2019 CSR Load Type
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1
State% exchange
enrollees
w/CSR
2017
% exchange
enrollees
w/CSR
2018
Handling of Lost 2018 CSR ReimbursementsEXPLAINER
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"No Load"Broad LoadSilver Load
Silver
Switcharoo
Mixed/Unknown
Strategy
Poss. Gold Gap
(Auto. Calc.)
Notes / LinkLinkOverall
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Bottom Line for
Individual Market Enrollees:
no CSR load,
but carriers
eat CSR losses
all unsubsidized
enrollees
hit w/CSR load
subsidized save
$; unsubsidized
hit w/CSR load
subsidized save
$; unsubsidized
can avoid CSR load
varies depending
on specific
strategy choices
Data compiled by Charles Gaba, Dave Anderson, Louise
Norris, Andrew Sprung & others
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Alabama77%74%XGGSilver load
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Alaska42%39%2018XGGSilver load
6
Arizona56%51%X2018GGMixed/Unknown
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Arkansas58%58%XGGSilver load
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California48%45%XGGSilver load
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Colorado27%31%2018XXSilver load
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Connecticut44%67%XGGSilver load
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Delaware46%47%2018XXSilver load
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District of Columbia
3%3%XN/A: DC provides Medicaid up to 215% FPL; hardly anyone has CSRNone
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Florida75%66%XGGSilver load
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Georgia71%69%X2018XMixed/Unknown
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Hawaii59%47%XGGSilver load
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Idaho66%46%XGGSilver load
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Illinois48%45%XGGMixed/Unknown
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Indiana47%43%XBroad Load
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Iowa53%43%XGGSilver load
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Kansas56%46%XGGSilver load
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Kentucky51%44%2018XXSilver load
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Louisiana58%52%XGGSilver load
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Maine53%47%XGGSilver load
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Maryland57%52%XXSilver load
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Massachusetts62%42%XXSilver load
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Michigan50%43%XGGSilver load
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Minnesota12%12%XGGSilver load
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Mississippi80%86%XBroad Load
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Missouri57%59%XGGSilver load
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Montana42%33%X2018GGMixed/Unknown
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Nebraska56%48%XGGSilver load
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Nevada56%51%XGGSilver load
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New Hampshire36%42%XGGSilver load
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New Jersey52%49%XGGSilver load
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New Mexico47%31%X2018GGSilver load
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New York15%25%XGGSilver load
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North Carolina67%64%XGGSilver load
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North Dakota47%46%2018XXSilver load
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Ohio45%38%XXSilver load
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Oklahoma62%68%2018XXBroad Load
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Oregon39%36%XGGSilver load
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Pennsylvania57%45%XGGSilver load
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Rhode Island55%51%XGGSilver load
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South Carolina72%61%XGGSilver load
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South Dakota59%52%XGGSilver load
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Tennessee59%62%2018XGGSilver load
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Texas63%59%XMixed/Unknown
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Utah62%55%XGGSilver load
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Vermont40%44%2018XXSilver load
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Virginia60%59%XXSilver load
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Washington40%36%XGGSilver load
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West Virginia51%49%XGGBroad Load
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Wisconsin51%45%XGGSilver load
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Wyoming56%33%XGGSilver load
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Total (most carriers
within state only)
57%53%131629236
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