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Health Insurance Exchanges
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By 2014, states will set up insurance exchanges. The exchanges will make it easier for small businesses and individuals to find and buy health insurance. If a state doesn’t establish one, their citizens can buy insurance from the federal exchange. |
Health reform requires the Department of Health and Human Services to approve state exchanges by January 1, 2013. They must be open for enrollment mid-year.
Many states are on their way, passing laws, studying exchanges or have systems in place. So far Health and Human Services has awarded states $314 million in grants.

Health and Human Services expects 25 million Americans to buy health insurance through exchanges. About 19 million could quality for a subsidy to help pay for their coverage.

Exchanges will offer individuals standard health plans and five benefit levels (bronze, silver, gold, platinum and catastrophic). Cigna supports exchanges that focus on health care quality and costs. As exchanges and their rules develop, Cigna will keep you informed on reform.
Questions about Exchanges?
Read answers to frequently asked questions about health care insurance exchanges.
Download the exchange fact sheet
Read frequently asked questions
Exchange News, Insights and Tools
Learn more about exchanges and health care reform.
Review our principles for exchanges
Read our reform advocacy
View the exchanges map
Replay the exchanges webinar
View the latest news on reform and exchanges
What's Your Role in Reform?
We've prepared information about health care reform just for you.
Employers and organizationsBrokers and consultantsHealth care professionalsIndividuals and familiesIndividual & Employer Mandates
As health insurance reform unfolds, we will keep you updated on what you need to know.
Track rules for individualsUnderstand employer rules


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