Others titles
- Health Insurance Exchange Public Use Files
- Qualified Health Plan Service Area PUF
Keywords
- Health Insurance
- Insurance Marketplace
- Service Area PUF
- Insurance Market Competition
- Health Benefits
- Service Area
- Service Area PUF
- Exchange PUFs
Health Insurance Service Area PUF
This dataset shows the Issuer-level data on geographic service areas including state, county, and zip code by the Centers for Medicare & Medicaid Services (CMS).
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Description
The Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information & Insurance Oversight (CCIIO) publishes the Exchange PUFs in order to improve transparency and increase access to data on Qualified Health Plans (QHPs) and Stand-alone Dental Plans (SADPs) offered through the Exchange in the individual market and Small Business Health Option Program (SHOP).
The PUFs (Public Use Files) include data from states with Federally-facilitated Exchanges (FFEs), which include states with State Partnership Exchanges (SPEs), and State-based Exchanges that rely on the federal information technology platform for QHP eligibility and enrollment functionality (SBE-FPs). The Exchange PUFs also include data on MultiState Plans (MSPs) and certified off-exchange SADPs. The PUFs do not include data from SBEs that do not rely on the federal platform for QHP eligibility and enrollment functionality.
The Service Area PUF (SA-PUF) is one of the files that make up the Exchange PUFs. The SA-PUF contains issuer-level data on geographic service areas including state, county, and zip code. These data either originate from the Service Area template (i.e., template field), an Excel based form used by issuers to describe their plans in the QHP/SADP application process, or were generated by CCIIO for use in data processing (i.e., system-generated). These data originate from the Network ID template (i.e., template field), an Excel-based form used by issuers to describe their plans in the QHP/SADP application process, and were provided by the National Association of Insurance Commissioners (NAIC) by extracting the information from their System for Electronic Rate and Form Filing (SERFF).
About this Dataset
Data Info
Date Created | 2014-11-26 |
---|---|
Last Modified | 2024-02-06 |
Version | 2024-02-06 |
Update Frequency |
Annual |
Temporal Coverage |
2024 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Health Insurance, Insurance Marketplace, Service Area PUF, Insurance Market Competition, Health Benefits, Service Area, Service Area PUF, Exchange PUFs |
Other Titles | Health Insurance Exchange Public Use Files, Qualified Health Plan Service Area PUF |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
State_Abbreviation | Two-character state abbreviation indicating the state where the plan is offered | string | - |
Issuer_Id | Five-digit numeric code that identifies the issuer organization in the Health Insurance Oversight System (HIOS) | integer | level : Nominal |
Source_Name | Categorical identifier of source of data import | string | - |
Import_Date | Date when data was imported | date | - |
Service_Area_Id | Identifier for a service area | string | - |
Service_Area_Name | Name of a service area | string | - |
Is_Cover_Entire_State | Categorical indicator of whether entire state is covered by the service area | boolean | - |
County | Federal Information Processing Standards (FIPS) code assigned to the county within a state that is covered by the service area | integer | level : Nominal |
Is_Partial_County | Categorical indicator of whether entire county is covered by the service area | boolean | - |
ZIP_Code | Zip codes within the partial-county region covered by the service area | string | - |
Partial_County_Justification | The justification given for creating a partial-county region for inclusion in a Service Area. | string | - |
Market_Coverage | Categorical indicator of market coverage of plans | string | - |
Is_Dental_Only_Plan | Categorical indicator of dental-only status of plans | boolean | - |
Data Preview
State Abbreviation | Issuer Id | Source Name | Import Date | Service Area Id | Service Area Name | Is Cover Entire State | County | Is Partial County | ZIP Code | Partial County Justification | Market Coverage | Is Dental Only Plan |
AK | 21989 | HIOS | 2023-12-08 | AKS001 | Alaska Premier | True | SHOP (Small Group) | True | ||||
AK | 21989 | HIOS | 2023-12-08 | AKS002 | Alaska PPO | False | 2020.0 | False | SHOP (Small Group) | True | ||
AK | 21989 | HIOS | 2023-12-08 | AKS002 | Alaska PPO | False | 2090.0 | False | SHOP (Small Group) | True | ||
AK | 21989 | HIOS | 2023-12-08 | AKS002 | Alaska PPO | False | 2170.0 | False | SHOP (Small Group) | True | ||
AK | 21989 | HIOS | 2023-12-08 | AKS003 | Alaska Premier - Individual | True | Individual | True | ||||
AK | 21989 | HIOS | 2023-12-08 | AKS004 | Alaska PPO - Individual | False | 2020.0 | False | Individual | True | ||
AK | 21989 | HIOS | 2023-12-08 | AKS004 | Alaska PPO - Individual | False | 2090.0 | False | Individual | True | ||
AK | 21989 | HIOS | 2023-12-08 | AKS004 | Alaska PPO - Individual | False | 2170.0 | False | Individual | True | ||
AK | 38344 | HIOS | 2023-09-21 | AKS001 | PBCBSAK Individual Legacy | True | Individual | False | ||||
AK | 73836 | HIOS | 2023-12-19 | AKS003 | Pioneer - individual | False | 2020.0 | False | Individual | False |