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The Marketplace, also known as the Affordable Insurance Exchange, is a key component of the Affordable Care Act (ACA).

CMS describes the Marketplace PUF data in the following way:

"The Marketplace PUF includes plan and issuer level information for certified Qualified Health Plans (QHPs) and stand-alone dental plans (SADPs) offered to individuals and small businesses through the Health Insurance Marketplace. The Marketplace PUF includes data from states participating in the Federally Facilitated Marketplaces (FFM), which include State Partnership Marketplaces (SPMs), and states whose State-based Marketplaces rely on the federal information technology platform for QHP eligibility and enrollment functionality. The Marketplace PUF does not contain any data on plans offered in states that established and operate their own Marketplace (State-based Marketplace) and do not rely on the federal platform for QHP eligibility and enrollment functionality, nor does it contain enrollment or claims data."

CMS offers a Factsheet and a FAQ and makes some overall and file-specific disclaimers: User Agreement, Machine-readable URL, and Transparency in Coverage.

 

File Name File Descriptions
Benefits and Cost Sharing Plan-level data on essential health benefits, coverage limits, and cost sharing
Rate Plan-level data on individual rates based on an eligible subscriber's age, tobacco use, and geographic location
Plan Attributes Plan-level data on maximum out of pocket payments, deductibles, cost sharing, HSA eligibility, formulary ID, and other plan attributes
Business Rules Plan-level data on the application of rates, such as allowed relationships (e.g., spouse, dependents) and tobacco use
Service Area Issuer-level data on the geographic coverage or service area (i.e., where the plan is offered) including state, county, and zip code
Network Issuer-level data identifying provider network URLs
Plan ID Crosswalk Plan-level data mapping plans offered in the previous year to plans offered in the current year
Machine-readable URL Issuer-level URL locations for machine-readable plan network provider and formulary information
Transparency in Coverage Issuer-level claims, appeals, and active URL data
Quality Quality ratings for plans

 

 

Year Description Source

Stata

SAS

CSV

Desc

Documentation
2018 Benefits and Cost Sharing

zip

dta

sas7bdat

csv

desc

pdf

2018 Rate

zip

dta

sas7bdat

csv

desc

pdf

2018 Plan Attributes

zip

dta

sas7bdat

csv

desc

pdf

2018 Business Rules

zip

dta

sas7bdat

csv

desc

pdf

2018 Service Area

zip

dta

sas7bdat

csv

desc

pdf

2018 Network

zip

dta

sas7bdat

csv

desc

pdf

2018 Plan ID Crosswalk

zip

dta

sas7bdat

csv

desc

pdf

2018 Machine-readable URL

zip

dta

sas7bdat

csv

desc

pdf

2018 Transparency in Coverage

zip

dta

sas7bdat

csv

desc

pdf

2018 Quality

zip

dta

sas7bdat

csv

desc

pdf

2016 Benefits and Cost Sharing

zip

dta

sas7bdat

csv

desc

pdf

2017 Benefits and Cost Sharing

zip

dta

sas7bdat

csv

desc

pdf

2017 Rate

zip

dta

sas7bdat

csv

desc

pdf

2017 Plan Attributes

zip

dta

sas7bdat

csv

desc

pdf

2017 Business Rules

zip

dta

sas7bdat

csv

desc

pdf

2017 Service Area

zip

dta

sas7bdat

csv

desc

pdf

2017 Network

zip

dta

sas7bdat

csv

desc

pdf

2017 Plan ID Crosswalk

zip

dta

sas7bdat

csv

desc

pdf

2017 Machine-readable URL

zip

dta

sas7bdat

csv

desc

pdf

2017 Transparency in Coverage

zip

dta

sas7bdat

csv

desc

pdf

2017 Quality

zip

dta

sas7bdat

csv

desc

pdf

2016 Benefits and Cost Sharing

zip

dta

sas7bdat

csv

desc

pdf

2016 Rate

zip

dta

sas7bdat

csv

desc

pdf

2016 Plan Attributes

zip

dta

sas7bdat

csv

desc

pdf

2016 Business Rules

zip

dta

sas7bdat

csv

desc

pdf

2016 Service Area

zip

dta

sas7bdat

csv

desc

pdf

2016 Network

zip

dta

sas7bdat

csv

desc

pdf

2016 Plan ID Crosswalk

zip

dta

sas7bdat

csv

desc

pdf

2016 Machine-readable URL

zip

dta

sas7bdat

csv

desc

pdf

2015 Benefits and Cost Sharing

zip

dta

sas7bdat

csv

desc

pdf

2015 Rate

zip

dta

sas7bdat

csv

desc

pdf

2015 Plan Attributes

zip

dta

sas7bdat

csv

desc

pdf

2015 Business Rules

zip

dta

sas7bdat

csv

desc

pdf

2015 Service Area

zip

dta

sas7bdat

csv

desc

pdf

2015 Network

zip

dta

sas7bdat

csv

desc

pdf

2015 Plan ID Crosswalk

zip

dta

sas7bdat

csv

desc

pdf

2014 Benefits and Cost Sharing

zip

dta

sas7bdat

csv

desc

pdf

2014 Rate

zip

dta

sas7bdat

csv

desc

pdf

2014 Plan Attributes

zip

dta

sas7bdat

csv

desc

pdf

2014 Business Rules

zip

dta

sas7bdat

csv

desc

pdf

2014 Service Area

zip

dta

sas7bdat

csv

desc

pdf

2014 Network

zip

dta

sas7bdat

csv

desc

pdf

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