The 2024 ACA Open Enrollment Period (OEP) is now ongoing in 49 states +DC (it doesn't launch until 11/16 in New York).

This is the best OEP ever for the ACA for several reasons:

  • A dozen states are either launching or expanding their own state-based subsidy programs to make ACA plans even more affordable for their enrollees;

And remember, millions of people will be eligible for zero premium comprehensive major medical policies.

If you've never enrolled in an ACA healthcare policy before, or if you looked into it a few years back but weren't impressed, please give it another shot now. Thanks to these major improvements it's a whole different ballgame.

Here's some important things to know when you #GetCovered for 2024:

Via MNsure:

ST. PAUL, Minn. — MNsure, Minnesota’s official health insurance marketplace, is encouraging Minnesotans who need health insurance for 2024 to finish their enrollment now and not wait for the last days before the December 15 deadline to sign up. MNsure’s Contact Center is open Saturday, December 9, from 9 a.m. to 1 p.m. and Saturdays historically have lower call volumes and shorter wait times.

“Comprehensive coverage through MNsure helps protect your family from the unexpected, like high medical bills from an illness you can’t anticipate,” said MNsure CEO Libby Caulum. “Signing up for a full year of health insurance through MNsure today is one of the greatest gifts you can give your family.”

Via Access Health CT's News/Press Releases page:

Stats as of December 8, 2023

Qualified Health Plans (QHP):

  • QHP Enrollment In 2023 Coverage: 106,415
  • 2024 OE Acquisition Summary: 12,636


  • Completed applications/redeterminations processed through the integrated eligibility system: 33,967

It's my understanding that "Acquisition Summary" refers to CT residents who are brand-new enrollees (never enrolled via the exchange before).

The 106.4K figure includes auto-renewals being piled on top of the new/active renewal tally.

By comparison, last year Access Health CT reported enrolling 93,479 people through December 8th (one extra day since Nov. 1st fell on a Tuesday last year); this also included auto-renewals:

  • 2023: 93,479 in 38 days (2,460/day)
  • 2024: 106,415 in 37 days (2,876/day)

In other words, Connect's ACA exchange has enrolled 16.9% more people per day so far.

I included so much data wonkery in my last Open Enrollment Period data breakout that I decided to split one more item onto its own entry.

As I noted in the prior entry, QHP enrollment is running ahead of last year so far in 45 states so far, with it running more than 50% higher in over a dozen of them and more than twice as high in Mississippi.

Another way of looking at this is to compare the confirmed current QHP enrollment in every state as of the most recent data (12/02/23 for states; 11/25/23 for SBM states) against the final total QHP enrollment as of the end of the 2023 Open Enrollment Period.

This is obviously isn't a fair comparison since there's still a full 40 days left for people to enroll and because auto-renewals still have to be added to the federal exchange states. However, it's still interesting to take a look.

For the SBM states, I've included their auto-renewals as reported in either the CMS snapshot report or, in a few cases, even more recent combined enrollment data from the SBMs themselves.

BeWell NM

BeWell NM, New Mexico's state-based ACA exchange, has launched a very handy new Enrollment Data portal which includes plenty of info for a data hound like myself to pore over. The initial 2024 Open Enrollment Period numbers are impressive...but also a bit misleading if you don't know how the exchange enters data.

First, the top line numbers (as of 12/05/23):

  • Number of enrolled consumers: 48,968
  • Consumers enrolled in Medical coverage: 48,327
  • Consumers enrolled in Dental coverage: 11,821

While dental coverage is also important, standalone dental plans aren't considered Qualified Health Plans (QHPs); it's the "Medical Coverage" which is the key number here.

Also, the total number above may look confusing, but most of the Medical & Dental coverage enrollees overlap:

via Connect for Health Colorado:

Connect for Health Colorado continues to set new enrollment records.

DENVER— Today is Get Covered Colorado Day. This day of action was created to encourage as many Coloradans as possible to enroll in 2024 health coverage during the annual Open Enrollment Period. Connect for Health Colorado, the state’s official health insurance marketplace, reports that in the first five weeks of Open Enrollment, 184,240 residents have enrolled in a health insurance plan. This is 29 percent ahead of the same day last year.

 Earlier today I posted the latest official above-the-fold numbers for the 2024 ACA Open Enrollment Period as reported by the Centers for Medicare & Medicaid Services (CMS):

...The graph below shows how these numbers have increased since the same time period last year. I've had to adjust slightly for the fact that there's one fewer day included for both the federal exchange (32 days vs. 33) and the state exchanges (25 days vs. 26).

I've also had to adjust for the fact that Virginia moved from the federal exchange to its own state-based exchange this year, which is further complicated by CMS reporting 5 weeks for the federal exchange but only 4 weeks for state-based exchange. Otherwise, the subtotals are accurate, while the new/returning breakout for 2023 are estimates,but should still be pretty close:

Via the Centers for Medicare & Medicaid Services (CMS):

More than 7 Million Selected Affordable Health Coverage in ACA Marketplace Since Start of Open Enrollment Period

  • Enrollment increases continue as the deadline for January coverage fast approaches

Nearly 7.3 million people have selected an Affordable Care Act (ACA) Health Insurance Marketplace plan since the 2024 Marketplace Open Enrollment Period (OEP) opened on November 1. This represents activity through December 2 (Week 5) for the 32 states using and through November 25 (Week 4) for the 18 states and the District of Columbia with State-based Marketplaces (SBMs). Total plan selections include more than 1.6 million people (23% of total) who are new to the Marketplaces for 2024, and 5.7 million people (77% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew their coverage or select a new plan for 2024.

via Pennie, Pennsylvania's state-based ACA exchange:

Action required by December 15th for Pennsylvanians seeking health coverage. To get the lowest costs on high-quality coverage, visit Pennie, PA’s health insurance marketplace.

Watch press conference, including customer testimonials here.

Harrisburg, Pennsylvania – December 5, 2023 – Today, Pennsylvania leadership held a virtual press conference to highlight the upcoming deadline of December 15th to enroll in health coverage for 2024 through Pennie.

Pennie is Pennsylvania’s official health insurance marketplace ( and the only place where Pennsylvanians can get financial savings to reduce the cost of coverage and care. Currently, 9 in 10 enrollees qualify and save over $500 a month on average.

Right now, during the annual Open Enrollment period, it is the only time of year to apply, shop and enroll in coverage from the top insurance companies with financial savings.

Upcoming Deadline

Since Donald Trump was defeated in the 2020 Presidential election, most people seemed to be under the impression that the Republican Party's decade-long obsession with tearing down President Obama's signature legislative accomplishment, the Patient Protection & Affordable Care Act, was finally over.

Healthcare journalist extraordinaire Jonathan Cohn even pulled the trigger on publishing his definitive history of the ACA, The Ten Year War...although honestly, there was still one remaining major legal loose end to tie up which wouldn't happen until about eight months later.