stick. More to the point, if you're going to have a Stick (i.e., the Individual Mandate), it has to be large enough and well-enforced enough to be effective.

(sigh) This is a bit disappointing; just as HealthCare.Gov's "final" enrollment tally dropped by about 78,000 a week later when enrollee cancellations were accounted for, something similar has happened with Massachusetts since Christmas Day: Their tally went from 262,534 on 12/25 to 256,342 QHP selections as of yesterday (01/09), a net drop of about 6,200 people.

This puts the state 10,323 enrollees away from breaking last year's record of 266,664 QHP selections with 14 days left to go before the Jan. 23rd deadline, or a net increase of around 737 enrollees per day.

It's important to keep in mind that not only is the individual mandate still in place for 2018 nationally, Massachusetts still has their own individual mandate penalty on the books regardless, so Bay Staters really should think twice before deciding to take a pass.

I'm a little late with this one (spent pretty much the entire day dealing with cleaning up the aftermath of my Terrible, Horrible, No Good Very Bad Day), but Connect for Health Colorado, the CO ACA exchange, issued their first update since December 17th with 3 days left to go before Open Enrollment ends for 2018:

Connect for Health Colorado® Reports Increase in Healthcare Plan Selections for 2018; Open Enrollment Deadline is Friday
Posted on Tuesday, January 9, 2018

DENVER — More than 158,000 Coloradans selected healthcare coverage for 2018 through the state health insurance Marketplace through January 8, 2018, a rate 2 percent ahead of signups one year ago, according to new data released today by Connect for Health Colorado®, days ahead of the enrollment deadline.

No official press release yet but AccessHealthCT just released a series of tweets with their official final numbers...

114,134 CT residents have enrolled in a health plan for 2018 - 2.3% more than last year! #AHCT

— Access Health CT (@AccessHealthCT) January 8, 2018

The Washington HealthPlan Finder issued a press release today urging people to #GetCovered before their upcoming January 15th Open Enrollment deadline. At first glance it looks like a pretty disappointing update ("over 231,00 QHPs"), since their previous update as of 12/15 was already 230,591, suggesting only a few hundred more people enrolled between December 16th - January 2nd...

Washington Healthplanfinder Reminds Residents It’s Not Too Late to Get Covered
Customers have until 11:59 p.m. on Jan. 15 to sign up for 2018 health and dental plans

The Washington Health Benefit Exchange is reminding residents there is still time to sign up for 2018 health and dental coverage through Washington Healthplanfinder. Customers have 12 more days to make their plan selections before the open enrollment period closes at 11:59 p.m. on Jan. 15.

With less than two weeks remaining until the deadline, more than 231,000 Washingtonians have already used Washington Healthplanfinder to secure their coverage for 2018. 

This just in...

NEARLY 154,000 MARYLANDERS ENROLLED IN MARKETPLACE HEALTH COVERAGE FOR 2018

BALTIMORE (JAN. 4, 2018) – A total of 153,571 Marylanders enrolled in private health coverage during the 2018 open enrollment for Maryland Health Connection, the state-based health insurance marketplace.

In an open enrollment period that was about half as long as a year ago, average daily enrollment in qualified health plans was up 69 percent compared to the prior open enrollment. There were an average of 2,953 enrollments each day during the recent 52-day period, compared to 1,752 average daily enrollments during a 90-day enrollment period a year ago.

“We are thrilled by the robust turnout for 2018 coverage,” said Michele Eberle, executive director of the Maryland Health Benefit Exchange, which administers Maryland Health Connection. “Our hats are off to our call center, consumer assisters and brokers who helped process roughly as many enrollments as last year during a much shorter open enrollment period. We believe the result will be better access and better health outcomes for Maryland families.”

This just in from HealthSourceRI:

Between November 1 and December 31, 2017, 33,021 individuals selected a plan through HealthSource RI. Though Open Enrollment has ended, customers who began, but did not complete, the enrollment process by December 31 will be able to finalize their 2018 enrollment process between January 1 and January 23. HealthSource RI is communicating directly with customers who are eligible for this opportunity. For this reason, final 2018 Open Enrollment figures will not be available until later in the month.

At HealthCare.Gov, around 66,000 stragglers/special case enrollments were added to the total between 12/16 - 12/23, which would translate into around 250 more people in Rhode Island, give or take. Of course, HC.gov also lost 145,000 enrollees due to people dropping their renewals/etc, but RI's exchange is structured a bit differently, with auto-renewals being added on day one, so most of those folks likely already dropped out before the 12/31 tally anyway. My guess is the final total will end up around 33.2K.

A couple of weeks ago I reported that MNsure, Minnesota's ACA exchange, had achieved 108.5K QHP selections, putting them within 1,500 enrollments of breaking their all-time record set last year.

Yesterday they issued the following press release:

Minnesotans benefiting from tax credits averaging over $7,000 per year
January 2, 2018

ST. PAUL, Minn.—With just under two weeks left in the 2018 open enrollment period, MNsure is reminding Minnesota residents of important money-saving tax credits. The statewide household average for tax credits is around $7,000 per year. Approximately 62 percent of enrolled households are receiving tax credits.

“Minnesotans are saving an average of over $7,000 per year from tax credits when purchasing coverage through MNsure,” said Allison O’Toole, MNsure CEO. “This is real money for Minnesota families, and can help make the unaffordable, affordable.”

via U.S. News & World Report:

PROVIDENCE, R.I. (AP) — Rhode Island's health insurance exchange says time is almost up to purchase coverage for 2018.

HealthSource RI says Sunday is the last day to choose and pay for a 2018 health plan through the exchange for residents who don't receive affordable health coverage through an employer.

HealthSource RI said Friday that more than 32,000 people have signed up and many new enrollees are 18 to 34 years old.

Last year, about 30,000 people enrolled.

HealthSource RI says it wants to remind people they need to purchase insurance for 2018 to avoid a tax penalty.

Rhode Island has now officially beaten last year's total of 29,456 QHP selections, though they're still way down from the 34,670 they achieved two years ago. Of course they still have until tomorrow (New Year's Eve deadline), so they might be able to come close. At a minimum, RI is now at least 8.6% ahead of last year.

Pages