Health Law Consulting Blog

Wednesday, November 20, 2013

The Health Insurance Marketplace Official November Enrollment Data

On November 13, 2013, at 3:30 pm (EST), the Department of Health and Human Services released the much requested enrollment data for individuals obtaining health insurance plans through the state or federal health insurance Exchanges (or Marketplace).

Here are the numbers:

  • Total number of enrollees selecting coverage in both state (14 states and DC) and federal (36 states) exchanges: 106,185
  • Total completed applications submitted from 10/1/2013 to 11/2/2013: 846, 184 (to cover an estimated 1,508,883 individuals)
  • Total number of enrollees selecting coverage in state-based exchanges: 79,391
  • Total number of enrollees selecting coverage in federally-facilitated exchanges: 26,794
  • Individuals determined or assessed to be eligible for Medicaid or CHIP: 396,261
  • Individuals determined to be eligible for a plan through an exchange: 1,081,592
  • Individuals determined to be eligible for financial assistance: 326,130
  • Number of individuals who have selected a plan from the exchange in North Carolina: 1,662

It is important to remember that under PPACA, an “enrollee” refers to individuals who have purchased a health plan and those who have selected a plan, but have not proceeded to purchase it.  However, typically the insurance industry does not make coverage effective until an enrollee pays his or her first premium and signed a contract with the insurance company.  Therefore, those individuals desiring to have coverage effective on January 1, 2014, must now enroll by December 23, 2013, (extended from the original December 15, 2013, enrollment date) and should seek to have their signed contract and payment in the hands of the insurance company by 12:01 a.m. on January 1, 2014.  If you can do so on December 23, 2013, that is even better.


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