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Your Health Idaho reports record enrollment and outreach during 2024–25 open enrollment
Summary
Pat Kelly, executive director of Your Health Idaho, told the Senate Health and Welfare Committee the state exchange saw record enrollments, high retention, and financial sustainability during open enrollment 2025 and detailed potential impacts if Medicaid expansion were repealed.
Pat Kelly, executive director of Your Health Idaho, gave the Senate Health and Welfare Committee an annual update on the state health insurance exchange and reported record enrollment for open enrollment 2025, high customer retention and no state funding reliance.
Kelly told the committee the exchange enrolled more than 139,000 Idahoans during open enrollment 2025 and that, as of the report, average enrollment stood at about 120,000 with 47% enrolled four years or more. He said more than 90% of enrollees receive a federal premium tax credit that lowers monthly premiums. Your Health Idaho reported a net promoter score of 73 for both 2024 and open enrollment 2025, and the exchange said it achieved efficiency gains with 90% of enrollments completed via self-service tools.
Kelly summarized financial practices: the exchange receives no state funding, is funded by an assessment on plans sold through the exchange (2.49% in 2024) and rental and interest revenue; it carries cash reserves equal to six to nine months of operating expenses and plans to move to a per-member-per-month assessment in 2025 to provide revenue predictability.
Kelly described outreach efforts including 19 in-person pop-up enrollment events, attendance at 73 statewide events and partnership with more than 1,100 agents, brokers and enrollment counselors; he said 71% of enrollments were completed with assistance from those partners. Kelly also described a targeted ad campaign that, he said, raised special-enrollment-period enrollments by 15%.
In response to committee questions about a possible repeal of Medicaid expansion, Kelly explained that of roughly 85,000 people enrolled in Idaho’s Medicaid expansion population, about 19,100 have incomes between 101% and 138% of the federal poverty level and, if expansion were repealed, would become eligible for premium tax credits on the exchange; others in the expansion population would fall into a coverage gap and would not be eligible for tax credits, he said. Kelly recommended the committee consult the Department of Health and Welfare for detailed Medicaid eligibility and coverage-gap questions.
Kelly closed by saying the exchange remains financially self-sustaining and will continue to invest in customer tools, partner training and community outreach.
