Skip to main content

Total enrollment

The health insurance market comprises a series of distinct markets, each with its own regulatory features. Just under 28 percent of Oregonians get their health insurance in state-regulated markets. The Oregon Division of Financial Regulation has authority to approve or deny rates in the individual and small employer markets, which cover roughly 10 percent of all Oregonians. These individuals and small business buyers are considered the most vulnerable consumers because they lack the negotiating power of large groups. Others get coverage through a large employer that self-insures or through federal health programs, such as Medicare and Medicaid. Increased access to insurance most significantly, the expansion of Medicaid has decreased the number of uninsured people in Oregon.

The total enrollment report provides a detailed breakdown of health insurance enrollment both on and off the exchange. Please note that this data does not include enrollment in vision and dental plans.

Oregon Health Insurance Enrollment
As of December 2017
Oregon population1 (as of July 2017) 4,142,776
Commercial/state-regulated insurance
Individual (buy coverage on their own) 192,045 4.6%
Small group (2-50 employees) 173,440 4.2%
Large group (51+ employees) 604,027 14.6%
Associations and trusts 152,334 3.7%
Student Plans 12,538 0.3%
Total covered under state regulation 1,134,384 27.4%
Large group self-insured2 1,004,915 24.3%
Federal health care programs
Medicare3 820,613 19.8%
Medicaid4 984,106 23.8%
Tricare and other Fed 63,834 1.5%
Total covered under federal regulation 1,868,553 45.1%

1 U.S. Census Bureau (https://www.census.gov/quickfacts/fact/table/or/PST045217)

2 Participation in self-administered self-insured plans is estimated.

3 CMS Medicare Enrollment Dashboard (https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Dashboard/Medicare-Enrollment/Enrollment%20Dashboard.html)

4 Oregon Health Authority Monthly Caseload Variance Report. Total Oregon Health Plan (OHP) Enrollment for Dec 2017, (https://www.oregon.gov/DHS/BUSINESS-SERVICES/OFRA/ofradocuments/HSM%20Caseload%20Variance%20Report%20Mar18.pdf)

Members with dual coverage may be counted twice in the figures above.

Note: The Oregon Division of Financial Regulation has authority to approve or deny rates in the individual and small employer markets, which cover roughly 10 percent of all Oregonians. These individuals and small business buyers are considered the most vulnerable consumers because they lack the negotiating power of large groups. More information on rate review.

Your browser is out-of-date! It has known security flaws and may not display all features of this and other websites. Learn how

×