Qualifying Health Plan Selections by Metal Level and County 2015

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The dataset gives information on the total number of Health Plan Selection of 2601 counties with respect to different metal level or plan policy for the year 2015. The dataset includes the total number of unique individuals who have a non-canceled plan selection with March 2015 coverage for the 37 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplace, State Partnership Marketplaces and supported State-based Marketplaces. Plan selections occurred during the open enrollment period from November 15, 2014 through February 15, 2015, including additional special enrollment period activity reported through February 22, 2015.

Complexity

As part of the Obama Administration’s efforts to make healthcare system more transparent, affordable, and accountable, the Office of Enterprise Data and Analytics, within the Centers for Medicare & Medicaid Services (CMS), has prepared public datasets to provide the total number of health plan selections by county for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplace, State Partnership Marketplaces, and supported State-based Marketplaces. The data sets for county-level plan selection information cut by age, race/ethnicity, Federal Poverty Level (FPL), consumer type, metal level, Cost-Sharing Reduction (CSR), and Applied Premium Tax Credit (APTC) are made available.

Data were obtained from the Multi-Dimensional Insurance Data Analytics System (MIDAS), which serves as a central repository for capturing, organizing, aggregating, and analyzing CMS’s Marketplace data. The data represent the number of unique individuals who have been determined eligible to enroll in a Qualified Health Plan and have selected a Marketplace plan for 2015. The datasets do not include plan selections from the District of Columbia and the 12 states that have State-based Marketplaces.

The 9.63 million plan selections for these 38 states were aggregated by county according to the home address provided by each Marketplace applicant. There are 2,601 counties represented in this dataset. Metrics with 10 or fewer plan selections were suppressed due to privacy concerns. Counties without any data on total plan selections (i.e., counties with 10 or fewer plan selections in total) accounted for less than 0.1 percent of the total 9.63 million plan selections, although a higher share of plan selections were suppressed for individual metrics. The percentages of total plan selections suppressed for other metrics were: 0.2 percent for plan selections by APTC; less than 0.1 percent for total plan selections by CSR; 0.4 percent for plan selections by metal level; less than 0.1 percent for plan selections by consumer type; 0.3 percent for plan selections by Federal Poverty Level (FPL); 0.3 percent for plan selections by race/ ethnicity; and 0.3 percent for plan selections by age category.

The variables include:

County: The County FIPS Code for the home address provided by the Marketplace applicant.

State: The state of residence selected by the Marketplace applicant.

Plan Selections: The total number of unique individuals who have a non-canceled plan selection with March 2016 coverage for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplace, State Partnership Marketplaces and supported State-based Marketplaces. Plan selections occurred during the open enrollment period from November 15, 2014 through February 15, 2015, including additional special enrollment period activity reported through February 22, 2015.

Metal Level: A consumer’s metal level corresponds to the plan policy that he or she selected. Metal level is based on plan level reference data. Metal levels include Platinum, Gold, Silver, Bronze, and Catastrophic plans. Catastrophic plans have the lowest premiums, but the highest deductibles and other out-of-pocket expenses, while Platinum have the highest premiums and lowest deductibles and out-of-pocket costs. A consumer must have the option of selecting at least a gold, silver, or bronze plan.

Date Created

2015-06-22

Last Modified

2016-06-23

Version

2016-06-06

Update Frequency

Never

Temporal Coverage

2015

Spatial Coverage

United States

Source

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Qualifying Health Plan Selections, Metal Level and County Health Plan Selections, State Partnership Marketplaces, State-based Marketplaces, Applied Premium Tax Credit, Health Plan Selection, Accountable Care Act Marketplace, Special Enrollment Period, Health Plan Selections Updated Statistics, Affordable Health Insurance Plans, Obamacare Health Insurance, Obamacare Marketplace, Catastrophic Health Insurance, Compare Health Insurance Plans, Qualifying Health Plan Level

Other Titles

Health Plan Selections Data from MIDAS by Metal Level and County 2015, Health Plan Selection by Insurance Metal Plan Policy Level at County Level 2015, Affordable Health Insurance Plan Selection Metal Level and County 2015

NameDescriptionTypeConstraints
FIPS_CodeCounty FIPS Code for the home address provided by the Marketplace applicant. The FIPS county code is a five-digit Federal Information Processing Standard (FIPS) code which uniquely identifies counties and county equivalents in the United States, certain U.S. possessions, and certain freely associated states.numberlevel : Nominal
State_AbbreviationState of residence selected by the Marketplace applicantstring-
CountyName of the Countystring-
PlatinumA consumer's metal level corresponds to the policy that he or she selected. Metal levels include platinum, gold, silver, bronze, and catastrophic plans. Catastrophic plans have the lowest premiums, but the highest deductibles and other out-of-pocket expenses, while platinum have the highest premiums and lowest deductibles and out-of-pocket costs. All states allow the sale of gold, silver, and bronze plans but may not allow the sale of platinum and/or catastrophic plans. Additionally, catastrophic plans are generally only available to consumers younger than 30.integerlevel : Ratio
GoldA consumer's metal level corresponds to the policy that he or she selected. Metal levels include platinum, gold, silver, bronze, and catastrophic plans. All states allow the sale of gold, silver, and bronze plans but may not allow the sale of platinum and/or catastrophic plans.integerlevel : Ratio
SilverA consumer's metal level corresponds to the policy that he or she selected. Metal levels include platinum, gold, silver, bronze, and catastrophic plans. All states allow the sale of gold, silver, and bronze plans but may not allow the sale of platinum and/or catastrophic plans.integerlevel : Ratio
BronzeA consumer's metal level corresponds to the policy that he or she selected. Metal levels include platinum, gold, silver, bronze, and catastrophic plans. All states allow the sale of gold, silver, and bronze plans but may not allow the sale of platinum and/or catastrophic plansintegerlevel : Ratio
CatastrophicA consumer's metal level corresponds to the policy that he or she selected. Metal levels include platinum, gold, silver, bronze, and catastrophic plans. Catastrophic plans have the lowest premiums, but the highest deductibles and other out-of-pocket expenses, while platinum have the highest premiums and lowest deductibles and out-of-pocket costs. All states allow the sale of gold, silver, and bronze plans but may not allow the sale of platinum and/or catastrophic plans. Additionally, catastrophic plans are generally only available to consumers younger than 30.integerlevel : Ratio
Total_PlansThe total number of unique individuals who have a non-canceled plan selection including the Federally-facilitated Marketplace, State Partnership Marketplaces and supported State-based Marketplaces.integerlevel : Ratio
FIPS_CodeState_AbbreviationCountyPlatinumGoldSilverBronzeCatastrophicTotal_Plans
48269TXKing County
Unknown37341107503
48301TXLoving County
38085NDSioux County26
17151ILPope County4578
20101KSLane County3036
20129KSMorton County51
20135KSNess County4157
31005NEArthur County30
31115NELoup County5377