2024 Open Enrollment

via the Centers for Medicare & Medicaid Services:

The Centers for Medicare & Medicaid Services (CMS) reports that 21.3 million consumers have signed up for 2024 individual market health insurance coverage through the Marketplaces since the start of the 2024 Marketplace Open Enrollment Period (OEP) on November 1. This includes 16.4 million Marketplace plan selections in the 32 states using the HealthCare.gov platform for the 2024 plan year through the end of the OEP on January 16, 2024 (Week 11+), and 4.9 million plan selections in the 18 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through January 13, 2024 (Week 11) or the end of their OEP[1].  Total nationwide plan selections include 5 million consumers (24% of total) who are new to the Marketplaces for 2024, and 16.3 million consumers (76% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew or select a new plan for 2024. 

via the Centers for Medicare & Medicaid Services:

Historic 21.3 Million People Choose ACA Marketplace Coverage

Marketplace enrollment climbs nearly 5 million higher than previous year

The Biden-Harris Administration announced 21.3 million people selected an Affordable Care Act Health Insurance Marketplace plan during the 2024 Open Enrollment Period. Total plan selections include more than five million people — about a fourth — who are new to the Marketplaces and 16 million people who renewed their coverage. Notably, open enrollment continues in four states and Washington, D.C., through January 31. 

Hmmm...OK, I got out over my skis a bit, but this is still an amazing announcement:

Statement by President Joe Biden on the Record-Breaking 2024 Open Enrollment Period Under the Affordable Care Act

Today, we broke another record when it comes to lowering costs and ensuring Americans have access to quality, affordable healthcare: 21.3 million Americans have signed up for health coverage through Affordable Care Act marketplaces. That means 9 million more people have gained coverage under the law - and peace of mind - since I took office. It’s no accident. My actions to protect the Affordable Care Act and lower premiums continue to make a big difference. And the American people have made it clear: they don’t want the Affordable Care Act weakened and repealed – they want it strengthened and protected.

via Nevada Health Link:

Over 99,000 Nevadans Enrolled in Health Insurance During Nevada Health Link’s Open Enrollment Period

  • This year marks the State marketplace’s second largest Open Enrollment ever.

(CARSON CITY, NV) – Nevada’s health insurance marketplace, NevadaHealthLink.com, recently wrapped up its two-and-a-half-month Open Enrollment Period on January 15, and final numbers revealed that this year’s enrollment numbers outpaced last year’s totals by 3%. This makes for the second-largest enrollment in the state’s marketplace history, with 99,312 Nevadans enrolling in a Qualified Health Plan and 20,984 enrolling in a Qualified Dental Plan.

I was a bit surprised to hear that this is the 2nd highest OEP enrollment in Nevada's history, but sure enough, they broke 101,000 back in 2022.

This is about as minor of an enrollment update as it gets, but for what it's worth, the DC Health Benefit Exchange Authority posted this update a couple of weeks ago:

As of January 4th, 2024

Current Enrollment: 14,248
Enrollment 1 Year Ago: 13,941
CHANGE: +307

Current Enrollment: 5,267 groups, 86,639 covered lives
Enrollment 1 Year Ago: 5,381 groups, 87,033 covered lives
CHANGE: -114 groups, -394 covered lives

The year over year individual enrollment total is up 2.2%.

Last year's final enrollment tally as of January 31st was 14,768, so DC is still running 520 or 3.5% behind last year.

SHOP (small business exchange) enrollment is down about 0.4%.


In my last 2024 ACA Open Enrollment Period projection on January 4th, I concluded that:

...we could now be looking at anywhere from 21.4 - 22.7 million QHPs, for a grand total of somewhere between 22.7 - 24.0M QHPs+BHPs combined by the time the dust settles in every state on January 1st. I'll stick with 23M for the moment just in case...

A week later, the Centers for Medicare & Medicaid Services (CMS) posted their final pre-deadline Open Enrollment Snapshot Report, which confirmed that over 20.3 million people had selected Qualified Health Plans (QHPs) through December 23rd.

via CoverME.gov, Maine's state-based ACA exchange:

Plan Selection Snapshot

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2024. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin insurance. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2024 is December 15, 2023. Consumers who select a plan between December 16, 2023 and January 16, 2024 will have coverage beginning February 1, 2024. 

CoverME.gov Activity Through January 9, 2024

Washington HealthPlan Finder

via the Washington HealthPlan Finder:

  • More than 273,000 Washingtonians signed up for health insurance coverage

Washington Health Benefit Exchange (Exchange) ended 2024 open enrollment (Nov. 1, 2023 – Jan. 15, 2024) with a record 273,000 Washingtonians signed up for health insurance coverage through Washington Healthplanfinder the state’s online health insurance marketplace. This historic high represents an increase of more than 18% over 2023.

About 52,000 new customers gained coverage through Washington Healthplanfinder, a 40% increase over last year, and another record high. New customers include those who transitioned from Apple Health coverage, and those, for the first time ever, who are eligible regardless of immigration status. More customers than ever (86,000) also signed up for dental coverage.

via Connect for Health Colorado:

DENVER— Connect for Health Colorado, the state’s official health insurance marketplace, closed its annual Open Enrollment Period yesterday and reports that 237,107 people have enrolled in a 2024 health insurance plan. That is about 18 percent higher than last year’s end of Open Enrollment total of 201,758 enrollments and is Connect for Health Colorado’s biggest enrollment period ever. Of the total enrollments for 2024 coverage, 77 percent are receiving financial help to reduce premiums.  

Additionally, 12,485 people enrolled in a health insurance plan through Colorado Connect, Connect for Health Colorado’s public benefit corporation and online platform. The majority of those Colorado Connect enrollments were from the OmniSalud program, which provides Coloradans who are undocumented with a safe platform to compare plans, apply for financial help, and enroll.

Via MNsure:

Governor Tim Walz today announced that a record number of Minnesotans signed up for private health insurance plans using MNsure, Minnesota’s official health insurance marketplace. At the close of MNsure’s annual open enrollment period on January 15, 146,445 people had successfully signed up for private health plans for 2024.

It's important to note that the way Minnesota reports "signups" has consistently been a bit higher than what the Centers for Medicare & Medicaid Services (CMS) states in their official Open Enrollment Reports. I've never been quite sure whether MNsure lumps in small group market QHPs (SHOP plans) or if it's just some weird clerical methodology issue, but year after year, the CMS report is always around 8-9% lower than what MNsure reports.

For instance, last year, MNsure reported their official QHP enrollment total as 129,537 people...but CMS reported it as just 118,431 (8.6% lower).