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Individual ExchangeSource-backed product
Individual Exchange
ACA Individual Exchange plans across definitions, benefits and cost sharing, premiums, service areas, networks, rating rules, plan-year continuity, and issuer claims and appeals.
What Vlada adds: Preserves CMS release history and schema eras, then connects plan, issuer, benefit, premium, network, service-area, and plan-year identities without collapsing distinct publisher grains.
- rows
- 52.6M
- rows
- datasets
- 8
- datasets
- cadence
- Varies by publisher release / annual
- cadence
- coverage
- Current
- coverage
Publishers: Centers for Medicare & Medicaid Services / CCIIO
What's inside
CMS CCIIO Rate PUF — ACA Marketplace QHP plan premium rates
The CMS CCIIO Rate PUF (data.healthcare.gov) — the actual filed monthly premium for every ACA Marketplace QHP by issuer × plan × rating area × age × tobacco status: individual rate, individual-tobacco rate, and family-tier rates (couple, +1/+2/+3 dependents). A commercial PRICE signal (plan premium geography by issuer/area/age) independent of TiC negotiated rates + hospital chargemaster — the premium side of the commercial market. ~2-3M rows/year, PY2014-2026, partition by business_year.
grain: One row per (business_year, issuer × plan × rating-area × age × tobacco) — individual + family premiums.
32.9M rows
CMS CCIIO Benefits & Cost Sharing PUF — Marketplace benefit-template history
CMS Marketplace plan-variant benefit, coverage, raw cost-sharing, limit, exclusion, EHB-variance, and MOOP-exclusion text across PY2014-PY2026. The served view selects the latest reviewed revision for each business year and maps each era's ordered raw-cell array to named raw-text columns without amount parsing or blank-to-zero coercion.
19.7M rows
CMS Transparency in QHP Coverage PUF — partial Individual QHP serving derivative
A 25,666-row partial derivative of the CMS CCIIO Transparency in QHP Coverage PUF: only the Individual QHP tabs from publication years 2022-2026. Those publications contain measurement data from 2020-2024 respectively. Do not treat plan_year as the measure year, aggregate repeated issuer measures across plans, or publish payer rankings until denominator and suppression semantics pass review.
grain: One row per (plan_year, Marketplace plan_id) — issuer claims received/denied/appealed + denial reasons.
25.7K rows
CMS CCIIO Plan Attributes PUF — Marketplace plan definition history
CMS Marketplace plan-variant definitions and the central bridge among issuers, products, networks, service areas, benefits, and rates across PY2014-PY2026. All raw publisher revisions are retained; no semantic current-plan winner is selected.
CMS CCIIO Plan ID Crosswalk PUF — directed plan-year continuity history
CMS Marketplace standard-component continuity from plan year N-1 to N across PY2014→2015 through PY2025→2026, preserving ordinary, age-off, and bronze-to-silver publisher fields without projecting semantic routes.
CMS CCIIO Service Area PUF — Marketplace plan geography history
CMS Marketplace issuer service-area geography across PY2014-PY2026, including entire-state, county, and publisher-supplied partial-county ZIP rules. Historical templates are versioned; this planned source does not select a current revision.
CMS CCIIO Network PUF — issuer network metadata history
CMS Marketplace issuer network names, state-generated NetworkIds, and publisher-supplied provider-directory URL strings across PY2014-PY2026. This source does not contain provider membership, plan IDs, ServiceAreaIds, URL availability, or directory contents.
CMS CCIIO Business Rules PUF — Marketplace rating-rule history
CMS Marketplace rules that modify how plan rates apply to enrollees and families, including dependent limits, relationship/cohabitation rules, tobacco-free periods, age determination, and medical/dental context. All official PY2014-PY2026 live artifacts are byte-certified; this is not a premium or provider-price source.