Skip to Main Content

The District of Columbia Health Benefits Exchange Proposal

By Claire McAndrew,


The District of Columbia is designing and operating its own health insurance marketplace (also known as an “exchange”) where residents can shop for, compare, and enroll in affordable health insurance.

Get answers to 14 frequently asked questions about how the DC marketplace will work, including:

  • How does the marketplace affect residents and small businesses? Will health insurance costs change?
  • What do insurance companies need to include in plans they sell in the marketplace?
  • Will the number of plans from which people and small businesses can choose change?
  • Do small business owners have to pay a fine if they don’t offer coverage to their workers?