Concentration in Health Insurance Markets

This interactive chart provides details on 1) enrollment in the overall individual market and the individual exchanges as measured by covered life-years, and 2) covered life-years in each state's individual exchange as a proportion of covered life-years in the overall individual market from 2015 through 2022.



South Carolina

Source: GAO analysis of data from the Centers for Medicare & Medicaid Services (CMS). | GAO-25-107194


The table below displays data for the selected state. Click here to download the data used in this graphic.



State Year Covered life-years, individual exchange Covered life-years, individual market Individual exchange covered life-years as a proportion of overall individual market (%)
South Carolina 2015 152,424 254,407 60
South Carolina 2016 178,054 265,486 67
South Carolina 2017 171,162 241,909 71
South Carolina 2018 173,514 234,830 74
South Carolina 2019 178,516 232,341 77
South Carolina 2020 187,372 238,573 79
South Carolina 2021 225,734 277,010 81
South Carolina 2022 281,090 328,239 86

  • We calculated the size of each market from 2015 through 2022 using covered life-years that issuers reported to Centers for Medicare & Medicaid Services or states. This measure is calculated as the average number of lives insured each month in the reporting year. Rather than a point-in-time measurement, this measure accounts for changes in enrollment that occur throughout the year.
  • Covered life-years is one of several ways to measure health insurance enrollment, so it may differ from other measures of market size.
  • We rounded market share values of less than 0.5 percent to zero.