Get Covered

via the NJ Dept. of Banking & Insurance:

Governor Murphy and Acting Commissioner Zimmerman Announce Record-Breaking 397K People Signed Up for Health Insurance Through Get Covered New Jersey During Open Enrollment

  • Enrollment Up 61% Since the Murphy Administration Assumed Operation of the Health Insurance Exchange
  • Residents with a Qualifying Life Event or Who Meet Certain Income Levels Still Have Options to Get Covered

TRENTON —Governor Phil Murphy and Department of Banking and Insurance Acting Commissioner Justin Zimmerman today announced that more than 397,000 New Jerseyans signed up for health coverage through Get Covered New Jersey during the Affordable Care Act Open Enrollment Period, marking another year of historic enrollment in New Jersey.

The headline says 397K but it's actually just shy of 398K.

New York State of Health

via NY State of Health:

  • Certified Enrollment Assistors Visit Colleges Across New York State
  • New Yorkers Who Enroll by February 15 Will Have Coverage in Place for March 1

ALBANY, N.Y. (February 9, 2024) – NY State of Health, the state’s official health plan Marketplace, today announced an informational college campaign, with events taking place on campuses throughout New York State. Certified enrollment assistors will be visiting schools to talk to students about affordable, quality health insurance through the Marketplace, and help current enrollees renew their coverage. Enrollment for 2024 coverage is currently open for Medicaid, Essential Plan, Child Health Plus, and Qualified Health Plans (QHP). Consumers who enroll by February 15 will have coverage for March 1.

New York State of Health

As I noted last week, while the 2024 ACA Open Enrollment Period ended in most states back on January 15th, and in several more as late as January 31st, there are two remaining states where it's technically still going on: California, which bumped their final Open Enrollment deadline out by an extra 9 days at the last minute on the 31st, and New York, which announced last fall that they're keeping enrollment fully open to anyone all the way out until the end of May, to coincide with the end of the ongoing Medicaid Unwinding process.

via Covered California:

With its open-enrollment period ending on Feb. 9, Covered California announced that a record number of Californians have selected health plans for 2024.

As of Jan. 31, there are 1,784,653 Californians who have chosen a health plan through Covered California for 2024, with 306,382​ new enrollees and 1,478,271 renewing their coverage. The total surpasses the previous high set in 2022.

The increased federal subsidies through the Inflation Reduction Act paired with California’s new cost-sharing reduction program for 2024 helped create the highest number of new sign-ups during an open-enrollment period since 2020. Consumers have until midnight on Feb. 9 to enroll in coverage that would be effective as of Feb. 1.

There's still likely up to perhaps ~25,000 or so Qualified Health Plan (QHP) enrollments to be added to the 2024 Open Enrollment Period (OEP) tally from the states which haven't reported their final, post-1/16 enrollments (in fact, CA & NY technically haven't ended theirs yet, but I decided to throw this together today for the hell of it.

The table below charts the first eleven years of ACA Open Enrollment Periods, broken out by state. I've also included Basic Health Plan (BHP) enrollment in Minnesota & New York, the only states where BHP programs have been implemented to date (Oregon is scheduled to launch theirs this summer, I believe).

No further analysis or comment here; I just think this is a pretty cool graphic which demonstrates visually how the ACA has grown over time to become firmly embedded into the U.S. healthcare landscape. Source: CMS Marketplace Open Enrollment Period Public Use Files for 2014 - 2023; CMS Final National Snapshot for 2024.

New York State of Health

Thanks to Louise Norris for catching this one.

This is a bit odd...… earlier today I noted that Covered California is extending their Final 2024 Open enrollment deadline out until January 9th due to a service center issue they had over the past few days. A key thing about this, however, is that they included a formal press release to announce the extension.

By contrast, New York State of Health, also supposed to have a deadline of midnight tonight, just posted the following tweet without any formal press release being emailed or posted on their website. Of this writing there's also no notice posted on the front page website.

Very strange, although perhaps they'll send one out/post a notice tonight or tomorrow morning?

Hmmm...via Covered California:

Covered California announced today that it will give consumers until Feb. 9 to sign up for coverage in 2024.

“We’ve seen record-breaking enrollment nationally, and Covered California is surging with heightened demand,” said Covered California Executive Director Jessica Altman. “We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need.”

In addition to the increased demand, consumers looking to enroll in recent days may have encountered challenges reaching Covered California representatives over the phone, and many this week have experienced longer than expected wait times. This was due in part to a disruption to Covered California’s service center, which was temporarily taken offline in immediate response to a cybersecurity incident affecting a third-party vendor that supports its phone lines.

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

  • The record number of Pennsylvanians is an increase of over 150,000 – 56 percent – since Pennie launched in 2020.

Harrisburg, PA – Today, Pennie – PA's official health insurance marketplace – announced that a record nearly 435,000 Pennsylvanians are now covered with affordable, high-quality health coverage through Pennie. This represents a 17% increase compared to this time last year, far exceeding the average annual increase of 1%. Marketplace enrollment has increased by over 150,000 in the four years since Pennsylvania took over ownership and operations from the federal marketplace ( – a 56% increase.  

via the Massachusetts Health Connector:

Massachusetts Health Connector ends busiest Open Enrollment in a decade with more than 72,000 new enrollments

Marketplace enrollment increases dramatically by 40 percent in the last year

BOSTON – More than 72,000 people enrolled in new health insurance plans with the Massachusetts Health Connector during Open Enrollment 2024, which ended on January 23. This is the largest number of new enrollments in a decade, continuing a rapid increase in overall Health Connector enrollment, which has surged by 40 percent in the last year.

Note: as the next paragraph states, the 40% increase refers to total effectuated enrollment as of today versus total effectuated enrollment as of February 2023. When you include total QHPs and divide it last open enrollment periods total QHPs, which is my and CMS's standard methodology, it's a 30% year over year increase. I've been informed that there are an additional 7,713 enrollees who haven't actually paid their first premium yet.

Hmmm...that's the actual headline in the press release, but the actual numbers may tell a slightly different story...

via Covered California:

SACRAMENTO, Calif. — Heading into the final week of open enrollment, Covered California has continued to see signups surge. As of Jan. 20, over 243,000​ Californians have newly enrolled in coverage for 2024, a 13 percent increase over the same period last year. Over 1.5 million Covered California enrollees have renewed their coverage.

There is still time for uninsured Californians to sign up for coverage through Covered California, but only until Jan. 31.

“If you don’t have health insurance for yourself or your family, now is the time to enroll,” said Covered California Executive Director Jessica Altman. “With enhanced federal subsidies and a new state program to lower out-of-pocket costs, there has never been more help available to make quality health insurance more affordable and more attainable.”