First Half of 2017 Average Effectuated Enrollment Report

FOR IMMEDIATE RELEASE December 13, 2017  Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries First Half of 2017 Average Effectuated Enrollment Report  Effectuated Enrollment Analysis According to data as of September 15, 2017, an average of 10.1 million individuals had effectuated their coverage through June 2017, meaning that they selected a plan and paid their premium. This is approximately 200,000 fewer effectuated individuals compared to the effectuated report for the first half of 2016 and about 2.1 million below the number of plan selections at the end of 2017 open enrollment. Looking historically at Affordable Care Act trends from 2014 through 2017, we also see that a significant number of people who effectuate coverage do not stay in their plans for the full year. By June, 9.9 million individuals remained in coverage compared to the 12.2 million who selected plans. On average since 2014, more than a million enrollees per year dropped their coverage before the end of the plan year.  This report also shows that the proportion of the population that enrolls on Federal and State-Based Exchanges and qualifies for financial assistance in the form of advance premium tax credits (APTC) or cost-sharing reduction (CSR) has remained relatively stable, but the average amount of APTC per eligible individual has risen by nearly 29% when compared with the 2016 average APTC per eligible enrollee. In addition, the average amount of APTC per eligible enrollee has risen slightly (from $371.49 to $373.37) when compared with the February 2017 snapshot average APTC per eligible enrollee. This indicates that individuals who effectuated after February 2017 and who remained covered were more likely to have or receive more APTC.  Background Information The primary source for the first half of 2017 average effectuated enrollment are payment and enrollment data. Effectuated enrollment is the average number of individuals who had an active policy from January through June of 2017, and who paid their premium (thus effectuating their coverage) as of September 15, 2017. This data includes effectuated enrollment from both State-Based and Federally-Facilitated individual market Exchanges. APTC enrollment is the average number of individuals who had an active policy from January through June of 2017, who paid their premium, 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 and certain other criteria are met. A consumer was defined as having an APTC if the applied APTC amount was greater than $0; otherwise, a consumer was classified as not having APTC.    CSR enrollment is the average number of individuals who had an active policy from January through June 2017, who paid their premium, and received CSRs. A CSR is generally available if a consumer is eligible for APTC, has a household income 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 have reduced out-of-pocket costs. American Indians and Alaskan Natives are eligible for CSRs under different criteria. Total Average Effectuated Enrollment and Financial Assistance by State for the First Half of 2017 State Total Enrollment APTC Enrollment Percentage of Enrollment with APTC CSR Enrollment Percentage of Enrollment with CSR Total 10,142,056 8,561,695 84% 5,814,266 57% AK 14,954 13,782 92% 6,157 41% AL 154,156 144,301 94% 117,454 76% AR 56,846 48,830 86% 32,887 58% AZ 142,502 123,391 87% 80,064 56% CA 1,346,226 1,153,203 86% 658,766 49% CO 143,509 93,403 65% 38,424 27% CT 96,438 73,193 76% 41,289 43% DC 18,349 877 5% 605 3% DE 22,433 18,841 84% 10,524 47% FL 1,407,434 1,296,661 92% 1,046,493 74% GA 400,469 358,239 89% 284,246 71% HI 16,502 13,728 83% 9,937 60% IA 44,901 38,952 87% 23,655 53% ID 84,737 74,808 88% 56,680 67% IL 295,176 241,296 82% 142,949 48% IN 144,459 106,407 74% 68,001 47% KS 85,227 73,661 86% 47,904 56% KY 72,588 56,276 78% 36,578 50% LA 109,877 98,729 90% 62,168 57% MA 236,177 174,818 74% 147,513 62% MD 133,317 101,577 76% 76,151 57% ME 69,992 60,776 87% 37,649 54% MI 274,887 227,209 83% 135,556 49% MN 86,108 63,505 74% 11,061 13% MO 211,238 185,343 88% 120,354 57% MS 65,475 61,076 93% 52,334 80% MT 45,848 39,863 87% 19,634 43% NC 455,412 426,575 94% 306,309 67% ND 19,940 16,883 85% 9,298 47% NE 73,855 68,862 93% 41,268 56% NH 46,341 29,410 63% 16,668 36% NJ 243,760 193,240 79% 126,694 52% NM 44,271 32,376 73% 20,981 47% NV 74,993 63,377 85% 42,207 56% NY 211,504 117,945 56% 33,400 16% OH 202,747 153,276 76% 91,881 45% OK 120,985 112,466 93% 76,910 64% OR 133,363 100,132 75% 52,601 39% PA 359,673 300,481 84% 204,950 57% RI 29,374 22,989 78% 16,268 55% SC 181,600 165,456 91% 131,622 72% SD 26,560 24,409 92% 15,764 59% TN 197,360 174,163 88% 117,543 60% TX 942,891 819,321 87% 607,779 64% UT 172,022 149,490 87% 105,610 61% VA 354,344 293,980 83% 213,621 60% VT 28,538 22,354 78% 11,770 41% WA 182,596 113,808 62% 71,812 39% WI 211,025 173,959 82% 107,942 51% WV 27,160 24,012 88% 14,135 52% WY 21,922 19,989 91% 12,205 56% Source: September 15, 2017 CMS Average APTC per month is the total amount of APTC for the month for all consumers who received APTC divided by the number of consumers who received APTC, by state and total.  Average Advanced Premium Tax Credit by State, 2017 (For individuals receiving APTC) State Average APTC per Month Total $373.37 AK $965.53 AL $518.58 AR $274.95 AZ $541.26 CA $348.44 CO $380.79 CT $439.98 DC $252.70 DE $421.20 FL $365.31 GA $359.94 HI $356.86 IA $425.13 ID $352.10 IL $369.17 IN $263.35 KS $378.32 KY $292.95 LA $437.21 MA $177.05 MD $316.72 ME $414.11 MI $265.91 MN $431.95 MO $400.54 MS $382.03 MT $480.91 NC $593.70 ND $288.14 NE $509.97 NH $250.42 NJ $350.75 NM $285.78 NV $288.85 NY $232.46 OH $268.25 OK $553.58 OR $347.36 PA $426.82 RI $246.44 SC $422.52 SD $444.19 TN $535.05 TX $335.40 UT $234.08 VA $318.58 VT $323.96 WA $252.92 WI $402.91 WV $565.94 WY $505.45 Source: September 15th, 2017 CMS ### Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter CMS Administrator @SeemaCMS, @CMSgov, and @CMSgovPress.