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Press Release - FACT SHEET: 2021 Marketplace Special Enrollment Period Report

March 03, 2021

The Centers for Medicare & Medicaid Services (CMS) report that more than 206,000 Americans signed up for health insurance plans during the first two weeks of the 2021 Marketplace Special Enrollment Period (SEP) for consumers in HealthCare.gov States.

The number of new plan selections from the start of the SEP opportunity on February 15 through February 28 represents an increase from 76,000 and 60,000 consumers signing up for health insurance during the same period in 2020 and 2019, respectively.[1] In previous years, SEPs were available only for qualifying life events, whereas this year the Biden-Harris Administration opened an SEP to all Americans in response to the COVID-19 Public Health Emergency.

CMS plans to release a report on new plan selections for each month of the 2021 SEP. New plan selections are a count of unique consumers who didn't have an active Marketplace plan as of February 14 and made a plan selection on or after February 15.

Definitions and details on the data are included in the glossary at the end of the report.

Plan Selection and Application Activity Feb. 15-28, 2021
New Plan Selections 206,236
New Consumers Requesting Coverage on an Application Submitted on or after February 15 385,864
Marketplace Eligible 330,473
Medicaid/CHIP Eligible 54,434
Call Center and Website Activity Feb. 15-28, 2021
Call Center Volume 497,579
Calls with Spanish-Speaking Representative 69,882
HealthCare.gov Users 3,109,862
Window Shopping HealthCare.gov Users 160,772
CuidadoDeSalud.gov Users 134,817
Window Shopping CuidadoDeSalud.gov Users 9,308

 

New Plan Selections by State Feb. 15-28, 2021 Feb. 15-29, 2020 Feb. 15-28, 2019
Alaska 432 143 132
Alabama 4,226 1,062 963
Arkansas 1,461 733 649
Arizona 3,773 1,470 1,340
Delaware 561 310 211
Florida 61,737 22,872 16,188
Georgia 16,636 3,926 3,042
Hawaii 515 198 199
Iowa 1,436 781 591
Illinois 5,381 2,558 2,306
Indiana 2,493 1,291 1,278
Kansas 1,834 820 672
Kentucky 1,407 1,273 981
Louisiana 1,743 816 769
Maine 880 498 406
Michigan 4,795 2,406 2,162
Missouri 4,875 1,534 1,275
Mississippi 2,790 706 581
Montana 646 483 289
North Carolina 13,208 3,817 3,575
North Dakota 467 226 203
Nebraska 1,397 743 692
New Hampshire 939 367 429
New Mexico 825 327 340
Ohio 4,432 2,398 1,631
Oklahoma 3,796 1,737 1,398
Oregon 1,994 1,313 1,263
South Carolina 6,104 1,330 1,108
South Dakota 706 228 216
Tennessee 5,623 1,696 1,214
Texas 34,682 11,674 7,838
Utah 4,427 1,872 1,627
Virginia 5,954 2,146 2,130
Wisconsin 3,045 1,877 1,777
West Virginia 433 200 221
Wyoming 583 214 211

Glossary
New Plan Selections: The number of unique consumers who didn't have an active enrollment as of February 14, and made a plan selection on or after February 15, that is active as of the end of the reporting period. An active plan selection is one that is non-cancelled with an end date of December 31. While this plan selection metric is net of cancellations and terminations that occur during the reporting period, it doesn't represent effectuated enrollments because reconciliation activity may continue in later periods.

 

HealthCare.gov States: This report refers to the 36 Marketplace states that use the HealthCare.gov platform for the 2021 coverage year. The 36 states for 2021include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

New Consumers Requesting Coverage on an Application Submitted on or after February 15: The number of unique consumers who submitted an application and are requesting coverage on or after February 15, and didn't have an active enrollment as of February 14. If determined eligible for Marketplace coverage, a consumer still needs to pick a health plan (i.e., plan selection) and pay their premium to have coverage (i.e., effectuate enrollment).

Marketplace Eligible: The number of unique new consumers requesting coverage on an application submitted on or after February 15 who are determined eligible to enroll in a Marketplace health plan, regardless of whether they applied for or are eligible for financial assistance.

Medicaid/CHIP Eligible: The number of unique new consumers requesting coverage on an application submitted on or after February 15 who are assessed or determined eligible for enrollment in Medicaid or the Children's Health Insurance Program (CHIP).

Call Center Volume: The total number of calls received by the Marketplace call center, which supports HealthCare.gov, over the course of the reporting period. Calls with Spanish-speaking representatives aren't included.

Calls with Spanish-Speaking Representative: The total number of calls received by the Marketplace call center, which supports HealthCare.gov, where consumers chose to speak with a Spanish-speaking representative over the course of the reporting period. These calls aren't included in the Call Center Volume metric.

HealthCare.gov Users or CuidadoDeSalud.gov Users: These user metrics total how many unique users viewed or interacted with HealthCare.gov or CuidadoDeSalud.gov, respectively, over the course of the reporting period.

Window Shopping HealthCare.gov Users or CuidadoDeSalud.gov Users: These user metrics total how many unique users interacted with the window-shopping tool at HealthCare.gov or CuidadoDeSalud.gov, respectively, over the course of the reporting period. Users who window-shopped are also included in the HealthCare.gov or CuidadoDeSalud.gov user total.

Joseph R. Biden, Press Release - FACT SHEET: 2021 Marketplace Special Enrollment Period Report Online by Gerhard Peters and John T. Woolley, The American Presidency Project https://www.presidency.ucsb.edu/node/348267

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