FOR IMMEDIATE RELEASE Jan.

21, 2014

Media Line Contacts: Covered California (916) 205-8403 California Department of Health Care Services (916) 440-7660

MILESTONE ENROLLMENT NUMBERS RELEASED BY COVERED CALIFORNIA AND DEPARTMENT OF HEALTH CARE SERVICES More Than a Half-Million Californians Enrolled in Covered California Health Insurance Plans Through Dec. 31, 2013 January Enrollment Pushes Total Beyond 625,000; Medi-Cal Enrollment Under the Affordable Care Act Tops 1.2 Million
SACRAMENTO, Calif. Covered California and the California Department of Health Care Services (DHCS) announced today that 500,108 Californians enrolled for health insurance and selected plans through the end of 2013 under the Patient Protection and Affordable Care Act, while 584,000 applicants were determined likely eligible for MediCal coverage. DHCS also transitioned 630,000 individuals into the Medi-Cal program from the states Low Income Health Program. The statistics, reflecting enrollment activity from Oct. 1 through Dec. 31, 2013, show that the demand for health care coverage in California remains strong. And the preliminary total of enrollments in Covered California health insurance plans from Oct. 1, 2013, through Jan. 15, 2014, has increased to more than 625,000, demonstrating continued vigor in the new insurance marketplace. Were encouraged by the outpouring of interest and participation in the state insurance exchange, said Covered California Executive Director Peter V. Lee. While our objective is to insure all eligible Californians over time, independent estimates for Covered Californias subsidy-eligible enrollment by the March 31 deadline range between 487,000 and 696,000. These impressive numbers for the first half of open enrollment and the continued momentum in January tell us we are on track to meeting, if not beating, those enrollment estimates as we continue to pick up steam. Lee noted that of those enrolled so far, 424,936 are eligible for subsidies. We are pleased that Californians many for the first time are getting quality, affordable health insurance to protect themselves and their families, Lee added. (more)
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Toby Douglas, director of DHCS, which oversees the Medi-Cal program, said the department expects the high demand for health care coverage to continue. Its exciting to see that our joint effort is still going strong and giving more Californians in need a new opportunity for coverage under Medi-Cal, said Douglas. With yearround enrollment for our program, we look forward to gaining new members throughout 2014 and beyond. Douglas noted that the former members of the LIHP program and members now newly eligible because of the Affordable Care Acts Medicaid expansion will receive highquality care from Medi-Cal managed care health plans. The selection of health plans varies by county and includes many of the health plans offered to those who purchase coverage through Covered California. From the Oct. 1 launch of the Covered California enrollment portal through Dec. 31, online applications were started for an estimated 1,993,012 individuals seeking coverage. In the month of December, 400,096 individuals were enrolled in subsidized or unsubsidized coverage through Covered California, soaring past Novembers enrollment of 78,377. Medi-Cal achieved similar numbers in December, with 405,000 applicants found likely eligible for coverage, far more than the 108,000 during November. For the three-month period October-December, a total of 584,000 applicants were determined to be likely eligible for Medi-Cal through the enrollment portal. Enrollees in Covered California health insurance plans who paid their first months premium received health care retroactive to Jan. 1, but the enrollment period continues through March 31, so consumers are urged to sign up for coverage in 2014. The level of interest is impressive, but consumers now need to take that crucial step of paying their plan so their health coverage can take effect, Lee said. To help consumers with this step, weve added a section on our website with information on how to make their payment. Weve also unveiled bilingual ads reminding enrollees to pay their premiums. The December data show an improved trend in the number of enrollment and applications among Latinos. Of the 395,614 consumers who identified their ethnicity, nearly 20 percent indicated they are of Hispanic, Latino or Spanish origin. In addition, an estimated 30 percent of consumers who have applied but havent selected a health plan self -identified as Hispanic, Latino or Spanish origin. This figure compares to the estimate that about 46 percent of subsidy-eligible Californians are Latino. (more)

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Were in the process of both fine-tuning the way we assess our enrollment demographics and, more importantly, building on our focus to ensure that more Latinos apply for and enroll in coverage, Lee said. We have much work to do over the next three months to build on our outreach to this important population and help those who have applied complete the process. Through Dec. 31, 125,033 consumers ages 18 to 34 enrolled for coverage, or 25 percent of the consumers enrolled. This age group represents about 25 percent of the states population but approximately 36 percent of those who are eligible for subsidies. Most consumers 303,016, or about 61 percent signed up for a Silver plan, the second lowest cost of the four plan tiers. About 85 percent of consumers across all metal tiers received some sort of financial assistance. Anthem Blue Cross of California, Blue Shield of California, Kaiser Permanente and Health Net lead the way among plans chosen, collectively reflecting almost 96 percent of total enrollment. In Covered Californias Small Business Health Options Programs (SHOP), more than 289 small businesses have applied for coverage, with all successfully completing their enrollment. A total of 2,155 employees and their dependents were provided coverage by their employer. Consumers also are reminded that there are many paths to enroll in Covered California health insurance plans and in Medi-Cal, including in-person enrollment with assistance from thousands of trained Certified Insurance Agents, Certified Enrollment Counselors and county eligibility workers, as well as self-enrollment online. Consumers can find the nearest in-person assisters by visiting the Find Local Help page at CoveredCA.com. Consumer response to the application process for Covered California and Medi-Cal has been positive. In the first three months, at least 60 percent of those who completed enrollment said it was easy. We are seeing heavy consumer activity on both our website and to our Service Center, and thats a sign of the enormous interest in what were doing, Lee said. People obviously want health care coverage, so they can have the peace of mind and security they deserve. While many thousands have enrolled and gotten coverage seamlessly, there are undoubtedly Californians who have not had a good experience in getting coverage. We are working to learn and improve as we go forward. Heres a sample of what people are saying through surveys and social media channels in December:
Got my ID card! I just want to say thank you. Of all the many worries in my life, I no longer have to worry about health coverage. My career has been in a very unstable field higher education, and this is a blessing beyond my expectations. Robin (via Facebook) (more)
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I'll be meeting with my NEW Doctor ... Using my NEW insurance through Covered California!! Thank You ... SO GRATEFUL!!! James (via Facebook) My husband signed up and is saving $200/month with better coverage! Kathy (via Twitter) My cousin told me he enrolled in @CoveredCA. He hasn't had health insurance for the last two years and he's very happy to have it now. Jenya (via Twitter) It worked. I had my 1st doctors visit yesterday. Prescriptions transferred. I like my doctor too. Thank you! Pamela (via Twitter) Monthly Enrollment Statistics Oct. 1 - Dec. 31 Applications Total number of electronic applications initiated including Medi-Cal Completed applications through Covered California including Medi-Cal Individuals determined to be eligible for enrollment in Covered California Enrollments in a Covered California health plan Subsidized enrollments (those eligible for federal premium assistance, cost-sharing reduction) in a Covered California health plan Non-subsidized enrollments in a Covered California health plan Medi-Cal applicants** (Includes individuals who are pending, eligible and conditionally eligible coming in through Covered California) Medi-Cal transitions from Low Income Health Program (LIHP) 1,107,229 771,008 Individuals 1,993,012* 1,456,909 730,449 500,108 424,936 75,172

584,000

630,000

* Estimated, based on an average of 1.8 individuals per application. ** Does not include applicants for current Medi-Cal coverage through county human services agencies. This category may also include some individuals counted in other categories above.

Total Enrollment Oct. 1 - Dec. 31 Subsidy-Eligible 424,936 Unsubsidized 75,172 Total 500,108

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Age Less Than 18 18 to 25 26 to 34 35 to 44 45 to 54 55 to 64 65 and Older Grand Total

* 2010 Census: 18-24. ** 2010 Census: 25-34.

Individuals Enrolled in October, November and December, with Subsidy Status, Across Age Subsidy-Eligible Unsubsidized Grand Total California Population Distribution*** Total % of Total Total % of Total Total % of Total

21,021 44,992 61,073 65,884 103,659 128,271 36 424,936

4.9% 10.6% 14.4% 15.5% 24.4% 30.2% 0.0% 100%

13,459 5,629 13,339 13,830 14,209 14,571 135 75,172

17.9% 7.5% 17.7% 18.4% 18.9% 19.4% 0.2% 100%

34,480 50,621 74,412 79,714 117,868 142,842 171 500,108

6.9% 10.1% 14.9% 15.9% 23.6% 28.6% 0.0% 100%

25% 11%* 14%** 14% 14% 11% 11% 100%

*** Population distribution in all tables is taken from U.S. Census data.

Individuals Enrolled in October, November and December, with Subsidy Status, Across Race* Subsidy-Eligible Unsubsidized Grand Total California Population Distribution Total % of Total Total % of Total Total % of Total

White Asian Black or African-American Mixed Race American Indian and Alaska Native Native Hawaiian and Other Pacific Islander Other Grand Total

161,575 83,551 9,161 24,987 1,282 683 23,938 305,177

52.9% 27.4% 3.0% 8.2% 0.4% 0.2% 7.8% 100%

37,611 9,219 1,992 6,836 132 90 3,121 59,001

63.7% 15.6% 3.4% 11.6% 0.2% 0.2% 5.3% 100%

199,186 92,770 11,153 31,823 1,414 773 27,059 364,178

54.7% 25.5% 3.1% 8.7% 0.4% 0.2% 7.4% 100%

74.2% 13.5% 6.7% 3.5% 1.7% 0.5% 100%

* Excludes 135,930 non-respondents, which is 27%, from % of grand total.

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Response to the question: Is this person of Hispanic, Latino or Spanish origin?

Individuals Enrolled in October, November and December, with Subsidy Status, Across Ethnicity* Subsidy-Eligible Unsubsidized Grand Total Total % of Total Total % of Total Total % of Total

Yes No Grand Total

60,800 227,977 288,777

21.1% 78.9% 100%

8,305 53,362 61,667

13.5% 86.5% 100%

69,105 281,339 350,444

19.7% 80.3% 100%

*Ethnicity is a person who self-identifies as being of Hispanic, Latino or Spanish origin. Excludes 75,198 non-respondents, which is 18% of % of grand total.

Individuals Enrolled in October, November and December, with Subsidy Status, Across Ethnicity Subcategory* Subsidy-Eligible Unsubsidized Grand Total Total % of Total Total % of Total Total % of Total

Cuban Mexican/Mexican American/Chicano Puerto Rican Mixed Ethnicity Other Grand Total

621 44,547 1,016 2,843 13,823 62,850

1.0% 70.9% 1.6% 4.5% 22.0% 100%

117 5,052 203 693 1,967 8,032

1.5% 62.9% 2.5% 8.6% 24.5% 100%

738 49,599 1,219 3,536 15,790 70,882

1.0% 70.0% 1.7% 5.0% 22.3% 100%

* Excludes 429,226 non-respondents, which is 86%, from % of total. Ethnicity is a person who self-identifies as being of Hispanic, Latino or Spanish origin.

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Individuals Enrolled in October, November and December, with Subsidy Status, Across Language* Subsidy-Eligible Unsubsidized Grand Total California Population Distribution** Total % of Total Total % of Total Total % of Total

English Spanish Asian and Pacific Islander Languages Indo-European Languages Other Languages Grand Total

330,159 24,391 34,234 955 389,739

84.7% 6.3% 8.8% 0.2% 100%

67,470 821 1,079 56 69,426

97.2% 1.2% 1.6% 0.1% 100%

397,629 25,212 35,313 1,011 459,165

86.6% 5.5% 7.7% 0.2% 100%

56.1% 28.8% 9.7% 4.4% 1.0% 100%

* Excludes 40,934 non-respondents. Covered California language data indicates primary applicants chosen language for communication with the exchange. ** Population distribution in all tables is taken from U.S. Census data. Census language indicates primary language spoken at home.

Individuals Enrolled in October, November and December, with Subsidy Status, Across Metal Level Subsidy-Eligible Unsubsidized Grand Total Total % of Total Total % of Total Total % of Total 1,949 0.5% 3,839 5.1% 5,788 1.2% Minimum Coverage 89,958 21.2% 26,523 35.3% 116,481 23.3% Bronze 281,940 66.3% 21,076 28.0% 303,016 60.6% Silver 27,050 6.4% 10,400 13.8% 37,450 7.5% Gold 24,039 5.7% 13,334 17.7% 37,373 7.5% Platinum 424,936 100% 75,172 100% 500,108 100% Grand Total

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Individuals Enrolled in October, November and December, with Subsidy Status, Across Carrier Subsidy-Eligible Unsubsidized Grand Total Total % of Total Total % of Total Total % of Total 130,545 30.7% 24,601 32.7% 155,146 31.0% Anthem Blue Cross of California 123,939 29.2% 24,198 32.2% 148,137 29.6% Blue Shield of California 4,219 1.0% 304 0.4% 4,523 0.9% Chinese Community Health Plan 391 0.1% 48 0.1% 439 0.1% Contra Costa Health Plan 70,037 16.5% 11,451 15.2% 81,488 16.3% Health Net 81,973 19.3% 11,442 15.2% 93,415 18.7% Kaiser Permanente 6,512 1.5% 1,541 2.0% 8,053 1.6% L.A. Care Health Plan 2,615 0.6% 376 0.5% 2,991 0.6% Molina Healthcare 3,271 0.8% 857 1.1% 4,128 0.8% Sharp Health Plan 471 0.1% 90 0.1% 561 0.1% Valley Health Plan 963 0.2% 264 0.4% 1,227 0.2% Western Health Advantage 424,936 100% 75,172 100% 500,108 100% Grand Total

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About Covered California Covered California is the states marketplace for the federal Patient Protection and Affordable Care Act. Covered California, in partnership with the California Department of Health Care Services, was charged with creating a new health insurance marketplace in which individuals and small businesses can get access to affordable health insurance plans. With coverage starting in 2014, Covered California helps individuals determine whether they are eligible for premium assistance that is available on a sliding-scale basis to reduce insurance costs or whether they are eligible for low-cost or no-cost Medi-Cal. Consumers can then compare health insurance plans and choose the plan that works best for their health needs and budget. Small businesses can purchase competitively priced health insurance plans and offer their employees the ability to choose from an array of plans and may qualify for federal tax credits. Covered California is an independent part of the state government whose job is to make the new market work for Californias consumers. It is overseen by a five-member board appointed by the Governor and the Legislature. For more information on Covered California, please visit www.CoveredCA.com. About the Department of Health Care Services The Department of Health Care Services (DHCS) works to preserve and improve the physical and mental health of all Californians. DHCS provides health care services for more than 8.5 million Californians through Medi-Cal, including medical, dental, mental health, substance use treatment services and long-term services and supports. This is accomplished through an investment of approximately $70 billion annually in public funds for the care of low-income families, children, pregnant women, seniors and persons with disabilities. DHCS focuses on delivering quality, effective services primarily through the more coordinated systems of care provided by 21 Medi-Cal managed care plans located in all of Californias 58 counties. For more information about DHCS, please visit www.dhcs.ca.gov ###

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