Under ObamaCare, each state is required to have a state health insurance exchange or marketplace, where state residents and small businesses can buy Qualified Health Insurance Plans.There are 3 ways a exchange can be established in a state:
- State Run Health Insurance Exchange
- State Federal Partnership Health Insurance Exchange
- Federally run Exchanges
There is one more kind of partnership emerged, where state runs exchange for small business, while federal government will run exchange for individuals. Utah is an example of this kind of setup.
State Run Health Insurance Exchange:
Following states are going to have state run health insurance exchange or marketplace up and running by January 2014. For remaining states, an exchange will be run by federal government.
State Federal Partnership Health Insurance Exchanges:
A state may elect to have a partnership with federally run health exchange where state may administer and operate Exchange activities associated with plan management and/or consumer assistance.States that elect to participate in a State Partnership Exchange will administer these functions in both the individual and the small group market.
Rest of the states have federally run exchanges:
Any State that does not elect to operate a State based Exchange will have a federal government run insurance exchange which will be operated by the United States Department of Health and Human Services (HHS). Following states will have federal health exchange: