This dataset includes the number of eligible individuals selected and enrolled in a subsidized Covered California qualified health plans (QHPs) by Federal Poverty Level (FPL) range by reporting period. Covered California reported data is from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and includes eligible individuals who selected and enrolled in a QHP, and paid their first premium. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

This dataset includes the number of eligible individuals selected and enrolled in a Covered California qualified health plans (QHPs) by rating region and by reporting period. California is comprised of 19 rating regions, and each region has different pricing and health insurance options. Covered California reported data is from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and includes eligible individuals who selected and enrolled in a QHP, and paid their first premium. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

This dataset provides number of Individuals who effectuated their enrollment and had an active policy at the time the enrollment report was compiled. Enrollment is effectuated when an individual pays the first month’s premium for coverage. Covered California reports the effectuated QHP enrollment data from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS). This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

This dataset includes age and gender of eligible individuals who selected and enrolled in a Covered California Qualified Health Plan (QHP), by reporting period. Covered California reported data is from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and includes those who selected and enrolled in a QHP, and paid their first premium. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

This dataset includes the race of eligible individuals who selected and enrolled in a Covered California Qualified Health Plan (QHP) and identified their race as American Indian and/or Alaska Native, Asian Indian, Black or African American, Chinese, Filipino, Guamanian or Chamorro, Japanese, Korean, Mixed Race, Native Hawaiian, Other, Other Asian, Other Pacific Islander, Samoan, Vietnamese, or White, by reporting period. Covered California reported data is from the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and includes those who selected and enrolled in a QHP, and paid their first premium. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

The number of Insurance Affordability Programs (IAPs) applications received through other eligibility pathways. Other eligibility pathways include applications transferred through transition from Advanced Premium Tax Credits (APTC) to Medi-Cal, as well as applications submitted through Hospital Presumptive Eligibility (HPE), through Express Lane, or the Medi-Cal Access Program (MCAP) during a reporting period. APTC to Medi-Cal batch data is reported by CalHEERS and MEDS and consists of individuals who are no longer eligible for APTC but are eligible for Medi-Cal. Another eligibility pathway is Express Lane Eligibility (ELE), which is a program that waives the need for a Medi-Cal eligibility determination for 12 months if the individual is enrolled in CalFresh. Hospital Presumptive Eligibility (HPE) applications are submitted through qualified HPE Providers. ELE and HPE data are reported by DHCS and commencing with this report, MCAP applications are reported by MAXIMUS Inc. This dataset is part of public reporting requirements of set forth in the California Welfare and Institutions Code 14102.5.