Highlights and updates Enrollment has increased every year since 2014 Medica exited exchange at end of 2017 Sanford and BCBS of SD remained in exchange 2018 rates were based on assumption that CSR funding would continue Even after CSR funding was cut, rates were not adjusted Approved 2018 rates were slightly lower than insurers proposed North Dakota exchange overview North Dakota did not establish its own exchange, so enrollments are completed via HealthCare.gov. However, the state has expanded Medicaid under the ACA. Open enrollment for 2018 coverage began on November 1, 2017, and ended on December 15, 2017 . This was the first time that enrollments were not allowed (without a qualifying event ) after the start of the new year. All plans purchased during open enrollment took effect January 1, 2018. During the open enrollment period for 2018 coverage, 22,486 people enrolled in coverage through the North Dakota exchange. That’s more than 2 percent higher than the...