CALIFORNIA CA

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CALIFORNIA

CA

2015 Estimated Uninsured Rate of 18 to 64 year olds: 2013 Estimated Uninsured Rate of 18 to 64 year olds: Decrease from 2013 to 2015:

10.6% 17.9% 7.3%

Before the first Affordable Care Act enrollment period began, Enroll America and Civis Analytics used sophisticated data targeting techniques to create a model of the uninsured population in America. Over the last three years, this model has proven to be timely and accurate, and has played a critical role in our ability to understand who and where the uninsured are and get them the help they need to enroll in coverage. This year, the model has been updated and was used to estimate insurance status for over 180 million non-elderly adult Americans. Grouping individual-level estimates by geography, race, age, gender, and other characteristics enables us to understand the landscape of the uninsured population across the country. Here we provide a detailed look at the uninsured population in California, put into context by nationwide uninsured rates. All uninsured rates listed in this document are based on the Enroll America/Civis Analytics uninsured model.

Chart 1: California Uninsured Rates for 2013 and 2015 of Key Demographic Groups

Overall

Uninsured Rate

30

Race

25

27 24

20 15 10

Age

Gender

23 19

18

16 11

11

15

14

13

15 11

9

9

5

17

18

16

2013

18

2015

14

10

10

9

8

0 National

California

Black

White

Hispanic

Asian

Male

Quick Summary

Female

18 - 34

35 - 44

45 - 54

55 - 64

State Map: 2015 Uninsured Rates by County

● The current uninsured rate in California is 11%. This has decreased by 7% since 2013 prior to the first open enrollment period. ● 15% of Hispanics in California are uninsured, 13% of African-Americans are uninsured and 16% of young adults (ages 18-34) are uninsured. Targeting Recommendations ● Geographic - More uninsured people live in Los Angeles County (30% of the uninsured population) and San Diego County (8% of the uninsured population) than any other county. ● Geographic - The counties with the highest uninsured rates currently are Imperial County (18%), Tulare County (16%), Madera County (15%) and Kings County (15%). ● Demographic - Hispanic men ages 18 to 34 (22%) have the highest 2015 uninsured rates, followed by African American men ages 18 to 34 (20%) and Hispanic women ages 18 to 34 (19%).

Map Scale: Uninsured Rates per County

0%

5%

10%

15%

20%

Table 1: Distribution of Uninsured Population by Demographic Groups in Quick Summary Race [1] Distribution of Uninsured Population, Ages 18 to 64 % 2013 Uninsured Population in California % 2015 Uninsured Population in California Change from 2013 to 2015

Gender

Age

Black

White

Hispanic

Asian

Male

Female

18 - 34

35 - 44

45 - 54

55 - 64

3.3% 2.8% -0.5%

44.8% 45.3% 0.4%

43.4% 42.9% -0.5%

8.5% 9.1% 0.6%

50.9% 50.1% -0.8%

49.1% 49.9% 0.8%

31.2% 35.7% 4.5%

19.4% 16.8% -2.7%

32.7% 30.0% -2.6%

16.7% 17.5% 0.8%

Table 2: 2015 Uninsured Rates in Most Populous Counties Total Top 10 Most Populous Counties, Ordered by Population Size ### ### ### ### ### ### ### ### ### ###

Los Angeles County San Diego County Orange County Riverside County San Bernardino County Santa Clara County Alameda County Sacramento County Kern County Fresno County

Race

Gender

Age

Percent

2015 Uninsured Rate

Black

White

Hispanic

Asian

Male

Female

18 - 34

35 - 44

45 - 54

55 - 64

12% 10% 8% 13% 13% 7% 8% 10% 15% 15%

14% 12% 8% 12% 14% 7% 10% 12% 15% 16%

10% 8% 6% 11% 11% 6% 7% 9% 12% 12%

16% 14% 13% 16% 16% 10% 10% 12% 19% 19%

11% 9% 9% 11% 11% 6% 7% 10% 13% 16%

13% 10% 9% 14% 14% 7% 8% 10% 16% 16%

12% 9% 8% 12% 12% 6% 7% 9% 14% 14%

18% 14% 12% 19% 18% 11% 12% 14% 21% 22%

11% 9% 7% 11% 12% 6% 7% 9% 13% 13%

11% 9% 8% 12% 12% 6% 7% 9% 14% 14%

9% 7% 6% 10% 9% 5% 5% 7% 10% 11%

Page 1 of 2 - California State Snapshot - Enroll America - October 2015

% of CA Uninsured Population 30% 8% 6% 7% 7% 3% 3% 4% 3% 3%

www.enrollamerica.org

0 0 0 0 0 0 0 0 0 0

CALIFORNIA

CA

Remaining Uninsured Estimates from June 2015 Kaiser Family Foundation Study

Estimated Number of Remaining Uninsured in California: [2] % Medicaid Eligible of Remaining Uninsured % Tax Credit Eligible of Remaining Uninsured % Ineligible for Financial Assistance of Remaining Uninsured [3]

3,845,000 37% 16% 47%

National Map: 2015 Uninsured Rates by County

● In 2013 before the first open enrollment period, California's uninsured rate of 17.9% was 1.5% greater than the national uninsured rate. ● In 2015, California's uninsured rate of 10.6% is 0.1% lower than the current national uninsured rate.

State Comparison with National Uninsured Rate

Uninsured Rate

20

Map Scale: Uninsured Rates per County

0%

5%

10%

15%

20%

15 10

17.9

16.4

10.7

10.6

2013 2015

5 0 National

California

Footnotes [1] Civis Analytics uses a similar scoring method to assign most likely race to consumers which explains why the race distribution adds up to 100%. [2] Estimates of Eligibility for ACA Coverage among the Uninsured released by the Kaiser Family Foundation on June 1, 2015. Additional data and methodology can be found at: http://kff.org/uninsured/issue-brief/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured/ [3] Ineligible for Financial Assistance is due to Income, ESI Offer, or Citizenship.

Additional Enroll America Research, Blogs and Maps can be found at : https://www.enrollamerica.org/research-maps/

Page 2 of 2 - California State Snapshot - Enroll America - October 2015

www.enrollamerica.org

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