Fact Sheets Nov 21, 2023

Marketplace 2024 Open Enrollment Period Report: National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 4.6 million Americans have signed up for 2024 individual market health insurance coverage through the Marketplaces since the start of the 2024 Marketplace Open Enrollment Period (OEP) on November 1. This includes 4.1 million plan selections in the 32 states using the HealthCare.gov platform for the 2024 plan year, through November 18, 2023 (Week 3), and 502,000 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 November 11, 2023 (Week 2). Total nationwide plan selections include 920,000 consumers (20% of total) who are new to the Marketplaces for 2024, and 3.7 million consumers (80% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew or select a new plan for 2024. 

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

Marketplace and Consumer Type

Cumulative 2024 OEP Plan Selections 

Total: All Marketplaces

4,583,111

New Consumers

919,900

Returning Consumers[1]

3,663,211

Total: HealthCare.gov Marketplaces

4,081,149

New Consumers

833,892

Returning Consumers

3,247,257

Total SBMs[2]

501,962

New Consumers

86,008

Returning Consumers

415,954

 

2024 Marketplace Open Enrollment Period Plan Selections by State
(New Consumers and Actively Returning Consumers)

State

Platform

Cumulative 2024 OEP Plan Selections

Alaska

HealthCare.gov

5,709

Alabama

HealthCare.gov

79,425

Arkansas

HealthCare.gov

27,652

Arizona

HealthCare.gov

67,823

California

SBM

315,525

Colorado

SBM

29,608

Connecticut

SBM

12,946

Delaware

HealthCare.gov

7,806

District of Columbia

SBM

640

Florida

HealthCare.gov

1,148,789

Georgia

HealthCare.gov

343,109

Hawaii

HealthCare.gov

4,080

Idaho

SBM

8,821

Iowa

HealthCare.gov

21,795

Illinois

HealthCare.gov

70,379

Indiana

HealthCare.gov

67,868

Kansas

HealthCare.gov

39,878

Kentucky

SBM

3,378

Louisiana

HealthCare.gov

44,426

Maine

SBM

6,849

Maryland

SBM

12,798

Massachusetts

SBM

17,863

Michigan

HealthCare.gov

84,806

Minnesota

SBM

5,761

Missouri

HealthCare.gov

90,497

Mississippi

HealthCare.gov

95,487

Montana

HealthCare.gov

10,998

North Carolina

HealthCare.gov

240,869

North Dakota

HealthCare.gov

6,414

Nebraska

HealthCare.gov

25,749

Nevada

SBM

8,317

New Hampshire

HealthCare.gov

11,468

New Jersey

SBM

19,775

New Mexico

SBM

4,717

New York

SBM

N/A

Ohio

HealthCare.gov

109,546

Oklahoma

HealthCare.gov

65,740

Oregon

HealthCare.gov

28,939

Pennsylvania

SBM

21,610

Rhode Island

SBM

961

South Carolina

HealthCare.gov

156,027

South Dakota

HealthCare.gov

9,334

Tennessee

HealthCare.gov

149,583

Texas

HealthCare.gov

890,734

Utah

HealthCare.gov

97,947

Vermont

SBM

1039

Virginia

SBM

14,815

Washington

SBM

16,539

Wisconsin

HealthCare.gov

58,854

West Virginia

HealthCare.gov

10,803

Wyoming

HealthCare.gov

8,615

Glossary

HealthCare.gov Marketplace: The 32 states that use the HealthCare.gov platform for the 2024 coverage year, including the federally facilitated Marketplace and State-based Marketplaces that use the federal platform (HealthCare.gov). The 32 states for 2024 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, West Virginia, Wisconsin, and Wyoming.

State-based Marketplaces (SBMs): The Marketplaces in the 17 states and the District of Columbia that operate their own eligibility and enrollment platforms. The 19 SBMs for 2024 include: California, Colorado, Connecticut, the District of Columbia, Idaho, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, Virginia and Washington. New York QHP data was not available at the time of this report. Generally, the data metric definitions provided here are applicable to the SBM metrics, with some exceptions. 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, 2023, through the end of the reporting period. 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 Marketplace): Consumers are considered new if they did not have 2023 Marketplace coverage through the federal platform through December 31, 2023, and made a 2024 plan selection through the federal platform.

New Consumers (SBMs): Consumers are considered new if they did not have 2023 Marketplace coverage in the SBM that uses its own platform where they made a 2024 plan selection through the SBM.

Returning Consumers (HealthCare.gov Marketplace): Consumers are considered returning if they have 2023 Marketplace coverage through the federal platform through December 31, 2023, and either actively select the same plan or a new plan for 2024. The returning consumers count does not currently include consumers who have been automatically re-enrolled in their current plan for 2024 coverage.

Returning Consumers (SBMs): Consumers are considered returning if they have 2023 Marketplace coverage through December 31, 2023, in the same SBM where they actively select the same plan or a new plan for 2024. The returning consumers count does not currently include consumers who have been automatically re-enrolled in their 2023 plan or an alternate suggested plan for 2024 coverage. SBMs have reported the following data on plan selections for auto re-enrolled consumers.

SBM

Auto Re-enrollee Plan Selections

Total

2,439,088

CA

624,804

CO

0

CT

0

DC

13,081

ID

80,967

KY

57,991

ME

51,496

MD

164,667

MA

0

MN

98,872

NV

73,170

NJ

300,140

NM

39,964

NY

N/A

PA

340,616

RI

28,652

VA

333,164

VT

25,896

WA

205,608

 

This communication was printed, published, or produced and disseminated at U.S. taxpayer expense.     


[1]The returning consumers metric in this report only includes consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2024 coverage and excludes consumers who have been automatically re-enrolled in their 2023 plan for 2024 coverage or a suggested alternate plan. Please see the glossary for data on auto re-enrolled consumers that SBMs have reported to CMS.

[2] In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with household incomes at or below 200% of the Federal Poverty Level who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP. . From November 1 – November 11, 2023, New York had a total of 1,239,597 individuals enroll in a BHP. Minnesota’s BHP data was not available at the time of this report.