Policy & Research


Marketplace Enrollment Declined in Pre-COVID Early 2020 (July 2020)

By Hina B. Shah, M.P.H., Phillip Steiner, M.A., Linda J. Sheppard, J.D., Wen-Chieh Lin, Ph.D. | July 21, 2020

Marketplace Enrollment Declined in Pre-COVID Early 2020 (July 2020)


During the latest open enrollment period at the end of 2019, 85,837 Kansans selected or were automatically re-enrolled in a health insurance plan through the federally facilitated marketplace. That is 4,156 fewer than the previous year and a 15 percent drop from the 101,555 who selected a plan in 2016. Enrollment is likely to increase during 2020 following large losses in the availability of job-based insurance due to the COVID-19 pandemic. This brief provides an overview of marketplace enrollment, including how many people enrolled by region and how much the average monthly premium varied across the state.

Key points from the brief include:

  • Five insurers offered 82 plans on the Kansas marketplace. All counties in Kansas had at least two insurers offering coverage.
  • A majority (85.5 percent) of Kansas enrollees received Advanced Premium Tax Credits (APTC) to reduce the cost of their monthly premium payments.
  • The average monthly premium for Kansas enrollees receiving APTC in 2020 rose to $101 per member per month compared to $76 in 2019. The average monthly premium for Kansas enrollees without APTC was $579 for the 2020 plan year, which was lower than the 2019 rate of $596.
  • Kansas enrollees generally had higher average monthly premiums compared to U.S. enrollees in the other 37 states operating on the federally facilitated marketplace in 2020.

The Kansas Health Institute supports effective policymaking through nonpartisan research, education and engagement. KHI believes evidence-based information, objective analysis and civil dialogue enable policy leaders to be champions for a healthier Kansas. Established in 1995 with a multiyear grant from the Kansas Health Foundation, KHI is a nonprofit, nonpartisan educational organization based in Topeka.