Date

Fact Sheets

Marketplace 2022 Open Enrollment Period Report: Final National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that 14.5 million Americans have signed up for or were automatically re-enrolled in 2022 individual market health insurance coverage through the Marketplaces since the start of the 2022 Marketplace Open Enrollment Period (OEP) on November 1, 2021 through January 15, 2022. This includes 10.3 million plan selections in the 33 states using the HealthCare.gov platform for the 2022 plan year, where the OEP ran through January 15, 2022, and 4.2 million plan selections in the 17 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through January 15, 2022, which represents the end of the OEP for many of the SBMs.[1]  Total nationwide plan selections include 3.0 million consumers (21% of total) who are new to the Marketplaces for 2022, and 11.5 million returning consumers (79% of total) who had active 2021 coverage and made a plan selection for 2022 coverage or were automatically re-enrolled. 

Definitions and details on the data are included in the glossary.

Marketplace and Consumer Type

Cumulative 2022 OEP Plan Selections[2]

Total: All States

 14,492,506

New Consumers

 2,981,132

Returning Consumers[2]

 11,511,374

Total HealthCare.gov States

10,255,636

New Consumers

2,380,835

Returning Consumers

7,874,801

 

2022 Marketplace Open Enrollment Period Plan Selections by State *

 

State

Platform

Cumulative 2022 OEP Plan Selections

Alaska

HealthCare.gov

22,786

Alabama

HealthCare.gov

219,314

Arkansas

HealthCare.gov

88,226

Arizona

HealthCare.gov

199,706

California

SBM

1,781,491

Colorado

SBM

197,516

Connecticut

SBM

112,633

Delaware

HealthCare.gov

32,113

District of Columbia

SBM

15,926

Florida

HealthCare.gov

2,723,094

Georgia

HealthCare.gov

701,135

Hawaii

HealthCare.gov

22,327

Idaho

SBM

73,359

Iowa

HealthCare.gov

72,240

Illinois

HealthCare.gov

323,427

Indiana

HealthCare.gov

156,926

Kansas

HealthCare.gov

107,784

Kentucky

SBM

73,490

Louisiana

HealthCare.gov

99,626

Maine

SBM

66,095

Maryland

SBM

181,603

Massachusetts

SBM

263,063

Michigan

HealthCare.gov

303,550

Minnesota

SBM

121,322

Missouri

HealthCare.gov

250,341

Mississippi

HealthCare.gov

143,014

Montana

HealthCare.gov

51,134

North Carolina

HealthCare.gov

670,223

North Dakota

HealthCare.gov

29,873

Nebraska

HealthCare.gov

99,011

Nevada

SBM

101,411

New Hampshire

HealthCare.gov

52,497

New Jersey

SBM

311,692

New Mexico

SBM

45,664

New York

SBM

219,215

Ohio

HealthCare.gov

259,999

Oklahoma

HealthCare.gov

189,444

Oregon

HealthCare.gov

146,602

Pennsylvania

SBM

374,776

Rhode Island

SBM

31,343

South Carolina

HealthCare.gov

300,392

South Dakota

HealthCare.gov

41,339

Tennessee

HealthCare.gov

273,680

Texas

HealthCare.gov

1,840,947

Utah

HealthCare.gov

256,932

Vermont

SBM

26,705

Virginia

HealthCare.gov

307,946

Washington

SBM

239,566

Wisconsin

HealthCare.gov

212,209

West Virginia

HealthCare.gov

23,037

Wyoming

HealthCare.gov

34,762

*As of this report’s publication date, 6 SBMs (California, Washington, DC, Kentucky, New Jersey, New York, and Rhode Island remain open with a January 31, 2022 deadline. Some SBMs also have established COVID Special Enrollment Periods that allow consumers to sign up for coverage beyond Open Enrollment. The data reporting periods for the SBMs are referenced in the glossary.

Glossary

HealthCare.gov States: The 33 states that use the HealthCare.gov platform for the 2022 coverage year, including the Federally-facilitated Marketplace and State-based Marketplaces that use the federal platform (HealthCare.gov). For 2022, Kentucky, Maine, and New Mexico transitioned to state Marketplace platforms and are not included in the 33 states using HealthCare.gov for 2022. The 33 states for 2022 include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

State-based Marketplace (SBM) States: The 17 states and the District of Columbia with Marketplaces that operate their own eligibility and enrollment platforms. The 18 SBMs for 2022 are California, Colorado, Connecticut, the District of Columbia, Idaho, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, and Washington. Generally, the data metric definitions provided here are applicable to the SBM metrics, with some exceptions. The data represented in this report is reflective of final OEP plan selections for the following states:  CT, ID, ME, MD, MN, NV NM, PA, VT, and WA. It is not reflective of final OEP plan selections for SBMs that processed in-line applications past their January 15, 2022 OEP (CO) or had/have OEPs past January 15, 2022 (California, DC, Kentucky, Massachusetts, New Jersey, New York and Rhode Island). Please contact the SBMs for additional information on their metrics.

Cumulative Plan Selections: The cumulative metric represents the total number of people who have submitted an application and selected a plan, net of any cancellations from a consumer or cancellations from an insurer that have occurred from November 1, 2021, through the end of the reporting period. Plan selections include those consumers who are automatically re-enrolled into their current plan or another plan with similar benefits. To have their coverage effectuated, consumers generally need to pay their first month’s health plan premium. This release does not report the number of effectuated enrollments.

New Consumers (HealthCare.gov States): A consumer is considered to be a new consumer if they did not have 2021 Marketplace coverage through December 31, 2021, and made a 2022 plan selection.

New Consumers (SBM States): A consumer is considered to be a new consumer if they did not have 2021 Marketplace coverage in a SBM that uses its own platform, and made a 2022 plan selection on or after November 1, 2021.

Returning Consumers (HealthCare.gov): A consumer is considered to be a renewing consumer if they had 2021 Marketplace coverage through December 31, 2021, and either actively selected the same plan or a new plan for 2022, were automatically re-enrolled into their 2021 plan, or were signed up for January 1 coverage in a suggested alternate plan.

Returning Consumers (SBM States): A consumer is considered to be a returning consumer if they had 2021 Marketplace coverage through December 31, 2021, and either actively selected the same plan or a new plan for 2022, were automatically re-enrolled into their 2021 plan, or were signed up for January 1 coverage in a suggested alternate plan.

###

 

[1] Cumulative data for states using the HealthCare.gov platform and for SBMs include plan selections from November 1 – January 15, 2022, except Idaho which ended its OEP on December 22, 2021.

[2] The returning consumers metric in this report includes both consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2022 coverage, and consumers who have been automatically re-enrolled in their 2021 plan or a suggested alternate plan.

[3] In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with incomes below 200 percent of the FPL, who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP.  From November 1 – January 15, 2022, New York had a total of 954,421 individuals enroll in a BHP.  Minnesota’s data was unavailable at the time of this report.

[4] In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with incomes below 200 percent of the FPL, who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP.  From November 1 – January 15, 2022, New York had a total of 954,421 individuals enroll in a BHP.  Minnesota’s data was unavailable at the time of this report.