Governor Larry Hogan announced that open enrollment will continue on Maryland Health Connection through February in light of the ongoing public health emergency. A record number of Marylanders—181,603—have enrolled in coverage for 2022 through the state’s health insurance marketplace. A surge of new enrollees fueled the 9% increase over a year ago.
“As we battle this COVID-19 surge, this extended enrollment period will help get more Marylanders covered at a critical time,” said Governor Hogan. “One of the many lessons of the pandemic is how important it is to have access to affordable and reliable health coverage, and we are fortunate to have a health exchange that is a national model.”
Open enrollment, which began Nov. 1 and was originally scheduled to end Jan. 15, will now continue through Feb. 28. Anyone who enrolls by Jan. 31 will have coverage beginning Feb. 1. Those who enroll during February will be covered starting March 1.
New enrollees totaled 39,181—up 48%—between Nov. 1 and Jan. 15. Nearly 142,000 existing enrollees also retained their coverage—up 2%—as the health emergency stretched into a third year. Marylanders can also obtain dental insurance through the state marketplace. Those enrollments grew 29% from 51,505 a year ago to 66,634 for 2022.
Populations that have historically proportionately lacked health coverage, including young adults as well as Black and Hispanic residents, enrolled at record numbers during the enrollment period between Nov. 1 and Jan. 15.
Enrollment of adults ages 18 to 34 reached 49,576, a 6% increase over the 2021 open enrollment period. The gain was propelled by additional financial help from a $20 million fund that Maryland set aside during last year’s legislative session to encourage more young adults to get coverage, both for their own health and to help bring down the overall cost of coverage. Nearly two-thirds—32,122—of young adult enrollees qualified for the additional subsidy, which reduced their monthly costs about $35 per person. More than 8,000 of those young adults who qualified for the additional help were new enrollees.
Black enrollees for 2022 totaled 30,535, a 10% increase over the past year. Hispanic enrollees totaled 20,241, a 13% increase over the past year. Self-identification of race and ethnicity is optional on the application.
“I’m pleased that the marketing and outreach efforts we targeted to those groups helped get the message out about the need for health insurance, especially now,” said Michele Eberle, executive director of the Maryland Health Benefit Exchange, which runs the state’s health insurance marketplace. “Getting high-quality, affordable coverage to as many uninsured people as possible and responding to chronic health inequities are essential to our mission. I’d like to thank our amazing statewide partners for helping us spread the word.”
Other action in recent years by state and federal officials helped fuel enrollments. The reinsurance program that Governor Hogan and the Maryland General Assembly created in 2018 with federal approval led Maryland to offer some of the most affordable plans in the nation. On average, Maryland’s individual market offered the least expensive gold and bronze plans and the third least expensive silver plans in the nation, according to a Kaiser Family Foundation analysis in October.
Also, the American Rescue Plan Act of 2021, approved by Congress and signed by President Biden last March, broadened financial help to all income levels for people who buy their own health coverage. That was reflected in the enrollment totals: The number of people who earn more than four times the federal poverty level, which was the cap for financial help before the rescue plan, grew by 60% over a year ago to 16,053. The federal poverty level is $12,880 for an individual and $26,500 for a family of four.
Additional enrollment opportunities will continue this year, including the Easy Enrollment Program, which allows uninsured people to get coverage if they check a box when filing their state income tax form.
A similar program will launch later this year for any Marylander filing for Unemployment Insurance who checks a box to indicate that they need coverage.
Maryland’s approach has helped stabilize prices and enrollment on the individual health insurance market. Coverage is open to all applicants regardless of pre-existing conditions since the Affordable Care Act launched a decade ago.
The total number of Marylanders who purchase their own health insurance grew 5% from 234,802 a year ago to 245,538 this month. That total includes both those who buy through Maryland Health Connection, the only outlet for financial help, and those who buy directly through one of the three companies that serve the individual market in Maryland.
| Comparing 2021 and 2022 open enrollments on Maryland Health Connection (through 1/15/2022) | |||
| Residence | 2021 Total
11/1/20 to 12/15/20 |
2022 Total
11/1/21 to 1/15/22 |
% Change |
| Statewide | 166,038 | 181,603 | 9.4 |
| Allegany | 1,567 | 1,632 | 4.2 |
| Anne Arundel | 12,784 | 14,673 | 14.8 |
| Baltimore |
21,730 |
24,369 | 12.1 |
| Baltimore City | 10,244 | 11,060 | 8.0 |
| Calvert | 1,744 | 1,978 | 12.0 |
| Caroline | 1,104 | 1,185 | 7.3 |
| Carroll | 3,802 | 4,566 | 20.1 |
| Cecil | 2,501 | 2,688 | 7.5 |
| Charles | 2,756 | 3,067 | 11.3 |
| Dorchester | 1,135 | 1,169 | 3.0 |
| Frederick | 6,898 | 8,113 | 17.6 |
| Garrett | 1,111 | 1,176 | 5.9 |
| Harford | 5,479 | 6,351 | 15.9 |
| Howard | 10,195 | 11,171 | 9.6 |
| Kent | 647 | 669 | 3.4 |
| Montgomery | 43,132 | 46,052 | 6.8 |
| Prince George’s | 22,866 | 25,417 | 11.2 |
| Queen Anne’s | 1,900 | 2,071 | 9.0 |
| St. Mary’s | 2,080 | 2,004 | -3.7 |
| Somerset | 723 | 724 | 0.1 |
| Talbot | 1,480 | 1,507 | 1.8 |
| Washington | 3,935 | 3,716 | -5.6 |
| Wicomico | 3,245 | 3,088 | -4.8 |
| Worcester | 2,950 | 3,157 | 7.0 |
| Demographics | 2021 Total | 2022 Total | % Change |
| Male | 73,198 | 80,965 | 10.6 |
| Female | 92,840 | 100,638 | 8.4 |
| < 18 years old | 8,313 | 10,306 | 24.0 |
| 18-25 years old | 14,950 | 15,069 | 1.0 |
| 26-34 years old | 31,732 | 34,507 | 8.8 |
| 35-44 years old | 28,716 | 32,167 | 12.0 |
| 45-54 years old | 31,774 | 34,077 | 7.3 |
| 55-64 years old | 43,296 | 46,860 | 8.2 |
| 65+ years old | 7,257 | 8,617 | 18.7 |
| White | 55,916 | 60,890 | 8.9 |
| Black | 27,826 | 30,535 | 9.7 |
| Hispanic | 17,869 | 20,241 | 13.3 |
| Asian American Pacific Islander | 23,261 | 24,747 | 6.4 |
