_____ Selection of Qualified Dental Plans in 2014 Marketplaces

State Marketplace Typei QDP Selections State Marketplace Typei QDP Selections or Enrollment2 or Enrollment2 Alabama FFM 31,661 Mississippi FFM 11,119 Alaska FFM 2,266 Missouri FFM 28,362 Arizona FFM 15,586 Montana FFM 5,718 SPM 8,906 Nebraska FFM 4,157 Californiaii SBM 26,071 Nevadavii SBM 30,042 Coloradoiii SBM 28,634 New Hampshire SPM 6,762 SBM Enrollment in New Jersey FFM 34,796 QDPs was not SBM 6,919 available in 2014. New Yorkviii SBM 51,511 Delaware SPM 2,896 North Carolina FFM 38,266 District of Columbia SBM Information not yet available. North Dakota FFM 926 Florida FFM 193,092 Ohio FFM 26,155 Georgia FFM 84,624 Oklahoma FFM 15,808 SBM Information not Oregonix SBM 14,502 yet available. FFM 86,964 SBM 10,706 Rhode Islandx SBM ~9,490 SPM 48,489 Indiana FFM 26,257 South Carolina FFM 18,621 Iowa SPM 5,634 South Dakota FFM 1,546 Kansas FFM 8,769 Tennessee FFM 30,177 Kentuckyiv SBM 22,147 Texas FFM 197,674 Louisiana FFM 21,247 Utah FFM 16,047 xi Maine FFM 6,214 SBM 1,293 Marylandv SBM 12,947 Virginia FFM 53,208 xii Massachusettsvi SBM 3,864 SBM 5,860 Michigan SPM 55,399 West Virginia SPM 3,700 SBM Information not Wisconsin FFM 19,527 yet available. Wyoming FFM 1,541

RELATED LINKS HHS ASPE Issue Brief and Enrollment Report for Activity Reported through 4/19/14: http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollment.pdf

Addendum to the HHS ASPE Issue Brief, which includes QDP Enrollment by State on Page 28: http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollAddendum.pdf

NOTES 1. Data for FFM and most SPMs is reported in above links to the May 1 ASPE Issue Brief. Data from SBMs is pulled from various press statements and resources released by the Exchanges. Updated information may be available. 2. The HHS ASPE reports with FFM data include total numbers of plan selections and do not represent effectuated enrollment of those who have paid premium. Some SBM reports may include such effectuated enrollment data and if so, are included within this chart. Refer to sources for more information. 3. In 2014, most health insurance marketplaces offered medical policies known as Qualified Health Plans (QHPs), QHPs that embedded pediatric dental benefits, and separate Qualified Dental Plans (QDPs, also known as Stand-Alone Dental Plans) which were available as an additional, voluntary purchase. There are a few exceptions including, as examples, the state-based Connecticut marketplace that did not offer enrollment in QDPs due to technical difficulties and , and Washington marketplaces that required the purchase of pediatric dental benefits when covering children. More information on the offer of dental benefits in 2014 marketplaces is available on the State Refor(u)m chart, “Individual Marketplace Pediatric Dental Benefit Decisions for 2014” at https://www.statereforum.org/individual-marketplace-pediatric-dental-benefit-decisions-2014.

NADP DESCRIPTION NADP is the largest non‐profit trade association focused exclusively on the dental benefits industry, i.e. dental PPOs, dental HMOs, discount dental plans and dental indemnity products. NADP’s members provide dental benefits to approximately 90 percent of the 187 million Americans with dental benefits. Our members include the entire spectrum of dental carriers: companies that provide both medical and dental coverage, companies that provide only dental coverage, major national carriers, regional, and single state companies, as well as companies organized as non‐profit plans.

NADP CONTACT Eme Augustini, State Affairs Manager [email protected], 972.458.6998x112

i FFM is Federally-Facilitated Marketplace; SBM is State-based Marketplace; SPM is State Partnership Marketplace.

National Association of Dental Plans (NADP) Page 2 of 3 September 2014

ii Health Benefit Exchange. 2014 Open Enrollment Data Book: Dental Enrollment. Accessed 7/30/2014. http://hbex.coveredca.com/data-research/ iii Connect for Health Marketplace Data Analysis Performed by Spark Policy Institute. http://connectforhealthco.com/wp- content/uploads/2013/04/20140908-C4HCO-Marketplace-Analysis-from-Spark-Policy-Institute.pdf iv Governor of Kentucky Steve Beshear website: A Healthier Kentucky: Health Insurance Coverage for Every Kentuckian. statistics. Accessed 7/30/2014. http://governor.ky.gov/healthierky/Pages/default.aspx v Health Connection. Report from the Maryland Health Benefit Exchange about Maryland Health Connection, the state-based health insurance marketplace. May 16, 2014. http://marylandhealthconnection.gov/assets/MHBEMonthlyReport051614.pdf vi Health Connector Summary Report – July 2014. Page 3. https://www.mahealthconnector.org/HomePortal/content/conn/UCM/path/Contribution%20Folders/Content%20Folders%20for%20Connector/About/Leader ship/Board_Meetings/2014/2014-08-14/SummaryReport_July2014.pdf vii Silver State Health Insurance Exchange. Enrollment Statistics Report. July 31, 2014. Page 2. http://exchange.nv.gov/uploadedFiles/exchangenvgov/Content/Meetings/11_Enrollment_Update_July.pdf viii NY State of Health: The Official Health Plan Marketplace. 2014 Open Enrollment Report, June 2014. (Page 15) http://info.nystateofhealth.ny.gov/sites/default/files/NYSOH%202014%20Open%20Enrollment%20Report_0.pdf ix Cover . Enrollment Update. Accessed 9/9/2014. http://resources.coveroregon.com/Enrollment-update.html x HealthSource RI staff response to inquiry, July 21, 2014. “Forty-five percent of HealthSource RI enrollees are enrolled in dental plans in addition to their medical plan. Of those not enrolled in an additional dental plan, nearly 10 percent are children whose medical plans include pediatric dental benefits.” Number included here is percentage of total medical enrollment reported in a Press Release dated April 3, 2014. http://www.healthsourceri.com/press- releases/healthsource-ri-releases-enrollment-demographic-and-volume-data-through-march-31/ xi . & Exchange Advisory Board, March 10, 2014. Page 5. http://info.healthconnect.vermont.gov/sites/hcexchange/files/MEAB_VHC_DEMO%20REMOVED_3%2010%2014.pdf xii Washington Health Plan Finder. Health Coverage Enrollment Report: October 1, 2013 – March 31, 2014. Page 18. http://wahbexchange.org/files/2713/9888/1218/WAHBE_End_of_Open_Enrollment_Data_Report_FINAL.pdf

National Association of Dental Plans (NADP) Page 3 of 3 September 2014