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Directory of Health Benefit Exchanges

Updated on December 14, 2012
The status of the health benefit exchanges in the 50 states varies widely across the country.
The status of the health benefit exchanges in the 50 states varies widely across the country. | Source

For further Information about Health Insurance Exchanges, see:

Status of the Health Benefit Exchanges

The Affordable Care Act requires the creation of an online health benefit exchange in each state.

The exchanges will be online marketplaces to enable consumers to purchase health insurance in the same way they buy travel services from online marketplaces like Expedia. The exchanges must be capable of enrolling consumers by October 1, 2013 for coverage starting January 1, 2014.

Each state has three options for the type of health benefit exchange that will operate in their state:

  1. a state-run exchange where the state will operate all aspects of the exchange;
  2. a state-federal partnership where the state will operate some functions of the exchange and the federal government will operate other functions; and
  3. a federally operated exchange to be run by the federal government.

States deciding on a state-run exchange must submit a blueprint to the Department of Health and Human Services by December 14, 2012. States deciding on a state-federal partnership must submit their blueprint by February 15, 2013. States meeting neither deadline will have a federally operated exchange by default.

As of December 14, 2012, 16 states plus the District of Columbia have decided to operate state-run exchanges, five states have decided to operate a state-federal partnership, and eight states have decided on a federally operated exchange. Decisions are still pending in the remaining 21 states, though these states might find themselves opting for the federally operated exchanges by default.

Many states which have opted for a federally operated exchange and states with their decisions still pending are controlled by Republicans philosophically opposed to the Affordable Care Act, which they derisively refer to as ObamaCare. Ironically, these red states may end up ceding more power to the federal government than the blue states, since the federal government may operate their health benefit exchanges due to their inaction in creating their own exchanges.

Current Information on Health Benefit Exchanges

The following table provides a state directory of health benefit exchanges. This table is current as of December 14, 2012. The links to the exchanges are expected to undergo many changes as the exchanges are created and modified in the coming year leading up to the October 1, 2013 deadline for these exchanges becoming operational.

State Directory of Health Benefit Exchanges (as of 12/14/2012)

State
Type of Exchange
Link to Exchange or Status Information
Alabama
Pending
http://www.aldoi.gov/Consumers/HealthInsReform.aspx
Alaska
Federally operated exchange
N/A
Arizona
Pending
N/A
Arkansas
State-federal partnership
N/A
California
State-run exchange
http://www.healthexchange.ca.gov/Pages/Default.aspx
Colorado
State-run exchange
http://www.coloradohealthinsuranceexchange.us/
Connecticut
State-run exchange
http://www.ct.gov/hix/site/default.asp
Delaware
State-federal partnership
http://dhss.delaware.gov/dhcc/
District of Columbia
DC-run exchange
http://healthreform.dc.gov/DC/Health+Reform/Insurance+Coverage+Options/Health+Insurance+Exchange
Florida
Federally operated exchange
N/A
Georgia
Pending
N/A
Hawaii
State-run exchange
http://www.hawaiihealthconnector.com/
Idaho
Pending
N/A
Illinois
State-federal partnership
http://insurance.illinois.gov/hiric/hie.asp
Indiana
Pending
N/A
Iowa
State-run exchange
http://www.idph.state.ia.us/hcr_committees/health_benefit_exchange.asp
Kansas
Pending
N/A
Kentucky
State-run exchange
N/A
Louisiana
Federally operated exchange
N/A
Maine
Federally operated exchange
N/A
Maryland
State-run exchange
http://marylandhbe.com/
Massachusetts
State-run exchange
https://www.mahealthconnector.org/portal/site/connector
Michigan
State-federal partnership
N/A
Minnesota
Pending
N/A
Mississippi
Pending
N/A
Missouri
Pending
N/A
Mountana
Pending
N/A
Nebraska
Pending
N/A
Nevada
State-run exchange
http://exchange.nv.gov/
New Hampshire
Federally operated exchange
N/A
New Jersey
Pending
N/A
New Mexico
Pending
N/A
New York
State-run exchange
http://healthbenefitexchange.ny.gov/
North Carolina
State-federal partnership
N/A
North Dakota
Pending
N/A
Ohio
Pending
N/A
Oklahoma
Pending
N/A
Oregon
State-run exchange
http://coveroregon.com/
Pennsylvania
Pending
N/A
Rhode Island
State-run exchange
http://www.healthcare.ri.gov/
South Carolina
Federally operated exchange
N/A
South Dakota
Federally operated exchange
N/A
Tennessee
Pending
N/A
Texas
Federally operated exchange
N/A
Utah
State-run exchange
http://www.exchange.utah.gov/
Vermont
State-run exchange
http://hcr.vermont.gov/timeline/exchange
Virginia
Pending
N/A
Washington
State-run exchange
http://www.hca.wa.gov/hbe
West Virginia
State-run exchange
http://bewv.wvinsurance.gov/
Wisconsin
Pending
N/A
Wyoming
Pending
N/A

Comments

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    • teaches12345 profile image

      Dianna Mendez 4 years ago

      Great information to have and to guide us on what is upcoming in 2013.

    • GiblinGirl profile image

      GiblinGirl 4 years ago from New Jersey

      Wow - great info. I really don't know much about the healthcare situation so this is very helpful.

    • tamarawilhite profile image

      Tamara Wilhite 4 years ago from Fort Worth, Texas

      Useful resource. Do you have information on what taxes, fees and fines those in states without state exchanges they will pay? For example, the Obama administration is saying they're going to levy a 3.5% fine on insures whose states don't set up exchanges, a cost that will certainly be passed on to consumers.

    • eHealer profile image

      Deborah 4 years ago from Las Vegas

      Hey Tips, this is an excellent and very needed informational hub. The info is great and you've worked hard on the organization and references. Thank you so much, I can use this hub to share with others that ask me a lot of questions on this topic! Thanks! Shared, pinned, facebooked and voted up! Awesome!!