Private Exchange

Learn more about this full-service solution for individuals to purchase health coverage through an online marketplace.

Arizona Health Insurance Exchange

In November 2012, Governor Jan Brewer announced that Arizona would default to a federally-run health insurance exchange after having established the Office of Health Insurance Exchange to organize insurers for individual and small business comparison. The federal exchange will begin open enrollment for these groups on October 1.

Essential Health Benefits

The Affordable Care Act (ACA) requires state health plans to cover at least ten specified EHBs starting January 1, including hospitalization, prescription drugs and preventive and wellness services. The Arizona Department of Insurance solicited subcontractors to complete an analysis of options for the final benchmark plan. The state selected the State Employee Benefit - United Healthcare EPO with pediatric and vision coverage supplemented by the FEDVIP plans as the benchmark package.

Arizona Health Insurance Exchange Stats:

  • Total Residents: 6,487,000
  • Total Health Expenditures (in millions): $35,797
  • Exchange Decision: Default to Federal Exchange
  • Total Health Insurance Exchange Grant: $30,877,097
  • EHB Benchmark Plan Status: State Employee Benefit - United Healthcare EPO with pediatric and vision coverage supplemented by the FEDVIP plans


Arizona has defaulted to a federally-run health insurance exchange. The essential health benefits benchmark plan is the State Employee Benefit- United Healthcare EPO. Pediatric and vision coverage is supplemented by the FEDVIP.

For more information about setting up a private exchange solution in Arizona, contact a representative at GoHealth today.