Utah Health Insurance Exchange

Utah Health Insurance Exchange - Avenue H

Utah has a state health insurance exchange called Avenue H. Utah also will have a hybrid model, and the individual health insurance Marketplace and small business Marketplace will have separate websites.

The Utah health exchange will see the state running the small business exchange and the federal government running the individual health exchange. In addition, the federal government will not compete with the small business health exchange operated by the state.

The partnership came about because Utah already had an exchange for small business in place since 2009, well before federal health care reform became mandatory. The small business exchange, renamed “Avenue H” allows small businesses with between 2-50 employees to compare, choose and enroll in health insurance plans on the Internet.

Important Facts:

  • Utah will continue to oversee the compliance over qualified health insurance plans. The state will also handle Medicaid.
  • The federal government will begin operating the health exchange for individuals. Tax credits will also be managed through the individual exchange.
  • About 15% of Utah’s residents (excluding the elderly) are currently uninsured.93% of those residents will likely be eligible to purchase policies through the individual Utah health exchange.

    Small businesses will continue to be eligible to participate in Avenue H (the specific plan for businesses) with few changes. There will be an “employee choice” feature that will allow business owners to provide a set amount of money that their employees can use to choose a plan from one of three companies participating in the Utah health insurance exchange. Currently, there are over 140 plans available from SelectHealth, Regence BlueCross BlueShield and UnitedHealthcare. Utah is planning to add more companies to the exchange in the future.

State Contact Information:

Official Website for Utah Health Insurance Exchange:  Avenue H

Phone: 1-877-213-1993
60 E. South Temple, Third Floor
Salt Lake City, Utah 84111

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The Henry J. Kaiser Family Foundation