Insurer Participation in the 2017 Individual Marketplace - Updated November 17, 2017

1. Figure 1
58% of exchange enrollees have a choice of three or more insurers in
2017, down from 85% of exchange enrollees in 2016
85%
58%
12%
21%
2%
21%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
ShareofExchangeEnrollees
Three or more insurers Two insurers One insurer
Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,
2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered
from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016
signups.

2. Figure 2
1,021 counties have only one exchange insurer in 2017 compared to
225 counties in 2016
2,014
949904
1,158
225
1,036
0
500
1,000
1,500
2,000
2,500
2016 2017
NumberofCounties
Three or more insurers Two insurers One insurer
Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,
2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered
from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016
signups.

3. Figure 3
62%
28%
20%
31%
18%
41%
0%
10%
20%
30%
40%
50%
60%
70%
Metro Non-Metro
ShareofExchangeEnrollees
Three or more insurers Two insurers One insurer
Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,
2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered
from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016
signups. Metro/Non-Metro county classifications are based on definitions from the Federal Office of Rural Health Policy.
62% of exchange enrollees living in metro counties will have a choice
of three or more insurers in 2017

4. Figure 4
2%
12%
19%
18%
15%
13%
12%
4%
2%
2%
21% 21%
20%
17%
7%
5% 5%
3%
1%
0%
0%
5%
10%
15%
20%
25%
1 2 3 4 5 6 7 8 9 10
ShareofExchangeEnrollees
Number of Insurers
2016 2017
Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,
2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered
from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016
signups.
Distribution of Exchange Enrollees by Number of Insurers in 2016 and
2017

5. Figure 5
33%
7%
21%
2%
37%
29%
21%
12%
30%
64%
58%
85%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Counties (2017)
Counties (2016)
Enrollees (2017)
Enrollees (2016)
One insurer Two insurers Three or more insurers
Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,
2016. Note: For states that do not use healthcare.gov in 2017, insurer participation is estimated based on information gathered
from state exchange websites, insurer press releases, and media reports as of August 26, 2016. Enrollment is based on 2016
signups.
32% of counties will have one exchange insurer in 2017, compared to
7% of counties with one exchange insurer in 2016

6. Figure 6
Source: Kaiser Family Foundation analysis of data from the 2017 QHP Landscape file released by healthcare.gov on October 24,
2016. Note: We define the number of insurers in a single county as the number of insurers (grouped by parent company or group
affiliation) that offer at least one silver plan in the county. For states that do not use healthcare.gov in 2017, insurer participation is
estimated based on information gathered from state exchange websites, insurer press releases, and media reports as of August
26, 2016. States that do not use healthcare.gov in 2017 are: California, Colorado, Connecticut, District of Columbia, Idaho,
Maryland, Massachusetts, Minnesota, New York, Rhode Island, Vermont, and Washington. See the interactive map here:
https://public.tableau.com/profile/kaiser.family.foundation#!/vizhome/InsurerParticipationinthe2017IndividualMarketplace/2017I
nsurerParticipation
Insurer Participation by County in 2017