CHA News Article

Covered California Report Examines Enrollment of 1.3 Million Consumers
Renewal process begins today

Covered California has released its Covered California Active Member Profile data, examining the exchange’s 1.3 million current enrollees based on ethnicity, age, income, region, county, ZIP code, carrier and metal tier. The findings also include information about consumers who left the exchange, showing that of those who moved to another source of coverage, most gained health care coverage through an employer. Others gained coverage through Medi-Cal; purchased a private plan outside of the exchange; or received health care coverage through another source, such as Medicare or a health exchange in another state.

Highlights in the Covered California Active Member Profile include:

  • Covered California has 1,307,155 actively enrolled consumers as of June 30, which puts the exchange slightly ahead of its projections for the end of fiscal year 2014-15.
  • The average consumer saves 70 percent on their monthly premium, in the form of advanced premium tax credits (APTCs) available through the exchange.
  • In addition to the APTCs, 654,000 Californians are eligible for cost-sharing reductions in the form of Enhanced Silver plans. Based on their income, these individuals are eligible for additional out-of-pocket savings through lower copays, coinsurance and deductibles. Individuals in these savings categories receive the benefits of a Gold or Platinum plan for the price of a Silver plan. In the three categories of Enhanced Silver, the plan pays either 94 percent, 87 percent or 73 percent of expenses, with the enrollee responsible for the rest.
  • An average of 40,000 individuals enroll in Covered California each month through the special enrollment period, which exceeds original projections of 25,000 per month.

The Covered California Active Member Profile data are available on the Covered California website.