Others titles
- Quarterly Marketplace Effectuated Enrollment
- Effectuated Enrollment by State
Keywords
- Healthcare
- Effectuated Enrollment
- Financial Assistance
- Qualified Health Plan
- Health Insurance Marketplace
- Health Insurance Marketplace Coverage
- Health Plans in Market
- Health Premiums Plans
- Health Medical Plans
Total Effectuated Enrollment and Financial Assistance by State
This dataset shows the total effectuated enrollment and financial assistance yearly from Februay 2016 to February 2021 by the United States.
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Description
The Office of Enterprise Data and Analytics (OEDA), within the Centers for Medicare & Medicaid Services (CMS), has prepared public datasets with the total number of consumers in all 50 states and Washington, DC with Marketplace coverage. The dataset includes consumers with effectuated Health Insurance Marketplace coverage – individuals who paid their premiums and had an active policy on the date of the snapshot. The values include state-level effectuated enrollment, the number of consumers with Applied Premium Tax Credit (APTC) subsidies, and the number of consumers with Cost-Sharing Reduction (CSR) subsidies; state-level effectuated enrollment cut by metal level; and state-level numbers with the average APTC subsidy amount for those consumers receiving APTC.
Individuals effectuate their enrollment by paying their first month’s premium. This snapshot measures individuals who effectuated their enrollment and have an active policy on the date of the snapshot; it does not measure the rate at which consumers pay their first month’s premium. Active policies include those who have paid for the current month and individuals who may be in a grace period for non-payment. Grace periods can vary by state and issuer. For those individuals receiving APTC, issuers are required to give enrollees a three month grace period.
About this Dataset
Data Info
Date Created | 2016-06-23 |
---|---|
Last Modified | 2021-02-01 |
Version | 2021-02-01 |
Update Frequency |
Annual |
Temporal Coverage |
2016-2021 |
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 | Healthcare, Effectuated Enrollment, Financial Assistance, Qualified Health Plan, Health Insurance Marketplace, Health Insurance Marketplace Coverage, Health Plans in Market, Health Premiums Plans, Health Medical Plans |
Other Titles | Quarterly Marketplace Effectuated Enrollment, Effectuated Enrollment by State |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Date | Date of effectuated enrollment | date | - |
State_Abbreviation | State abbreviation for which medical plan is offered | string | - |
Total_Enrollment | The total number of unique individuals who have an active policy as of March 31, 2016 and who have paid their premium (thus becoming effectuated). | integer | level : Ratio |
APTC_Enrollment | The total number of unique individuals who have an active policy as of March 31, 2016 , who have paid their premium (thus becoming effectuated), and who received an APTC subsidy. APTC is generally available if a consumer's household income is between 100 and 400 percent of the federal poverty level. A consumer was defined as having an APTC if his or her applied APTC amount was greater than $0; otherwise, a consumer was classified as not having APTC. | integer | level : Ratio |
Percentage_of_Enrollment_with_APTC | Percentage of Total Enrollment with Applied Premium Tax Credit | number | level : Ratio |
CSR_Enrollment | The total number of unique individuals who have an active policy as of March 31, 2016, who have paid their premium (thus becoming effectuated), and receive cost-sharing reductions. CSR is generally available if a consumer’s household income is between 100 percent and 250 percent of the federal poverty level and the individual chooses a health plan from the silver plan category. Those who qualify receive subsidies on their out-of-pocket costs. | integer | level : Ratio |
Percentage_of_Enrollment_with_CSR | Percentage of Total Enrollment with Cost-Sharing Reduction | number | level : Ratio |
Data Preview
Date | State Abbreviation | Total Enrollment | APTC Enrollment | Percentage of Enrollment with APTC | CSR Enrollment | Percentage of Enrollment with CSR |
2016-02-01 | AK | 19179 | 15423 | 80.0 | 7415 | 39.0 |
2016-02-01 | AL | 179952 | 140878 | 78.0 | 115528 | 64.0 |
2016-02-01 | AR | 66854 | 53030 | 79.0 | 33852 | 51.0 |
2016-02-01 | AZ | 176596 | 113392 | 64.0 | 85987 | 49.0 |
2016-02-01 | CA | 1336791 | 1163876 | 87.0 | 671050 | 50.0 |
2016-02-01 | CO | 110690 | 67619 | 61.0 | 29289 | 26.0 |
2016-02-01 | CT | 96895 | 76942 | 79.0 | 42210 | 44.0 |
2016-02-01 | DC | 16324 | 1030 | 6.0 | 224 | 1.0 |
2016-02-01 | DE | 27095 | 20435 | 75.0 | 10669 | 39.0 |
2016-02-01 | FL | 1555188 | 1367869 | 88.0 | 1074097 | 69.0 |