What type of health insurance exchange does my state have?

  • June 25, 2016

Q: What type of health insurance exchange does my state have?

A: As of June 2016, there are 13 state-based marketplaces, four state-based marketplaces that use the federal platform (SBM-FP), seven state-federal partnership marketplaces, and 27 federally-run marketplaces. But for 2017, there are expected to be some transitions, likely resulting in five SBM-FPs, 12 state-based exchanges, six state-federal partnership exchanges, and 28 federally-run exchanges.

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If all goes as planned for 2017, Arkansas and Kentucky will switch to having federally-supported state-based exchanges, and Hawaii will switch to the federally-run exchange (but with plan management by the state). From a user perspective, that means the enrollment platform in Kentucky will change (from Kynect to Healthcare.gov), but not in Hawaii or Arkansas, where enrollees will continue to use Healthcare.gov.

There have been other transitions since the marketplaces first opened for business in the fall of 2013.  Idaho used Healthcare.gov for enrollment in 2014, but switched to being a fully state-run exchange prior to the 2015 open enrollment period.  Nevada and Oregon both had state-run exchanges in 2014, but due to technical difficulties they both opted to become federally-supported state-based exchanges prior to the 2015 open enrollment period (the enrollment platform is Healthcare.gov, but the state still retains control over its own exchange).

Nevada and Oregon both had state-run exchanges in 2014, but due to technical difficulties they both opted to become federally-supported state-based exchanges prior to the 2015 open enrollment period (the enrollment platform is Healthcare.gov, but the state still retains control over its own exchange). For 2016, Hawaii opted to do the same thing, and enrollments there are now completed through Healthcare.gov. For 2017, Hawaii is planning to drop the state-based aspect of their exchange.

Federal

Alabama
Alaska
Arizona
Florida
Georgia
Indiana
Kansas*
Louisiana
Maine*
Mississippi (state operates small business – SHOP – exchange)
Missouri
Montana*
Nebraska*
New Jersey
North Carolina
North Dakota
Ohio*
Oklahoma
Pennsylvania
South Carolina
South Dakota*
Tennessee
Texas
Utah (state operates small business – SHOP – exchange)
Virginia*
Wisconsin
Wyoming

States with an asterisk have a marketplace plan management exchange.  Their exchanges are federally-run, but the state retains oversight of the plans, and is active in certifying QHPs for sale in the exchange.

State

California
Colorado
Connecticut
District of Columbia
Idaho
Kentucky (will be an SBM-FP in 2017)
Maryland
Massachusetts
Minnesota
New York
Rhode Island
Vermont
Washington

State-based, federal platform (SBM-FP)

Hawaii (switching to federally-run marketplace plan management* exchange for 2017)
Oregon
Nevada
New Mexico (state runs its own small business – SHOP – exchange).

Partnership

Arkansas (small business SHOP exchange is fully state-run, state plans to become SBM-FP for 2017)
Delaware
Illinois
Iowa
Michigan
New Hampshire
West Virginia

 



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