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Small Business Employee Benefits and HR Blog

A State by State Look at Marketplace Tax Credit Eligibility

The Affordable Care Act (ACA) provides financial assistance through premium tax credits for low and moderate income people who purchase coverage through new Health Insurance Marketplaces. New data shows how many people are eligible for premium tax credits in each state.Marketplace_Assistance_State_by_State

Who is Eligible for Marketplace Tax Credits?

To be eligible for premium tax credits (aka health insurance subsidies), individuals must:

  • Be US citizens or legal residents,

  • Have incomes between 100 and 400% of the federal poverty level,

  • Not have access to job-based health insurance or public coverage (e.g., Medicaid or Medicare), and 

  • Purchase coverage through the Marketplace.

Read more: How to Qualify for Premium Tax Credits

Eligibility for Marketplace Tax Credits by State

The Kaiser Family Foundation (KFF) estimated the number of people in each state potentially eligible for marketplace tax credits as well as those who could potentially enroll in coverage.

Here's a look at their state by state analysis:

LocationMarketplace Type (2014)Individuals Potentially Eligible for Premium Tax Credits through MarketplaceIndividuals Who Could Potentially Enroll in Marketplace CoveragePercent of Individuals Potentially Eligible for Premium Tax Credits through Marketplace
United States   17,187,000 28,605,000 60.1%
Alabama Federally-facilitated 270,000 464,000 58.2%
Alaska Federally-facilitated 55,000 78,000 70.5%
Arizona Federally-facilitated 313,000 551,000 56.8%
Arkansas Partnership 150,000 227,000 66.1%
California State-based 1,903,000 3,291,000 57.8%
Colorado State-based 254,000 501,000 50.7%
Connecticut State-based 109,000 216,000 50.5%
Delaware Partnership 29,000 48,000 60.4%
District of Columbia State-based 9,000 36,000 25.0%
Florida Federally-facilitated 1,587,000 2,545,000 62.4%
Georgia Federally-facilitated 654,000 1,063,000 61.5%
Hawaii State-based 29,000 58,000 50.0%
Idaho State-based
130,000 202,000 64.4%
Illinois Partnership 501,000 937,000 53.5%
Indiana Federally-facilitated 354,000 525,000 67.4%
Iowa Partnership 127,000 262,000 48.5%
Kansas Federally-facilitated 161,000 298,000 54.0%
Kentucky State-based 192,000 302,000 63.6%
Louisiana Federally-facilitated 344,000 489,000 70.3%
Maine Federally-facilitated 77,000 122,000 63.1%
Maryland State-based 201,000 419,000 48.0%
Massachusetts State-based 118,000 259,000 45.6%
Michigan Partnership 436,000 725,000 60.1%
Minnesota State-based 90,000 298,000 30.2%
Mississippi Federally-facilitated 204,000 298,000 68.5%
Missouri Federally-facilitated 386,000 657,000 58.8%
Montana Federally-facilitated 97,000 152,000 63.8%
Nebraska Federally-facilitated 122,000 239,000 51.0%
Nevada State-based 155,000 249,000 62.2%
New Hampshire Partnership 81,000 137,000 59.1%
New Jersey Federally-facilitated 400,000 628,000 63.7%
New Mexico State-based
118,000 193,000 61.1%
New York State-based 779,000 1,264,000 61.6%
North Carolina Federally-facilitated 684,000 1,073,000 63.7%
North Dakota Federally-facilitated 43,000 77,000 55.8%
Ohio Federally-facilitated 544,000 812,000 67.0%
Oklahoma Federally-facilitated 256,000 446,000 57.4%
Oregon State-based 187,000 337,000 55.5%
Pennsylvania Federally-facilitated 715,000 1,276,000 56.0%
Rhode Island State-based 40,000 70,000 57.1%
South Carolina Federally-facilitated 336,000 491,000 68.4%
South Dakota Federally-facilitated 70,000 118,000 59.3%
Tennessee Federally-facilitated 387,000 645,000 60.0%
Texas Federally-facilitated 2,049,000 3,143,000 65.2%
Utah Federally-facilitated 206,000 331,000 62.2%
Vermont State-based 27,000 45,000 60.0%
Virginia Federally-facilitated 518,000 823,000 62.9%
Washington State-based 272,000 507,000 53.6%
West Virginia Partnership 71,000 117,000 60.7%
Wisconsin Federally-facilitated 301,000 482,000 62.4%
Wyoming Federally-facilitated 47,000 80,000

58.8%

 

Data and Image Source: KFF

87% Receiving Tax Credits, Average Subsidized Marketplace Health Plan Costs $82/month

According to a separate report by the Health and Human Services (HHS), of those who have purchased coverage through the federally-run Marketplace, 87% are receiving tax credits and are paying an average of $82/month across all types of plans. Read more about this report here.