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 | sas7bdat | |||||
| 2018 | Rate | sas7bdat | |||||
| 2018 | Plan Attributes | sas7bdat | |||||
| 2018 | Business Rules | sas7bdat | |||||
| 2018 | Service Area | sas7bdat | |||||
| 2018 | Network | sas7bdat | |||||
| 2018 | Plan ID Crosswalk | sas7bdat | |||||
| 2018 | Machine-readable URL | sas7bdat | |||||
| 2018 | Transparency in Coverage | sas7bdat | |||||
| 2018 | Quality | sas7bdat | |||||
| 2016 | Benefits and Cost Sharing | sas7bdat | |||||
| 2017 | Benefits and Cost Sharing | sas7bdat | |||||
| 2017 | Rate | sas7bdat | |||||
| 2017 | Plan Attributes | sas7bdat | |||||
| 2017 | Business Rules | sas7bdat | |||||
| 2017 | Service Area | sas7bdat | |||||
| 2017 | Network | sas7bdat | |||||
| 2017 | Plan ID Crosswalk | sas7bdat | |||||
| 2017 | Machine-readable URL | sas7bdat | |||||
| 2017 | Transparency in Coverage | sas7bdat | |||||
| 2017 | Quality | sas7bdat | |||||
| 2016 | Benefits and Cost Sharing | sas7bdat | |||||
| 2016 | Rate | sas7bdat | |||||
| 2016 | Plan Attributes | sas7bdat | |||||
| 2016 | Business Rules | sas7bdat | |||||
| 2016 | Service Area | sas7bdat | |||||
| 2016 | Network | sas7bdat | |||||
| 2016 | Plan ID Crosswalk | sas7bdat | |||||
| 2016 | Machine-readable URL | sas7bdat | |||||
| 2015 | Benefits and Cost Sharing | sas7bdat | |||||
| 2015 | Rate | sas7bdat | |||||
| 2015 | Plan Attributes | sas7bdat | |||||
| 2015 | Business Rules | sas7bdat | |||||
| 2015 | Service Area | sas7bdat | |||||
| 2015 | Network | sas7bdat | |||||
| 2015 | Plan ID Crosswalk | sas7bdat | |||||
| 2014 | Benefits and Cost Sharing | sas7bdat | |||||
| 2014 | Rate | sas7bdat | |||||
| 2014 | Plan Attributes | sas7bdat | |||||
| 2014 | Business Rules | sas7bdat | |||||
| 2014 | Service Area | sas7bdat | |||||
| 2014 | Network | sas7bdat |
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