At least four of the new Consumer Operated and Oriented Plan carriers have reported some kind of enrollment activity number.
- Common Ground Healthcare Cooperative, a Wisconsin CO-OP, has attracted 8,000 enrollees.
- CoOportunity Health, which serves Iowa and Nebraska, drew 35,000 enrollees, with 8,100 in Iowa, 14,300 in Nebraska and 700 at employer groups.
- Montana Health CO-OP enrolled 5,400.
- Nevada Health CO-OP pulled in about 6,600 enrollees.
The four nonprofit, member-owned carriers boast a total of 55,000 enrollees.
Three are using the U.S. Department of Health and Human Services definition of enrollee and counting consumers who’ve chosen plans but not yet paid for coverage. In Nevada, all are paid enrollees.
Drafters of the Patient Protection and Affordable Care Act created the CO-OP program in an effort to increase the level of competition in the commercial health insurance market.
CO-OPs received startup loans from HHS, through a PPACA financing program, and are supposed to get a majority of their business by selling coverage to individuals and small groups.
CO-OPs can serve more than one state. The National Alliance of State Health CO-OPs, a CO-OP trade group, says the CO-OPs in Kentucky, Montana and Massachusetts are planning to sell coverage in neighboring states in 2015.