Covered California - California Health Benefit Exchange

09/26/2024 | Press release | Distributed by Public on 09/26/2024 16:01

Public Health Emergency Unwind Cumulative Profile

About the Data

Medi-Cal Transitioners - Data describing the transition of consumers from Medi-Cal to Covered California
Description of the Data
Published: 9/26/24
Overview: This report contains details on California health insurance consumers who transition from Medi-Cal to Covered California. Senate Bill 260 (Senate Bill 260 (Chapter 845, Statutes of 2019) authorizes Covered California to automatically enroll consumers who are discontinued from Medi-Cal and are found eligible for subsidized coverage with Covered California. Except as further defined for each report tab, the universe for this report is the cohort of consumers identified by the CalHEERS application system to have been discontinued from Medi-Cal and to have received a determination of eligibility for Covered California to begin in the month(s) shown above ("program transition month"). The ensuing eligibility outcomes shown reflect the income, issuer, and other consumer characteristics as of the end of a consumers Special Enrollment Period (SEP) due to the loss of Medi-Cal coverage. In some cases, a consumer may initially appear eligible for Covered California, but then receive another determination returning them to Medi-Cal coverage (or otherwise providing a different eligibility result). This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. All cells are rounded to the nearest 10 for privacy; totals are based on rounded figures and may not match due to rounding. Subsequent tabs focus on grand totals of settled data for Medi-Cal Transitioners following 12 months of the Publich Health Emergency (PHE) Unwind Medi-Cal redeterminations. This includes individuals with program transition months for July 2023 through June 2024.
Program Transition Month: 7/1/23 - 6/1/24 This report is produced based on program transition months, defined for an individual who loses Medi-Cal coverage as the month their Covered California eligibility begins. In the case of someone who experiences a gap in coverage but enrolls towards the end of their Special Enrollment Period (SEP), the coverage start month may be later than this program transition month.
MONTHLY KPI
Overview: A summary of metrics from all reports, arrayed by program transition month.
Metric Name Metric Description
PS1 Count of all Medi-Cal plan selections including those who do and do not qualify for subsidies (APS and non-APS, respectively) and those automatically added to an existing policy. Excludes those who return to Medi-Cal before the end of their SEP periods.
ELIGIBILITY
Overview: The universe for this tab are individuals identified by CalHEERS who lost Medi-Cal and were eligible for Covered California on the date their Medi-Cal coverage ended. The report summarizes 3 eligibility outcomes based on eligibility at the end of the individual's Special Enrollment Period (SEP) (or 90-day cure period, if relevant): eligible for Covered California Qualified Health Plan (QHP) with subsidies, eligible for Covered California Qualified Health Plan (QHP) without subsidies, and returned to Medi-Cal eligibility or otherwise found ineligible for Covered California Qualified Health Plan (QHP).
Data Domain Metric Name Metric Description
Eligibility E1 Count of all individuals referred by the counties who lost Medi-Cal coverage and were found eligible for Covered California. Does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California.
Eligibility E2 Subset of Metric 1, individuals who experienced transition and were still eligible for Covered California as of the end of their SEP.
Eligibility E3 Subset of Metric 2, individuals who experienced transition and were still eligible for Covered California, with subsidies, as of the end of their SEP.
Eligibility E4 Subset of Metric 2, individuals who experienced transition and were still eligible for Covered California, without subsidies, as of the end of their SEP.
Eligibility E5 Subset of Metric 1, individuals who experienced transition and were no longer eligible for Covered California at the end of their SEP. Metric 2 and Metric 5 sum to Metric 1.
AUTO PLAN SELECTIONS (APS)
Overview: The universe for this tab are individuals identified by CalHEERS who lost Medi-Cal and were eligible for Covered California on the date their Medi-Cal coverage ended, and received an auto plan selection (APS) under SB 260, based on being eligible for subsidies at the time they were found eligible for Covered California.
Data Domain Metric Name Metric Description
APS A1 Total count of consumers who experienced an eligibility transition from Medi-Cal to Covered California (with subsidies), and received an auto plan selection (APS).
APS A2 Received Auto Plan Selection and remained eligible for Covered California by the end of their special enrollment period (SEP), or effectuated. Metric A2 and A3 sum to Metric A1.
APS A3 Received auto plan selection (APS) but returned to Medi-Cal (or otherwise ineligible) by end of SEP. Metric A2 and A3 sum to Metric A1.
APS A4 Repeat of Metric A2, but reproduced in order to provide visual delineation within the table.
APS A5 Eligible for $0 plan, among those who received Auto Plan Selection and remained eligible for Covered California by the end of their special enrollment period (SEP), or effectuated. Subset of Metric A4; Metrics A5 and A6 sum to A4.
APS A6 Eligible for greater than $0 plan, among those who received Auto Plan Selection and remained eligible for Covered California by the end of their special enrollment period (SEP), or effectuated. Subset of Metric A4; Metrics A5 and A6 sum to A4.
APS A7 Effectuated consumers who received auto plan selection (APS). Subset of Metric A4.
APS A8 Effectuated consumers who received auto plan selection (APS) and were eligible for $0 plan. Subset of Metric A7; Metric A8 and Metric A9 sum to Metric A7.
APS A9 Effectuated consumers who received auto plan selection (APS) and were eligible for greater than $0 plan. Subset of Metric A7; Metric A8 and Metric A9 sum to Metric A7.
APS A10 Share of APS consumers in Column 2 who were eligible for a $0 plan (or, Metric A5 / Metric A4).
APS A11 Share of effectuated APS consumers in Column 7 who were eligible for a $0 plan (or, Metric A8 / Metric A7)
APS A12 Effectuation rate among those who received Auto Plan Selection and remained eligible for Covered California by the end of their special enrollment period (SEP), or effectuated (or, Metric A7 / Metric A4).
APS A13 Effectuation rate among those who received APS eligible for $0 plan (or, Metric A8 / Metric A5).
EFFECTUATED COVERAGE
Overview: The universe for this tab are individuals identified by CalHEERS who lost Medi-Cal and were eligible for Covered California on the date their Medi-Cal coverage ended, and effectuated coverage with Covered California.
Data Domain Metric Name Metric Description
COVERAGE C1 Total count of consumers who were referred from counties for loss of Medi-Cal, enrolled in Covered California, and effectuated their plan.
COVERAGE C2 The subset of total effectuated MCT consumers (Metric C1) whose latest eligibility of the SEP period indicates they are eligible for subsidies. Metrics C2 and C3 together sum to Metric C1.
COVERAGE C3 The subset of total effectuated MCT consumers (Metric C1) whose latest eligibility of the SEP period indicates they are not eligible for subsidies. Metrics C2 and C3 together sum to Metric C1.
COVERAGE C4 The subset of total effectuated MCT consumers (Metric C1) who did not receive an Auto Plan Selection (APS) enrollment due to not being eligible for subsidies at the time of their initial eligibility transition. Metric C4 and C5 together sum to Metric C1.
COVERAGE C5 The subset of total effectuated MCT consumers (Metric C1) who received an Auto Plan Selection (APS) enrollment due to being eligible for subsidies at the time of their initial eligibility transition. Metric C4 and C5 together sum to Metric C1.
COVERAGE C6 The subset of total effectuated MCT consumers receiving APS (Metric C4) whose latest enrollment of the SEP period is a plan costing $0 (may include enrollment into Bronze, or a plan other than the APS plan). Metric C6 and C7 together sum to Metric C5.
COVERAGE C7 The subset of total effectuated MCT consumers receiving APS (Metric C4) whose latest enrollment of the SEP period is a plan costing more than $0 (may include enrollment into Bronze, or a plan other than the APS plan). Metric C6 and C7 together sum to Metric C5.
COVERAGE C8 Repeat of Metric C5 (APS effectuated).
COVERAGE C9 The subset of total effectuated MCT consumers receiving APS (Metric C4) whose latest enrollment of the SEP period is the default APS plan. Metric C9 and C10 together sum to Metric C8.
COVERAGE C10 The subset of total effectuated MCT consumers receiving APS (Metric C4) whose latest enrollment of the SEP period is a plan different than the default APS plan. Metric C9 and C10 together sum to Metric C8.
COVERAGE C11 Share (percentage) of APS effectuated individuals who enrolled in a $0 plan (Metric C6 / Metric C5).
COVERAGE C12 Share (percentage) of APS effectuated individuals who switched out of their default APS plan (Metric C10 / Metric C8).
COVERAGE C13 Count of individuals who experiences a loss of Medi-Cal, became eligible for, enrolled, and effectuated Covered California coverage, yet by the end of their SEP (or cure period), have since returned to Medi-Cal eligibility. This count is a subset of Metric C1, but is not mutually exclusive to other Metrics (such as Metrics C2 and Metrics C3).
CHOICE
Overview: A summary of plan choice decisions by consumers who received the auto plan selection (APS) as a result of losing Medi-Cal eligibility and being found eligible for Covered California coverage with subsidies, and also effectuated their coverage. Includes a mix of "default" issuer (assigned by the auto plan selection process) and the latest (or chosen) issuer at the end of the transition SEP.

MONTHLY KPI

Medi-Cal Transitioners - Auto Plan Selections
Program Transition Month Geography:
7/1/23 - 6/1/24 Statewide
'This report contains details on California health insurance consumers who transition from Medi-Cal to Covered California. Senate Bill 260 (Senate Bill 260 (Chapter 845, Statutes of 2019) authorizes Covered California to automatically enroll consumers who are discontinued from Medi-Cal and are found eligible for subsidized coverage with Covered California. The universe for this report is the cohort of consumers identified by the CalHEERS application system to have been discontinued from Medi-Cal and to have received a determination of eligibility for Covered California to begin in the month(s) shown above ("program transition month"). In some cases, a consumer may initially appear eligible for Covered California, but then receive another determination returning them to Medi-Cal coverage (or otherwise providing a different eligibility result). This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. Subsequent tabs focus on grand totals of settled data for Medi-Cal Transitioners following 12 months of the Publich Health Emergency (PHE) Unwind Medi-Cal redeterminations. This includes individuals with program transition months for July 2023 through June 2024.
KEY PERFORMANCE INDICATORS
7 8
2023 2024 7
Medi-Cal to Covered California Transition Data By Month Marketplace Eligibility Begins* Metric Grand Total July August September October November December January February March April May June 7 9
Medi-Cal Transitions eligible in CalHEERS E1 2,143,007 35,779 48,234 284,572 217,861 222,459 225,750 216,163 150,328 181,426 203,583 169,022 187,830 7
Medi-Cal Transitions with plan selection** PS1 552,061 9,997 11,808 36,475 38,889 47,074 47,487 62,588 48,183 59,830 67,661 58,077 63,992 7 10
Auto Plan Selections*** A2 518,161 9,253 10,432 32,894 35,920 43,229 43,295 57,761 44,959 56,719 65,461 56,330 61,908 7
Effectuated Coverage After Auto Plan Selection A7 175,171 3,041 3,826 9,002 11,494 14,206 15,697 19,614 15,730 18,784 21,923 19,769 22,085 7 11
Effectuated after APS - Eligible for $0 Silver plan A11 34% 32% 37% 39% 33% 32% 29% 37% 34% 33% 34% 34% 37% 7
Effectuated after APS - Switched out of default plan C12 30% 32% 30% 29% 27% 29% 30% 34% 36% 31% 30% 28% 28% 7 12
Effectuation Rate After Auto Plan Selections (APS) A12 34% 33% 37% 27% 32% 33% 36% 34% 35% 33% 33% 35% 36% 7
Effectuation rate among APS - eligible for $0 plan A13 36% 36% 43% 32% 32% 33% 34% 35% 35% 33% 37% 39% 41% 7 13
7
* Data excludes any consumers with Medi-Cal redetermination, initially found marketplace eligible, but who returned to Medi-Cal eligibility before losing coverage. ** Includes plan selections by individuals who do not qualify for subsidies and members who were automatically added to an existing family enrollment. *** A subset of Medi-Cal Transitions with a plan selection. Indicates that consumer received an automatic plan selection when first transitioning from Medi-Cal. Includes consumers who were automatically added to an existing enrollment in the same household, and includes those who later switched into a different plan after auto plan selection. 7 14
Published date: 09/26/2024 15
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ELIGIBILITY

Medi-Cal Transitioners - Eligibility
Program Transition Month Geography:
7/1/23 - 6/1/24 Statewide
This report contains details on California health insurance consumers who transition from Medi-Cal to Covered California. Senate Bill 260 (Chapter 845, Statutes of 2019) authorizes Covered California to automatically enroll consumers who are discontinued from Medi-Cal and are found eligible for subsidized coverage with Covered California. The universe for this report is the cohort of consumers identified by the CalHEERS application system to have been discontinued from Medi-Cal and to have received a determination of eligibility for Covered California to begin in the month(s) shown above ("program transition month"). The ensuing eligibility outcomes shown reflect the income, issuer, and other consumer characteristics as of the end of a consumer's Special Enrollment Period (SEP) due to the loss of Medi-Cal coverage. In some cases, a consumer may initially appear eligible for Covered California, but then receive another determination returning them to Medi-Cal coverage (or otherwise providing a different eligibility result). This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. All cells are rounded to the nearest 10 for privacy; totals are based on rounded figures and may not match due to rounding. Grand totals are displayed of settled data for Medi-Cal Transitioners following 12 months of the Publlic Health Emergency Unwind (PHE) Medi-Cal redeterminations This includes individuals with program transition months for July 2023 through June 2024.
Transitioning Individuals
All Medi-Cal Transitioners TOTAL
Plan Selected Individuals (column %) Metric (column)
All Medi-Cal Transitioners 2,143,007 100% E1
Eligible for Covered California - subtotal 1,794,176 83.7% E2
Not Receiving Subsidy Eligible for subsidies 549,726 25.7% E3
APTC_only Unsubsidized 1,244,450 58.1% E4
Return to Medi-Cal (or otherwise ineligible) by end of transition SEP 348,831 16.3% E5
See :"About the Data" tab for metric descriptions.
DEMOGRAPHICS
KPI_PUBLIC_ELIG_MCT_ROUNDED KPI_PUBLIC_ELIG_CCP_ROUNDED KPI_PUBLIC_ELIG_SUB_ROUNDED KPI_PUBLIC_ELIG_UNSUB_ROUNDED KPI_PUBLIC_ELIG_MC_RETURN_INELIG_ROUNDED
Age
AGE_BRACKET E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Age Bracket Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
Age 17 or less 556,700 408,230 62,440 345,790 148,460 26% 23% 11% 28% 43%
Age 18 to 25 459,630 400,330 119,790 280,540 59,300 21% 22% 22% 23% 17%
Age 26 to 34 414,490 370,200 119,130 251,080 44,290 19% 21% 22% 20% 13%
Age 35 to 44 285,410 249,500 99,300 150,190 35,910 13% 14% 18% 12% 10%
Age 45 to 54 196,950 170,550 74,770 95,780 26,390 9% 10% 14% 8% 8%
Age 55 to 64 170,610 144,820 64,790 80,030 25,790 8% 8% 12% 6% 7%
Age 65+ 59,220 50,540 9,510 41,040 8,680 3% 3% 2% 3% 2%
Grand Total 2,143,010 1,794,170 549,730 1,244,450 348,820 100% 100% 100% 100% 100%
Gender
GENDER E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Gender Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
Female 1,116,060 931,190 313,000 618,190 184,870 52% 52% 57% 50% 53%
Male 1,026,230 862,360 236,480 625,880 163,870 48% 48% 43% 50% 47%
Transgender: Female to Male 370 330 150 190 40 0% 0% 0% 0% 0%
Transgender: Male to Female 340 290 100 190 50 0% 0% 0% 0% 0%
Grand Total 2,143,000 1,794,170 549,730 1,244,450 348,830 100% 100% 100% 100% 100%
FPL
ELIG_MCT_END_SUBSIDY_FPL_BRACKET E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
FPL Bracket (as of end of SEP) Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
138% FPL or less 671,540 482,050 30,630 451,430 189,490 31% 27% 6% 36% 54%
138% FPL to 150% FPL 79,180 67,110 38,400 28,720 12,070 4% 4% 7% 2% 3%
150% FPL to 200% FPL 288,130 256,870 179,910 76,960 31,260 13% 14% 33% 6% 9%
200% FPL to 250% FPL 175,090 155,320 108,800 46,520 19,770 8% 9% 20% 4% 6%
250% FPL to 400% FPL 198,870 182,510 149,790 32,730 16,360 9% 10% 27% 3% 5%
400% FPL to 600% FPL 40,160 38,000 32,200 5,800 2,160 2% 2% 6% 0% 1%
600% FPL or greater 12,920 12,110 9,980 2,130 820 1% 1% 2% 0% 0%
FPL Unavailable 677,090 600,180 30 600,150 76,900 32% 33% 0% 48% 22%
Grand Total 2,142,980 1,794,150 549,740 1,244,440 348,830 100% 100% 100% 100% 100%
_c2_ _c2_ _c2_ _c3_ _c4_ _c5_ _c2_ _c3_ _c4_ _c5_
Ethnicity
ETHNICITY_SUM E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Ethnicity Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
AI/AN (Not Hispanic/Latino/Spanish origin)** 1,066,340 918,600 291,930 626,670 147,740 50% 51% 53% 50% 42%
(Hispanic/Latino/Spanish origin)* 142,400 118,430 33,020 85,410 23,980 7% 7% 6% 7% 7%
Cuban 2,300 1,980 530 1,450 320 0% 0% 0% 0% 0%
Guatemalan 13,330 9,830 3,120 6,710 3,490 1% 1% 1% 1% 1%
Mexican/Mexican American/Chicano 439,990 360,250 112,310 247,930 79,750 21% 20% 20% 20% 23%
Multiple Ethnicities 30,860 25,530 8,130 17,400 5,320 1% 1% 1% 1% 2%
Puerto Rican 4,360 3,790 1,070 2,730 560 0% 0% 0% 0% 0%
Salvadoran 19,070 15,250 5,690 9,550 3,820 1% 1% 1% 1% 1%
Other 424,080 340,330 93,810 246,520 83,750 20% 19% 17% 20% 24%
Grand Total 2,142,730 1,793,990 549,610 1,244,370 348,730 100% 100% 100% 100% 100%
"Hispanic/Latino/Spanish origin" respondents answered "Yes" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
"Not Hispanic/Latino/Spanish origin" respondents answered "No" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
Race
RACE_SUM E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Race Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
AI/AN American Indian or Alaska Native 12,100 10,200 3,050 7,150 1,900 1% 1% 1% 1% 1%
Asian Indian 22,950 18,960 7,380 11,580 4,000 2% 2% 3% 2% 3%
Black or African American 137,040 115,820 29,390 86,430 21,230 13% 13% 10% 15% 15%
Cambodian 6,520 5,650 1,870 3,780 880 1% 1% 1% 1% 1%
Chinese 47,230 40,760 17,550 23,200 6,480 5% 5% 6% 4% 4%
Filipino 43,530 38,930 14,650 24,280 4,600 4% 4% 5% 4% 3%
Guamanian or Chamorro 840 730 190 540 110 0% 0% 0% 0% 0%
Hmong 4,390 3,530 850 2,680 860 0% 0% 0% 0% 1%
Japanese 3,630 3,320 1,260 2,060 300 0% 0% 0% 0% 0%
Korean 16,490 14,720 5,720 8,990 1,770 2% 2% 2% 2% 1%
Laotian 3,220 2,750 740 2,010 470 0% 0% 0% 0% 0%
Multiple Races 39,760 34,320 11,430 22,890 5,450 4% 4% 4% 4% 4%
Native Hawaiian 1,620 1,360 350 1,020 260 0% 0% 0% 0% 0%
Other 120,800 100,400 33,840 66,560 20,410 12% 11% 12% 11% 14%
Other Asian 10 10 10 10 10 0% 0% 0% 0% 0%
Samoan 3,010 2,570 570 2,000 440 0% 0% 0% 0% 0%
Vietnamese 41,360 35,640 14,640 21,000 5,730 4% 4% 5% 4% 4%
White 518,440 449,170 139,470 309,700 69,270 51% 51% 49% 52% 48%
(nonrespondent) 1,120,060 915,370 266,790 648,580 204,690 52% 51% 49% 52% 59%
Grand Total 2,143,000 1,794,210 549,750 1,244,460 348,860 100% 100% 100% 100% 100%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
Race / Ethnicity (combination)
RACE_ETHNICITY E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Race Ethnicity Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
AI/AN (nonrespondent) 241,520 205,800 62,190 143,610 35,720 11% 11% 11% 12% 10%
American Indian or Alaska Native 7,890 6,660 1,960 4,700 1,230 0% 0% 0% 0% 0%
Asian American 185,710 161,220 63,770 97,450 24,490 10% 10% 13% 9% 8%
Black or African American 131,490 111,260 28,320 82,940 20,230 7% 7% 6% 8% 6%
Latino 1,076,380 875,390 257,690 617,700 200,990 57% 55% 53% 56% 64%
Multiple Races 29,850 25,770 8,690 17,080 4,080 2% 2% 2% 2% 1%
Native Hawaiian or Other Pacific Islander 4,620 4,000 950 3,050 620 0% 0% 0% 0% 0%
Other 89,700 73,880 24,310 49,570 15,820 5% 5% 5% 5% 5%
White 375,850 330,210 101,850 228,360 45,630 20% 21% 21% 21% 15%
Grand Total 2,143,010 1,794,190 549,730 1,244,460 348,810 100% 100% 100% 100% 100%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
Race / Ethnicity (summary)
age_bracket E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Race Ethnicity Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
AI/AN (nonrespondent) 241,520 205,800 62,190 143,610 35,720 11% 11% 11% 12% 10%
Asian 190,330 165,220 64,720 100,500 25,110 10% 10% 13% 9% 8%
Black or African American 131,490 111,260 28,320 82,940 20,230 7% 7% 6% 8% 6%
Latino 1,076,380 875,390 257,690 617,700 200,990 57% 55% 53% 56% 64%
Other 127,440 106,310 34,960 71,350 21,130 7% 7% 7% 6% 7%
White 375,850 330,210 101,850 228,360 45,630 20% 21% 21% 21% 15%
Grand Total 2,143,010 1,794,190 549,730 1,244,460 348,810 100% 100% 100% 100% 100%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
Language Written
language_written E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Language Written Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
Arabic 2,430 1,790 550 1,250 640 0% 0% 0% 0% 0%
Armenian 1,890 1,330 390 940 570 0% 0% 0% 0% 0%
Cambodian 380 310 100 210 80 0% 0% 0% 0% 0%
English 1,627,860 1,395,650 428,680 966,970 232,210 76% 78% 78% 78% 67%
Farsi 2,600 1,990 750 1,240 610 0% 0% 0% 0% 0%
Hindi 80 70 30 40 10 0% 0% 0% 0% 0%
Hmong 280 240 30 210 40 0% 0% 0% 0% 0%
Korean 4,940 4,320 1,730 2,590 620 0% 0% 0% 0% 0%
Punjabi 270 210 80 130 70 0% 0% 0% 0% 0%
Russian 7,170 5,890 1,680 4,220 1,280 0% 0% 0% 0% 0%
Spanish 434,070 333,370 97,920 235,450 100,700 20% 19% 18% 19% 29%
Tagalog 1,380 1,190 450 740 190 0% 0% 0% 0% 0%
Traditional Chinese character 19,100 15,930 7,710 8,220 3,170 1% 1% 1% 1% 1%
Vietnamese 19,920 16,870 7,730 9,140 3,050 1% 1% 1% 1% 1%
(blank) 20,620 15,020 1,910 13,110 5,610 1% 1% 0% 1% 2%
Grand Total 2,142,990 1,794,180 549,740 1,244,460 348,850 100% 100% 100% 100% 100%
SERVICE CHANNEL
Delegation Status
E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Delegation Status Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
Certified Insurance Agents & Plan Based Enrollers 106,020 96,840 50,290 46,550 9,190 5% 5% 9% 4% 3%
Delegation began before MCT transition 87,600 79,750 36,670 43,080 7,850 4% 4% 7% 3% 2%
Delegation began after MCT transition 18,420 17,090 13,620 3,470 1,340 1% 1% 2% 0% 0%
Certified Enrollment Counselors 28,750 25,310 12,790 12,530 3,440 1% 1% 2% 1% 1%
Delegation began before MCT transition 20,980 18,240 6,840 11,400 2,740 1% 1% 1% 1% 1%
Delegation began after MCT transition 7,770 7,070 5,950 1,130 700 0% 0% 1% 0% 0%
No Delegation 2,008,220 1,672,020 486,650 1,185,370 336,210 94% 93% 89% 95% 96%
Grand Total 2,142,990 1,794,170 549,730 1,244,450 348,840 100% 100% 100% 100% 100%
GEOGRAPHY
Region
RATING_REGION_REPORT E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
Rating Region Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
01 - Northern Counties 96,130 81,340 25,890 55,450 14,780 4% 5% 5% 4% 4%
02 - North Bay Counties 50,440 42,270 12,340 29,930 8,170 2% 2% 2% 2% 2%
03 - Sacramento Valley 115,960 92,360 25,270 67,090 23,600 5% 5% 5% 5% 7%
04 - San Francisco County 26,190 21,410 6,540 14,870 4,780 1% 1% 1% 1% 1%
05 - Contra Costa County 45,280 38,230 10,050 28,180 7,050 2% 2% 2% 2% 2%
06 - Alameda County 57,870 46,960 12,530 34,440 10,910 3% 3% 2% 3% 3%
07 - Santa Clara County 79,150 63,540 17,290 46,260 15,610 4% 4% 3% 4% 4%
08 - San Mateo County 24,770 19,430 5,600 13,820 5,350 1% 1% 1% 1% 2%
09 - Monterey Coast 49,880 40,550 12,780 27,770 9,330 2% 2% 2% 2% 3%
10 - San Joaquin Valley 152,520 126,460 35,930 90,530 26,050 7% 7% 7% 7% 7%
11 - Central San Joaquin 87,930 70,250 20,540 49,700 17,680 4% 4% 4% 4% 5%
12 - Central Coast 70,910 58,800 20,160 38,630 12,110 3% 3% 4% 3% 3%
13 - Eastern Counties 23,080 18,730 6,460 12,260 4,350 1% 1% 1% 1% 1%
14 - Kern County 76,450 63,720 20,540 43,170 12,740 4% 4% 4% 3% 4%
15 - Los Angeles County, partial 254,850 217,620 73,020 144,600 37,230 12% 12% 13% 12% 11%
16 - Los Angeles County, partial 377,000 316,730 100,960 215,770 60,270 18% 18% 18% 17% 17%
17 - Inland Empire 261,780 226,490 62,600 163,890 35,290 12% 13% 11% 13% 10%
18 - Orange County 152,550 129,300 46,840 82,470 23,240 7% 7% 9% 7% 7%
19 - San Diego County 140,280 119,990 34,370 85,620 20,290 7% 7% 6% 7% 6%
Grand Total 2,143,020 1,794,180 549,710 1,244,450 348,830 100% 100% 100% 100% 100%
_c2_ _c3_ _c4_ _c5_ _c2_ _c3_ _c4_ _c5_
County
RES_COUNTY_NM E1 E2 E3 E4 E5 E1 E2 E3 E4 E5
All Medi-Cal Transitioners TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible) TOTAL Eligible for Covered California - subtotal Eligible for subsidies Unsubsidized Return to Medi-Cal (or otherwise ineligible)
County Individuals Individuals Individuals Individuals Individuals column % column % column % column % column %
Alameda 57,870 46,960 12,530 34,440 10,910 3% 3% 2% 3% 3%
Alpine 60 50 10 40 10 0% 0% 0% 0% 0%
Amador 1,930 1,680 600 1,090 250 0% 0% 0% 0% 0%
Butte 13,280 11,520 2,800 8,720 1,750 1% 1% 1% 1% 1%
Calaveras 2,760 2,290 830 1,470 470 0% 0% 0% 0% 0%
Colusa 2,220 1,770 700 1,070 450 0% 0% 0% 0% 0%
Contra Costa 45,280 38,230 10,050 28,180 7,050 2% 2% 2% 2% 2%
Del Norte 1,870 1,560 490 1,070 320 0% 0% 0% 0% 0%
El Dorado 6,960 6,150 1,750 4,400 810 0% 0% 0% 0% 0%
Fresno 64,150 51,130 14,310 36,820 13,020 3% 3% 3% 3% 4%
Glenn 2,700 2,130 750 1,380 570 0% 0% 0% 0% 0%
Humboldt 10,040 8,760 3,060 5,700 1,290 0% 0% 1% 0% 0%
Imperial 20,480 16,570 5,720 10,850 3,920 1% 1% 1% 1% 1%
Inyo 1,680 1,410 510 910 270 0% 0% 0% 0% 0%
Kern 76,450 63,720 20,540 43,170 12,740 4% 4% 4% 3% 4%
Kings 10,610 8,370 2,940 5,430 2,240 0% 0% 1% 0% 1%
Lake 5,880 4,720 1,560 3,160 1,160 0% 0% 0% 0% 0%
Lassen 1,500 1,340 260 1,070 160 0% 0% 0% 0% 0%
Los Angeles 631,850 534,350 173,990 360,360 97,500 29% 30% 32% 29% 28%
Madera 13,170 10,740 3,290 7,460 2,420 1% 1% 1% 1% 1%
Marin 8,980 7,350 2,600 4,750 1,630 0% 0% 0% 0% 0%
Mariposa 1,110 980 300 690 130 0% 0% 0% 0% 0%
Mendocino 6,210 5,310 1,660 3,650 900 0% 0% 0% 0% 0%
Merced 26,040 21,080 6,850 14,230 4,960 1% 1% 1% 1% 1%
Modoc 780 630 190 440 150 0% 0% 0% 0% 0%
Mono 910 750 240 510 160 0% 0% 0% 0% 0%
Monterey 35,330 28,450 8,920 19,520 6,890 2% 2% 2% 2% 2%
Napa 6,350 5,460 2,240 3,220 890 0% 0% 0% 0% 0%
Nevada 4,910 4,400 1,530 2,870 520 0% 0% 0% 0% 0%
Orange 152,550 129,300 46,840 82,470 23,240 7% 7% 9% 7% 7%
Placer 14,230 12,000 3,360 8,640 2,230 1% 1% 1% 1% 1%
Plumas 1,100 1,000 270 730 110 0% 0% 0% 0% 0%
Riverside 115,520 100,970 26,640 74,330 14,550 5% 6% 5% 6% 4%
Sacramento 84,140 65,330 17,660 47,660 18,810 4% 4% 3% 4% 5%
San Benito 3,650 3,050 1,010 2,040 600 0% 0% 0% 0% 0%
San Bernardino 146,260 125,520 35,960 89,560 20,730 7% 7% 7% 7% 6%
San Diego 140,280 119,990 34,370 85,620 20,290 7% 7% 6% 7% 6%
San Francisco 26,190 21,410 6,540 14,870 4,780 1% 1% 1% 1% 1%
San Joaquin 55,970 46,850 14,700 32,150 9,120 3% 3% 3% 3% 3%
San Luis Obispo 13,250 10,540 3,970 6,570 2,720 1% 1% 1% 1% 1%
San Mateo 24,770 19,430 5,600 13,820 5,350 1% 1% 1% 1% 2%
Santa Barbara 21,300 17,710 4,470 13,240 3,590 1% 1% 1% 1% 1%
Santa Clara 79,150 63,540 17,290 46,260 15,610 4% 4% 3% 4% 4%
Santa Cruz 10,900 9,060 2,850 6,210 1,840 1% 1% 1% 0% 1%
Shasta 13,340 11,210 3,620 7,590 2,130 1% 1% 1% 1% 1%
Sierra 180 160 50 100 20 0% 0% 0% 0% 0%
Siskiyou 3,830 3,270 880 2,390 560 0% 0% 0% 0% 0%
Solano 18,990 16,060 3,790 12,270 2,920 1% 1% 1% 1% 1%
Sonoma 16,130 13,400 3,710 9,680 2,730 1% 1% 1% 1% 1%
Stanislaus 43,350 36,810 10,350 26,460 6,540 2% 2% 2% 2% 2%
Sutter 8,010 6,510 2,610 3,910 1,490 0% 0% 0% 0% 0%
Tehama 5,690 4,850 1,360 3,480 840 0% 0% 0% 0% 0%
Trinity 1,040 830 270 560 210 0% 0% 0% 0% 0%
Tulare 26,050 20,740 3,740 17,010 5,310 1% 1% 1% 1% 2%
Tuolumne 2,860 2,450 780 1,670 410 0% 0% 0% 0% 0%
Ventura 36,360 30,550 11,730 18,820 5,800 2% 2% 2% 2% 2%
Yolo 10,640 8,880 2,510 6,380 1,750 0% 0% 0% 1% 1%
Yuba 5,950 4,920 1,620 3,300 1,030 0% 0% 0% 0% 0%
Grand Total 2,143,040 1,794,200 549,770 1,244,460 348,850 100% 100% 100% 100% 100%
Published date: 09/26/2024

APS

Medi-Cal Transitioners - Auto Plan Selections
Program Transition Month Geography:
7/1/23 - 6/1/24 Statewide
'This report contains details on California health insurance consumers who transition from Medi-Cal to Covered California. Senate Bill 260 (Senate Bill 260 (Chapter 845, Statutes of 2019) authorizes Covered California to automatically enroll consumers who are discontinued from Medi-Cal but are found eligible for subsidized coverage with Covered California. The table below summarize the auto plan selection (APS) experience for these consumers. The universe for this report is the cohort of consumers who received auto plan selection for coverage to begin in the month(s) shown above ("program transition month"), and the income, issuer, and other consumer characteristics are as of the original auto plan selection. In some cases, a consumer may subsequently switch plans, or may receive a new eligibility determination that returns them to Medi-Cal, or makes them ineligible for either affordable insurance program. This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. All cells are rounded to the nearest 10 for privacy; totals are based on rounded figures and may not match due to rounding. Grand totals are displayed of settled data for Medi-Cal Transitioners following 12 months of the Publlic Health Emergency Unwind (PHE) Medi-Cal redeterminations This includes individuals with program transition months for July 2023 through June 2024.
Auto Plan Selections
TOTAL
Individuals (column %) Metric (column)
Auto Plan Selections (APS) for Medi-Cal Transitioners - Total 573,955 100% A1
APS - Eligible for Covered California - subtotal 518,161 90% A2
APS - Return to Medi-Cal (or otherwise ineligible) by end of SEP 55,794 10% A3
APS - Eligible for Covered California - subtotal 518,161 100% A4
Not Receiving Subsidy Eligible for $0 plan 167,790 32% A5
Eligible for greater than $0 plan 350,371 68% A6
APS effectuated (among APS eligible for QHP) 175,171 100% A7
Effectuated and eligible for $0 plan 59,720 34% A8
Effectuated and eligible for greater than $0 plan 115,451 66% A9
Share eligible for $0 plan 32% A10
Share of effectuated eligible for $0 plan 34% A11
APS effectuation rate 34% A12
APS effectuation rate -- among those eligible for $0 plan 36% A13
See :"About the Data" tab for metric descriptions.
NET PREMIUM BRACKETS
APS_NET_PREMIUM_BRACKETS KPI_PUBLIC_APS_TOTAL_ROUNDED KPI_PUBLIC_APS_CCP_ROUNDED KPI_PUBLIC_APS_RETURN_MC_INELIG_ROUNDED KPI_PUBLIC_APS_CCP_ROUNDED KPI_PUBLIC_APS_CCP_ZERO_ELIG_ROUNDED KPI_PUBLIC_APS_CCP_NONZERO_ELIG_ROUNDED KPI_PUBLIC_APS_CCP_EFF_ROUNDED KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF_ROUNDED KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF_ROUNDED
Net Premiums for Auto Plan Selections*
A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Net Premium Brackets (Monthly) Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
$0 197,450 175,100 22,360 175,100 165,030 10,070 62,020 58,160 3,870 34% 34% 40% 34% 98% 3% 35% 97% 3% 94% 94% 35% 35%
More than $0 and less than or equal to $10 37,170 34,390 2,790 34,390 340 34,050 16,170 230 15,940 6% 7% 5% 7% 0% 10% 9% 0% 14% 1% 1% 47% 68%
More than $10 and less than or equal to $25 41,560 38,270 3,290 38,270 280 38,000 16,350 180 16,170 7% 7% 6% 7% 0% 11% 9% 0% 14% 1% 1% 43% 64%
More than $25 and less than or equal to $50 51,840 47,620 4,220 47,620 340 47,280 18,330 210 18,120 9% 9% 8% 9% 0% 13% 10% 0% 16% 1% 1% 38% 62%
More than $50 and less than or equal to $100 77,960 70,860 7,110 70,860 400 70,460 23,230 270 22,960 14% 14% 13% 14% 0% 20% 13% 0% 20% 1% 1% 33% 68%
More than $100 and less than or equal to $250 111,170 100,570 10,600 100,570 490 100,080 26,930 290 26,640 19% 19% 19% 19% 0% 29% 15% 0% 23% 0% 1% 27% 59%
More than $250 and less than or equal to $500 49,780 45,410 4,370 45,410 550 44,860 10,180 240 9,940 9% 9% 8% 9% 0% 13% 6% 0% 9% 1% 2% 22% 44%
More than $500 6,470 5,740 730 5,740 300 5,450 1,820 110 1,710 1% 1% 1% 1% 0% 2% 1% 0% 1% 5% 6% 32% 37%
Unknown 550 200 350 200 70 130 140 30 100 0% 0% 1% 0% 0% 0% 0% 0% 0% 35% 21% 70% 43%
Grand Total 573,950 518,160 55,820 518,160 167,800 350,380 175,170 59,720 115,450 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
* APS net premium brackets are defined based on the latest eligibility determination for the APS plan. Individuals who were ever eligible for a $0 per member per month net premium will be shown under "eligible for $0 plan" column.
ISSUER ASSIGNED BY APS
APS_ISSUER_NAME KPI_PUBLIC_APS_TOTAL_ROUNDED KPI_PUBLIC_APS_CCP_ROUNDED KPI_PUBLIC_APS_RETURN_MC_INELIG_ROUNDED KPI_PUBLIC_APS_CCP_ROUNDED KPI_PUBLIC_APS_CCP_ZERO_ELIG_ROUNDED KPI_PUBLIC_APS_CCP_NONZERO_ELIG_ROUNDED KPI_PUBLIC_APS_CCP_EFF_ROUNDED KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF_ROUNDED KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF_ROUNDED
Issuer Assigned by APS
A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Issuer Assigned by APS Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Aetna Health of California Inc. 30,350 27,100 3,250 27,100 9,300 17,800 7,070 2,370 4,700 5% 5% 6% 5% 6% 5% 4% 4% 4% 34% 34% 26% 25%
Anthem Blue Cross 107,220 96,550 10,670 96,550 36,950 59,600 32,560 14,090 18,470 19% 19% 19% 19% 22% 17% 19% 24% 16% 38% 43% 34% 38%
Blue Shield 96,150 85,470 10,680 85,470 26,370 59,100 25,040 8,680 16,360 17% 16% 19% 16% 16% 17% 14% 15% 14% 31% 35% 29% 33%
CCHP 40 40 10 40 0 40 30 0 30 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 75% 0%
Health Net 4,790 4,320 470 4,320 530 3,800 1,970 170 1,800 1% 1% 1% 1% 0% 1% 1% 0% 2% 12% 9% 46% 32%
Inland Empire Health Plan 41,360 37,730 3,630 37,730 6,280 31,450 11,420 2,230 9,190 7% 7% 7% 7% 4% 9% 7% 4% 8% 17% 20% 30% 36%
Kaiser 32,130 29,070 3,060 29,070 10,770 18,300 12,990 4,230 8,760 6% 6% 5% 6% 6% 5% 7% 7% 8% 37% 33% 45% 39%
LA Care 176,660 161,420 15,230 161,420 56,840 104,580 60,170 21,180 38,980 31% 31% 27% 31% 34% 30% 34% 35% 34% 35% 35% 37% 37%
Molina Health Care 49,750 45,430 4,320 45,430 11,720 33,710 12,580 3,470 9,100 9% 9% 8% 9% 7% 10% 7% 6% 8% 26% 28% 28% 30%
Oscar Health Plan 60 60 10 60 0 60 50 0 50 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 83% 0%
SHARP Health Plan 210 190 10 190 0 190 160 0 160 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 84% 0%
Valley Health 26,800 23,210 3,590 23,210 7,610 15,600 8,560 2,820 5,740 5% 4% 6% 4% 5% 4% 5% 5% 5% 33% 33% 37% 37%
Western Health 8,350 7,490 860 7,490 1,420 6,070 2,510 470 2,040 1% 1% 2% 1% 1% 2% 1% 1% 2% 19% 19% 34% 33%
Grand Total 573,870 518,080 55,790 518,080 167,790 350,300 175,110 59,710 115,380 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
*Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
DEMOGRAPHICS
age_bracket KPI_PUBLIC_APS_TOTAL_ROUNDED KPI_PUBLIC_APS_CCP_ROUNDED KPI_PUBLIC_APS_RETURN_MC_INELIG_ROUNDED KPI_PUBLIC_APS_CCP_ROUNDED KPI_PUBLIC_APS_CCP_ZERO_ELIG_ROUNDED KPI_PUBLIC_APS_CCP_NONZERO_ELIG_ROUNDED KPI_PUBLIC_APS_CCP_EFF_ROUNDED KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF_ROUNDED KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF_ROUNDED
Age
A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Age Bracket Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Age 17 or less 66,140 56,280 9,860 56,280 3,340 52,940 19,150 1,350 17,800 12% 11% 18% 11% 2% 15% 11% 2% 15% 6% 7% 34% 40%
Age 18 to 25 127,050 116,900 10,150 116,900 37,040 79,850 34,330 10,050 24,280 22% 23% 18% 23% 22% 23% 20% 17% 21% 32% 29% 29% 27%
Age 26 to 34 122,600 111,640 10,960 111,640 33,530 78,110 30,440 10,310 20,130 21% 22% 20% 22% 20% 22% 17% 17% 17% 30% 34% 27% 31%
Age 35 to 44 102,940 93,570 9,370 93,570 32,630 60,930 29,420 10,600 18,820 18% 18% 17% 18% 19% 17% 17% 18% 16% 35% 36% 31% 32%
Age 45 to 54 77,190 70,110 7,080 70,110 27,030 43,080 29,460 11,860 17,600 13% 14% 13% 14% 16% 12% 17% 20% 15% 39% 40% 42% 44%
Age 55 to 64 66,220 59,810 6,410 59,810 27,060 32,750 31,490 15,110 16,380 12% 12% 11% 12% 16% 9% 18% 25% 14% 45% 48% 53% 56%
Age 65+ 11,810 9,860 1,950 9,860 7,150 2,710 890 440 450 2% 2% 3% 2% 4% 1% 1% 1% 0% 73% 49% 9% 6%
Grand Total 573,950 518,170 55,780 518,170 167,780 350,370 175,180 59,720 115,460 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
Gender
gender A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Gender Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Female 327,810 295,590 32,220 295,590 97,060 198,530 101,010 35,330 65,680 57% 57% 58% 57% 58% 57% 58% 59% 57% 33% 35% 34% 36%
Male 245,890 222,330 23,560 222,330 70,660 151,670 74,040 24,350 49,690 43% 43% 42% 43% 42% 43% 42% 41% 43% 32% 33% 33% 34%
Transgender: Female to Male 150 140 10 140 40 100 70 20 50 0% 0% 0% 0% 0% 0% 0% 0% 0% 29% 29% 50% 50%
Transgender: Male to Female 110 100 10 100 30 70 60 20 40 0% 0% 0% 0% 0% 0% 0% 0% 0% 30% 33% 60% 67%
Grand Total 573,700 517,920 55,780 517,920 167,720 350,200 175,050 59,680 115,370 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
FPL
ELIG_MCT_BGN_SUBSIDY_FPL_BRACKET A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
FPL Bracket at Time of Transition Start Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
138% FPL or less 41,110 34,840 6,260 34,840 30,190 4,650 10,500 8,210 2,290 7% 7% 11% 7% 18% 1% 6% 14% 2% 87% 78% 30% 27%
138% FPL to 150% FPL 38,380 33,650 4,730 33,650 30,720 2,930 12,770 11,180 1,590 7% 6% 8% 6% 18% 1% 7% 19% 1% 91% 88% 38% 36%
150% FPL to 200% FPL 190,570 173,300 17,260 173,300 89,080 84,220 66,390 31,880 34,510 33% 33% 31% 33% 53% 24% 38% 53% 30% 51% 48% 38% 36%
200% FPL to 250% FPL 110,200 101,510 8,690 101,510 11,770 89,750 34,340 5,240 29,100 19% 20% 16% 20% 7% 26% 20% 9% 25% 12% 15% 34% 45%
250% FPL to 400% FPL 147,140 132,640 14,500 132,640 4,650 127,980 39,730 2,380 37,350 26% 26% 26% 26% 3% 37% 23% 4% 32% 4% 6% 30% 51%
400% FPL to 600% FPL 32,380 29,560 2,830 29,560 460 29,090 7,530 280 7,250 6% 6% 5% 6% 0% 8% 4% 0% 6% 2% 4% 25% 61%
600% FPL or greater 11,580 10,520 1,060 10,520 250 10,270 2,890 190 2,700 2% 2% 2% 2% 0% 3% 2% 0% 2% 2% 7% 27% 76%
FPL Unavailable 2,600 2,130 470 2,130 660 1,470 1,010 360 650 0% 0% 1% 0% 0% 0% 1% 1% 1% 31% 36% 47% 55%
Grand Total 573,960 518,150 55,800 518,150 167,780 350,360 175,160 59,720 115,440 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
age_bracket Sum of KPI_PUBLIC_APS_TOTAL Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_RETURN_MC_INELIG Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF
Race / Ethnicity (summary groups)
race_ethnicity A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Race Ethnicity Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
(nonrespondent) 64,030 58,190 5,840 58,190 17,360 40,830 18,100 5,900 12,200 11% 11% 10% 11% 10% 12% 10% 10% 11% 30% 33% 31% 34%
Asian 66,490 61,020 5,470 61,020 19,610 41,410 28,810 9,880 18,940 13% 13% 11% 13% 13% 13% 18% 18% 18% 32% 34% 47% 50%
Black or African American 29,440 26,440 3,000 26,440 8,090 18,350 6,430 2,240 4,200 6% 6% 6% 6% 5% 6% 4% 4% 4% 31% 35% 24% 28%
Latino 274,850 245,460 29,390 245,460 79,560 165,900 72,830 24,790 48,040 54% 53% 59% 53% 53% 54% 46% 46% 47% 32% 34% 30% 31%
Other 36,070 32,190 3,880 32,190 10,270 21,920 12,510 4,060 8,460 7% 7% 8% 7% 7% 7% 8% 8% 8% 32% 32% 39% 40%
White 103,070 94,860 8,210 94,860 32,890 61,970 36,490 12,860 23,620 20% 21% 16% 21% 22% 20% 23% 24% 23% 35% 35% 38% 39%
Grand Total 573,950 518,160 55,790 518,160 167,780 350,380 175,170 59,730 115,460 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
age_bracket Sum of KPI_PUBLIC_APS_TOTAL Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_RETURN_MC_INELIG Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF
Race / Ethnicity
RACE_ETHNICITY A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Race / Ethnicity Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
(nonrespondent) 64,030 58,190 5,840 58,190 17,360 40,830 18,100 5,900 12,200 11% 11% 10% 11% 10% 12% 10% 10% 11% 30% 33% 31% 34%
American Indian or Alaska Native 1,700 1,520 180 1,520 800 730 360 200 170 0% 0% 0% 0% 1% 0% 0% 0% 0% 53% 56% 24% 25%
Asian American 65,520 60,140 5,380 60,140 19,340 40,800 28,630 9,820 18,820 13% 13% 11% 13% 13% 13% 18% 18% 18% 32% 34% 48% 51%
Black or African American 29,440 26,440 3,000 26,440 8,090 18,350 6,430 2,240 4,200 6% 6% 6% 6% 5% 6% 4% 4% 4% 31% 35% 24% 28%
Latino 274,850 245,460 29,390 245,460 79,560 165,900 72,830 24,790 48,040 54% 53% 59% 53% 53% 54% 46% 46% 47% 32% 34% 30% 31%
Multiple Races 8,920 8,130 790 8,130 2,670 5,460 3,040 1,040 2,000 2% 2% 2% 2% 2% 2% 2% 2% 2% 33% 34% 37% 39%
Native Hawaiian or Other Pacific Islander 970 880 90 880 270 610 180 60 120 0% 0% 0% 0% 0% 0% 0% 0% 0% 31% 33% 20% 22%
Other 25,450 22,540 2,910 22,540 6,800 15,730 9,110 2,820 6,290 5% 5% 6% 5% 5% 5% 6% 5% 6% 30% 31% 40% 41%
White 103,070 94,860 8,210 94,860 32,890 61,970 36,490 12,860 23,620 20% 21% 16% 21% 22% 20% 23% 24% 23% 35% 35% 38% 39%
Grand Total 573,950 518,160 55,790 518,160 167,780 350,380 175,170 59,730 115,460 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
Ethnicity
ETHNICITY_SUM A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Ethnicity Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
(Not Hispanic/Latino/Spanish origin)** 298,970 272,580 26,390 272,580 88,220 184,360 102,270 34,920 67,340 52% 53% 47% 53% 53% 53% 58% 58% 58% 32% 34% 38% 40%
(Hispanic/Latino/Spanish origin)* 34,870 31,400 3,480 31,400 9,550 21,850 8,120 2,750 5,370 6% 6% 6% 6% 6% 6% 5% 5% 5% 30% 34% 26% 29%
Cuban 550 500 50 500 170 320 170 60 110 0% 0% 0% 0% 0% 0% 0% 0% 0% 34% 35% 34% 35%
Guatemalan 3,380 2,940 440 2,940 1,080 1,850 1,080 400 670 1% 1% 1% 1% 1% 1% 1% 1% 1% 37% 37% 37% 37%
Mexican/Mexican American/Chicano 120,510 107,180 13,330 107,180 35,810 71,370 31,480 11,320 20,160 21% 21% 24% 21% 21% 20% 18% 19% 17% 33% 36% 29% 32%
Multiple Ethnicities 8,530 7,680 840 7,680 2,390 5,300 2,410 790 1,630 1% 1% 2% 1% 1% 2% 1% 1% 1% 31% 33% 31% 33%
Other 99,840 89,360 10,490 89,360 28,360 61,000 27,350 8,730 18,620 17% 17% 19% 17% 17% 17% 16% 15% 16% 32% 32% 31% 31%
Puerto Rican 1,100 1,000 100 1,000 320 680 310 100 210 0% 0% 0% 0% 0% 0% 0% 0% 0% 32% 32% 31% 31%
Salvadoran 6,070 5,420 660 5,420 1,880 3,540 1,910 640 1,270 1% 1% 1% 1% 1% 1% 1% 1% 1% 35% 34% 35% 34%
Grand Total 573,820 518,060 55,780 518,060 167,780 350,270 175,100 59,710 115,380 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
"Hispanic/Latino/Spanish origin" respondents answered "Yes" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
"Not Hispanic/Latino/Spanish origin" respondents answered "No" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
Race
RACE_SUM A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Race Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
(nonrespondent) 283,010 253,260 29,750 253,260 80,710 172,540 75,370 25,310 50,050 49% 49% 53% 49% 48% 49% 43% 42% 43% 32% 34% 30% 31%
American Indian or Alaska Native 2,770 2,480 290 2,480 1,180 1,300 610 290 330 1% 1% 1% 1% 1% 1% 1% 1% 1% 48% 48% 25% 25%
Asian Indian 7,710 6,840 860 6,840 2,340 4,510 3,410 1,230 2,180 3% 3% 3% 3% 3% 3% 3% 4% 3% 34% 36% 50% 53%
Black or African American 30,590 27,440 3,140 27,440 8,370 19,080 6,660 2,300 4,350 11% 10% 12% 10% 10% 11% 7% 7% 7% 31% 35% 24% 27%
Cambodian 1,970 1,790 170 1,790 560 1,230 630 170 460 1% 1% 1% 1% 1% 1% 1% 0% 1% 31% 27% 35% 30%
Chinese 17,370 16,150 1,220 16,150 5,770 10,380 9,450 3,540 5,910 6% 6% 5% 6% 7% 6% 9% 10% 9% 36% 37% 59% 61%
Filipino 15,220 14,090 1,130 14,090 3,900 10,190 4,810 1,420 3,390 5% 5% 4% 5% 4% 6% 5% 4% 5% 28% 30% 34% 36%
Guamanian or Chamorro 200 180 20 180 60 120 50 20 30 0% 0% 0% 0% 0% 0% 0% 0% 0% 33% 40% 28% 33%
Hmong 910 820 90 820 290 540 170 70 100 0% 0% 0% 0% 0% 0% 0% 0% 0% 35% 41% 21% 24%
Japanese 1,220 1,180 50 1,180 330 850 580 170 420 0% 0% 0% 0% 0% 0% 1% 0% 1% 28% 29% 49% 52%
Korean 5,690 5,300 390 5,300 1,710 3,590 2,650 860 1,790 2% 2% 1% 2% 2% 2% 3% 2% 3% 32% 32% 50% 50%
Laotian 760 690 60 690 270 430 180 80 100 0% 0% 0% 0% 0% 0% 0% 0% 0% 39% 44% 26% 30%
Multiple Races 11,730 10,720 1,010 10,720 3,440 7,280 3,880 1,290 2,600 4% 4% 4% 4% 4% 4% 4% 4% 4% 32% 33% 36% 38%
Native Hawaiian 360 330 30 330 110 220 70 30 40 0% 0% 0% 0% 0% 0% 0% 0% 0% 33% 43% 21% 27%
Other 35,230 31,460 3,770 31,460 9,550 21,900 12,270 3,890 8,370 12% 12% 14% 12% 11% 12% 12% 11% 13% 30% 32% 39% 41%
Other Asian 10 10 10 10 10 10 10 0 10 0% 0% 0% 0% 0% 0% 0% 0% 0% 100% 0% 100% 0%
Samoan 600 530 70 530 150 380 100 30 70 0% 0% 0% 0% 0% 0% 0% 0% 0% 28% 30% 19% 20%
Vietnamese 15,630 14,120 1,500 14,120 4,400 9,730 7,030 2,340 4,700 5% 5% 6% 5% 5% 5% 7% 7% 7% 31% 33% 50% 53%
White 143,020 130,780 12,240 130,780 44,670 86,110 47,260 16,680 30,580 49% 49% 47% 49% 51% 48% 47% 48% 47% 34% 35% 36% 37%
Grand Total 574,000 518,170 55,800 518,170 167,820 350,390 175,190 59,720 115,480 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
age_bracket Sum of KPI_PUBLIC_APS_TOTAL Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_RETURN_MC_INELIG Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF
Language - Written (summary groups)
language_written A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Language Written Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Asian Languages 18,610 16,810 1,810 16,810 6,090 10,730 9,650 3,560 6,100 3% 3% 3% 3% 4% 3% 6% 6% 5% 36% 37% 57% 58%
English 442,450 402,730 39,730 402,730 125,730 277,000 131,490 43,510 87,980 77% 78% 71% 78% 75% 79% 75% 73% 76% 31% 33% 33% 35%
Other Languages 3,540 3,030 510 3,030 1,000 2,020 1,480 460 1,020 1% 1% 1% 1% 1% 1% 1% 1% 1% 33% 31% 49% 46%
Spanish 107,600 94,010 13,590 94,010 34,550 59,460 32,290 12,110 20,180 19% 18% 24% 18% 21% 17% 18% 20% 17% 37% 38% 34% 35%
(unknown) 1,760 1,580 180 1,580 420 1,160 290 100 190 0% 0% 0% 0% 0% 0% 0% 0% 0% 27% 34% 18% 24%
Grand Total 573,960 518,160 55,820 518,160 167,790 350,370 175,200 59,740 115,470 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
age_bracket Sum of KPI_PUBLIC_APS_TOTAL Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_RETURN_MC_INELIG Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF
Language - Written
language_written A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Language Written Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Arabic 630 500 130 500 160 340 210 60 150 0% 0% 0% 0% 0% 0% 0% 0% 0% 32% 29% 42% 38%
Armenian 470 380 100 380 150 220 170 70 100 0% 0% 0% 0% 0% 0% 0% 0% 0% 39% 41% 45% 47%
Cambodian 100 90 10 90 40 50 50 10 30 0% 0% 0% 0% 0% 0% 0% 0% 0% 44% 20% 56% 25%
English 442,450 402,730 39,730 402,730 125,730 277,000 131,490 43,510 87,980 77% 78% 71% 78% 75% 79% 75% 73% 76% 31% 33% 33% 35%
Farsi 790 670 110 670 220 450 340 120 220 0% 0% 0% 0% 0% 0% 0% 0% 0% 33% 35% 51% 55%
Hindi 20 20 10 20 10 10 10 10 10 0% 0% 0% 0% 0% 0% 0% 0% 0% 50% 100% 50% 100%
Hmong 30 30 10 30 20 10 10 10 10 0% 0% 0% 0% 0% 0% 0% 0% 0% 67% 100% 33% 50%
Korean 1,770 1,610 160 1,610 640 970 860 320 540 0% 0% 0% 0% 0% 0% 0% 1% 0% 40% 37% 53% 50%
Punjabi 80 70 10 70 40 40 40 20 20 0% 0% 0% 0% 0% 0% 0% 0% 0% 57% 50% 57% 50%
Russian 1,650 1,480 170 1,480 470 1,010 760 210 550 0% 0% 0% 0% 0% 0% 0% 0% 0% 32% 28% 51% 45%
Spanish 107,600 94,010 13,590 94,010 34,550 59,460 32,290 12,110 20,180 19% 18% 24% 18% 21% 17% 18% 20% 17% 37% 38% 34% 35%
Tagalog 470 420 40 420 170 250 160 60 100 0% 0% 0% 0% 0% 0% 0% 0% 0% 40% 38% 38% 35%
Traditional Chinese character 7,710 7,050 660 7,050 2,700 4,360 4,420 1,720 2,700 1% 1% 1% 1% 2% 1% 3% 3% 2% 38% 39% 63% 64%
Vietnamese 8,430 7,520 910 7,520 2,470 5,040 4,100 1,410 2,690 1% 1% 2% 1% 1% 1% 2% 2% 2% 33% 34% 55% 57%
(unknown) 1,760 1,580 180 1,580 420 1,160 290 100 190 0% 0% 0% 0% 0% 0% 0% 0% 0% 27% 34% 18% 24%
Grand Total 573,960 518,160 55,820 518,160 167,790 350,370 175,200 59,740 115,470 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
SERVICE CHANNEL
age_bracket Sum of KPI_PUBLIC_APS_TOTAL Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_RETURN_MC_INELIG Sum of KPI_PUBLIC_APS_CCP Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ELIG_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ELIG_EFF
Delegation Status
race_ethnicity A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Delegation Status Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Certified Insurance Agents & Plan Based Enrollers 47,490 44,540 2,940 44,540 17,020 27,520 24,990 10,050 14,930 8% 9% 5% 9% 10% 8% 14% 17% 13% 38% 40% 56% 59%
Delegation began before MCT transition 35,620 33,280 2,330 33,280 12,850 20,430 16,180 6,590 9,590 6% 6% 4% 6% 8% 6% 9% 11% 8% 39% 41% 49% 51%
Delegation began after MCT transition 11,870 11,260 610 11,260 4,170 7,090 8,810 3,460 5,340 2% 2% 1% 2% 2% 2% 5% 6% 5% 37% 39% 78% 83%
Certified Enrollment Counselors 13,520 12,370 1,150 12,370 4,060 8,310 6,330 2,240 4,090 2% 2% 2% 2% 2% 2% 4% 4% 4% 33% 35% 51% 55%
Delegation began before MCT transition 7,180 6,460 720 6,460 2,270 4,190 2,110 750 1,360 1% 1% 1% 1% 1% 1% 1% 1% 1% 35% 36% 33% 33%
Delegation began after MCT transition 6,340 5,910 430 5,910 1,790 4,120 4,220 1,490 2,730 1% 1% 1% 1% 1% 1% 2% 2% 2% 30% 35% 71% 83%
No Delegation 512,950 461,250 51,700 461,250 146,710 314,540 143,860 47,440 96,430 89% 89% 93% 89% 87% 90% 82% 79% 84% 32% 33% 31% 32%
Grand Total 573,960 518,160 55,790 518,160 167,790 350,370 175,180 59,730 115,450 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
GEOGRAPHY
rating_region_report
Region Groups
rating_region_groupings A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Rating Region Groups Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Bay Area (4, 5, 6, 7, 8) 54,980 48,600 6,370 48,600 15,500 33,100 18,720 6,090 12,620 10% 9% 11% 9% 9% 9% 11% 10% 11% 32% 33% 39% 39%
Central Coast (9, 12) 35,170 31,370 3,800 31,370 12,180 19,190 10,790 4,610 6,180 6% 6% 7% 6% 7% 5% 6% 8% 5% 39% 43% 34% 38%
Central Valley and Eastern CA (10, 11, 13, 14) 89,260 79,110 10,150 79,110 28,250 50,860 21,510 8,690 12,820 16% 15% 18% 15% 17% 15% 12% 15% 11% 36% 40% 27% 31%
Los Angeles (15, 16) 179,010 163,710 15,300 163,710 56,630 107,080 62,150 21,060 41,090 31% 32% 27% 32% 34% 31% 35% 35% 36% 35% 34% 38% 37%
Northern CA (1, 2, 3) 65,810 59,030 6,770 59,030 23,480 35,550 18,610 7,800 10,820 11% 11% 12% 11% 14% 10% 11% 13% 9% 40% 42% 32% 33%
Southern CA (17, 18, 19) 149,730 136,340 13,400 136,340 31,740 104,590 43,390 11,470 31,920 26% 26% 24% 26% 19% 30% 25% 19% 28% 23% 26% 32% 36%
Grand Total 573,960 518,160 55,790 518,160 167,780 350,370 175,170 59,720 115,450 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
rating_region_report
Region
RATING_REGION_REPORT A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Residence Rating Region Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
01 - Northern Counties 27,510 24,750 2,770 24,750 14,310 10,440 7,970 5,010 2,960 5% 5% 5% 5% 9% 3% 5% 8% 3% 58% 63% 32% 35%
02 - North Bay Counties 12,560 11,300 1,260 11,300 2,000 9,300 3,720 690 3,040 2% 2% 2% 2% 1% 3% 2% 1% 3% 18% 19% 33% 35%
03 - Sacramento Valley 25,740 22,990 2,750 22,990 7,170 15,820 6,920 2,100 4,820 4% 4% 5% 4% 4% 5% 4% 4% 4% 31% 30% 30% 29%
04 - San Francisco County 6,720 5,960 760 5,960 1,290 4,670 2,170 510 1,660 1% 1% 1% 1% 1% 1% 1% 1% 1% 22% 24% 36% 40%
05 - Contra Costa County 10,330 9,330 1,000 9,330 4,210 5,120 3,670 1,710 1,960 2% 2% 2% 2% 3% 1% 2% 3% 2% 45% 47% 39% 41%
06 - Alameda County 12,480 11,280 1,200 11,280 3,330 7,950 4,040 1,230 2,810 2% 2% 2% 2% 2% 2% 2% 2% 2% 30% 30% 36% 37%
07 - Santa Clara County 19,300 16,710 2,590 16,710 4,280 12,420 6,800 1,750 5,050 3% 3% 5% 3% 3% 4% 4% 3% 4% 26% 26% 41% 41%
08 - San Mateo County 6,150 5,330 830 5,330 2,380 2,940 2,040 900 1,140 1% 1% 1% 1% 1% 1% 1% 2% 1% 45% 44% 38% 38%
09 - Monterey Coast 14,120 12,380 1,740 12,380 5,050 7,330 3,990 1,800 2,190 2% 2% 3% 2% 3% 2% 2% 3% 2% 41% 45% 32% 36%
10 - San Joaquin Valley 37,990 33,930 4,060 33,930 14,430 19,500 9,830 4,710 5,110 7% 7% 7% 7% 9% 6% 6% 8% 4% 43% 48% 29% 33%
11 - Central San Joaquin 22,020 19,350 2,680 19,350 6,780 12,570 4,490 1,710 2,790 4% 4% 5% 4% 4% 4% 3% 3% 2% 35% 38% 23% 25%
12 - Central Coast 21,060 18,990 2,060 18,990 7,130 11,860 6,800 2,810 3,990 4% 4% 4% 4% 4% 3% 4% 5% 3% 38% 41% 36% 39%
13 - Eastern Counties 6,810 6,040 770 6,040 2,480 3,560 2,040 820 1,220 1% 1% 1% 1% 1% 1% 1% 1% 1% 41% 40% 34% 33%
14 - Kern County 22,440 19,800 2,640 19,800 4,570 15,230 5,150 1,450 3,700 4% 4% 5% 4% 3% 4% 3% 2% 3% 23% 28% 26% 32%
15 - Los Angeles County, partial 75,180 69,050 6,130 69,050 26,180 42,870 26,870 10,030 16,840 13% 13% 11% 13% 16% 12% 15% 17% 15% 38% 37% 39% 38%
16 - Los Angeles County, partial 103,830 94,660 9,170 94,660 30,450 64,200 35,280 11,030 24,250 18% 18% 16% 18% 18% 18% 20% 18% 21% 32% 31% 37% 36%
17 - Inland Empire 65,540 59,850 5,690 59,850 12,390 47,450 16,330 3,720 12,610 11% 12% 10% 12% 7% 14% 9% 6% 11% 21% 23% 27% 30%
18 - Orange County 49,080 44,460 4,620 44,460 12,420 32,040 16,590 5,420 11,170 9% 9% 8% 9% 7% 9% 9% 9% 10% 28% 33% 37% 44%
19 - San Diego County 35,110 32,030 3,080 32,030 6,930 25,100 10,480 2,340 8,140 6% 6% 6% 6% 4% 7% 6% 4% 7% 22% 22% 33% 34%
Grand Total 573,970 518,190 55,800 518,190 167,780 350,370 175,180 59,740 115,450 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
RES_COUNTY_NM
County
race_ethnicity A1 A2 A3 A4 A5 A6 A7 A8 A9 A1 A2 A3 A4 A5 A6 A7 A8 A9 A10 A11 A12 A13
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) APS effectuated - Eligible for $0 plan APS effectuated -Eligible for greater than $0 plan APS TOTAL APS Eligible for Covered California at end of SEP APS Return to Medi-Cal (or otherwise ineligible) by end of SEP APS Eligible for Covered California at end of SEP Eligible for $0 plan Eligible for greater than $0 plan APS effectuated (subset of column 4) Eligible for $0 plan Eligible for greater than $0 plan Share eligible for $0 plan among APS eligible for Covered California Share eligible for $0 plan among APS effectuated APS effectuation rate among APS eligible for Covered California APS effectuation rate among those eligible for $0 plan
Residence County Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Column % Column % Column % Column % Column % Column % Column % Column % Column % metric 5 / 4 metric 8 / 7 metric 7 /4 column 8 / 5
Alameda 12,480 11,280 1,200 11,280 3,330 7,950 4,040 1,230 2,810 2% 2% 2% 2% 2% 2% 2% 2% 2% 30% 30% 36% 37%
Alpine 10 10 10 10 10 10 10 10 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 100% 100% 100% 100%
Amador 610 570 40 570 320 260 260 150 110 0% 0% 0% 0% 0% 0% 0% 0% 0% 56% 58% 46% 47%
Butte 2,900 2,650 250 2,650 1,590 1,060 660 400 260 1% 1% 0% 1% 1% 0% 0% 1% 0% 60% 61% 25% 25%
Calaveras 900 800 100 800 470 330 290 190 110 0% 0% 0% 0% 0% 0% 0% 0% 0% 59% 66% 36% 40%
Colusa 800 690 110 690 360 330 210 120 90 0% 0% 0% 0% 0% 0% 0% 0% 0% 52% 57% 30% 33%
Contra Costa 10,330 9,330 1,000 9,330 4,210 5,120 3,670 1,710 1,960 2% 2% 2% 2% 3% 1% 2% 3% 2% 45% 47% 39% 41%
Del Norte 500 460 50 460 290 170 120 70 40 0% 0% 0% 0% 0% 0% 0% 0% 0% 63% 58% 26% 24%
El Dorado 1,750 1,640 100 1,640 510 1,140 470 130 340 0% 0% 0% 0% 0% 0% 0% 0% 0% 31% 28% 29% 25%
Fresno 15,220 13,410 1,810 13,410 4,900 8,510 2,920 1,160 1,760 3% 3% 3% 3% 3% 2% 2% 2% 2% 37% 40% 22% 24%
Glenn 810 690 120 690 390 300 260 150 110 0% 0% 0% 0% 0% 0% 0% 0% 0% 57% 58% 38% 38%
Humboldt 3,130 2,880 260 2,880 1,780 1,100 780 550 230 1% 1% 0% 1% 1% 0% 0% 1% 0% 62% 71% 27% 31%
Imperial 6,070 5,360 710 5,360 2,240 3,120 1,850 740 1,110 1% 1% 1% 1% 1% 1% 1% 1% 1% 42% 40% 35% 33%
Inyo 490 450 40 450 160 290 130 50 80 0% 0% 0% 0% 0% 0% 0% 0% 0% 36% 38% 29% 31%
Kern 22,440 19,800 2,640 19,800 4,570 15,230 5,150 1,450 3,700 4% 4% 5% 4% 3% 4% 3% 2% 3% 23% 28% 26% 32%
Kings 3,260 2,800 460 2,800 870 1,930 720 260 460 1% 1% 1% 1% 1% 1% 0% 0% 0% 31% 36% 26% 30%
Lake 1,650 1,450 190 1,450 830 620 510 290 210 0% 0% 0% 0% 0% 0% 0% 0% 0% 57% 57% 35% 35%
Lassen 270 240 30 240 160 80 60 40 10 0% 0% 0% 0% 0% 0% 0% 0% 0% 67% 67% 25% 25%
Los Angeles 179,010 163,710 15,300 163,710 56,630 107,080 62,150 21,060 41,090 31% 32% 27% 32% 34% 31% 35% 35% 36% 35% 34% 38% 37%
Madera 3,550 3,140 410 3,140 1,010 2,130 860 290 570 1% 1% 1% 1% 1% 1% 0% 0% 0% 32% 34% 27% 29%
Marin 2,630 2,380 250 2,380 350 2,030 990 160 830 0% 0% 0% 0% 0% 1% 1% 0% 1% 15% 16% 42% 46%
Mariposa 310 290 20 290 240 50 130 110 20 0% 0% 0% 0% 0% 0% 0% 0% 0% 83% 85% 45% 46%
Mendocino 1,750 1,590 160 1,590 950 640 490 320 170 0% 0% 0% 0% 1% 0% 0% 1% 0% 60% 65% 31% 34%
Merced 7,270 6,490 780 6,490 5,070 1,410 2,420 1,940 480 1% 1% 1% 1% 3% 0% 1% 3% 0% 78% 80% 37% 38%
Modoc 220 180 40 180 120 60 60 50 20 0% 0% 0% 0% 0% 0% 0% 0% 0% 67% 83% 33% 42%
Mono 250 230 30 230 80 150 60 30 30 0% 0% 0% 0% 0% 0% 0% 0% 0% 35% 50% 26% 38%
Monterey 10,100 8,760 1,340 8,760 3,140 5,610 2,580 1,050 1,530 2% 2% 2% 2% 2% 2% 1% 2% 1% 36% 41% 29% 33%
Napa 2,320 2,100 230 2,100 280 1,820 680 100 580 0% 0% 0% 0% 0% 1% 0% 0% 1% 13% 15% 32% 36%
Nevada 1,570 1,470 110 1,470 810 660 660 360 300 0% 0% 0% 0% 0% 0% 0% 1% 0% 55% 55% 45% 44%
Orange 49,080 44,460 4,620 44,460 12,420 32,040 16,590 5,420 11,170 9% 9% 8% 9% 7% 9% 9% 9% 10% 28% 33% 37% 44%
Outside California 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Placer 3,430 3,060 370 3,060 760 2,300 1,280 290 990 1% 1% 1% 1% 0% 1% 1% 0% 1% 25% 23% 42% 38%
Plumas 260 250 10 250 160 90 90 60 30 0% 0% 0% 0% 0% 0% 0% 0% 0% 64% 67% 36% 38%
Riverside 26,890 24,740 2,150 24,740 5,220 19,520 6,370 1,340 5,030 5% 5% 4% 5% 3% 6% 4% 2% 4% 21% 21% 26% 26%
Sacramento 17,900 15,900 2,000 15,900 5,200 10,700 4,420 1,440 2,980 3% 3% 4% 3% 3% 3% 3% 2% 3% 33% 33% 28% 28%
San Benito 1,070 970 100 970 740 230 260 200 60 0% 0% 0% 0% 0% 0% 0% 0% 0% 76% 77% 27% 27%
San Bernardino 38,650 35,110 3,540 35,110 7,170 27,940 9,960 2,390 7,580 7% 7% 6% 7% 4% 8% 6% 4% 7% 20% 24% 28% 33%
San Diego 35,110 32,030 3,080 32,030 6,930 25,100 10,480 2,340 8,140 6% 6% 6% 6% 4% 7% 6% 4% 7% 22% 22% 33% 34%
San Francisco 6,720 5,960 760 5,960 1,290 4,670 2,170 510 1,660 1% 1% 1% 1% 1% 1% 1% 1% 1% 22% 24% 36% 40%
San Joaquin 15,330 13,780 1,550 13,780 4,450 9,330 3,910 1,380 2,530 3% 3% 3% 3% 3% 3% 2% 2% 2% 32% 35% 28% 31%
San Luis Obispo 4,110 3,660 440 3,660 1,780 1,890 1,540 780 760 1% 1% 1% 1% 1% 1% 1% 1% 1% 49% 51% 42% 44%
San Mateo 6,150 5,330 830 5,330 2,380 2,940 2,040 900 1,140 1% 1% 1% 1% 1% 1% 1% 2% 1% 45% 44% 38% 38%
Santa Barbara 4,600 4,120 480 4,120 2,230 1,890 1,390 780 600 1% 1% 1% 1% 1% 1% 1% 1% 1% 54% 56% 34% 35%
Santa Clara 19,300 16,710 2,590 16,710 4,280 12,420 6,800 1,750 5,050 3% 3% 5% 3% 3% 4% 4% 3% 4% 26% 26% 41% 41%
Santa Cruz 2,950 2,650 300 2,650 1,160 1,490 1,150 540 610 1% 1% 1% 1% 1% 0% 1% 1% 1% 44% 47% 43% 47%
Shasta 3,810 3,450 360 3,450 2,000 1,460 1,050 690 360 1% 1% 1% 1% 1% 0% 1% 1% 0% 58% 66% 30% 35%
Sierra 50 50 10 50 30 20 20 10 10 0% 0% 0% 0% 0% 0% 0% 0% 0% 60% 50% 40% 33%
Siskiyou 960 850 110 850 540 310 280 190 90 0% 0% 0% 0% 0% 0% 0% 0% 0% 64% 68% 33% 35%
Solano 3,910 3,480 430 3,480 750 2,730 1,030 240 790 1% 1% 1% 1% 0% 1% 1% 0% 1% 22% 23% 30% 32%
Sonoma 3,700 3,340 360 3,340 620 2,720 1,030 190 840 1% 1% 1% 1% 0% 1% 1% 0% 1% 19% 18% 31% 31%
Stanislaus 10,920 9,850 1,070 9,850 3,160 6,680 2,530 900 1,620 2% 2% 2% 2% 2% 2% 1% 2% 1% 32% 36% 26% 28%
Sutter 2,960 2,570 390 2,570 1,390 1,180 870 520 350 1% 0% 1% 0% 1% 0% 0% 1% 0% 54% 60% 34% 37%
Tehama 1,470 1,320 140 1,320 780 540 390 260 140 0% 0% 0% 0% 0% 0% 0% 0% 0% 59% 67% 30% 33%
Trinity 270 240 30 240 130 110 100 70 30 0% 0% 0% 0% 0% 0% 0% 0% 0% 54% 70% 42% 54%
Tulare 4,160 3,530 640 3,530 1,500 2,020 840 380 460 1% 1% 1% 1% 1% 1% 0% 1% 0% 42% 45% 24% 25%
Tuolumne 820 740 80 740 460 290 290 200 90 0% 0% 0% 0% 0% 0% 0% 0% 0% 62% 69% 39% 43%
Ventura 12,350 11,210 1,140 11,210 3,130 8,090 3,870 1,250 2,620 2% 2% 2% 2% 2% 2% 2% 2% 2% 28% 32% 35% 40%
Yolo 2,660 2,380 280 2,380 700 1,680 750 240 510 0% 0% 1% 0% 0% 0% 0% 0% 0% 29% 32% 32% 34%
Yuba 1,790 1,600 200 1,600 760 840 530 320 220 0% 0% 0% 0% 0% 0% 0% 1% 0% 48% 60% 33% 42%
Grand Total 573,980 518,190 55,850 518,190 167,790 350,410 175,220 59,750 115,470 100% 100% 100% 100% 100% 100% 100% 100% 100% 32% 34% 34% 36%
Published date: 09/26/2024

COVERAGE

Medi-Cal Transitioners - Effectuated Coverage
Program Transition Month Geography:
7/1/23 - 6/1/24 Statewide
'This report contains details on California health insurance consumers who transition from Medi-Cal to Covered California. Senate Bill 260 (Senate Bill 260 (Chapter 845, Statutes of 2019) authorizes Covered California to automatically enroll consumers who are discontinued from Medi-Cal but are found eligible for subsidized coverage with Covered California. Consumer must pay the first month's premium, or actively opt-in if they are eligible for $0 plan, or "effectuate" their coverage, before it can be used to help pay for health care. The table below summarize the population of Medi-Cal Transitioners (MCT) who effectuated coverage, including break-outs for those who received auto plan selection (APS). The universe for this report is the cohort of consumers identified by the CalHEERS application system to have been discontinued from Medi-Cal and to have received a determination of eligibility for Covered California to begin in the month(s) shown above ("program transition month"), who also effectuated their coverage. The ensuing eligibility outcomes shown reflect the income, issuer, and other consumer characteristics as of the end of a consumers Special Enrollment Period (SEP) due to the loss of Medi-Cal coverage. In some cases, a consumer may initially appear eligible for Covered California, but then receive another determination returning them to Medi-Cal coverage (or otherwise providing a different eligibility result). This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. All cells are rounded to the nearest 10 for privacy; totals are based on rounded figures and may not match due to rounding. Grand totals are displayed of settled data for Medi-Cal Transitioners following 12 months of the Publlic Health Emergency Unwind (PHE) Medi-Cal redeterminations This includes individuals with program transition months for July 2023 through June 2024.
Medi-Cal Transitioners (MCT) with Effectuated Coverage
Individuals (column %) Metric (column)
Medi-Cal Transitioners (MCT) with Effectuated Coverage 205,894 100% C1
Effectuated - Subsidy eligible 182,662 C2
Effectuated - Not subsidy eligible 23,232 C3
Effectuated - Did Not Receive Auto Plan Selection (no APS) 30,723 C4
Effectuated - Received Auto Plan Selection (APS) 175,171 100% C5
Not Receiving Subsidy Enrolled in $0 plan 55,492 32% C6
Enrolled in a plan with greater than $0 119,679 68% C7
Effectuated - Received Auto Plan Selection (APS) 175,171 100% C8
Stayed in default APS plan 122,213 70% C9
Switched to a new plan 52,958 30% C10
Share of effectuated APS individuals in $0 plans 32% C11
Share of effectuated APS individuals who switched plans 30% C12
Returned to Medi-Cal (or otherwise ineligible) by end of SEP* 23,111 11% C13
* Count not mutually exclusive to other categories: individuals may be counted here and in other relevant metrics.
See :"About the Data" tab for metric descriptions.
NET PREMIUM BRACKETS
LAST_NET_PREMIUM_BRACKETS Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Actual Net Premiums for Effectuations*
C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Net Premium Brackets (Monthly) Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
$0 62,720 56,360 6,360 6,900 55,820 55,490 330 55,820 48,460 7,360 7,730 99% 13% 30% 31% 27% 22% 32% 100% 0% 32% 40% 14% 33%
More than $0 and less than or equal to $10 14,440 13,060 1,390 1,380 13,060 0 13,060 13,060 10,560 2,510 1,590 0% 19% 7% 7% 6% 4% 7% 0% 11% 7% 9% 5% 7%
More than $10 and less than or equal to $25 15,850 14,480 1,370 1,900 13,950 0 13,950 13,950 10,590 3,360 1,610 0% 24% 8% 8% 6% 6% 8% 0% 12% 8% 9% 6% 7%
More than $25 and less than or equal to $50 21,710 19,950 1,750 2,770 18,930 0 18,930 18,930 13,020 5,920 2,160 0% 31% 11% 11% 8% 9% 11% 0% 16% 11% 11% 11% 9%
More than $50 and less than or equal to $100 30,510 27,940 2,570 4,490 26,020 0 26,020 26,020 16,040 9,980 3,110 0% 38% 15% 15% 11% 15% 15% 0% 22% 15% 13% 19% 13%
More than $100 and less than or equal to $250 37,800 33,430 4,370 6,930 30,870 0 30,870 30,870 16,350 14,520 4,180 0% 47% 18% 18% 19% 23% 18% 0% 26% 18% 13% 27% 18%
More than $250 and less than or equal to $500 18,020 14,040 3,980 4,910 13,120 0 13,120 13,120 5,810 7,300 2,160 0% 56% 9% 8% 17% 16% 7% 0% 11% 7% 5% 14% 9%
More than $500 4,850 3,400 1,450 1,450 3,400 0 3,400 3,400 1,390 2,010 580 0% 59% 2% 2% 6% 5% 2% 0% 3% 2% 1% 4% 3%
Unknown 10 0 0 0 10 0 0 10 10 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Grand Total 205,910 182,660 23,240 30,730 175,180 55,490 119,680 175,180 122,230 52,960 23,120 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
* Effectuated brackets are based on the net premiums per member per month calculated at time of effectuation which may, but not necessarily, be the same as the net premium during Auto Plan Selection.
ENROLLED ISSUER
LAST_ISSUER_NAME Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Enrolled Issuer
C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Enrolled Issuer Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
Aetna Health of California Inc. 5,040 4,420 620 580 4,460 1,430 3,030 4,460 3,770 690 660 32% 15% 2% 2% 3% 2% 3% 3% 3% 3% 3% 1% 3%
Anthem Blue Cross 33,740 29,810 3,930 4,810 28,940 12,990 15,950 28,940 23,240 5,700 4,050 45% 20% 16% 16% 17% 16% 17% 23% 13% 17% 19% 11% 18%
Blue Shield 35,570 31,390 4,180 6,490 29,090 6,280 22,800 29,090 17,720 11,360 4,050 22% 39% 17% 17% 18% 21% 17% 11% 19% 17% 15% 21% 18%
CCHP 280 240 40 80 200 60 140 200 30 170 40 30% 85% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Health Net 6,940 6,150 790 1,530 5,410 580 4,830 5,410 1,350 4,060 670 11% 75% 3% 3% 3% 5% 3% 1% 4% 3% 1% 8% 3%
Inland Empire Health Plan 10,480 9,320 1,160 750 9,730 1,910 7,810 9,730 8,950 770 1,190 20% 8% 5% 5% 5% 2% 6% 3% 7% 6% 7% 1% 5%
Kaiser 41,340 36,080 5,260 9,020 32,320 6,180 26,150 32,320 10,380 21,940 4,940 19% 68% 20% 20% 23% 29% 18% 11% 22% 18% 8% 41% 21%
LA Care 51,310 46,730 4,580 4,580 46,730 21,400 25,340 46,730 42,670 4,060 4,820 46% 9% 25% 26% 20% 15% 27% 39% 21% 27% 35% 8% 21%
Molina Health Care 10,770 9,680 1,090 1,350 9,420 1,790 7,630 9,420 7,540 1,880 1,160 19% 20% 5% 5% 5% 4% 5% 3% 6% 5% 6% 4% 5%
Oscar Health Plan 60 50 20 20 40 0 40 40 20 20 10 0% 50% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
SHARP Health Plan 1,410 1,230 190 380 1,040 30 1,000 1,040 150 880 140 3% 85% 1% 1% 1% 1% 1% 0% 1% 1% 0% 2% 1%
Valley Health 7,270 6,080 1,190 880 6,390 2,550 3,850 6,390 5,460 940 1,190 40% 15% 4% 3% 5% 3% 4% 5% 3% 4% 4% 2% 5%
Western Health 1,670 1,490 190 260 1,420 290 1,120 1,420 920 490 170 20% 35% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
Grand Total 205,880 182,670 23,240 30,730 175,190 55,490 119,690 175,190 122,200 52,960 23,090 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
*Enrolled Issuer (final issuer at the end of the SEP)
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
DEMOGRAPHICS
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Age
C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Age Bracket Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
Age 17 or less 24,870 20,070 4,800 5,720 19,150 1,430 17,720 19,150 12,140 7,000 4,301 7% 37% 12% 11% 21% 19% 11% 3% 15% 11% 10% 13% 19%
Age 18 to 25 38,120 34,070 4,050 3,790 34,330 11,550 22,780 34,330 26,850 7,480 3,996 34% 22% 19% 19% 17% 12% 20% 21% 19% 20% 22% 14% 17%
Age 26 to 34 35,990 32,280 3,720 5,550 30,440 9,550 20,890 30,440 20,560 9,880 3,719 31% 32% 17% 18% 16% 18% 17% 17% 17% 17% 17% 19% 16%
Age 35 to 44 34,340 30,790 3,550 4,920 29,420 9,300 20,130 29,420 20,060 9,370 3,537 32% 32% 17% 17% 15% 16% 17% 17% 17% 17% 16% 18% 15%
Age 45 to 54 34,220 30,970 3,250 4,760 29,460 10,510 18,950 29,460 20,290 9,160 3,473 36% 31% 17% 17% 14% 15% 17% 19% 16% 17% 17% 17% 15%
Age 55 to 64 37,380 33,810 3,570 5,900 31,490 12,770 18,710 31,490 21,520 9,960 3,944 41% 32% 18% 19% 15% 19% 18% 23% 16% 18% 18% 19% 17%
Age 65+ 970 680 290 80 890 390 500 890 790 100 141 44% 11% 0% 0% 1% 0% 1% 1% 0% 1% 1% 0% 1%
Grand Total 205,890 182,670 23,230 30,720 175,180 55,500 119,680 175,180 122,210 52,950 23,111 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Gender
gender C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Gender Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
Female 118,110 105,130 12,980 17,110 101,010 32,330 68,680 101,010 70,440 30,570 13,020 32% 30% 57% 58% 56% 56% 58% 58% 57% 58% 58% 58% 56%
Male 87,640 77,400 10,240 13,600 74,040 23,130 50,910 74,040 51,700 22,340 10,070 31% 30% 43% 42% 44% 44% 42% 42% 43% 42% 42% 42% 44%
Transgender: Female to Male 80 70 10 10 70 20 50 70 40 30 10 29% 43% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Transgender: Male to Female 60 60 10 10 60 10 40 60 30 20 10 17% 33% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Grand Total 205,890 182,660 23,240 30,730 175,180 55,490 119,680 175,180 122,210 52,960 23,110 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
FPL
ELIG_MCT_END_SUBSIDY_FPL_BRACKET C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
FPL Bracket at Time of Transition End Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
138% FPL or less 14,530 7,130 7,400 2,960 11,570 6,160 5,410 11,570 8,940 2,620 8,780 53% 23% 7% 4% 32% 10% 7% 11% 5% 7% 7% 5% 38%
138% FPL to 150% FPL 17,170 15,740 1,430 2,660 14,510 9,990 4,520 14,510 9,930 4,570 1,600 69% 31% 8% 9% 6% 9% 8% 18% 4% 8% 8% 9% 7%
150% FPL to 200% FPL 72,970 68,380 4,590 8,470 64,500 29,450 35,050 64,500 49,560 14,940 4,450 46% 23% 35% 37% 20% 28% 37% 53% 29% 37% 41% 28% 19%
200% FPL to 250% FPL 39,980 37,090 2,890 5,260 34,720 6,290 28,430 34,720 25,460 9,260 2,740 18% 27% 19% 20% 12% 17% 20% 11% 24% 20% 21% 17% 12%
250% FPL to 400% FPL 48,910 44,690 4,220 7,880 41,020 3,190 37,830 41,020 23,990 17,030 4,140 8% 42% 24% 24% 18% 26% 23% 6% 32% 23% 20% 32% 18%
400% FPL to 600% FPL 8,330 7,520 810 1,750 6,580 270 6,310 6,580 3,170 3,410 670 4% 52% 4% 4% 3% 6% 4% 0% 5% 4% 3% 6% 3%
600% FPL or greater 2,430 2,090 340 650 1,790 60 1,730 1,790 760 1,030 250 3% 58% 1% 1% 1% 2% 1% 0% 1% 1% 1% 2% 1%
FPL Unavailable 1,560 10 1,550 1,080 480 90 400 480 400 90 480 19% 19% 1% 0% 7% 4% 0% 0% 0% 0% 0% 0% 2%
Grand Total 205,880 182,650 23,230 30,710 175,170 55,500 119,680 175,170 122,210 52,950 23,110 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Ethnicity
ETHNICITY_SUM C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Ethnicity Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
(Not Hispanic/Latino/Spanish origin)** 123,370 108,800 14,570 21,100 102,270 30,790 71,480 102,270 66,170 36,100 14,200 30% 35% 60% 60% 63% 69% 58% 55% 60% 58% 54% 68% 62%
(Hispanic/Latino/Spanish origin)* 9,270 8,240 1,030 1,150 8,120 2,440 5,680 8,120 6,240 1,880 1,050 30% 23% 5% 5% 4% 4% 5% 4% 5% 5% 5% 4% 5%
Cuban 210 190 30 40 170 60 110 170 120 50 20 35% 29% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Guatemalan 1,210 1,100 110 140 1,080 430 650 1,080 850 230 110 40% 21% 1% 1% 0% 0% 1% 1% 1% 1% 1% 0% 0%
Mexican/Mexican American/Chicano 35,660 31,900 3,760 4,180 31,480 10,690 20,790 31,480 24,080 7,390 3,920 34% 23% 17% 17% 16% 14% 18% 19% 17% 18% 20% 14% 17%
Multiple Ethnicities 2,750 2,500 260 340 2,410 840 1,580 2,410 1,750 660 250 35% 27% 1% 1% 1% 1% 1% 2% 1% 1% 1% 1% 1%
Other 30,800 27,600 3,200 3,450 27,350 9,460 17,890 27,350 21,270 6,080 3,240 35% 22% 15% 15% 14% 11% 16% 17% 15% 16% 17% 11% 14%
Puerto Rican 380 340 40 70 310 90 220 310 200 110 40 29% 35% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Salvadoran 2,130 1,930 200 220 1,910 700 1,210 1,910 1,490 420 220 37% 22% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
Grand Total 205,780 182,600 23,200 30,690 175,100 55,500 119,610 175,100 122,170 52,920 23,050 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
"Hispanic/Latino/Spanish origin" respondents answered "Yes" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
"Not Hispanic/Latino/Spanish origin" respondents answered "No" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Race
RACE_SUM C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Race Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
(nonrespondent) 86,150 76,730 9,410 10,780 75,370 24,350 51,020 75,370 56,460 18,910 9,510 32% 25% 41% 42% 40% 35% 43% 44% 43% 43% 46% 36% 41%
American Indian or Alaska Native 750 660 80 130 610 250 370 610 370 250 90 41% 41% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
Asian Indian 4,180 3,640 550 780 3,410 1,010 2,400 3,410 2,110 1,300 570 30% 38% 3% 3% 4% 4% 3% 3% 3% 3% 3% 4% 4%
Black or African American 7,720 6,890 820 1,060 6,660 2,390 4,260 6,660 4,880 1,780 830 36% 27% 6% 7% 6% 5% 7% 8% 6% 7% 7% 5% 6%
Cambodian 720 640 80 90 630 190 440 630 470 160 80 30% 25% 1% 1% 1% 0% 1% 1% 1% 1% 1% 0% 1%
Chinese 11,630 10,250 1,380 2,190 9,450 3,240 6,210 9,450 5,850 3,600 1,430 34% 38% 10% 10% 10% 11% 9% 10% 9% 9% 9% 11% 10%
Filipino 5,570 4,960 610 760 4,810 1,420 3,390 4,810 3,380 1,430 590 30% 30% 5% 5% 4% 4% 5% 5% 5% 5% 5% 4% 4%
Guamanian or Chamorro 60 50 10 10 50 20 30 50 30 20 10 40% 40% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Hmong 180 160 20 10 170 70 100 170 120 50 20 41% 29% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Japanese 730 630 100 150 580 140 440 580 320 270 100 24% 47% 1% 1% 1% 1% 1% 0% 1% 1% 0% 1% 1%
Korean 3,250 2,910 340 590 2,650 770 1,890 2,650 1,580 1,080 360 29% 41% 3% 3% 2% 3% 3% 2% 3% 3% 2% 3% 3%
Laotian 210 190 20 30 180 70 120 180 130 50 20 39% 28% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Multiple Races 4,650 4,090 560 770 3,880 1,180 2,710 3,880 2,470 1,410 530 30% 36% 4% 4% 4% 4% 4% 4% 4% 4% 4% 4% 4%
Native Hawaiian 80 70 10 20 70 20 50 70 60 10 10 29% 14% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Other 15,010 13,080 1,930 2,740 12,270 3,500 8,760 12,270 7,940 4,320 1,880 29% 35% 13% 12% 14% 14% 12% 11% 13% 12% 12% 13% 14%
Other Asian 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Samoan 120 100 20 20 100 40 60 100 80 20 20 40% 20% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Vietnamese 8,100 7,190 920 1,070 7,030 2,400 4,630 7,030 5,260 1,770 950 34% 25% 7% 7% 7% 5% 7% 8% 7% 7% 8% 5% 7%
White 56,800 50,410 6,390 9,540 47,260 14,440 32,820 47,260 30,710 16,550 6,130 31% 35% 47% 48% 46% 48% 47% 46% 48% 47% 47% 49% 45%
Grand Total 205,910 182,650 23,250 30,740 175,180 55,500 119,700 175,180 122,220 52,980 23,130 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Race / Ethnicity (summary groups)
race_ethnicity C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Race Ethnicity Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
(nonrespondent) 21,780 19,080 2,690 3,680 18,100 4,840 13,260 18,100 11,700 6,410 2,590 27% 35% 11% 10% 12% 12% 10% 9% 11% 10% 10% 12% 11%
Asian 34,450 30,460 3,990 5,640 28,810 9,290 19,520 28,810 19,170 9,630 4,090 32% 33% 19% 19% 19% 21% 18% 18% 18% 18% 17% 21% 20%
Black or African American 7,450 6,650 800 1,020 6,430 2,320 4,110 6,430 4,720 1,710 800 36% 27% 4% 4% 4% 4% 4% 5% 4% 4% 4% 4% 4%
Latino 82,410 73,810 8,610 9,580 72,830 24,690 48,130 72,830 56,000 16,830 8,850 34% 23% 45% 45% 42% 35% 46% 49% 45% 46% 51% 36% 43%
Other 15,350 13,310 2,030 2,830 12,510 3,620 8,900 12,510 7,910 4,610 1,970 29% 37% 8% 8% 10% 10% 8% 7% 8% 8% 7% 10% 10%
White 44,460 39,350 5,110 7,970 36,490 10,730 25,750 36,490 22,710 13,770 4,810 29% 38% 24% 24% 25% 29% 23% 21% 24% 23% 21% 30% 23%
Grand Total 205,900 182,660 23,230 30,720 175,170 55,490 119,670 175,170 122,210 52,960 23,110 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Race / Ethnicity
race_ethnicity C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Race Ethnicity Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
(nonrespondent) 21,780 19,080 2,690 3,680 18,100 4,840 13,260 18,100 11,700 6,410 2,590 27% 35% 11% 10% 12% 12% 10% 9% 11% 10% 10% 12% 11%
American Indian or Alaska Native 440 390 50 80 360 170 200 360 200 160 60 47% 44% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Asian American 34,240 30,270 3,960 5,600 28,630 9,220 19,410 28,630 19,040 9,590 4,070 32% 33% 19% 19% 19% 21% 18% 18% 18% 18% 17% 21% 20%
Black or African American 7,450 6,650 800 1,020 6,430 2,320 4,110 6,430 4,720 1,710 800 36% 27% 4% 4% 4% 4% 4% 5% 4% 4% 4% 4% 4%
Latino 82,410 73,810 8,610 9,580 72,830 24,690 48,130 72,830 56,000 16,830 8,850 34% 23% 45% 45% 42% 35% 46% 49% 45% 46% 51% 36% 43%
Multiple Races 3,660 3,190 460 610 3,040 940 2,100 3,040 1,930 1,120 440 31% 37% 2% 2% 2% 2% 2% 2% 2% 2% 2% 2% 2%
Native Hawaiian or Other Pacific Islander 210 190 30 40 180 70 110 180 130 40 20 39% 22% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Other 11,250 9,730 1,520 2,140 9,110 2,510 6,600 9,110 5,780 3,330 1,470 28% 37% 6% 6% 7% 8% 6% 5% 6% 6% 5% 7% 7%
White 44,460 39,350 5,110 7,970 36,490 10,730 25,750 36,490 22,710 13,770 4,810 29% 38% 24% 24% 25% 29% 23% 21% 24% 23% 21% 30% 23%
Grand Total 205,900 182,660 23,230 30,720 175,170 55,490 119,670 175,170 122,210 52,960 23,110 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
All % calculations except the non-respondents calculated out of respondents only. Non-respondent % is of total population of enrollees.
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Language - Written (summary groups)
language_written C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Language Written Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
Asian Languages 11,420 10,130 1,300 1,780 9,650 3,450 6,180 9,650 6,810 2,840 1,400 36% 29% 6% 6% 6% 6% 6% 6% 5% 6% 6% 5% 6%
English 156,210 138,330 17,890 24,730 131,490 39,400 92,080 131,490 87,870 43,620 17,470 30% 33% 76% 76% 77% 81% 75% 71% 77% 75% 72% 83% 76%
Other Languages 1,850 1,610 240 380 1,480 410 1,050 1,480 1,020 450 240 28% 30% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
Spanish 35,970 32,290 3,680 3,680 32,290 12,180 20,110 32,290 26,330 5,960 3,900 38% 18% 18% 18% 16% 12% 18% 22% 17% 18% 22% 11% 17%
(unknown) 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Grand Total 205,450 182,360 23,110 30,570 174,910 55,440 119,420 174,910 122,030 52,870 23,010 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Language - Written
language_written C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Language Written Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
Arabic 240 220 30 40 210 50 150 210 180 30 30 24% 14% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Armenian 190 160 20 20 170 70 100 170 130 40 20 41% 24% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Cambodian 60 50 10 10 50 10 30 50 40 10 10 20% 20% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
English 156,210 138,330 17,890 24,730 131,490 39,400 92,080 131,490 87,870 43,620 17,470 30% 33% 76% 76% 77% 81% 75% 71% 77% 75% 72% 83% 76%
Farsi 410 360 50 70 340 130 210 340 260 80 50 38% 24% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Hindi 10 10 0 0 10 10 0 10 10 0 0 100% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Hmong 10 10 0 0 10 10 0 10 10 0 0 100% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Korean 1,030 940 90 170 860 270 590 860 520 340 90 31% 40% 1% 1% 0% 1% 0% 0% 0% 0% 0% 1% 0%
Punjabi 50 40 10 10 40 20 20 40 30 10 10 50% 25% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Russian 1,010 870 140 250 760 160 590 760 450 300 140 21% 39% 0% 0% 1% 1% 0% 0% 0% 0% 0% 1% 1%
Spanish 35,970 32,290 3,680 3,680 32,290 12,180 20,110 32,290 26,330 5,960 3,900 38% 18% 18% 18% 16% 12% 18% 22% 17% 18% 22% 11% 17%
Tagalog 190 160 40 40 160 70 90 160 130 30 40 44% 19% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Traditional Chinese character 5,450 4,810 640 1,030 4,420 1,590 2,820 4,420 2,800 1,620 700 36% 37% 3% 3% 3% 3% 3% 3% 2% 3% 2% 3% 3%
Vietnamese 4,620 4,110 510 520 4,100 1,470 2,630 4,100 3,270 830 550 36% 20% 2% 2% 2% 2% 2% 3% 2% 2% 3% 2% 2%
(unknown) 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Grand Total 205,450 182,360 23,110 30,570 174,910 55,440 119,420 174,910 122,030 52,870 23,010 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
SERVICE CHANNEL
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Delegation Status
race_ethnicity C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Delegation Status Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
Certified Insurance Agents & Plan Based Enrollers 32,120 29,180 2,930 7,130 24,990 7,430 17,550 24,990 13,710 11,270 3,000 30% 45% 16% 16% 13% 23% 14% 13% 15% 14% 11% 21% 13%
Delegation began before MCT transition 20,190 18,390 1,790 4,010 16,180 4,620 11,560 16,180 8,570 7,610 1,840 29% 47% 10% 10% 8% 13% 9% 8% 10% 9% 7% 14% 8%
Delegation began after MCT transition 11,930 10,790 1,140 3,120 8,810 2,810 5,990 8,810 5,140 3,660 1,160 32% 42% 6% 6% 5% 10% 5% 5% 5% 5% 4% 7% 5%
Certified Enrollment Counselors 7,130 6,360 780 800 6,330 2,010 4,320 6,330 5,120 1,210 830 32% 19% 3% 3% 3% 3% 4% 4% 4% 4% 4% 2% 4%
Delegation began before MCT transition 2,400 2,160 240 290 2,110 730 1,380 2,110 1,590 520 240 35% 25% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
Delegation began after MCT transition 4,730 4,200 540 510 4,220 1,280 2,940 4,220 3,530 690 590 30% 16% 2% 2% 2% 2% 2% 2% 2% 2% 3% 1% 3%
No Delegation 166,650 147,130 19,530 22,790 143,860 46,050 97,810 143,860 103,380 40,490 19,290 32% 28% 81% 81% 84% 74% 82% 83% 82% 82% 85% 76% 83%
Grand Total 205,900 182,670 23,240 30,720 175,180 55,490 119,680 175,180 122,210 52,970 23,120 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
GEOGRAPHY
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
Region
rating_region_report C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Residence Rating Region Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
01 - Northern Counties 9010 7,950 1,060 1,040 7,970 4,910 3,060 7,970 6,680 1,290 1,110 62% 16% 4% 4% 5% 3% 5% 9% 3% 5% 5% 2% 5%
02 - North Bay Counties 4,590 4,080 510 870 3,720 570 3,160 3,720 1,540 2,190 460 15% 59% 2% 2% 2% 3% 2% 1% 3% 2% 1% 4% 2%
03 - Sacramento Valley 8,930 7,600 1,330 2,010 6,920 1,180 5,740 6,920 3,440 3,480 1,340 17% 50% 4% 4% 6% 7% 4% 2% 5% 4% 3% 7% 6%
04 - San Francisco County 2,890 2,340 540 720 2,170 420 1,750 2,170 1,190 980 550 19% 45% 1% 1% 2% 2% 1% 1% 1% 1% 1% 2% 2%
05 - Contra Costa County 4,560 3,950 600 890 3,670 1,660 2,010 3,670 2,920 740 550 45% 20% 2% 2% 3% 3% 2% 3% 2% 2% 2% 1% 2%
06 - Alameda County 5,200 4,540 660 1,170 4,040 1,210 2,830 4,040 2,710 1,330 670 30% 33% 3% 2% 3% 4% 2% 2% 2% 2% 2% 3% 3%
07 - Santa Clara County 8,290 6,760 1,530 1,490 6,800 1,940 4,860 6,800 4,300 2,500 1,490 29% 37% 4% 4% 7% 5% 4% 3% 4% 4% 4% 5% 6%
08 - San Mateo County 2,460 2,070 390 420 2,040 910 1,130 2,040 1,570 480 390 45% 24% 1% 1% 2% 1% 1% 2% 1% 1% 1% 1% 2%
09 - Monterey Coast 4,520 3,970 550 540 3,990 1,620 2,370 3,990 2,930 1,060 530 41% 27% 2% 2% 2% 2% 2% 3% 2% 2% 2% 2% 2%
10 - San Joaquin Valley 11,520 10,300 1,220 1,690 9,830 4,020 5,810 9,830 6,940 2,890 1,290 41% 29% 6% 6% 5% 5% 6% 7% 5% 6% 6% 5% 6%
11 - Central San Joaquin 5,250 4,610 640 760 4,490 1,150 3,340 4,490 3,050 1,440 610 26% 32% 3% 3% 3% 2% 3% 2% 3% 3% 2% 3% 3%
12 - Central Coast 8,010 7,160 850 1,210 6,800 2,360 4,440 6,800 4,770 2,040 890 35% 30% 4% 4% 4% 4% 4% 4% 4% 4% 4% 4% 4%
13 - Eastern Counties 2,420 2,160 260 380 2,040 580 1,470 2,040 1,310 730 260 28% 36% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
14 - Kern County 5,750 5,220 540 600 5,150 1,070 4,080 5,150 4,290 860 620 21% 17% 3% 3% 2% 2% 3% 2% 3% 3% 4% 2% 3%
15 - Los Angeles County, partial 30,920 27,960 2,970 4,050 26,870 10,300 16,570 26,870 19,320 7,560 2,950 38% 28% 15% 15% 13% 13% 15% 19% 14% 15% 16% 14% 13%
16 - Los Angeles County, partial 40,680 36,940 3,750 5,400 35,280 12,070 23,210 35,280 25,130 10,150 3,750 34% 29% 20% 20% 16% 18% 20% 22% 19% 20% 21% 19% 16%
17 - Inland Empire 18,830 16,680 2,150 2,500 16,330 2,680 13,650 16,330 11,780 4,550 2,100 16% 28% 9% 9% 9% 8% 9% 5% 11% 9% 10% 9% 9%
18 - Orange County 19,430 17,270 2,170 2,840 16,590 5,310 11,280 16,590 11,740 4,850 2,110 32% 29% 9% 9% 9% 9% 9% 10% 9% 9% 10% 9% 9%
19 - San Diego County 12,640 11,120 1,520 2,160 10,480 1,540 8,940 10,480 6,610 3,860 1,440 15% 37% 6% 6% 7% 7% 6% 3% 7% 6% 5% 7% 6%
Grand Total 205,900 182,680 23,240 30,740 175,180 55,500 119,700 175,180 122,220 52,980 23,110 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
age_bracket Sum of KPI_PUBLIC_EFF_TOTAL Sum of KPI_PUBLIC_EFF_SUB Sum of KPI_PUBLIC_EFF_UNSUB Sum of KPI_PUBLIC_EFF_CCP_NO_APS Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_NONZERO_ACTUAL_EFF Sum of KPI_PUBLIC_APS_CCP_EFF Sum of KPI_PUBLIC_APS_CCP_STAYED_EFF Sum of KPI_PUBLIC_APS_CCP_SWITCH_EFF Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Sum of KPI_PUBLIC_EFF_RETURN_MC_INELIG Average of KPI_PUBLIC_APS_CCP_ZERO_ACTUAL_EFF_SHARE Average of KPI_PUBLIC_APS_CCP_SWITCH_EFF_SHARE
County
RES_COUNTY_NM C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13 C11 C12 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C13
Effectuations for Medi-Cal Transitioners (MCT) to Covered California Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP Effectuated (APS) Share enrolled in $0 plan Effectuated (APS) Share of effectuated APS consumers who switched plans Medi-Cal Transitioners (MCT) with Effectuated Coverage Effectuated - Subsidy eligible Effectuated - Not subsidy eligible Effectuated - Did Not Receive Auto Plan Selection (no APS) Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Enrolled in $0 plan Effectuated (APS) Enrolled in a plan with greater than $0 Effectuated - Received Auto Plan Selection (APS) Effectuated (APS) Stayed in default APS plan Effectuated (APS) Switched to a new plan Returned to Medi-Cal (or otherwise ineligible) by end of SEP
Residence County Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals % Individuals % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column % Column %
Alameda 5,200 4,540 660 1,170 4,040 1,210 2,830 4,040 2,710 1,330 670 30% 33% 3% 2% 3% 4% 2% 2% 2% 2% 2% 3% 3%
Alpine 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Amador 290 260 20 30 260 130 130 260 210 50 30 50% 19% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Butte 780 690 90 120 660 400 260 660 540 120 80 61% 18% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0%
Calaveras 350 300 60 60 290 180 110 290 250 50 60 62% 17% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Colusa 240 200 40 30 210 120 90 210 190 20 40 57% 10% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Contra Costa 4,560 3,950 600 890 3,670 1,660 2,010 3,670 2,920 740 550 45% 20% 2% 2% 3% 3% 2% 3% 2% 2% 2% 1% 2%
Del Norte 130 110 20 10 120 80 40 120 90 30 10 67% 25% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
El Dorado 560 500 50 90 470 100 370 470 290 180 50 21% 38% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Fresno 3,460 3,040 420 540 2,920 770 2,150 2,920 1,950 970 380 26% 33% 2% 2% 2% 2% 2% 1% 2% 2% 2% 2% 2%
Glenn 290 260 20 30 260 150 100 260 230 30 30 58% 12% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Humboldt 880 800 80 90 780 550 240 780 670 110 90 71% 14% 0% 0% 0% 0% 0% 1% 0% 0% 1% 0% 0%
Imperial 2,190 1,950 230 340 1,850 500 1,350 1,850 1,150 700 230 27% 38% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
Inyo 160 140 20 30 130 50 80 130 100 30 30 38% 23% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Kern 5,750 5,220 540 600 5,150 1,070 4,080 5,150 4,290 860 620 21% 17% 3% 3% 2% 2% 3% 2% 3% 3% 4% 2% 3%
Kings 800 700 100 80 720 170 550 720 490 230 110 24% 32% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Lake 550 500 50 50 510 310 190 510 440 70 60 61% 14% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0%
Lassen 70 60 0 10 60 40 20 60 50 0 10 67% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Los Angeles 71,610 64,890 6,720 9,460 62,150 22,370 39,780 62,150 44,440 17,710 6,690 36% 28% 35% 36% 29% 31% 35% 40% 33% 35% 36% 33% 29%
Madera 990 870 120 130 860 220 640 860 610 240 120 26% 28% 0% 0% 1% 0% 0% 0% 1% 0% 0% 0% 1%
Marin 1,170 1,050 120 190 990 120 870 990 390 600 100 12% 61% 1% 1% 1% 1% 1% 0% 1% 1% 0% 1% 0%
Mariposa 140 130 10 10 130 110 20 130 100 20 10 85% 15% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Mendocino 560 520 40 70 490 310 180 490 430 60 50 63% 12% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0%
Merced 2,850 2,520 320 430 2,420 2,030 390 2,420 2,010 420 330 84% 17% 1% 1% 1% 1% 1% 4% 0% 1% 2% 1% 1%
Modoc 70 60 10 10 60 50 10 60 60 10 10 83% 17% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Mono 80 70 10 10 60 30 40 60 60 10 10 50% 17% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Monterey 2,870 2,510 360 290 2,580 970 1,610 2,580 1,900 680 330 38% 26% 1% 1% 2% 1% 1% 2% 1% 1% 2% 1% 1%
Napa 790 720 70 110 680 80 600 680 290 390 70 12% 57% 0% 0% 0% 0% 0% 0% 1% 0% 0% 1% 0%
Nevada 740 670 70 80 660 340 320 660 510 140 70 52% 21% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0%
Orange 19,430 17,270 2,170 2,840 16,590 5,310 11,280 16,590 11,740 4,850 2,110 32% 29% 9% 9% 9% 9% 9% 10% 9% 9% 10% 9% 9%
Outside California 0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Placer 1,630 1,370 260 350 1,280 160 1,120 1,280 560 720 260 13% 56% 1% 1% 1% 1% 1% 0% 1% 1% 0% 1% 1%
Plumas 110 100 10 20 90 60 30 90 80 10 10 67% 11% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Riverside 7,510 6,770 740 1,150 6,370 1,000 5,360 6,370 4,530 1,840 710 16% 29% 4% 4% 3% 4% 4% 2% 4% 4% 4% 3% 3%
Sacramento 5,870 4,960 910 1,450 4,420 770 3,650 4,420 2,100 2,320 910 17% 52% 3% 3% 4% 5% 3% 1% 3% 3% 2% 4% 4%
San Benito 300 270 20 40 260 180 80 260 180 70 20 69% 27% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
San Bernardino 11,320 9,910 1,410 1,360 9,960 1,680 8,290 9,960 7,250 2,710 1,390 17% 27% 5% 5% 6% 4% 6% 3% 7% 6% 6% 5% 6%
San Diego 12,640 11,120 1,520 2,160 10,480 1,540 8,940 10,480 6,610 3,860 1,440 15% 37% 6% 6% 7% 7% 6% 3% 7% 6% 5% 7% 6%
San Francisco 2,890 2,340 540 720 2,170 420 1,750 2,170 1,190 980 550 19% 45% 1% 1% 2% 2% 1% 1% 1% 1% 1% 2% 2%
San Joaquin 4,620 4,140 480 710 3,910 920 2,990 3,910 2,450 1,470 530 24% 38% 2% 2% 2% 2% 2% 2% 2% 2% 2% 3% 2%
San Luis Obispo 1,930 1,650 280 390 1,540 640 900 1,540 1,010 540 280 42% 35% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
San Mateo 2,460 2,070 390 420 2,040 910 1,130 2,040 1,570 480 390 45% 24% 1% 1% 2% 1% 1% 2% 1% 1% 1% 1% 2%
Santa Barbara 1,700 1,530 160 310 1,390 780 610 1,390 1,120 260 150 56% 19% 1% 1% 1% 1% 1% 1% 1% 1% 1% 0% 1%
Santa Clara 8,290 6,760 1,530 1,490 6,800 1,940 4,860 6,800 4,300 2,500 1,490 29% 37% 4% 4% 7% 5% 4% 3% 4% 4% 4% 5% 6%
Santa Cruz 1,360 1,190 170 200 1,150 480 670 1,150 850 300 170 42% 26% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1%
Shasta 1,190 1,010 180 140 1,050 690 360 1,050 840 210 180 66% 20% 1% 1% 1% 0% 1% 1% 0% 1% 1% 0% 1%
Sierra 20 20 0 0 20 10 10 20 20 0 0 50% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Siskiyou 310 260 50 40 280 180 100 280 250 30 50 64% 11% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Solano 1,270 1,140 130 240 1,030 200 830 1,030 430 600 130 19% 58% 1% 1% 1% 1% 1% 0% 1% 1% 0% 1% 1%
Sonoma 1,360 1,160 190 320 1,030 170 860 1,030 430 600 160 17% 58% 1% 1% 1% 1% 1% 0% 1% 1% 0% 1% 1%
Stanislaus 2,920 2,640 280 390 2,530 680 1,850 2,530 1,780 750 280 27% 30% 1% 1% 1% 1% 1% 1% 2% 1% 1% 1% 1%
Sutter 960 820 140 90 870 530 350 870 730 140 140 61% 16% 0% 0% 1% 0% 0% 1% 0% 0% 1% 0% 1%
Tehama 440 380 60 50 390 250 140 390 360 40 60 64% 10% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Trinity 120 100 20 20 100 60 40 100 80 10 20 60% 10% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Tulare 990 870 130 150 840 280 560 840 610 230 140 33% 27% 0% 0% 1% 0% 0% 1% 0% 0% 0% 0% 1%
Tuolumne 340 300 40 50 290 190 100 290 240 50 40 66% 17% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Ventura 4,390 3,990 400 510 3,870 950 2,930 3,870 2,640 1,230 460 25% 32% 2% 2% 2% 2% 2% 2% 2% 2% 2% 2% 2%
Yolo 870 760 110 120 750 150 600 750 500 260 120 20% 35% 0% 0% 0% 0% 0% 0% 1% 0% 0% 0% 1%
Yuba 590 510 80 60 530 280 250 530 400 130 90 53% 25% 0% 0% 0% 0% 0% 1% 0% 0% 0% 0% 0%
Grand Total 205,960 182,640 23,250 30,750 175,210 55,530 119,700 175,210 122,220 52,990 23,120 32% 30% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Published date: 09/26/2024

CHOICE

Medi-Cal Transitioners - Plan Choice Details
Program Transition Month Geography:
7/1/23 - 6/1/24 Statewide
'This report contains details on California health insurance consumers who transition from Medi-Cal to Covered California. Senate Bill 260 (Chapter 845, Statutes of 2019) authorizes Covered California to automatically enroll consumers who are discontinued from Medi-Cal but are found eligible for subsidized coverage with Covered California. The table below summarize the plan choice decisions for individuals who received auto plan selection (APS) and effectuated coverage. The universe for this report is the cohort of consumers who received auto plan selection for coverage to begin in the month(s) shown above ("program transition month"), effectuated coverage by either paying their first month's premium, or by actively opting in (in the case of $0 coverage), with details about the plan choices for consumers subsequent to receiving the auto plan selection (APS). In some cases, a consumer may subsequently switch plans, or may receive a new eligibility determination that returns them to Medi-Cal, or makes them ineligible for either affordable insurance program. This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. All cells are rounded to the nearest 10 for privacy; totals are based on rounded figures and may not match due to rounding. Grand totals are displayed of settled data for Medi-Cal Transitioners following 12 months of the Publlic Health Emergency Unwind (PHE) Medi-Cal redeterminations This includes individuals with program transition months for July 2023 through June 2024.
SWITCHING
Tier and Issuer Switching
1 2
Effectuated Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Effectuated APS Effectuated APS
Switching Individuals # column %
Default plan 123,237 70%
Switched issuer and tier 12,034 7%
Switched issuer only 30,560 17%
Switched tier only 9,340 5%
Grand Total 175,171 100%
Switched issuer (share of all effectuated APS) 24%
Switched tier (share of all effectuated APS) 12%
Type of Switching by Enrolled Issuer (final issuer at the end of the SEP)
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health
Switching Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals #
Default plan 123,240 3,770 23,250 18,700 30 1,360 8,950 10,410 42,670 7,540 20 150 5,460 930
Switched issuer and tier 12,030 110 560 2,270 120 1,230 30 7,020 70 200 10 270 60 90
Switched issuer only 30,560 270 4,190 6,850 50 2,620 650 13,490 110 1,340 10 610 40 320
Switched tier only 9,340 300 940 1,260 0 200 90 1,410 3,880 340 0 10 830 90
Grand Total 175,170 4,460 28,940 29,090 200 5,410 9,730 32,320 46,730 9,420 40 1,040 6,390 1,420
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
Type of Switching by Enrolled Issuer (final issuer at the end of the SEP) (column %) - showing what percentage of each issuer's enrollee group had engaged in a plan switch of some kind
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health
Switching column % column % column % column % column % column % column % column % column % column % column % column % column % column %
Default plan 70% 85% 80% 64% 15% 25% 92% 32% 91% 80% 50% 14% 85% 65%
Switched issuer and tier 7% 2% 2% 8% 60% 23% 0% 22% 0% 2% 25% 26% 1% 6%
Switched issuer only 17% 6% 14% 24% 25% 48% 7% 42% 0% 14% 25% 59% 1% 23%
Switched tier only 5% 7% 3% 4% 0% 4% 1% 4% 8% 4% 0% 1% 13% 6%
Grand Total 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
Type of Tier Switching by Enrolled Issuer (final issuer at the end of the SEP)
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health
Tier Switching Category Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals #
Switched down to Bronze Minimum Coverage 13,230 320 1,000 1,810 110 1,160 70 5,820 1,840 60 10 170 780 90
Switch up to Gold/Platinum 7,340 80 370 1,610 10 220 40 2,240 2,050 460 0 110 80 70
Grand Total 20,570 400 1,370 3,420 120 1,380 110 8,060 3,890 520 10 270 860 170
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
Switching from Issuer Assigned by APS (row) to Enrolled Issuer (final issuer at the end of the SEP) (column)
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health
Issuer Assigned by APS Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals # Individuals #
Aetna Health of California Inc. 7,070 4,070 340 870 0 40 0 1,560 0 0 0 0 0 190
Anthem Blue Cross 32,560 10 24,180 3,440 130 470 50 3,660 60 300 10 160 10 100
Blue Shield 25,040 270 850 19,950 0 300 10 3,420 40 10 0 0 90 100
CCHP 30 0 0 0 30 0 0 0 0 0 0 0 0 0
Health Net 1,970 0 20 20 0 1,560 10 30 30 300 0 0 0 0
Inland Empire Health Plan 11,420 0 70 270 0 760 9,040 870 20 390 0 0 0 0
Kaiser 12,990 80 330 690 40 20 10 11,790 20 0 0 0 0 10
LA Care 60,170 0 2,040 2,770 0 1,620 30 6,610 46,540 540 20 0 10 0
Molina Health Care 12,580 0 820 530 0 650 570 1,390 10 7,880 0 720 0 0
Oscar Health Plan 50 0 10 10 0 0 0 0 10 0 20 0 0 0
SHARP Health Plan 160 0 10 0 0 0 0 0 0 0 0 160 0 0
Valley Health 8,560 0 180 450 0 0 0 1,630 0 0 0 0 6,280 0
Western Health 2,510 10 70 80 0 0 0 1,330 0 0 0 0 0 1,010
Grand Total 175,110 4,460 28,940 29,090 200 5,410 9,730 32,320 46,730 9,420 40 1,040 6,390 1,420
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
Switching from Issuer Assigned by APS (row) to Enrolled Issuer (final issuer at the end of the SEP) (column) - ("From a given issuer assigned by APS on the row, what issuer did switchers enroll with?")
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health Total
Issuer Assigned by APS row % row % row % row % row % row % row % row % row % row % row % row % row % row % Individuals #
Aetna Health of California Inc. 100% 58% 5% 12% 0% 1% 0% 22% 0% 0% 0% 0% 0% 3% 7,070
Anthem Blue Cross 100% 0% 74% 11% 0% 1% 0% 11% 0% 1% 0% 0% 0% 0% 32,560
Blue Shield 100% 1% 3% 80% 0% 1% 0% 14% 0% 0% 0% 0% 0% 0% 25,040
CCHP 100% 0% 0% 0% 100% 0% 0% 0% 0% 0% 0% 0% 0% 0% 30
Health Net 100% 0% 1% 1% 0% 79% 1% 2% 2% 15% 0% 0% 0% 0% 1,970
Inland Empire Health Plan 100% 0% 1% 2% 0% 7% 79% 8% 0% 3% 0% 0% 0% 0% 11,420
Kaiser 100% 1% 3% 5% 0% 0% 0% 91% 0% 0% 0% 0% 0% 0% 12,990
LA Care 100% 0% 3% 5% 0% 3% 0% 11% 77% 1% 0% 0% 0% 0% 60,170
Molina Health Care 100% 0% 7% 4% 0% 5% 5% 11% 0% 63% 0% 6% 0% 0% 12,580
Oscar Health Plan 100% 0% 20% 20% 0% 0% 0% 0% 20% 0% 40% 0% 0% 0% 50
SHARP Health Plan 100% 0% 6% 0% 0% 0% 0% 0% 0% 0% 0% 100% 0% 0% 160
Valley Health 100% 0% 2% 5% 0% 0% 0% 19% 0% 0% 0% 0% 73% 0% 8,560
Western Health 100% 0% 3% 3% 0% 0% 0% 53% 0% 0% 0% 0% 0% 40% 2,510
Grand Total 100% 3% 17% 17% 0% 3% 6% 18% 27% 5% 0% 1% 4% 1% 175,110
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
Switching from Issuer Assigned by APS (row) to Enrolled Issuer (column) - ("For a enrolled given issuer in the column, what assigned issuer did switchers come from?")
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health
Issuer Assigned by APS column % column % column % column % column % column % column % column % column % column % column % column % column % column %
Aetna Health of California Inc. 4% 91% 1% 3% 0% 1% 0% 5% 0% 0% 0% 0% 0% 13%
Anthem Blue Cross 19% 0% 84% 12% 65% 9% 1% 11% 0% 3% 25% 15% 0% 7%
Blue Shield 14% 6% 3% 69% 0% 6% 0% 11% 0% 0% 0% 0% 1% 7%
CCHP 0% 0% 0% 0% 15% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Health Net 1% 0% 0% 0% 0% 29% 0% 0% 0% 3% 0% 0% 0% 0%
Inland Empire Health Plan 7% 0% 0% 1% 0% 14% 93% 3% 0% 4% 0% 0% 0% 0%
Kaiser 7% 2% 1% 2% 20% 0% 0% 36% 0% 0% 0% 0% 0% 1%
LA Care 34% 0% 7% 10% 0% 30% 0% 20% 100% 6% 50% 0% 0% 0%
Molina Health Care 7% 0% 3% 2% 0% 12% 6% 4% 0% 84% 0% 69% 0% 0%
Oscar Health Plan 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 50% 0% 0% 0%
SHARP Health Plan 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 15% 0% 0%
Valley Health 5% 0% 1% 2% 0% 0% 0% 5% 0% 0% 0% 0% 98% 0%
Western Health 1% 0% 0% 0% 0% 0% 0% 4% 0% 0% 0% 0% 0% 71%
Grand Total 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
Switching from Issuer Assigned by APS (row) to Enrolled Issuer (column) - among only those who switched ("What share of switchers went to each issuer?")
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health Total
Issuer Assigned by APS row % row % row % row % row % row % row % row % row % row % row % row % row %
Aetna Health of California Inc. 100% 11% 29% 0% 1% 0% 52% 0% 0% 0% 0% 0% 6% 2,990
Anthem Blue Cross 100% 0% 41% 2% 6% 1% 44% 1% 4% 0% 2% 0% 1% 8,390
Blue Shield 100% 5% 17% 0% 6% 0% 67% 1% 0% 0% 0% 2% 2% 5,090
CCHP 100% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0
Health Net 100% 0% 5% 5% 0% 2% 7% 7% 73% 0% 0% 0% 0% 410
Inland Empire Health Plan 100% 0% 3% 11% 0% 32% 37% 1% 16% 0% 0% 0% 0% 2,380
Kaiser 100% 7% 28% 58% 3% 2% 1% 2% 0% 0% 0% 0% 1% 1,200
LA Care 100% 0% 15% 20% 0% 12% 0% 48% 4% 0% 0% 0% 0% 13,630
Molina Health Care 100% 0% 17% 11% 0% 14% 12% 30% 0% 0% 15% 0% 0% 4,690
Oscar Health Plan 100% 0% 33% 33% 0% 0% 0% 0% 33% 0% 0% 0% 0% 30
SHARP Health Plan 100% 0% 100% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 10
Valley Health 100% 0% 8% 20% 0% 0% 0% 72% 0% 0% 0% 0% 0% 2,270
Western Health 100% 1% 5% 5% 0% 0% 0% 89% 0% 0% 0% 0% 0% 1,500
Grand Total 100% 1% 11% 21% 0% 9% 23% 48% 0% 4% 0% 2% 0% 1% 42,590
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
Switching by Enrolled Issuer (column) - Showing median change in net premium per member ($, dollars)
Enrolled Issuer (final issuer at the end of the SEP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Total Aetna Health of California Inc. Anthem Blue Cross Blue Shield CCHP Health Net Inland Empire Health Plan Kaiser LA Care Molina Health Care Oscar Health Plan SHARP Health Plan Valley Health Western Health
Switching dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $ dollars $
Switched issuer and tier 0 0 0 112 -72 0 3 -4 -35 56 -11 0 -80 -7
Switched issuer only 35 0 12 79 66 36 1 42 -23 3 111 30 0 7
Switched tier only -9 -52 0 0 0 -65 -11 -48 0 58 0 1 -105 0
Grand Total 24 -6 7 77 -11 25 0 31 0 7 88 28 -95 3
* All cells rounded to protect privacy, and thus totals may not sum exactly in case of smaller cell sizes.
**Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.

FINANCIAL

Medi-Cal Transitioners - Financial Breakdown
Program Transition Month Geography:
7/1/23 - 6/1/24 Statewide
'This report contains details on California health insurance consumers who transition from Medi-Cal to Covered California. Senate Bill 260 (Senate Bill 260 (Chapter 845, Statutes of 2019) authorizes Covered California to automatically enroll consumers who are discontinued from Medi-Cal but are found eligible for subsidized coverage with Covered California. Consumer must pay the first month's premium, or actively opt-in if they are eligible for $0 plan, or "effectuate" their coverage, before it can be used to help pay for health care. The table below summarize the population of Medi-Cal Transitioners (MCT) who effectuated coverage, including break-outs for those who received auto plan selection (APS). The universe for this report is the cohort of consumers identified by the CalHEERS application system to have been discontinued from Medi-Cal and to have received an Auto Plan Selection alongside those who have effectuated coverage. It is these populations whose financial and subsidy information are readily available by their stage in the eligibility process. This report does not include individuals who reverted back to Medi-Cal or lost eligibility before the date they were originally scheduled to begin eligibility for Covered California. Member premiums reflect amounts most recent for the reporting month, except for APS Net Premium Per Member, which reflect amounts at the time of (auto) plan selection. Member (and policy) counts are rounded to the nearest 10 for privacy; totals are based on rounded figures and may not match due to rounding. Grand totals are displayed of settled data for Medi-Cal Transitioners following 12 months of the Publlic Health Emergency Unwind (PHE) Medi-Cal redeterminations This includes individuals with program transition months for July 2023 through June 2024.
Medi-Cal Transitioners (MCT) Financials by Auto Plan Selection and Effectuations
Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Metric (column)
APS 383,836 $ 619 $ 119 $ 40 $ 499 518,161 $ 467 $ 91 $ 83 $ 37 $ 381 A4
APS Effectuated 119,107 $ 736 $ 113 $ 33 $ 622 175,171 $ 515 $ 84 $ 67 $ 31 $ 438 A7
APS Not Effectuated 264,729 $ 566 $ 122 $ 44 $ 443 342,990 $ 443 $ 95 $ 92 $ 41 $ 351 A4 - A7
Effectuated 139,430 $ 738 $ 124 $ 39 $ 613 205,894 $ 518 $ 92 $ 67 $ 36 $ 423 C1
Effectuated Subsidy Receiving 131,419 $ 756 $ 105 $ 31 $ 650 196,680 $ 523 $ 77 $ 60 $ 31 $ 449 -
Effectuated Unsubsidized 8,011 $ 445 $ 444 $ 358 $ - 0 9,214 $ 425 $ 423 $ 258 $ 354 $ - 0 -
See :"About the Data" tab for metric descriptions.
ISSUER ASSIGNED BY APS
LAST_SUBSCRIBER_01_ROUNDED Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) KPI_PUBLIC_ELIG_MCT_ROUNDED Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $) LAST_SUBSCRIBER_01_ROUNDED Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) KPI_PUBLIC_ELIG_MCT_ROUNDED Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $)
Issuer Assigned by APS Issuer Assigned by APS
APS_ISSUER_NAME Auto Plan Selections APS_ISSUER_NAME Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Aetna Health of California Inc. 20,430 $ 644 $ 113 $ 38 $ 530 27,100 $ 486 $ 85 $ 81 $ 36 $ 404 Aetna Health of California Inc. 4,900 $ 790 $ 117 $ 47 $ 671 7,070 $ 552 $ 84 $ 69 $ 40 $ 474
Anthem Blue Cross 72,530 $ 685 $ 114 $ 26 $ 570 96,550 $ 521 $ 88 $ 80 $ 25 $ 438 Anthem Blue Cross 22,590 $ 825 $ 105 $ 15 $ 718 32,560 $ 580 $ 79 $ 62 $ 16 $ 509
Blue Shield 61,820 $ 667 $ 120 $ 42 $ 546 85,470 $ 508 $ 94 $ 84 $ 41 $ 418 Blue Shield 15,840 $ 839 $ 112 $ 38 $ 726 25,040 $ 568 $ 87 $ 71 $ 39 $ 489
CCHP 10 $ 380 $ 4 $ 4 $ 375 40 $ 448 $ 60 $ 72 $ 45 $ 388 CCHP 10 $ 380 $ 4 $ 4 $ 375 30 $ 432 $ 67 $ 83 $ 46 $ 364
Health Net 2,340 $ 724 $ 120 $ 46 $ 603 4,320 $ 451 $ 84 $ 86 $ 42 $ 374 Health Net 780 $ 845 $ 85 $ 27 $ 758 1,970 $ 443 $ 68 $ 75 $ 33 $ 377
Inland Empire Health Plan 28,350 $ 550 $ 133 $ 65 $ 416 37,730 $ 413 $ 100 $ 96 $ 60 $ 318 Inland Empire Health Plan 8,400 $ 633 $ 107 $ 40 $ 525 11,420 $ 462 $ 79 $ 67 $ 35 $ 389
Kaiser 18,910 $ 817 $ 127 $ 18 $ 689 29,070 $ 586 $ 98 $ 93 $ 30 $ 494 Kaiser 6,870 $ 951 $ 126 $ 17 $ 824 12,990 $ 589 $ 95 $ 89 $ 39 $ 501
LA Care 121,510 $ 523 $ 110 $ 34 $ 412 161,420 $ 393 $ 83 $ 75 $ 31 $ 314 LA Care 42,840 $ 612 $ 107 $ 29 $ 503 60,170 $ 432 $ 78 $ 56 $ 25 $ 361
Molina Health Care 34,210 $ 560 $ 133 $ 62 $ 426 45,430 $ 420 $ 100 $ 87 $ 55 $ 325 Molina Health Care 8,830 $ 687 $ 141 $ 63 $ 545 12,580 $ 486 $ 101 $ 71 $ 52 $ 393
Oscar Health Plan 10 $ 893 $ 19 $ 4 $ 873 60 $ 327 $ 78 $ 125 $ 35 $ 248 Oscar Health Plan 10 $ 893 $ 19 $ 4 $ 873 50 $ 327 $ 82 $ 134 $ 40 $ 245
SHARP Health Plan 10 $ 1,045 $ 516 $ 326 $ 527 190 $ 323 $ 120 $ 129 $ 96 $ 202 SHARP Health Plan 10 $ 1,045 $ 516 $ 326 $ 527 160 $ 331 $ 132 $ 145 $ 114 $ 198
Valley Health 17,930 $ 760 $ 138 $ 42 $ 621 23,210 $ 591 $ 108 $ 103 $ 34 $ 491 Valley Health 6,240 $ 884 $ 119 $ 32 $ 763 8,560 $ 645 $ 89 $ 85 $ 24 $ 566
Western Health 5,790 $ 764 $ 162 $ 75 $ 600 7,490 $ 593 $ 126 $ 121 $ 66 $ 473 Western Health 1,810 $ 891 $ 167 $ 71 $ 723 2,510 $ 647 $ 122 $ 110 $ 58 $ 533
*Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
ENROLLED ISSUER
LAST_SUBSCRIBER_01_ROUNDED Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) KPI_PUBLIC_ELIG_MCT_ROUNDED Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $) LAST_SUBSCRIBER_01_ROUNDED Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) KPI_PUBLIC_ELIG_MCT_ROUNDED Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $)
Enrolled Issuer Enrolled Issuer
LAST_ISSUER_NAME Auto Plan Selections LAST_ISSUER_NAME Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Aetna Health of California Inc. 18,550 $ 625 $ 107 $ 31 $ 517 24,330 $ 475 $ 81 $ 82 $ 30 $ 396 Aetna Health of California Inc. 3,540 $ 763 $ 91 $ 27 $ 671 5,040 $ 536 $ 65 $ 66 $ 22 $ 479
Anthem Blue Cross 70,000 $ 670 $ 107 $ 21 $ 562 92,690 $ 512 $ 83 $ 77 $ 21 $ 434 Anthem Blue Cross 23,400 $ 786 $ 88 $ 9 $ 696 33,740 $ 559 $ 69 $ 54 $ 10 $ 505
Blue Shield 65,160 $ 687 $ 138 $ 50 $ 548 89,430 $ 525 $ 109 $ 84 $ 48 $ 421 Blue Shield 23,550 $ 876 $ 193 $ 76 $ 681 35,570 $ 615 $ 144 $ 72 $ 68 $ 487
CCHP 130 $ 1,161 $ 172 $ 114 $ 988 210 $ 767 $ 115 $ 134 $ 64 $ 657 CCHP 180 $ 1,182 $ 178 $ 121 $ 1,003 280 $ 783 $ 122 $ 138 $ 75 $ 679
Health Net 4,850 $ 728 $ 156 $ 82 $ 570 7,990 $ 476 $ 106 $ 86 $ 61 $ 377 Health Net 4,120 $ 745 $ 174 $ 94 $ 569 6,940 $ 486 $ 117 $ 82 $ 70 $ 383
Inland Empire Health Plan 27,160 $ 539 $ 127 $ 61 $ 411 35,920 $ 406 $ 96 $ 95 $ 56 $ 315 Inland Empire Health Plan 7,780 $ 609 $ 85 $ 28 $ 523 10,480 $ 450 $ 64 $ 60 $ 24 $ 395
Kaiser 33,490 $ 783 $ 148 $ 68 $ 634 49,930 $ 559 $ 109 $ 91 $ 59 $ 457 Kaiser 26,150 $ 800 $ 167 $ 89 $ 631 41,340 $ 547 $ 121 $ 89 $ 73 $ 447
LA Care 111,010 $ 506 $ 100 $ 25 $ 405 147,000 $ 381 $ 76 $ 75 $ 23 $ 309 LA Care 36,050 $ 581 $ 80 $ 6 $ 499 51,310 $ 407 $ 58 $ 53 $ 7 $ 357
Molina Health Care 31,610 $ 550 $ 124 $ 54 $ 425 41,860 $ 413 $ 93 $ 86 $ 47 $ 324 Molina Health Care 7,370 $ 694 $ 111 $ 41 $ 581 10,770 $ 482 $ 79 $ 61 $ 32 $ 414
Oscar Health Plan 20 $ 559 $ 178 $ 121 $ 380 50 $ 388 $ 139 $ 100 $ 99 $ 253 Oscar Health Plan 30 $ 470 $ 175 $ 125 $ 295 60 $ 369 $ 163 $ 95 $ 135 $ 245
SHARP Health Plan 640 $ 742 $ 215 $ 116 $ 526 1,100 $ 483 $ 144 $ 110 $ 95 $ 345 SHARP Health Plan 850 $ 721 $ 229 $ 123 $ 491 1,410 $ 481 $ 158 $ 111 $ 106 $ 347
Valley Health 16,210 $ 742 $ 131 $ 37 $ 609 20,920 $ 578 $ 102 $ 103 $ 30 $ 483 Valley Health 5,220 $ 864 $ 95 $ 19 $ 768 7,270 $ 624 $ 69 $ 78 $ 14 $ 569
Western Health 5,010 $ 740 $ 155 $ 68 $ 584 6,380 $ 584 $ 122 $ 121 $ 62 $ 468 Western Health 1,210 $ 886 $ 138 $ 44 $ 747 1,670 $ 650 $ 102 $ 100 $ 41 $ 563
*Enrolled Issuer (final issuer at the end of the SEP)
*Oscar Health Plan offered coverage through December 31, 2023. Inland Empire Health Plan offered coverage beginning January 1, 2024.
DEMOGRAPHICS
LAST_SUBSCRIBER_01_ROUNDED Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) KPI_PUBLIC_ELIG_MCT_ROUNDED Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $) LAST_SUBSCRIBER_01_ROUNDED Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) KPI_PUBLIC_ELIG_MCT_ROUNDED Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $)
Age Age
AGE_BRACKET Auto Plan Selections AGE_BRACKET Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Age 17 or less 18,950 $ 457 $ 236 $ 212 $ 219 56,280 $ 266 $ 127 $ 123 $ 112 $ 140 Age 17 or less 6,280 $ 470 $ 236 $ 204 $ 232 24,870 $ 277 $ 127 $ 108 $ 107 $ 163
Age 18 to 25 74,660 $ 384 $ 76 $ 24 $ 307 116,900 $ 332 $ 62 $ 59 $ 19 $ 274 Age 18 to 25 17,990 $ 419 $ 69 $ 18 $ 349 38,120 $ 339 $ 56 $ 45 $ 18 $ 291
Age 26 to 34 100,170 $ 426 $ 111 $ 48 $ 315 111,640 $ 381 $ 95 $ 89 $ 42 $ 288 Age 26 to 34 31,560 $ 452 $ 107 $ 40 $ 344 35,990 $ 398 $ 92 $ 65 $ 36 $ 317
Age 35 to 44 76,180 $ 582 $ 125 $ 41 $ 456 93,570 $ 435 $ 89 $ 81 $ 33 $ 350 Age 35 to 44 26,480 $ 632 $ 132 $ 44 $ 499 34,340 $ 454 $ 93 $ 63 $ 35 $ 371
Age 45 to 54 54,330 $ 847 $ 137 $ 38 $ 709 70,110 $ 596 $ 94 $ 83 $ 27 $ 507 Age 45 to 54 25,300 $ 917 $ 136 $ 39 $ 779 34,220 $ 621 $ 91 $ 64 $ 27 $ 539
Age 55 to 64 50,440 $ 1,144 $ 131 $ 24 $ 1,011 59,810 $ 897 $ 104 $ 87 $ 18 $ 803 Age 55 to 64 31,020 $ 1,201 $ 130 $ 26 $ 1,069 37,380 $ 930 $ 103 $ 70 $ 20 $ 840
Age 65+ 9,110 $ 1,049 $ 109 $ - 0 $ 938 9,860 $ 985 $ 105 $ 82 $ - 0 $ 938 Age 65+ 810 $ 1,179 $ 272 $ 23 $ 906 970 $ 1,002 $ 259 $ 171 $ 20 $ 936
Sum of LAST_SUBSCRIBER_01 Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) Sum of KPI_PUBLIC_ELIG_MCT Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $)
Gender Gender
GENDER Auto Plan Selections GENDER Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Female 214,650 $ 567 $ 110 $ 38 $ 456 295,590 $ 469 $ 89 $ 81 $ 36 $ 384 Female 76,970 $ 659 $ 112 $ 35 $ 546 118,110 $ 523 $ 91 $ 65 $ 34 $ 445
Male 168,960 $ 686 $ 131 $ 43 $ 554 222,330 $ 465 $ 94 $ 86 $ 39 $ 376 Male 62,330 $ 836 $ 139 $ 43 $ 696 87,640 $ 513 $ 95 $ 69 $ 37 $ 433
Transgender: Female to Male 130 $ 415 $ 108 $ 36 $ 306 140 $ 387 $ 97 $ 86 $ 34 $ 295 Transgender: Female to Male 70 $ 433 $ 92 $ 34 $ 341 80 $ 400 $ 80 $ 57 $ 29 $ 328
Transgender: Male to Female 100 $ 465 $ 102 $ 34 $ 361 100 $ 427 $ 100 $ 69 $ 39 $ 332 Transgender: Male to Female 60 $ 464 $ 144 $ 54 $ 319 60 $ 454 $ 137 $ 57 $ 53 $ 327
FPL FPL
ELIG_MCT_END_SUBSIDY_FPL_BRACKET Auto Plan Selections ELIG_MCT_END_SUBSIDY_FPL_BRACKET Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
138% FPL or less 28,180 $ 671 $ 59 $ - 0 $ 611 35,370 $ 554 $ 51 $ 37 $ - 0 $ 530 138% FPL or less 10,610 $ 704 $ 108 $ - 0 $ 594 14,530 $ 528 $ 90 $ 48 $ 2 $ 489
138% FPL to 150% FPL 27,790 $ 625 $ 28 $ - 0 $ 597 35,880 $ 495 $ 23 $ 12 $ - 0 $ 478 138% FPL to 150% FPL 12,610 $ 751 $ 61 $ - 0 $ 689 17,170 $ 557 $ 48 $ 17 $ - 0 $ 525
150% FPL to 200% FPL 132,650 $ 600 $ 31 $ 0 $ 568 168,070 $ 478 $ 25 $ 19 $ - 0 $ 456 150% FPL to 200% FPL 53,940 $ 716 $ 53 $ 5 $ 661 72,970 $ 534 $ 42 $ 24 $ 4 $ 502
200% FPL to 250% FPL 79,480 $ 602 $ 87 $ 67 $ 514 101,520 $ 475 $ 69 $ 64 $ 53 $ 409 200% FPL to 250% FPL 28,630 $ 737 $ 102 $ 66 $ 633 39,980 $ 540 $ 77 $ 59 $ 49 $ 473
250% FPL to 400% FPL 87,930 $ 640 $ 227 $ 202 $ 411 135,360 $ 427 $ 152 $ 145 $ 134 $ 276 250% FPL to 400% FPL 26,650 $ 785 $ 234 $ 191 $ 549 48,910 $ 469 $ 143 $ 123 $ 116 $ 331
400% FPL to 600% FPL 18,680 $ 651 $ 432 $ 386 $ 217 28,820 $ 435 $ 288 $ 274 $ 285 $ 147 400% FPL to 600% FPL 4,450 $ 802 $ 452 $ 389 $ 348 8,330 $ 482 $ 276 $ 240 $ 252 $ 215
600% FPL or greater 6,080 $ 656 $ 557 $ 454 $ 97 8,980 $ 455 $ 386 $ 365 $ 349 $ 68 600% FPL or greater 1,420 $ 798 $ 627 $ 493 $ 169 2,430 $ 514 $ 405 $ 335 $ 357 $ 116
FPL Unavailable 3,040 $ 514 $ 298 $ 276 $ 215 4,170 $ 417 $ 229 $ 193 $ 198 $ 322 FPL Unavailable 1,120 $ 588 $ 379 $ 324 $ 207 1,560 $ 479 $ 310 $ 164 $ 280 $ 420
RACE RACE
RACE_SUM Auto Plan Selections RACE_SUM Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
(nonrespondent) 189,580 $ 588 $ 111 $ 38 $ 476 253,260 $ 446 $ 85 $ 78 $ 35 $ 366 (nonrespondent) 58,840 $ 708 $ 108 $ 32 $ 598 86,150 $ 499 $ 81 $ 59 $ 29 $ 430
American Indian or Alaska Native 2,050 $ 574 $ 85 $ 4 $ 488 2,480 $ 482 $ 71 $ 66 $ 7 $ 415 American Indian or Alaska Native 590 $ 662 $ 104 $ 22 $ 557 750 $ 523 $ 81 $ 60 $ 22 $ 456
Asian Indian 3,970 $ 886 $ 161 $ 44 $ 724 6,840 $ 538 $ 98 $ 90 $ 36 $ 445 Asian Indian 2,200 $ 1,006 $ 146 $ 45 $ 858 4,180 $ 564 $ 89 $ 71 $ 35 $ 489
Black or African American 23,010 $ 530 $ 108 $ 41 $ 421 27,440 $ 448 $ 92 $ 85 $ 40 $ 360 Black or African American 6,260 $ 608 $ 98 $ 25 $ 509 7,720 $ 497 $ 84 $ 58 $ 26 $ 428
Cambodian 1,240 $ 606 $ 121 $ 40 $ 483 1,790 $ 426 $ 86 $ 81 $ 35 $ 346 Cambodian 430 $ 713 $ 139 $ 45 $ 573 720 $ 451 $ 90 $ 73 $ 38 $ 370
Chinese 10,070 $ 780 $ 140 $ 40 $ 639 16,150 $ 506 $ 92 $ 85 $ 30 $ 418 Chinese 6,720 $ 851 $ 131 $ 39 $ 718 11,630 $ 519 $ 85 $ 71 $ 33 $ 445
Filipino 9,900 $ 681 $ 145 $ 57 $ 534 14,090 $ 490 $ 106 $ 100 $ 52 $ 390 Filipino 3,780 $ 754 $ 128 $ 47 $ 625 5,570 $ 528 $ 94 $ 77 $ 41 $ 451
Guamanian or Chamorro 150 $ 633 $ 125 $ 31 $ 507 180 $ 483 $ 100 $ 92 $ 30 $ 387 Guamanian or Chamorro 40 $ 774 $ 113 $ 19 $ 660 60 $ 558 $ 97 $ 76 $ 28 $ 477
Hmong 590 $ 557 $ 117 $ 31 $ 438 820 $ 416 $ 87 $ 80 $ 30 $ 335 Hmong 130 $ 608 $ 66 $ 5 $ 540 180 $ 473 $ 55 $ 43 $ 10 $ 429
Japanese 810 $ 686 $ 154 $ 74 $ 530 1,180 $ 512 $ 118 $ 104 $ 60 $ 396 Japanese 490 $ 752 $ 183 $ 96 $ 568 730 $ 543 $ 131 $ 86 $ 67 $ 437
Korean 3,290 $ 741 $ 152 $ 50 $ 588 5,300 $ 475 $ 98 $ 89 $ 37 $ 382 Korean 1,810 $ 830 $ 152 $ 60 $ 677 3,250 $ 495 $ 95 $ 73 $ 40 $ 413
Laotian 550 $ 607 $ 99 $ 26 $ 507 690 $ 489 $ 79 $ 73 $ 25 $ 414 Laotian 150 $ 734 $ 107 $ 29 $ 625 210 $ 545 $ 81 $ 55 $ 25 $ 484
Multiple Races 8,080 $ 542 $ 115 $ 42 $ 426 10,720 $ 427 $ 94 $ 87 $ 43 $ 337 Multiple Races 3,220 $ 617 $ 121 $ 41 $ 494 4,650 $ 456 $ 99 $ 73 $ 45 $ 374
Native Hawaiian 260 $ 632 $ 109 $ 39 $ 522 330 $ 482 $ 83 $ 76 $ 29 $ 407 Native Hawaiian 60 $ 874 $ 93 $ 30 $ 780 80 $ 517 $ 76 $ 38 $ 48 $ 461
Other 22,010 $ 666 $ 138 $ 51 $ 527 31,460 $ 482 $ 102 $ 92 $ 47 $ 385 Other 9,620 $ 783 $ 147 $ 54 $ 634 15,010 $ 526 $ 105 $ 77 $ 48 $ 436
Other Asian 10 $ 435 $ - 0 $ - 0 $ 434 10 $ 383 $ 40 $ 6 $ 40 $ 342 Other Asian 0 $ - 0 $ - 0 $ - 0 $ - 0 10 $ 331 $ 79 $ 11 $ 79 $ 251
Samoan 370 $ 596 $ 108 $ 30 $ 487 530 $ 436 $ 81 $ 77 $ 30 $ 361 Samoan 80 $ 654 $ 92 $ 5 $ 560 120 $ 480 $ 73 $ 42 $ 10 $ 424
Vietnamese 8,900 $ 808 $ 139 $ 51 $ 668 14,120 $ 519 $ 90 $ 87 $ 34 $ 433 Vietnamese 4,760 $ 908 $ 117 $ 38 $ 790 8,100 $ 552 $ 75 $ 68 $ 27 $ 485
White 99,010 $ 642 $ 126 $ 39 $ 515 130,780 $ 496 $ 99 $ 87 $ 38 $ 402 White 40,270 $ 743 $ 143 $ 46 $ 600 56,800 $ 547 $ 111 $ 74 $ 45 $ 453
ETHNICITY ETHNICITY
ETHNICITY_SUM Auto Plan Selections ETHNICITY_SUM Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
(nonrespondent) 60 $ 505 $ 231 $ 256 $ 273 120 $ 436 $ 181 $ 159 $ 194 $ 260 (nonrespondent) 40 $ 666 $ 321 $ 271 $ 343 110 $ 462 $ 206 $ 127 $ 211 $ 317
(Not Hispanic/Latino/Spanish origin)** 201,300 $ 661 $ 132 $ 44 $ 528 272,580 $ 499 $ 101 $ 91 $ 42 $ 403 (Not Hispanic/Latino/Spanish origin)** 83,350 $ 772 $ 142 $ 47 $ 629 123,370 $ 543 $ 105 $ 75 $ 44 $ 453
(Hispanic/Latino/Spanish origin)* 23,070 $ 596 $ 109 $ 38 $ 485 31,400 $ 449 $ 83 $ 77 $ 34 $ 372 (Hispanic/Latino/Spanish origin)* 6,080 $ 739 $ 100 $ 31 $ 638 9,270 $ 508 $ 72 $ 54 $ 27 $ 448
Cuban 400 $ 600 $ 121 $ 41 $ 479 500 $ 468 $ 95 $ 85 $ 35 $ 380 Cuban 170 $ 648 $ 112 $ 46 $ 535 210 $ 503 $ 91 $ 65 $ 40 $ 421
Guatemalan 2,220 $ 625 $ 101 $ 28 $ 523 2,940 $ 466 $ 76 $ 70 $ 24 $ 396 Guatemalan 850 $ 707 $ 98 $ 25 $ 607 1,210 $ 502 $ 71 $ 52 $ 21 $ 442
Mexican/Mexican American/Chicano 81,340 $ 592 $ 106 $ 35 $ 485 107,180 $ 452 $ 82 $ 75 $ 31 $ 376 Mexican/Mexican American/Chicano 24,770 $ 713 $ 96 $ 26 $ 617 35,660 $ 508 $ 73 $ 55 $ 23 $ 447
Multiple Ethnicities 6,070 $ 456 $ 102 $ 40 $ 352 7,680 $ 371 $ 83 $ 78 $ 39 $ 292 Multiple Ethnicities 2,020 $ 524 $ 94 $ 31 $ 428 2,750 $ 408 $ 77 $ 56 $ 32 $ 345
Other 64,340 $ 547 $ 104 $ 35 $ 442 89,360 $ 404 $ 78 $ 73 $ 32 $ 330 Other 20,310 $ 656 $ 100 $ 31 $ 554 30,800 $ 448 $ 73 $ 55 $ 28 $ 385
Puerto Rican 840 $ 551 $ 114 $ 40 $ 435 1,000 $ 460 $ 97 $ 86 $ 42 $ 368 Puerto Rican 290 $ 598 $ 117 $ 45 $ 480 380 $ 501 $ 111 $ 75 $ 46 $ 403
Salvadoran 4,200 $ 618 $ 105 $ 32 $ 511 5,420 $ 468 $ 80 $ 73 $ 29 $ 394 Salvadoran 1,540 $ 699 $ 95 $ 25 $ 603 2,130 $ 504 $ 73 $ 52 $ 25 $ 441
"Hispanic/Latino/Spanish origin" respondents answered "Yes" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity. "Hispanic/Latino/Spanish origin" respondents answered "Yes" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
"Not Hispanic/Latino/Spanish origin" respondents answered "No" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity. "Not Hispanic/Latino/Spanish origin" respondents answered "No" to application question "Are you of Hispanic, Latino, or Spanish origin?" but did not indicate a specific ethnicity.
RACE/ETHNICITY RACE/ETHNICITY
RACE_ETHNICITY Auto Plan Selections RACE_ETHNICITY Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
(nonrespondent) 45,170 $ 621 $ 128 $ 48 $ 491 58,190 $ 492 $ 103 $ 93 $ 48 $ 393 (nonrespondent) 15,380 $ 741 $ 139 $ 48 $ 600 21,780 $ 548 $ 109 $ 76 $ 50 $ 455
American Indian or Alaska Native 1,270 $ 610 $ 85 $ - 0 $ 524 1,520 $ 519 $ 70 $ 66 $ - 0 $ 453 American Indian or Alaska Native 350 $ 707 $ 113 $ 8 $ 593 440 $ 559 $ 84 $ 62 $ 14 $ 495
Asian American 38,750 $ 759 $ 143 $ 48 $ 614 60,140 $ 504 $ 96 $ 90 $ 38 $ 413 Asian American 20,270 $ 856 $ 132 $ 43 $ 723 34,240 $ 531 $ 86 $ 71 $ 34 $ 457
Black or African American 22,240 $ 532 $ 108 $ 41 $ 423 26,440 $ 451 $ 92 $ 86 $ 40 $ 363 Black or African American 6,060 $ 612 $ 98 $ 25 $ 513 7,450 $ 501 $ 84 $ 58 $ 26 $ 431
Latino 182,480 $ 573 $ 105 $ 36 $ 466 245,460 $ 432 $ 81 $ 75 $ 32 $ 357 Latino 56,040 $ 687 $ 98 $ 28 $ 588 82,410 $ 482 $ 73 $ 55 $ 25 $ 420
Multiple Races 6,100 $ 560 $ 118 $ 41 $ 441 8,130 $ 436 $ 95 $ 87 $ 42 $ 345 Multiple Races 2,510 $ 636 $ 124 $ 41 $ 510 3,660 $ 464 $ 100 $ 73 $ 44 $ 382
Native Hawaiian or Other Pacific Islander 660 $ 619 $ 110 $ 30 $ 508 880 $ 465 $ 84 $ 78 $ 28 $ 387 Native Hawaiian or Other Pacific Islander 150 $ 758 $ 103 $ 12 $ 654 210 $ 515 $ 79 $ 50 $ 20 $ 449
Other 14,850 $ 724 $ 151 $ 57 $ 572 22,540 $ 498 $ 106 $ 95 $ 50 $ 396 Other 6,830 $ 836 $ 163 $ 64 $ 671 11,250 $ 536 $ 111 $ 81 $ 53 $ 441
White 72,320 $ 670 $ 134 $ 40 $ 535 94,860 $ 519 $ 106 $ 92 $ 41 $ 419 White 31,840 $ 762 $ 155 $ 54 $ 606 44,460 $ 565 $ 121 $ 80 $ 53 $ 461
RACE/ETHNICITY (SUMMARY) RACE/ETHNICITY (SUMMARY)
RACE_ETHNICITY_2 Auto Plan Selections RACE_ETHNICITY_2 Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
(nonrespondent) 45,170 $ 621 $ 128 $ 48 $ 491 58,190 $ 492 $ 103 $ 93 $ 48 $ 393 (nonrespondent) 15,380 $ 741 $ 139 $ 48 $ 600 21,780 $ 548 $ 109 $ 76 $ 50 $ 455
Asian 39,410 $ 757 $ 143 $ 48 $ 613 61,030 $ 503 $ 96 $ 90 $ 38 $ 412 Asian 20,420 $ 856 $ 131 $ 43 $ 723 34,450 $ 531 $ 86 $ 71 $ 34 $ 457
Black or African American 22,240 $ 532 $ 108 $ 41 $ 423 26,440 $ 451 $ 92 $ 86 $ 40 $ 363 Black or African American 6,060 $ 612 $ 98 $ 25 $ 513 7,450 $ 501 $ 84 $ 58 $ 26 $ 431
Latino 182,480 $ 573 $ 105 $ 36 $ 466 245,460 $ 432 $ 81 $ 75 $ 32 $ 357 Latino 56,040 $ 687 $ 98 $ 28 $ 588 82,410 $ 482 $ 73 $ 55 $ 25 $ 420
Other 22,220 $ 673 $ 138 $ 47 $ 533 32,190 $ 483 $ 102 $ 92 $ 45 $ 386 Other 9,680 $ 779 $ 151 $ 55 $ 627 15,350 $ 520 $ 108 $ 79 $ 49 $ 428
White 72,320 $ 670 $ 134 $ 40 $ 535 94,860 $ 519 $ 106 $ 92 $ 41 $ 419 White 31,840 $ 762 $ 155 $ 54 $ 606 44,460 $ 565 $ 121 $ 80 $ 53 $ 461
LANGUAGE WRITTEN LANGUAGE WRITTEN
LANGUAGE_WRITTEN Auto Plan Selections LANGUAGE_WRITTEN Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Arabic 290 $ 831 $ 159 $ 37 $ 670 500 $ 497 $ 98 $ 85 $ 33 $ 406 Arabic 130 $ 928 $ 139 $ 49 $ 787 240 $ 516 $ 84 $ 70 $ 34 $ 440
Armenian 250 $ 666 $ 104 $ 19 $ 560 380 $ 441 $ 70 $ 65 $ 13 $ 375 Armenian 110 $ 759 $ 102 $ 30 $ 656 190 $ 461 $ 61 $ 53 $ 15 $ 404
Cambodian 60 $ 570 $ 87 $ 2 $ 481 90 $ 423 $ 71 $ 59 $ 19 $ 360 Cambodian 40 $ 616 $ 128 $ 74 $ 487 60 $ 435 $ 85 $ 60 $ 48 $ 369
Cantonese 10 $ 362 $ 361 $ 361 $ - 0 10 $ 362 $ 361 $ 271 $ 361 $ - 0 Cantonese 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
English 305,180 $ 588 $ 123 $ 43 $ 464 402,730 $ 456 $ 96 $ 87 $ 42 $ 364 English 108,770 $ 696 $ 131 $ 43 $ 564 156,210 $ 507 $ 101 $ 71 $ 42 $ 421
Farsi 440 $ 779 $ 150 $ 42 $ 627 670 $ 510 $ 101 $ 86 $ 32 $ 415 Farsi 240 $ 857 $ 144 $ 29 $ 710 410 $ 522 $ 95 $ 64 $ 20 $ 439
Hindi 10 $ 1,033 $ 165 $ - 0 $ 867 20 $ 662 $ 71 $ 81 $ - 0 $ 568 Hindi 10 $ 1,491 $ 189 $ 2 $ 1,300 10 $ 767 $ 50 $ 85 $ - 0 $ 717
Hmong 20 $ 820 $ 128 $ - 0 $ 690 30 $ 551 $ 80 $ 69 $ - 0 $ 486 Hmong 10 $ 1,261 $ 34 $ - 0 $ 1,225 10 $ 628 $ 12 $ 7 $ - 0 $ 615
Korean 1,000 $ 853 $ 118 $ 22 $ 733 1,610 $ 537 $ 77 $ 69 $ 19 $ 466 Korean 570 $ 942 $ 131 $ 38 $ 810 1,030 $ 548 $ 84 $ 67 $ 30 $ 475
Punjabi 50 $ 1,118 $ 54 $ 4 $ 1,063 70 $ 775 $ 57 $ 44 $ 7 $ 731 Punjabi 30 $ 1,302 $ 43 $ - 0 $ 1,258 50 $ 766 $ 43 $ 39 $ 2 $ 722
Russian 910 $ 811 $ 154 $ 76 $ 655 1,480 $ 511 $ 99 $ 91 $ 53 $ 415 Russian 590 $ 837 $ 146 $ 79 $ 689 1,010 $ 508 $ 93 $ 79 $ 57 $ 421
Spanish 65,660 $ 714 $ 102 $ 25 $ 610 94,010 $ 500 $ 73 $ 67 $ 21 $ 434 Spanish 22,780 $ 865 $ 94 $ 20 $ 769 35,970 $ 553 $ 63 $ 50 $ 17 $ 501
Tagalog 300 $ 885 $ 120 $ 25 $ 763 420 $ 658 $ 91 $ 87 $ 19 $ 577 Tagalog 130 $ 1,009 $ 127 $ 24 $ 880 190 $ 697 $ 94 $ 91 $ 17 $ 619
Traditional Chinese character 4,280 $ 897 $ 119 $ 26 $ 776 7,050 $ 554 $ 76 $ 71 $ 20 $ 482 Traditional Chinese character 3,180 $ 930 $ 113 $ 30 $ 815 5,450 $ 552 $ 72 $ 63 $ 24 $ 488
Vietnamese 4,510 $ 951 $ 126 $ 40 $ 823 7,520 $ 564 $ 76 $ 76 $ 26 $ 492 Vietnamese 2,670 $ 1,023 $ 106 $ 34 $ 915 4,620 $ 591 $ 64 $ 66 $ 22 $ 534
(blank) 880 $ 608 $ 125 $ 54 $ 482 1,580 $ 419 $ 87 $ 72 $ 47 $ 338 (blank) 200 $ 831 $ 170 $ 67 $ 659 460 $ 476 $ 99 $ 43 $ 51 $ 399
LANGUAGE SPOKEN LANGUAGE SPOKEN
LANGUAGE_SPOKEN Auto Plan Selections LANGUAGE_SPOKEN Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Arabic 630 $ 851 $ 159 $ 48 $ 690 1,160 $ 495 $ 94 $ 85 $ 36 $ 406 Arabic 280 $ 983 $ 151 $ 53 $ 831 550 $ 525 $ 85 $ 74 $ 33 $ 446
Armenian 1,060 $ 710 $ 136 $ 41 $ 572 1,760 $ 426 $ 82 $ 74 $ 28 $ 350 Armenian 520 $ 798 $ 130 $ 36 $ 666 910 $ 453 $ 75 $ 53 $ 25 $ 386
Cambodian 210 $ 712 $ 90 $ 7 $ 620 300 $ 491 $ 75 $ 68 $ 19 $ 423 Cambodian 100 $ 699 $ 116 $ 41 $ 581 170 $ 473 $ 84 $ 66 $ 38 $ 397
Cantonese 3,050 $ 997 $ 128 $ 32 $ 868 5,040 $ 601 $ 78 $ 76 $ 22 $ 527 Cantonese 2,010 $ 1,052 $ 116 $ 34 $ 934 3,520 $ 599 $ 69 $ 67 $ 23 $ 535
English 300,060 $ 581 $ 122 $ 44 $ 458 394,360 $ 453 $ 97 $ 88 $ 43 $ 361 English 105,640 $ 687 $ 131 $ 44 $ 555 150,990 $ 504 $ 102 $ 71 $ 43 $ 418
Farsi 780 $ 835 $ 173 $ 57 $ 661 1,290 $ 519 $ 108 $ 94 $ 42 $ 420 Farsi 410 $ 909 $ 162 $ 46 $ 745 700 $ 540 $ 98 $ 71 $ 30 $ 454
Hindi 40 $ 1,106 $ 128 $ 0 $ 976 60 $ 635 $ 82 $ 87 $ 20 $ 546 Hindi 20 $ 1,214 $ 152 $ 50 $ 1,060 40 $ 628 $ 77 $ 102 $ 35 $ 550
Hmong 150 $ 713 $ 88 $ 10 $ 624 230 $ 520 $ 66 $ 58 $ 6 $ 459 Hmong 40 $ 961 $ 46 $ 16 $ 913 60 $ 598 $ 33 $ 17 $ 6 $ 574
Korean 1,190 $ 888 $ 120 $ 20 $ 767 1,920 $ 558 $ 78 $ 73 $ 19 $ 485 Korean 690 $ 980 $ 127 $ 38 $ 851 1,220 $ 569 $ 82 $ 70 $ 28 $ 498
Mandarin 3,130 $ 785 $ 111 $ 18 $ 673 5,130 $ 496 $ 72 $ 64 $ 16 $ 428 Mandarin 2,490 $ 835 $ 106 $ 22 $ 728 4,210 $ 507 $ 71 $ 56 $ 21 $ 446
Punjabi 290 $ 1,271 $ 120 $ - 0 $ 1,150 510 $ 738 $ 70 $ 58 $ - 0 $ 683 Punjabi 150 $ 1,411 $ 99 $ - 0 $ 1,311 290 $ 775 $ 63 $ 45 $ - 0 $ 728
Russian 1,080 $ 835 $ 162 $ 80 $ 672 1,780 $ 513 $ 100 $ 90 $ 54 $ 417 Russian 690 $ 883 $ 156 $ 89 $ 726 1,210 $ 515 $ 94 $ 75 $ 58 $ 427
Spanish 66,180 $ 719 $ 103 $ 25 $ 614 94,970 $ 502 $ 73 $ 67 $ 21 $ 436 Spanish 23,020 $ 868 $ 94 $ 20 $ 772 36,360 $ 555 $ 64 $ 50 $ 17 $ 503
Tagalog 860 $ 932 $ 137 $ 41 $ 793 1,180 $ 656 $ 97 $ 93 $ 35 $ 567 Tagalog 340 $ 1,027 $ 126 $ 37 $ 899 480 $ 710 $ 88 $ 83 $ 30 $ 640
Vietnamese 5,140 $ 949 $ 126 $ 40 $ 822 8,470 $ 570 $ 77 $ 77 $ 25 $ 497 Vietnamese 3,040 $ 1,020 $ 104 $ 33 $ 914 5,180 $ 597 $ 65 $ 64 $ 21 $ 539
(blank) 10 $ 320 $ 276 $ 276 $ 43 10 $ 388 $ 137 $ 124 $ 112 $ 250 (blank) 10 $ 616 $ 615 $ 615 $ - 0 10 $ 404 $ 169 $ 85 $ 54 $ 287
PLAN INFORMATION
Sum of LAST_SUBSCRIBER_01 Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) Sum of KPI_PUBLIC_ELIG_MCT Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $) Sum of LAST_SUBSCRIBER_01 Gross Premium Per Policy (AVG $) Net Premium Per Policy (AVG $) Net Premium Per Policy (MED $) APTC Per Policy (AVG $) Sum of KPI_PUBLIC_ELIG_MCT Gross Premium Per Member (AVG $) Net Premium Per Member (AVG $) APS Net Premium Per Member (AVG $) Net Premium Per Member (MED $) APTC Per Member (AVG $)
METAL TIER ENHANCED METAL TIER ENHANCED
LAST_METAL_TIER_ENHANCED Auto Plan Selections LAST_METAL_TIER_ENHANCED Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Bronze 9,460 $ 627 $ 141 $ 70 $ 485 16,280 $ 416 $ 96 $ 118 $ 55 $ 324 Bronze 10,620 $ 639 $ 173 $ 107 $ 464 18,210 $ 417 $ 117 $ 129 $ 73 $ 319
Bronze HDHP 1,490 $ 695 $ 189 $ 108 $ 504 2,820 $ 436 $ 122 $ 139 $ 75 $ 320 Bronze HDHP 1,920 $ 692 $ 209 $ 128 $ 481 3,440 $ 441 $ 137 $ 142 $ 87 $ 327
Silver 112,480 $ 632 $ 293 $ 247 $ 337 167,530 $ 433 $ 201 $ 183 $ 168 $ 241 Silver 25,570 $ 786 $ 297 $ 232 $ 487 44,620 $ 487 $ 190 $ 136 $ 141 $ 325
Silver 73 76,030 $ 600 $ 78 $ 68 $ 520 96,470 $ 476 $ 63 $ 60 $ 53 $ 412 Silver 73 25,430 $ 756 $ 86 $ 66 $ 668 35,400 $ 551 $ 64 $ 53 $ 49 $ 487
Silver 87 132,010 $ 598 $ 20 $ - 0 $ 577 166,480 $ 477 $ 16 $ 15 $ - 0 $ 460 Silver 87 52,650 $ 718 $ 33 $ 3 $ 684 70,740 $ 537 $ 26 $ 19 $ 2 $ 511
Silver 94 46,760 $ 650 $ 11 $ - 0 $ 638 58,330 $ 528 $ 9 $ 5 $ - 0 $ 518 Silver 94 15,650 $ 741 $ 33 $ - 0 $ 706 20,740 $ 559 $ 26 $ 12 $ - 0 $ 534
Gold 3,430 $ 879 $ 361 $ 289 $ 516 6,620 $ 526 $ 221 $ 146 $ 183 $ 308 Gold 4,500 $ 858 $ 382 $ 303 $ 474 8,270 $ 529 $ 238 $ 145 $ 195 $ 309
Platinum 1,810 $ 865 $ 445 $ 346 $ 419 2,860 $ 613 $ 314 $ 144 $ 252 $ 302 Platinum 2,420 $ 851 $ 463 $ 368 $ 387 3,650 $ 618 $ 336 $ 144 $ 268 $ 305
(blank) 360 $ 230 $ 229 $ 219 $ - 0 770 $ 219 $ 217 $ 185 $ 151 $ - 0 (blank) 670 $ 243 $ 242 $ 221 $ - 0 830 $ 212 $ 210 $ 253 $ 203 $ - 0
SERVICE CHANNEL
age_bracket Sum of KPI_PUBLIC_APS_TOTAL
DELEGATION STATUS DELEGATION STATUS
LANGUAGE_SPOKEN Auto Plan Selections LANGUAGE_SPOKEN Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Certified Insurance Agents & Plan Based Enrollers 39,780 $ 735 $ 138 $ 49 $ 596 44,540 $ 586 $ 110 $ 90 $ 41 $ 482 Certified Insurance Agents & Plan Based Enrollers 28,270 $ 798 $ 145 $ 55 $ 652 32,110 $ 626 $ 115 $ 76 $ 46 $ 523
Delegation began before MCT transition 30,290 $ 716 $ 139 $ 49 $ 575 33,280 $ 580 $ 113 $ 92 $ 42 $ 472 Delegation began before MCT transition 18,150 $ 793 $ 150 $ 58 $ 641 20,190 $ 627 $ 121 $ 76 $ 50 $ 519
Delegation began after MCT transition 9,490 $ 796 $ 133 $ 50 $ 662 11,260 $ 605 $ 101 $ 84 $ 39 $ 511 Delegation began after MCT transition 10,120 $ 808 $ 136 $ 51 $ 671 11,930 $ 624 $ 104 $ 77 $ 40 $ 531
Certified Enrollment Counselors 10,820 $ 666 $ 109 $ 39 $ 556 12,370 $ 550 $ 88 $ 80 $ 32 $ 468 Certified Enrollment Counselors 6,030 $ 734 $ 97 $ 31 $ 636 7,130 $ 592 $ 78 $ 61 $ 24 $ 523
Delegation began before MCT transition 5,670 $ 661 $ 111 $ 38 $ 549 6,460 $ 558 $ 92 $ 86 $ 31 $ 471 Delegation began before MCT transition 1,980 $ 779 $ 102 $ 34 $ 676 2,400 $ 625 $ 82 $ 65 $ 26 $ 554
Delegation began after MCT transition 5,150 $ 672 $ 107 $ 41 $ 564 5,910 $ 542 $ 84 $ 74 $ 34 $ 464 Delegation began after MCT transition 4,050 $ 712 $ 94 $ 29 $ 616 4,730 $ 575 $ 76 $ 59 $ 24 $ 507
No Delegation 333,240 $ 604 $ 117 $ 39 $ 485 461,250 $ 454 $ 90 $ 83 $ 37 $ 369 No Delegation 105,130 $ 722 $ 120 $ 35 $ 601 166,650 $ 495 $ 89 $ 65 $ 34 $ 420
GEOGRAPHY
RATING REGION RATING REGION
RATING_REGION_REPORT Auto Plan Selections RATING_REGION_REPORT Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
01 - Northern Counties 18,620 $ 830 $ 81 $ - 0 $ 748 24,750 $ 633 $ 64 $ 59 $ - 0 $ 577 01 - Northern Counties 6,250 $ 1,002 $ 68 $ - 0 $ 932 9,010 $ 716 $ 55 $ 43 $ - 0 $ 674
02 - North Bay Counties 8,570 $ 751 $ 165 $ 77 $ 585 11,300 $ 585 $ 129 $ 118 $ 69 $ 461 02 - North Bay Counties 3,100 $ 885 $ 180 $ 79 $ 704 4,590 $ 630 $ 134 $ 110 $ 69 $ 514
03 - Sacramento Valley 16,670 $ 712 $ 133 $ 53 $ 578 22,990 $ 536 $ 101 $ 87 $ 51 $ 439 03 - Sacramento Valley 5,570 $ 881 $ 163 $ 82 $ 717 8,930 $ 585 $ 114 $ 78 $ 65 $ 488
04 - San Francisco County 4,660 $ 867 $ 172 $ 70 $ 694 5,960 $ 687 $ 139 $ 127 $ 58 $ 556 04 - San Francisco County 2,120 $ 969 $ 185 $ 76 $ 783 2,890 $ 731 $ 146 $ 114 $ 60 $ 613
05 - Contra Costa County 6,750 $ 800 $ 118 $ 6 $ 681 9,330 $ 606 $ 92 $ 84 $ 10 $ 523 05 - Contra Costa County 2,990 $ 946 $ 127 $ 7 $ 818 4,560 $ 656 $ 95 $ 75 $ 15 $ 584
06 - Alameda County 8,330 $ 789 $ 137 $ 42 $ 650 11,280 $ 598 $ 106 $ 99 $ 40 $ 497 06 - Alameda County 3,450 $ 906 $ 151 $ 45 $ 754 5,200 $ 632 $ 111 $ 90 $ 42 $ 542
07 - Santa Clara County 12,710 $ 733 $ 149 $ 57 $ 582 16,710 $ 570 $ 117 $ 113 $ 45 $ 459 07 - Santa Clara County 5,790 $ 849 $ 139 $ 46 $ 708 8,290 $ 617 $ 106 $ 94 $ 36 $ 530
08 - San Mateo County 4,040 $ 896 $ 137 $ 8 $ 758 5,330 $ 697 $ 108 $ 101 $ 10 $ 597 08 - San Mateo County 1,740 $ 1,019 $ 148 $ 16 $ 870 2,460 $ 744 $ 115 $ 93 $ 25 $ 657
09 - Monterey Coast 9,330 $ 792 $ 125 $ 23 $ 665 12,380 $ 610 $ 98 $ 88 $ 23 $ 523 09 - Monterey Coast 3,110 $ 958 $ 121 $ 16 $ 835 4,520 $ 683 $ 92 $ 69 $ 17 $ 608
10 - San Joaquin Valley 24,830 $ 653 $ 94 $ 15 $ 558 33,930 $ 496 $ 73 $ 67 $ 16 $ 428 10 - San Joaquin Valley 7,290 $ 835 $ 87 $ 11 $ 747 11,520 $ 558 $ 65 $ 51 $ 13 $ 507
11 - Central San Joaquin 14,470 $ 550 $ 103 $ 32 $ 446 19,350 $ 419 $ 79 $ 73 $ 30 $ 343 11 - Central San Joaquin 3,540 $ 694 $ 105 $ 32 $ 588 5,250 $ 486 $ 78 $ 56 $ 28 $ 422
12 - Central Coast 13,940 $ 752 $ 120 $ 33 $ 631 18,990 $ 576 $ 94 $ 87 $ 33 $ 486 12 - Central Coast 5,350 $ 901 $ 115 $ 34 $ 785 8,010 $ 631 $ 86 $ 68 $ 33 $ 555
13 - Eastern Counties 4,090 $ 760 $ 110 $ 27 $ 649 6,040 $ 517 $ 76 $ 63 $ 20 $ 451 13 - Eastern Counties 1,470 $ 913 $ 102 $ 24 $ 810 2,420 $ 565 $ 66 $ 51 $ 16 $ 509
14 - Kern County 14,450 $ 623 $ 123 $ 51 $ 499 19,800 $ 465 $ 92 $ 85 $ 45 $ 379 14 - Kern County 3,840 $ 765 $ 99 $ 39 $ 665 5,750 $ 523 $ 72 $ 57 $ 33 $ 461
15 - Los Angeles County, partial 50,030 $ 517 $ 103 $ 26 $ 412 69,050 $ 378 $ 77 $ 71 $ 26 $ 305 15 - Los Angeles County, partial 20,520 $ 607 $ 108 $ 29 $ 497 30,920 $ 414 $ 78 $ 56 $ 28 $ 347
16 - Los Angeles County, partial 71,480 $ 528 $ 115 $ 40 $ 412 94,660 $ 402 $ 89 $ 79 $ 37 $ 318 16 - Los Angeles County, partial 28,770 $ 614 $ 126 $ 41 $ 487 40,680 $ 445 $ 96 $ 62 $ 37 $ 361
17 - Inland Empire 44,650 $ 539 $ 130 $ 63 $ 408 59,850 $ 405 $ 98 $ 90 $ 58 $ 312 17 - Inland Empire 13,000 $ 644 $ 124 $ 51 $ 519 18,830 $ 459 $ 92 $ 67 $ 47 $ 380
18 - Orange County 32,240 $ 605 $ 128 $ 50 $ 476 44,460 $ 447 $ 97 $ 89 $ 46 $ 354 18 - Orange County 12,820 $ 725 $ 129 $ 42 $ 595 19,430 $ 498 $ 96 $ 70 $ 39 $ 415
19 - San Diego County 23,990 $ 567 $ 137 $ 62 $ 429 32,030 $ 433 $ 106 $ 94 $ 58 $ 330 19 - San Diego County 8,720 $ 674 $ 163 $ 72 $ 510 12,640 $ 485 $ 122 $ 83 $ 67 $ 378
COUNTY COUNTY
RES_COUNTY_NM Auto Plan Selections RES_COUNTY_NM Effectuations
Auto Plan Selections for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member Effectuations for Medi-Cal Transitioners (MCT) to Covered California Policies (Subscribers) Average Gross Premium Per Policy Average Net Premium Per Policy Median Net Premium Per Policy Average APTC Per Policy Members Average Gross Premium Per Member Average Net Premium Per Member Average APS Net Premium Per Member Median Net Premium Per Member Average APTC Per Member
Alameda Individuals # Dollar Amounts $ Individuals # Dollar Amounts $ Alameda Individuals # Dollar Amounts $ Individuals # Dollar Amounts $
Alpine 10 $ 643 $ 92 $ - 0 $ 550 10 $ 643 $ 92 $ 92 $ - 0 $ 550 Alpine 10 $ 1,445 $ - 0 $ - 0 $ 1,444 10 $ 1,445 $ - 0 $ - 0 $ - 0 $ 1,444
Amador 410 $ 895 $ 115 $ - 0 $ 779 570 $ 658 $ 84 $ 73 $ - 0 $ 591 Amador 180 $ 1,066 $ 93 $ - 0 $ 972 290 $ 722 $ 68 $ 57 $ - 0 $ 655
Butte 2,060 $ 775 $ 74 $ - 0 $ 700 2,650 $ 607 $ 59 $ 55 $ - 0 $ 555 Butte 550 $ 926 $ 73 $ - 0 $ 851 780 $ 673 $ 63 $ 46 $ - 0 $ 625
Calaveras 620 $ 903 $ 90 $ - 0 $ 811 800 $ 706 $ 71 $ 58 $ - 0 $ 646 Calaveras 260 $ 1,061 $ 76 $ - 0 $ 984 350 $ 803 $ 60 $ 46 $ - 0 $ 758
Colusa 470 $ 823 $ 102 $ - 0 $ 720 690 $ 579 $ 76 $ 72 $ - 0 $ 511 Colusa 150 $ 1,036 $ 86 $ - 0 $ 949 240 $ 678 $ 56 $ 50 $ - 0 $ 628
Contra Costa 6,750 $ 800 $ 118 $ 6 $ 681 9,330 $ 606 $ 92 $ 84 $ 10 $ 523 Contra Costa 2,990 $ 946 $ 127 $ 7 $ 818 4,560 $ 656 $ 95 $ 75 $ 15 $ 584
Del Norte 360 $ 819 $ 69 $ - 0 $ 749 460 $ 644 $ 54 $ 48 $ - 0 $ 596 Del Norte 90 $ 1,108 $ 80 $ - 0 $ 1,026 130 $ 782 $ 56 $ 46 $ - 0 $ 736
El Dorado 1,210 $ 729 $ 130 $ 39 $ 598 1,640 $ 557 $ 102 $ 97 $ 43 $ 459 El Dorado 360 $ 893 $ 163 $ 63 $ 729 560 $ 622 $ 124 $ 101 $ 69 $ 515
Fresno 10,140 $ 540 $ 100 $ 29 $ 439 13,410 $ 417 $ 77 $ 72 $ 26 $ 342 Fresno 2,370 $ 674 $ 103 $ 31 $ 569 3,460 $ 480 $ 78 $ 56 $ 27 $ 417
Glenn 460 $ 901 $ 82 $ - 0 $ 817 690 $ 617 $ 57 $ 54 $ - 0 $ 565 Glenn 150 $ 1,175 $ 84 $ - 0 $ 1,090 290 $ 689 $ 51 $ 35 $ - 0 $ 646
Humboldt 2,400 $ 742 $ 68 $ - 0 $ 673 2,880 $ 621 $ 57 $ 55 $ - 0 $ 570 Humboldt 690 $ 876 $ 53 $ - 0 $ 822 880 $ 701 $ 45 $ 31 $ - 0 $ 667
Imperial 3,550 $ 726 $ 109 $ 27 $ 615 5,360 $ 484 $ 73 $ 60 $ 19 $ 420 Imperial 1,290 $ 890 $ 98 $ 25 $ 790 2,190 $ 537 $ 62 $ 45 $ 15 $ 485
Inyo 360 $ 1,002 $ 118 $ 16 $ 883 450 $ 786 $ 94 $ 92 $ 25 $ 702 Inyo 120 $ 1,096 $ 134 $ 19 $ 961 160 $ 806 $ 108 $ 116 $ 29 $ 719
Kern 14,450 $ 623 $ 123 $ 51 $ 499 19,800 $ 465 $ 92 $ 85 $ 45 $ 379 Kern 3,840 $ 765 $ 99 $ 39 $ 665 5,750 $ 523 $ 72 $ 57 $ 33 $ 461
Kings 2,040 $ 577 $ 110 $ 42 $ 466 2,800 $ 423 $ 81 $ 74 $ 39 $ 345 Kings 530 $ 733 $ 104 $ 30 $ 628 800 $ 493 $ 74 $ 52 $ 24 $ 430
Lake 1,090 $ 853 $ 81 $ - 0 $ 770 1,450 $ 647 $ 63 $ 60 $ - 0 $ 593 Lake 390 $ 1,004 $ 56 $ - 0 $ 946 550 $ 725 $ 45 $ 37 $ - 0 $ 688
Lassen 180 $ 838 $ 71 $ - 0 $ 766 240 $ 629 $ 51 $ 44 $ - 0 $ 583 Lassen 50 $ 1,012 $ 32 $ - 0 $ 979 70 $ 730 $ 23 $ 17 $ - 0 $ 706
Los Angeles 121,510 $ 523 $ 110 $ 34 $ 412 163,710 $ 392 $ 84 $ 76 $ 32 $ 313 Los Angeles 49,290 $ 611 $ 118 $ 36 $ 491 71,610 $ 431 $ 88 $ 59 $ 33 $ 355
Madera 2,300 $ 568 $ 111 $ 39 $ 456 3,140 $ 423 $ 83 $ 75 $ 38 $ 345 Madera 650 $ 734 $ 111 $ 36 $ 622 990 $ 504 $ 78 $ 59 $ 36 $ 433
Marin 1,750 $ 799 $ 199 $ 104 $ 599 2,380 $ 613 $ 156 $ 136 $ 93 $ 461 Marin 800 $ 897 $ 225 $ 112 $ 670 1,170 $ 644 $ 168 $ 130 $ 98 $ 491
Mariposa 220 $ 752 $ 52 $ - 0 $ 699 290 $ 588 $ 40 $ 36 $ - 0 $ 560 Mariposa 100 $ 949 $ 44 $ - 0 $ 903 140 $ 682 $ 31 $ 11 $ - 0 $ 670
Mendocino 1,170 $ 854 $ 86 $ - 0 $ 767 1,590 $ 636 $ 65 $ 62 $ - 0 $ 581 Mendocino 390 $ 966 $ 64 $ - 0 $ 901 560 $ 695 $ 54 $ 47 $ - 0 $ 649
Merced 4,750 $ 681 $ 41 $ - 0 $ 638 6,490 $ 509 $ 32 $ 32 $ - 0 $ 489 Merced 1,830 $ 876 $ 32 $ - 0 $ 842 2,850 $ 585 $ 25 $ 23 $ - 0 $ 574
Modoc 140 $ 850 $ 51 $ - 0 $ 798 180 $ 677 $ 42 $ 37 $ - 0 $ 642 Modoc 50 $ 1,032 $ 48 $ - 0 $ 983 70 $ 752 $ 37 $ 30 $ - 0 $ 725
Mono 180 $ 944 $ 112 $ 39 $ 830 230 $ 763 $ 95 $ 96 $ 43 $ 671 Mono 60 $ 1,030 $ 113 $ 17 $ 915 80 $ 869 $ 93 $ 94 $ 25 $ 785
Monterey 6,580 $ 797 $ 133 $ 35 $ 663 8,760 $ 608 $ 103 $ 94 $ 33 $ 519 Monterey 1,960 $ 973 $ 121 $ 21 $ 850 2,870 $ 688 $ 92 $ 71 $ 21 $ 614
Napa 1,540 $ 757 $ 176 $ 94 $ 580 2,100 $ 564 $ 130 $ 121 $ 80 $ 437 Napa 520 $ 927 $ 178 $ 89 $ 747 790 $ 621 $ 120 $ 103 $ 70 $ 509
Nevada 1,090 $ 865 $ 80 $ - 0 $ 784 1,470 $ 657 $ 65 $ 65 $ - 0 $ 595 Nevada 510 $ 978 $ 79 $ - 0 $ 898 740 $ 700 $ 66 $ 62 $ 1 $ 646
Orange 32,240 $ 605 $ 128 $ 50 $ 476 44,460 $ 447 $ 97 $ 89 $ 46 $ 354 Orange 12,820 $ 725 $ 129 $ 42 $ 595 19,430 $ 498 $ 96 $ 70 $ 39 $ 415
Outside California 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 Outside California 0 $ - 0 $ - 0 $ - 0 $ - 0 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
Placer 2,030 $ 765 $ 169 $ 86 $ 595 3,060 $ 537 $ 122 $ 106 $ 75 $ 420 Placer 950 $ 890 $ 201 $ 107 $ 688 1,630 $ 569 $ 137 $ 101 $ 91 $ 448
Plumas 190 $ 870 $ 60 $ - 0 $ 809 250 $ 681 $ 49 $ 49 $ - 0 $ 646 Plumas 80 $ 1,011 $ 88 $ - 0 $ 922 110 $ 760 $ 70 $ 42 $ - 0 $ 702
Riverside 18,530 $ 537 $ 127 $ 57 $ 409 24,740 $ 405 $ 97 $ 90 $ 55 $ 311 Riverside 5,170 $ 648 $ 131 $ 52 $ 515 7,510 $ 463 $ 98 $ 72 $ 49 $ 379
Sacramento 11,710 $ 703 $ 127 $ 50 $ 575 15,900 $ 536 $ 98 $ 82 $ 47 $ 442 Sacramento 3,720 $ 881 $ 157 $ 80 $ 722 5,870 $ 586 $ 109 $ 69 $ 62 $ 494
San Benito 720 $ 801 $ 59 $ - 0 $ 741 970 $ 619 $ 47 $ 38 $ - 0 $ 583 San Benito 200 $ 1,054 $ 69 $ - 0 $ 984 300 $ 745 $ 50 $ 22 $ - 0 $ 708
San Bernardino 26,120 $ 541 $ 131 $ 66 $ 408 35,110 $ 405 $ 99 $ 91 $ 60 $ 312 San Bernardino 7,830 $ 642 $ 119 $ 50 $ 521 11,320 $ 457 $ 89 $ 64 $ 45 $ 381
San Diego 23,990 $ 567 $ 137 $ 62 $ 429 32,030 $ 433 $ 106 $ 94 $ 58 $ 330 San Diego 8,720 $ 674 $ 163 $ 72 $ 510 12,640 $ 485 $ 122 $ 83 $ 67 $ 378
San Francisco 4,660 $ 867 $ 172 $ 70 $ 694 5,960 $ 687 $ 139 $ 127 $ 58 $ 556 San Francisco 2,120 $ 969 $ 185 $ 76 $ 783 2,890 $ 731 $ 146 $ 114 $ 60 $ 613
San Joaquin 9,970 $ 644 $ 109 $ 38 $ 533 13,780 $ 486 $ 84 $ 77 $ 38 $ 405 San Joaquin 2,810 $ 825 $ 109 $ 34 $ 715 4,620 $ 533 $ 79 $ 61 $ 34 $ 468
San Luis Obispo 2,660 $ 746 $ 99 $ - 0 $ 646 3,660 $ 571 $ 78 $ 70 $ 8 $ 497 San Luis Obispo 1,280 $ 878 $ 105 $ 10 $ 772 1,930 $ 617 $ 79 $ 61 $ 18 $ 552
San Mateo 4,040 $ 896 $ 137 $ 8 $ 758 5,330 $ 697 $ 108 $ 101 $ 10 $ 597 San Mateo 1,740 $ 1,019 $ 148 $ 16 $ 870 2,460 $ 744 $ 115 $ 93 $ 25 $ 657
Santa Barbara 3,040 $ 781 $ 89 $ - 0 $ 691 4,120 $ 604 $ 70 $ 65 $ - 0 $ 541 Santa Barbara 1,150 $ 936 $ 100 $ - 0 $ 834 1,700 $ 656 $ 72 $ 50 $ - 0 $ 597
Santa Clara 12,710 $ 733 $ 149 $ 57 $ 582 16,710 $ 570 $ 117 $ 113 $ 45 $ 459 Santa Clara 5,790 $ 849 $ 139 $ 46 $ 708 8,290 $ 617 $ 106 $ 94 $ 36 $ 530
Santa Cruz 2,030 $ 771 $ 123 $ 14 $ 647 2,650 $ 614 $ 99 $ 88 $ 17 $ 517 Santa Cruz 950 $ 905 $ 132 $ 15 $ 771 1,360 $ 661 $ 100 $ 74 $ 18 $ 572
Shasta 2,660 $ 783 $ 77 $ - 0 $ 705 3,450 $ 612 $ 62 $ 59 $ - 0 $ 557 Shasta 850 $ 952 $ 63 $ - 0 $ 887 1,190 $ 693 $ 51 $ 44 $ - 0 $ 655
Sierra 40 $ 849 $ 57 $ - 0 $ 791 50 $ 682 $ 45 $ 25 $ - 0 $ 649 Sierra 20 $ 916 $ 84 $ - 0 $ 830 20 $ 791 $ 73 $ 16 $ - 0 $ 751
Siskiyou 610 $ 900 $ 89 $ - 0 $ 810 850 $ 665 $ 72 $ 65 $ - 0 $ 612 Siskiyou 230 $ 1,008 $ 92 $ - 0 $ 914 310 $ 762 $ 88 $ 63 $ - 0 $ 714
Solano 2,660 $ 749 $ 146 $ 63 $ 602 3,480 $ 587 $ 113 $ 105 $ 55 $ 480 Solano 850 $ 908 $ 147 $ 56 $ 759 1,270 $ 641 $ 108 $ 92 $ 52 $ 549
Sonoma 2,630 $ 717 $ 154 $ 68 $ 562 3,340 $ 575 $ 125 $ 118 $ 63 $ 455 Sonoma 940 $ 830 $ 172 $ 69 $ 657 1,360 $ 612 $ 136 $ 113 $ 65 $ 503
Stanislaus 7,200 $ 647 $ 113 $ 36 $ 533 9,850 $ 494 $ 87 $ 79 $ 36 $ 410 Stanislaus 1,890 $ 800 $ 105 $ 30 $ 693 2,920 $ 553 $ 79 $ 63 $ 33 $ 487
Sutter 1,770 $ 910 $ 87 $ - 0 $ 822 2,570 $ 640 $ 64 $ 58 $ - 0 $ 583 Sutter 580 $ 1,136 $ 66 $ - 0 $ 1,068 960 $ 720 $ 50 $ 33 $ - 0 $ 681
Tehama 1,010 $ 842 $ 79 $ - 0 $ 762 1,320 $ 639 $ 64 $ 57 $ - 0 $ 584 Tehama 330 $ 1,003 $ 47 $ - 0 $ 955 440 $ 760 $ 48 $ 38 $ - 0 $ 730
Trinity 170 $ 931 $ 86 $ - 0 $ 844 240 $ 690 $ 67 $ 72 $ 3 $ 636 Trinity 80 $ 1,023 $ 60 $ - 0 $ 962 120 $ 743 $ 53 $ 37 $ - 0 $ 733
Tulare 2,700 $ 645 $ 86 $ 14 $ 557 3,530 $ 510 $ 69 $ 61 $ 13 $ 445 Tulare 670 $ 854 $ 103 $ 23 $ 749 990 $ 599 $ 80 $ 52 $ 22 $ 537
Tuolumne 570 $ 891 $ 77 $ - 0 $ 813 740 $ 687 $ 61 $ 46 $ - 0 $ 637 Tuolumne 240 $ 1,086 $ 75 $ - 0 $ 1,010 340 $ 781 $ 57 $ 28 $ - 0 $ 740
Ventura 8,240 $ 744 $ 139 $ 58 $ 604 11,210 $ 568 $ 108 $ 100 $ 55 $ 463 Ventura 2,920 $ 898 $ 125 $ 56 $ 771 4,390 $ 626 $ 95 $ 77 $ 52 $ 541
Yolo 1,720 $ 696 $ 130 $ 56 $ 565 2,380 $ 523 $ 99 $ 86 $ 48 $ 427 Yolo 540 $ 863 $ 136 $ 62 $ 725 870 $ 589 $ 99 $ 73 $ 50 $ 502
Yuba 1,140 $ 834 $ 106 $ 1 $ 727 1,600 $ 606 $ 78 $ 71 $ 9 $ 539 Yuba 380 $ 1,066 $ 82 $ - 0 $ 982 590 $ 713 $ 60 $ 44 $ - 0 $ 672
Published date: 09/26/2024