States which currently use State-Based Health Insurance Marketplaces:

  • California – Covered California
  • Colorado – Connect for Health Colorado
  • Connecticut – Access Health CT
  • District of Columbia – DC Health Link
  • Idaho – Your Health Idaho
  • Kentucky – Kynect (Kentucky Health Benefit Exchange)
  • Maine – CoverME
  • Maryland – Maryland Health Connection
  • Massachusetts – Health Connector
  • Minnesota – MNsure
  • Nevada – Silver State Health Insurance Exchange (Nevada Health Link)
  • New Jersey – Get Covered NJ
  • New Mexico – beWellnm
  • New York – New York State of Health
  • Pennsylvania – Pennie™
  • Rhode Island – HealthSource RI
  • Vermont – Vermont Health Connect
  • Washington – Washington Healthplanfinder

What is a State-Based Marketplace?

A State-Based Marketplace (SBM) is a government agency offering subsidized Affordable Care Act (ACA) plans for the state, similar to but created and maintained by the individual state. SBMs assist citizens and legal residents with applying for marketplace coverage in order to comply with the Affordable Care Act (ACA). When the law was passed in 2010, each of the 50 states had to decide to either create a state-run health insurance exchange or offer enrollment through a federally-operated exchange. GetInsured is the leader in State-Based Marketplace technology, has provided assistance to states since the inception of the ACA, and has experience spanning eight implementations in State-Based Marketplaces across the country.

Why do states choose to implement their own State-Based Marketplace?

State marketplaces have taken the reigns into their own hands when it comes to making health insurance enrollment both profitable and sustainable. They have more control over the enrollment process, marketing campaigns, and even enrollment deadlines. Outreach efforts and enrollment flexibility that best serve their residents have proven effective with more balanced risk pools that not only encourage insurers to stay in the market but to do so with better rates than residents would find on the FFM.

Since the launch of the ACA, technology, and operations of State-Based Marketplaces have evolved as the market and individual state needs have changed. There are now mature solutions on the market, deployed, and best practices that can help keep costs down and operations nearly flawless, resulting in sustainable SBMs.

What kind of solutions does GetInsured offer for State-Based Marketplaces?

For states that have opted to their own health insurance marketplaces in lieu of utilizing, GetInsured offers a complete end-to-end solution for states, as well as powerful modular tools which include Consumer Decision Support Tool, Plan Management, Enrollment Reconciliation, Call Compliance, SEP Verification, and Consumer, Agency, Broker and Insurer Portals. Learn more about GetInsured’s State-Based Marketplace solutions.