January 27 – February 2, 2015

Enrollment Report: 9.5 Million Americans Signed Up for Marketplace Coverage: In the first two months of open enrollment, 9.5 million Americans enrolled in or were renewed in health coverage through the marketplace for 2015, according to a report released by the Department of Health and Human Services (HHS) on January 27. The report includes enrollment data from all 50 states and the District of Columbia, and additional demographic and plan selection information about enrollees from states that use HealthCare.gov. Notably, 87 percent of consumers who signed up through HealthCare.gov qualified for financial help to purchase coverage.

10.1 Million More Americans Covered by Medicaid/CHIP Since September 2013: On February 2, the Centers for Medicare and Medicaid Services (CMS) released its latest enrollment report for Medicaid and the Children’s Health Insurance Program (CHIP). The report shows that 10.1 million more Americans were covered through one of the two programs as of November 2014, compared with an average baseline from before October 2013, when the first marketplace open enrollment period began. States that expanded their Medicaid programs saw a 25 percent increase in enrollment during this period, while non-expansion states saw a 7 percent increase. Between October and November 2014, Medicaid/CHIP enrollment increased by 440,000 nationwide.

Indiana Expands Medicaid: On January 27, CMS approved Indiana’s waiver to expand its Medicaid program to cover all Hoosiers with incomes up to 138 percent of the federal poverty level. The expansion, called Healthy Indiana Plan (HIP) 2.0, builds on an existing limited-benefit program created through an earlier Medicaid waiver in 2008. Indiana began accepting HIP 2.0 applications on January 27 and coverage began February 1. The state estimates that approximately 350,000 individuals will qualify for the program. Consumers can apply online, by mail, or in-person at a Division of Family Resources office.

Internal Revenue Service (IRS) Changes Repayment Policy for Marketplace Financial Help: On January 26, the IRS announced that enrollees who owe repayments of marketplace tax credits will not face a late penalty if they make their payment after the April 15 deadline. Some enrollees may need to repay some of the financial help they received in 2014 if their income turns out to have been higher than they had originally estimated when applying for coverage. Consumers can update their income information and adjust their financial help at any time by contacting their marketplace.

Marketplaces Sending Form 1095-A to Enrollees: Consumers who enrolled in coverage through HealthCare.gov for 2014 will receive copies of their Form 1095-A from the federally facilitated marketplace (FFM), postmarked no later than February 2. State-based marketplaces (SBMs) have been mailing the forms to enrollees on slightly different schedules, with California mailing them the last week of January, Vermont mailing them on or before January 29, Minnesota sending preview postcards saying that the forms are on their way, and Connecticut finalizing the last 3,600 forms for some consumers with data-matching issues.

SBM Updates:

  • California: Two new Covered California reports found that 92 percent of eligible consumers have proactively or automatically renewed coverage for 2015, and that households eligible for financial help are receiving an average of $436 per month to purchase coverage.
  • Colorado: Connect for Health Colorado is contacting consumers who were affected by a website malfunction that cancelled their renewals for 2015. Issuers on the marketplace will restore those enrollee’s plans, retroactive to January 1.
  • Hawaii: A report from the state’s auditor examined problems with the Hawaii Health Connector and recommended how the marketplace could take steps towards financial sustainability, including by adjusting procurement policies.

Enrollment Updates

Note: Collecting and reporting of enrollment numbers varies by marketplace. To fully understand the enrollment numbers below it may be necessary to view the original source for context (source links are provided).  

  • FFM: A total of 7.3 million Americans selected a new marketplace or were automatically renewed through HealthCare.gov as of January 23.
  • California: 273,111 marketplace plan selections by new consumers during OE2 as of January 26.
  • Colorado: A total of 125,373 marketplace plan selections (including new consumers and renewals) for 2015 coverage as of January 31.
  • Massachusetts: A total of 93,064 marketplace plan selections and 211,527 Medicaid/CHIP enrollments during OE2 as of January 28.
  • Rhode Island: A total of 28,145 marketplace plan selections (including new consumers and renewals) for 2015 coverage as of January 24.
  • Washington State: More than 127,000 marketplace plan selections (including new consumers and renewals) for 2015 coverage as of January 25.
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