November 25, 2014 – December 1, 2014

Nearly Half a Million Americans Picked Plans Through FFM During the First Week of Open Enrollment: On November 26, the Department of Health and Human Services (HHS) released high-level enrollment numbers, finding that 462,000 Americans selected plans on the federally facilitated marketplace (FFM) from November 15 through November 21. Forty-eight percent of plan selections were made by new consumers, while 52 percent of plan selections were made by current enrollees renewing their coverage for 2015. HHS also announced they will be releasing high-level enrollment data weekly for the rest of the second open enrollment period (OE2), in addition to more in-depth monthly reports.

Enrollment Begins for Expanded Medicaid in Pennsylvania: On December 1, Pennsylvania began enrolling residents with incomes up to 138 percent of the federal poverty level in the state’s expanded Medicaid program, Healthy Pennsylvania. Enrollment continues year-round, and coverage can begin as early as January 1, 2015. The commonwealth estimates that around 600,000 Pennsylvanians could be eligible. Consumers can enroll online, in person, or over the phone (866-550-4355).

New Guidance for FFM Insurers on Re-Enrollment: On December 1, the Centers for Medicare and Medicaid Services (CMS) released technical guidance for FFM insurers concerning re-enrollment during OE2. The guidance describes how the FFM and insurers will work to prevent situations where marketplace enrollees would be enrolled in two plans for 2015. During the first two weeks in December, FFM insurers will receive a daily, cumulative electronic list from the FFM informing them which of their current 2014 enrollees switched to 2015 coverage offered by a different insurer. Additionally, the guidance discusses how the FFM will process life changes reported in late 2014, and circumstances where current enrollees may qualify for a Special Enrollment Period (SEP) as a result of the re-enrollment process.

Updates From State-Based Marketplaces (SBMs):

  • Colorado: Connect for Health Colorado released a guide to help consumers who are facing technical difficulties with their application for financial help to purchase marketplace coverage.
  • Idaho: Due to long wait times for its call center, Your Health Idaho’s executive director announced the marketplace is adding staff to help meet demand.
  • New Mexico: On November 26, BeWellNM posted its proposed plan for financial sustainability for 2016 and beyond. The plan calls for an annual fee on insurers to fund the marketplace. Comments are due December 19.
  • Enrollment Updates:
    • Colorado: 6,144 marketplace selections as of November 24.
    • Maryland: 14,749 marketplace selections and 11,031 Medicaid/CHIP enrollments as of November 25.
    • Massachusetts: 21,740 marketplace selections and 38,283 Medicaid/CHIP enrollments as of November 30.
    • Minnesota: 4,300 marketplace selections and 8,476 Medicaid/CHIP enrollments as of November 26.
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