July 23, 2020 - Early 2020 Effectuated Enrollment Snapshot
This report provides effectuated enrollment, premium, and advance payments of the premium tax credit (APTC) data for the Federally-facilitated and State-based Exchanges (“the Exchanges”) for February 2020 and for the 2019 plan year.
February 2020 Effectuated Enrollment Snapshot Key Findings
However, it's a bit overly cumbersome: It stretches out over 5 full pages, and includes columns for Standalone Dental Plans as well as a bunch of info regarding the Small Group Market.
To that end, I've cleaned up/simplified the 2021 Submission Deadline table considerably to only include the individual and small group market dates. I'll be perfectly honest: I'm not quite sure what the distinction is between the "Form/Rate Filings" and the "Binder Deadlines", but the dates tend to match up pretty closely, so I've included all of them below.
As I noted a couple of weeks ago, normally I would've been all over the officialCMS 2020 Open Enrollment Period report the moment it was released. It cuts to the core of what I've done here at ACA Signups for the past seven years: Detailed demographic breakouts of everyone who enrolled in on-exchange ACA market policies during the Open Enrollment Period.
Normally this would be a big, wonky, in-depth analysis, but I'm gonna keep it relatively basic this year for two reasons: First, because the final numbers are only slightly different from what I had them at already (seriously, I was only off by around 5,300 enrollees out of over 11.4 million total); second, because with the COVID-19 pandemic having killed well over 5,000 Americans already with no end in sight, I'm not sure anyone really gives a crap at the moment.
Press Release: NY State of Health Announces Record High Enrollment More than 4.9 Million New Yorkers Enrolled
One in four New Yorkers enrolled through NY State of Health
Enrollment through the Marketplace increased by over 150,000 from last year
ALBANY, N.Y. (February 20, 2020) - NY State of Health, the state’s official health plan Marketplace, today announced that over 4.9 million people, more than one in four New Yorkers, signed up for health coverage through NY State of Health during this year’s Open Enrollment Period. With an increase of 150,000 people over 2019, enrollment is at a record level, including more than 1 million people enrolled in Qualified Health Plans and the Essential Plan. Marketplace enrollment growth is consistent with New York’s declining uninsured rate, which reached a historic low of 4.7 percent. Open Enrollment ran from November 1, 2019, through February 7, 2020.
Press Release: HealthSource RI sees another successful Open Enrollment with lower plan rates for 2020
State’s critical market stability initiatives drive decrease in cost for those without financial help
Rhode Island is already seeing the effects of market stability initiatives proposed by Governor Raimondo and enacted by the General Assembly in 2019.
HealthSource RI’s competitive marketplace offered the 2nd lowest-cost benchmark plan nationwide for 2020.
The average monthly cost of a health insurance plan without financial help went down from $441.91 in 2019 to $435.60 in 2020.
HealthSource RI’s individual and family enrollments increased this Open Enrollment, with 32,704 customers enrolled and paid compared to 32,486 last year.
The marketplace saw over 7,000 new enrollees including strong enrollment from the key “young adult” demographic. Nearly 43% of new 2020 customers were “young invincibles” age 18-34, up from 29% percent in HealthSource RI’s renewing population.
HealthSource RI customers took advantage of new customer service tools, including a new webchat service and a search tool that lists which prescription medications are covered by each health insurance plan.
The total number of Individual Market enrollees is 33,982 enrollees as of the end of January. It's important to understand that this is not the same as the number of people who enrolled on the ACA exchange during Open Enrollment, for two reasons: First, 2020 OEP in Vermont ended on December 15th, 2019; this data is as of January 31st. Second, the tables below include both on- and off-exchange enrollees, as opposed to on-exchange only.
Covered California is announcing a special-enrollment period through April 30 to address concerns that many Californians remain unaware of the new financial help or the new state penalty.
Hmmmm....the Special Enrollment Period is interesting. HealthCare.Gov and some state exchanges did something like this in spring 2015 (the first year people had to actually pay the mandate penalty) and managed to get around 210,000 more enrollees nationally. Of course, the penalty for 2014 was only $95 or 1% of income at the time...now it's up to $695/person or 2.5% of household income, so it's a bigger deal.
DC Health Link to Offer Even More Opportunities for Residents to Get Covered
DCHBX Executive Board Votes to Allow Pre-Natal Special Enrollment Period and Four Other New Opportunities
Washington, DC – With Open Enrollment recently concluded, District residents and small businesses have new opportunities to sign up for health insurance coverage through DC Health Link. The DC Health Benefit Exchange Authority (DCHBX) Executive Board recently adopted recommendations from its Standing Advisory Board to create four Special Enrollment Periods (SEP) and an extended open enrollment period for DC small businesses.
This is very interesting. ACA Open Enrollment deadline extensions have become kind of a running joke over the years, but for the most part they've been restricted to the December deadlines. the states with deadlines already extending into January have stuck with them for the most part...until this year.
A few days ago, New York State of Health announced that they're extending their final enrollment deadline (for March 1st coverage) by a week, until midnight on Friday, February 7th.
California and New York have both released updated 2020 Open Enrollment numbers, so I figured I'd update my spreadsheet one more time before the final data is released. This time I've included a smaller secondary table at the bottom which adjusts the Federal and State-based exchange numbers for Nevada.
OFFICIALLY, HealthCare.Gov enrollment is down nearly 128,000 people this year, but that's not fair because Nevada broke off of HC.gov onto their own full state-based exchange platform this year. When you adjust for that, HC.gov is only down 119,000 people for the remaining 38 states. Meanwhile, the state-based exchanges are officially down 2,900 at the moment, but again, with Nevada joining them, they're actually down around 8,900.people.
That leaves the missing enrollment data from five states. Rhode Island and Vermont haven't released any data...I'm assuming they'll both be very close to last year (call it at least 33,000 and 24,000 respectively). I'm assuming New York + DC will be good for perhaps 3,000 more enrollees combined in their final days. And California will likely tack on another 30,000 or so in their final 2 days of Open Enrollment.
Covered California Sees Thousands of People Enroll Each Day as it Approaches Friday’s Final Day of Open Enrollment
More than 364,000 consumers have newly enrolled during the current open-enrollment period, which ends at midnight on Friday, Jan. 31
More than 33,000 people have enrolled since Monday, an average of more than 11,000 people per day.
California passed two new laws for 2020, one that requires Californians to have health insurance or face a penalty, while the other offers new financial help – for the first time – to eligible consumers purchasing coverage.
Open enrollment is the one time when people can sign up for health insurance in the individual market without needing a qualifying life event.