New Data From eHealth Price Index Points to Off-Exchange Enrollment Trends as Open Enrollment Draws to a Close

Mar 25, 2014
Snapshot of Off-Exchange Activity at eHealth Since January 1, 2014 Shows That 45% of Shoppers Selecting Plans Are Between 18 and 34 Years Old; Catastrophic Plans Are More Popular; Average Premiums Decline

MOUNTAIN VIEW, CA -- (Marketwired) -- 03/25/14 -- Today eHealth, Inc. (NASDAQ: EHTH) (www.ehealth.com), which operates eHealthInsurance.com, the nation's first and largest private online health insurance exchange, released an update to its eHealth Price Index, including data on key off-exchange enrollment demographics, consumer plan selections, and average health insurance costs for the second half of the Affordable Care Act's nationwide open enrollment period to date. The open enrollment period began October 1, 2013 and is scheduled to continue through March 31, 2014.

The company's data show that eHealth shoppers since January 1, 2014 tend to be younger and more likely to have been previously uninsured compared to eHealth shoppers in the first half of the open enrollment period. Additionally, eHealth reports that catastrophic plans are growing in popularity since the beginning of the year and that average monthly premiums for plans chosen by shoppers at eHealth have declined at both the national level and in select states surveyed by eHealth, including California, Illinois, and Florida.

"This is a moment of truth for the Affordable Care Act," said eHealth CEO and Chairman Gary Lauer. "Will health reform meet its goals of enrolling millions of Americans in quality, affordable health insurance plans and reducing the ranks of the nation's uninsured? At eHealth, we've been doing our part since October 1. We're reaching the hard-to-get key consumers in the 18-34 age group and among the previously uninsured, and we're matching them with coverage today."

"We are also now enrolling consumers manually, via telephone, in subsidy-eligible health plans in the 36 states supported by healthcare.gov, as well as in California," Lauer continued. "While we are pleased to be able to assist lower-income visitors to eHealth, our goal is to be able to enroll the subsidy-eligible in a much more scalable way online. We are continuing discussions with the federal government and the states to be able to accomplish this in the future."

Enrolling Younger Americans
Health insurance enrollment by younger consumers in the 18-34-year-old age range is seen as key to the overall success of the Affordable Care Act. By comparing eHealth Price Index data from the first half of the nationwide open enrollment period with a snapshot of eHealth Price Index data from the second half of the nationwide open enrollment period to date, the company reports that more of the millennial generation is turning to eHealth to find coverage:

  • Between October 1 and December 31, 2013, shoppers between the ages of 18 and 34 years old accounted for 39% of persons selecting off-exchange plans through eHealth1.
  • Between January 1 and March 23, 2014, shoppers between the ages of 18 and 34 years old accounted for 45% of persons selecting off-exchange plans through eHealth2.

Reaching the Previously Uninsured
In a separate study, eHealth asked shoppers about their insurance status prior to visiting eHealth. Based on the responses, the company reports that a higher percentage of shoppers in the second half of the open enrollment period were previously uninsured when compared with shoppers in the first half of the open enrollment period3:

  • Between October 1 and December 31, 2013, one-third (34%) of eHealth shoppers participating in the poll identified themselves as uninsured.
  • Between January 1 and March 23, 2014, half (51%) of eHealth shoppers who participated in the poll identified themselves as uninsured.

Catastrophic Plans More Popular
The Affordable Care Act categorizes major medical individual and family health insurance plans into "metallic-level" tiers -- bronze, silver, gold, platinum -- based on the amount of cost-sharing borne by the policy holder for covered medical services. It also created "catastrophic" plans specifically designed for persons under age 30. In an analysis of its off-exchange plan enrollments, eHealth reports that it is seeing an increase in the popularity of catastrophic plans among shoppers in the last three months of the nationwide open enrollment period:

  • Between October 1 and December 31, 2013, bronze plans were the most popular, accounting for 42% of all plans selected by shoppers. Catastrophic plans accounted for 10% of all plans selected1.
  • Between January 1, and March 23, 2014, bronze plans were still the most popular choice (43% of all plans selected), but the popularity of catastrophic plans increased to 14% of all plans selected2.

Changing Costs of Health Insurance Plans Selected by Shoppers
Since the beginning of the second half of the nationwide open enrollment period, eHealth's Price Index data illustrates a movement towards younger applicants and towards shoppers selecting plans with lower monthly premiums4.
Among individuals shopping for health insurance, eHealth's Price Index shows that:

  • On January 1, 2014, the average premium for individual plans selected by eHealth shoppers was $290 per month (compared to $197 per month in February 20135), and the average age of individual applicants was 39.
  • By March 23, 2014, the average premium for individual plans selected by eHealth shoppers was $261 per month (a decrease of 10% since January 1) and the average age of individual applicants was 36.

Among families shopping for health insurance, eHealth's Price Index shows that:

  • On January 1, 2014, the average premium for family plans selected by eHealth shoppers was $701 per month (compared to $426 per month in February 20135), with an average of three persons per family group.
  • By March 23, 2014, the average premium for family plans selected by eHealth shoppers was $654 per month (a 7% decrease since January 1), with an average of three persons per family group.

Spotlight on Premiums in California, Illinois, and Florida
As they have at the national level, average monthly premiums for individual plans selected by eHealth customers in select states surveyed have also decreased in the first quarter of 2014 to date when compared to the fourth quarter of 2013. In the states of California, Illinois, and Florida, eHealth reports the following:

In California:

  • Between October 1 and December 31, 2013, the average premium for 2014 individual plans selected by eHealth customers in California was $331 per month1.
  • Between January 1 and March 23, 2014, the average premium for individual plans selected by eHealth customers in California was $298 per month2 -- a 10% decrease compared to the October - December 2013 period.

In Illinois:

  • Between October 1 and December 31, 2013, the average premium for 2014 individual plans selected by eHealth customers in Illinois was $262 per month1.
  • Between January 1 and March 23, 2014, the average premium for individual plans selected by eHealth customers in Illinois was $222 per month2 -- a 15% decrease compared to the October - December 2013 period.

In Florida:

  • Between October 1 and December 31, 2013, the average premium for 2014 individual plans selected by eHealth customers in Florida was $325 per month1.
  • Between January 1 and March 23, 2014, the average premium for individual plans selected by eHealth customers in Florida was $271 per month2 -- a 17% decrease compared to the October - December 2013 period.

Open Enrollment Deadline One Week Away
The first-ever nationwide open enrollment period for individual and family health insurance, established by the Affordable Care Act, is due to come to a close after March 31, 2014. This will be the very last date that many American consumers will be able to obtain health insurance for themselves and their families until 2015, unless they experience a qualifying event such as (but not limited to) marriage, divorce, or the loss of employer-based coverage. Consumers without employer-based health coverage (or without Medicare, Medicaid, or another form of minimum essential coverage) who do not purchase health insurance by March 31 may be subject to a tax penalty of $95 per adult and $47.50 per child or 1% of their income (whichever is greater) on their 2014 federal tax return.

Notes:
1 As reported in the eHealth Price Index Report for October - December 2013.
2 Preliminary Q1 2014 figures based on the same methodology employed for figures reported in the eHealth Price Index Report for October - December 2013. To view the methodology, see the eHealth Price Index Report for October - December 2013.
3 According to an ongoing, voluntary survey of eHealth customers.
4 Figures reported in this section are available through the online eHealth Price Index.
5 According to eHealth's Cost and Benefits report published in December 2013, based on plans purchased through eHealth and with coverage in effect as of February 2013.

About eHealth
eHealth, Inc. (NASDAQ: EHTH) operates eHealthInsurance.com, the Nation's first and largest private health insurance exchange where individuals, families and small businesses can compare health insurance products from leading insurers side by side and purchase and enroll in coverage online. eHealthInsurance offers thousands of individual, family and small business health plans underwritten by more than 200 of the nation's leading health insurance companies. eHealthInsurance is licensed to sell health insurance in all 50 states and the District of Columbia. eHealth, Inc. also provides powerful online and pharmacy-based tools to help Medicare beneficiaries navigate Medicare health insurance options, choose the right plan and enroll in select plans online through PlanPrescriber.com (www.planprescriber.com) and eHealthMedicare.com (www.eHealthMedicare.com).

For more health insurance news and information, visit the eHealth consumer blog: Get Smart - Get Covered or visit eHealth's Affordable Care Act Resource Center at www.eHealth.com/affordable-care-act.

Forward Looking Statements
This press release contains forward-looking statements, including statements regarding the timing of the end of the open enrollment period for individual and family health insurance and its impact. These forward-looking statements involve certain risks and uncertainties that could cause actual results to differ materially from those indicated in such forward-looking statements, including, but not limited to, the potential changes to the Affordable Care Act and related regulations and rules. Other risks and uncertainties that can affect actual results are included under the captions "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in eHealth's Annual Report on Form 10-K for the year ended December 31, 2013 and most recent Quarterly Report on Form 10-Q, which are on file with the SEC and are available on the investor relations page of eHealth's website at http://www.ehealthinsurance.com and on the Securities and Exchange Commission's website at www.sec.gov. All information provided in this press release is as of the date of this press release, and we undertake no duty to update this information unless required by law.

For media inquiries, please contact:

Sande Drew
eHealth, Inc.
(916) 207-7674
sande.drew@ehealth.com

Brian Mast
eHealth, Inc.
(650) 210-3149
brian.mast@ehealth.com

Source: eHealth, Inc.