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  "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de.jsonld",
  "@type": "schema:Dataset",
  "name": "Atlas Commons research objects — ACA marketplace coverage for Delaware (2026)",
  "description": "Delaware's ACA marketplace coverage from the CMS ACA Plan Attributes PUF, with each figure's epistemic status labeled: every plan count — medical plans, standalone dental plans, and breakdowns by metal level, plan type, HSA-eligibility, and referral requirement — is a measured census of plans offered (counts of rows in the CMS file, all labeled RECORDED); the sticker premium landscape by metal tier (40yo, pre-subsidy) is a recorded set of published CMS Rate PUF rates, with the subsidy note labeled CONTEXT; the boundary note is context (labeled CONTEXT) — these count plans offered and their sticker price, not enrollment, the insured rate, or net cost after subsidies. Sources: CMS ACA Plan Attributes PUF, CMS Marketplace Rate PUF. CC0.",
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    "name": "Delaware",
    "identifier": "DE"
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    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/medical-plan-count",
      "@type": "schema:Claim",
      "name": "188 ACA medical marketplace plans are offered in Delaware for plan year 2026",
      "text": "The CMS ACA Plan Attributes PUF records 188 on-marketplace medical plans from 3 issuers offered in Delaware for the 2026 plan year. A census of offered plans.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
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        "value": "188 plans / 3 issuers",
        "adjudicator": {
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      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS ACA Plan Attributes PUF (2026 plan year); superseded when CMS ACA Plan Attributes PUF (2026 plan year) publishes its next release."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/metal-distribution",
      "@type": "schema:Claim",
      "name": "Medical plan counts by CMS metal level in Delaware (2026): Silver 70, Gold 56, Expanded Bronze 48, Platinum 8",
      "text": "Counts of the 188 medical plans by CMS-defined metal level: Silver 70, Gold 56, Expanded Bronze 48, Platinum 8, Bronze 4, Catastrophic 2. The metal levels are CMS categories; this is a count of PUF rows per category.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
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        "supported": true,
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      "grounding": {
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        "value": "Silver 70, Gold 56, Expanded Bronze 48, Platinum 8, Bronze 4, Catastrophic 2",
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          "name": "CMS ACA Plan Attributes PUF (2026 plan year)",
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      },
      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS ACA Plan Attributes PUF (2026 plan year); superseded when CMS ACA Plan Attributes PUF (2026 plan year) publishes its next release."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/plan-type-distribution",
      "@type": "schema:Claim",
      "name": "Medical plan counts by CMS plan type in Delaware (2026): EPO 83, PPO 64, HMO 41",
      "text": "Counts of the 188 medical plans by CMS-defined plan type (HMO/PPO/EPO/POS): EPO 83, PPO 64, HMO 41. A count of PUF rows per CMS category.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": true,
        "supported": true,
        "adjudged": true,
        "operative": true
      },
      "grounding": {
        "groundingType": "SourceCitation",
        "source": "CMS ACA Plan Attributes PUF (2026 plan year)",
        "sourceUrl": "https://www.cms.gov/marketplace/resources/data/public-use-files",
        "value": "EPO 83, PPO 64, HMO 41",
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      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS ACA Plan Attributes PUF (2026 plan year); superseded when CMS ACA Plan Attributes PUF (2026 plan year) publishes its next release."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/hsa-eligible",
      "@type": "schema:Claim",
      "name": "56 of 188 medical plans in Delaware are HSA-eligible (2026)",
      "text": "The PUF flags 56 of the 188 medical plans as HSA-eligible — a count of plans carrying the CMS HSA-eligibility attribute.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
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        "supported": true,
        "adjudged": true,
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        "value": "56 HSA-eligible",
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        }
      },
      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS ACA Plan Attributes PUF (2026 plan year); superseded when CMS ACA Plan Attributes PUF (2026 plan year) publishes its next release."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/no-referral",
      "@type": "schema:Claim",
      "name": "188 of 188 medical plans in Delaware require no specialist referral (2026)",
      "text": "The PUF flags 188 of the 188 medical plans as not requiring a referral to see a specialist — a count of plans carrying the CMS no-referral attribute.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
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        "supported": true,
        "adjudged": true,
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      },
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        "value": "188 no-referral",
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          "name": "CMS ACA Plan Attributes PUF (2026 plan year)",
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      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS ACA Plan Attributes PUF (2026 plan year); superseded when CMS ACA Plan Attributes PUF (2026 plan year) publishes its next release."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/dental-plan-count",
      "@type": "schema:Claim",
      "name": "23 standalone dental plans are offered in Delaware for plan year 2026",
      "text": "The PUF records 23 standalone dental plans from 2 issuers offered in Delaware for the 2026 plan year.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": true,
        "supported": true,
        "adjudged": true,
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      },
      "grounding": {
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        "source": "CMS ACA Plan Attributes PUF (2026 plan year)",
        "sourceUrl": "https://www.cms.gov/marketplace/resources/data/public-use-files",
        "value": "23 dental plans / 2 issuers",
        "adjudicator": {
          "name": "CMS ACA Plan Attributes PUF (2026 plan year)",
          "url": "https://www.cms.gov/marketplace/resources/data/public-use-files"
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      },
      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS ACA Plan Attributes PUF (2026 plan year); superseded when CMS ACA Plan Attributes PUF (2026 plan year) publishes its next release."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/premium-landscape",
      "@type": "schema:Claim",
      "name": "STICKER ACA premiums in Delaware for a 40-year-old (before tax credits): Silver median $762/mo",
      "text": "Per-metal-tier MEDIAN and range of full (pre-subsidy) monthly premiums for a 40-year-old, individual, non-tobacco, across Delaware's 1 rating area(s): Catastrophic $468 ($468–$468), Bronze $582 ($542–$652), Silver $762 ($685–$893), Gold $767 ($727–$833), Platinum $1,018 ($1,015–$1,020). The per-plan rates are RECORDED in the CMS Marketplace Rate PUF; these per-tier median/min/max figures are DERIVED — the atlas's own aggregation over 40 Rate-PUF rate rows (CMS does not publish a state×tier median). The FULL sticker price — most marketplace enrollees pay less after income-based premium tax credits; this is not net cost.",
      "claimType": "derived_measure",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": false,
        "supported": true,
        "adjudged": false,
        "operative": true
      },
      "grounding": {
        "groundingType": "DerivedMeasure",
        "source": "CMS Marketplace Rate Public Use File (atlas-aggregated per tier)",
        "sourceUrl": "https://www.cms.gov/marketplace/resources/data/public-use-files",
        "value": "Silver median $762/mo (40yo, sticker)",
        "adjudicator": null
      },
      "falsifier": "occurred=FALSE (a computed summary, not a single published figure) and adjudged=FALSE (the atlas's aggregation, not a CMS-published statistic). Reproduce it: take the median/min/max of the 40 CMS Rate-PUF rows for a 40yo non-tobacco enrollee per metal tier across the rating areas. Falsified if the per-row rates or the aggregation are wrong; it is sticker (pre-subsidy), so it overstates what a subsidized enrollee pays."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/premium-subsidy-boundary",
      "@type": "schema:Claim",
      "name": "What the Delaware premiums mean — sticker, not your price",
      "text": "The premiums above are FULL pre-subsidy stickers. The Affordable Care Act caps a household's benchmark-Silver premium at a share of income via an advance premium tax credit, which can be applied to any tier — so a subsidized lower-income enrollee can pay far less, sometimes near $0. The sticker tells you how plans compare and the unsubsidized cost, NOT what you will pay. Net cost depends on your income and the prevailing tax-credit rules; we do not compute it. Get your actual price at HealthCare.gov.",
      "claimType": "interpretation",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": false,
        "supported": true,
        "adjudged": false,
        "operative": true
      },
      "grounding": {
        "groundingType": "Interpretation",
        "source": "Coverage Atlas framing (over the CMS Rate PUF figures above)",
        "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/",
        "value": "sticker premiums; net cost depends on income-based tax credits — use HealthCare.gov",
        "adjudicator": null
      },
      "falsifier": "occurred=FALSE (a framing, not an event) and adjudged=FALSE (the atlas's reading, not a CMS verdict). The sticker premiums above are CMS Rate PUF records (recorded); this subsidy note is interpretation."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/states/de/boundary",
      "@type": "schema:Claim",
      "name": "What these coverage figures are — and are NOT — for Delaware (the epistemic boundary)",
      "text": "The plan counts above are a COUNT OF PLANS OFFERED on the ACA marketplace for plan year 2026 (a CMS PUF census); the premiums are FULL sticker rates for a 40-year-old. They are NOT enrollment counts, the insured/uninsured rate, NET cost after subsidies, or who actually has coverage. For your net premium use HealthCare.gov / your state marketplace; for the insured rate use the Census ACS / KFF. This object describes what is OFFERED and its sticker price, not who is COVERED or what they pay.",
      "claimType": "interpretation",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": false,
        "supported": true,
        "adjudged": false,
        "operative": true
      },
      "grounding": {
        "groundingType": "Interpretation",
        "source": "Coverage Atlas framing (over the CMS facts above)",
        "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/",
        "value": "counts of plans offered + sticker premiums; not enrollment, insured-rate, or net cost",
        "adjudicator": null
      },
      "falsifier": "occurred=FALSE (a framing, not an event) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here. The plan counts and sticker premiums above are direct CMS records; this is interpretation, and the four-status says so."
    }
  ],
  "hasPart": [
    {
      "@type": "schema:ItemList",
      "name": "Delaware — every coverage indicator (typed)",
      "numberOfItems": 11,
      "itemListElement": [
        {
          "@type": "schema:ListItem",
          "position": 1,
          "item": {
            "indicator": "Medical plans offered",
            "value": 188,
            "warrant": "RECORDED",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 2,
          "item": {
            "indicator": "Medical issuers",
            "value": 3,
            "warrant": "RECORDED",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 3,
          "item": {
            "indicator": "HSA-eligible medical plans",
            "value": 56,
            "warrant": "RECORDED",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 4,
          "item": {
            "indicator": "Medical plans requiring no specialist referral",
            "value": 188,
            "warrant": "RECORDED",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 5,
          "item": {
            "indicator": "Standalone dental plans offered",
            "value": 23,
            "warrant": "RECORDED",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 6,
          "item": {
            "indicator": "Standalone dental issuers",
            "value": 2,
            "warrant": "RECORDED",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 7,
          "item": {
            "indicator": "Distinct issuers (medical + dental)",
            "value": 5,
            "warrant": "RECORDED",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 8,
          "item": {
            "indicator": "Plan year",
            "value": 2026,
            "warrant": "—",
            "source": "CMS ACA Plan Attributes PUF (2026)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 9,
          "item": {
            "indicator": "Silver median sticker premium (USD/mo)",
            "value": 762,
            "warrant": "DERIVED",
            "source": "CMS Marketplace Rate Public Use File (40-year-old, individual, non-tobacco)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 10,
          "item": {
            "indicator": "Rating areas (premium aggregate)",
            "value": 1,
            "warrant": "RECORDED",
            "source": "CMS Marketplace Rate Public Use File (40-year-old, individual, non-tobacco)"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 11,
          "item": {
            "indicator": "Rate-PUF rate rows summarized",
            "value": 40,
            "warrant": "RECORDED",
            "source": "CMS Marketplace Rate Public Use File (40-year-old, individual, non-tobacco)"
          }
        }
      ]
    },
    {
      "@type": "schema:ItemList",
      "name": "Delaware — medical plans by CMS metal level (RECORDED)",
      "numberOfItems": 6,
      "itemListElement": [
        {
          "@type": "schema:ListItem",
          "position": 1,
          "item": {
            "metal_level": "Silver",
            "plan_count": 70
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 2,
          "item": {
            "metal_level": "Gold",
            "plan_count": 56
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 3,
          "item": {
            "metal_level": "Expanded Bronze",
            "plan_count": 48
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 4,
          "item": {
            "metal_level": "Platinum",
            "plan_count": 8
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 5,
          "item": {
            "metal_level": "Bronze",
            "plan_count": 4
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 6,
          "item": {
            "metal_level": "Catastrophic",
            "plan_count": 2
          }
        }
      ]
    },
    {
      "@type": "schema:ItemList",
      "name": "Delaware — medical plans by CMS plan type (RECORDED)",
      "numberOfItems": 3,
      "itemListElement": [
        {
          "@type": "schema:ListItem",
          "position": 1,
          "item": {
            "plan_type": "EPO",
            "plan_count": 83
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 2,
          "item": {
            "plan_type": "PPO",
            "plan_count": 64
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 3,
          "item": {
            "plan_type": "HMO",
            "plan_count": 41
          }
        }
      ]
    },
    {
      "@type": "schema:ItemList",
      "name": "Delaware — medical plans by market coverage (RECORDED)",
      "numberOfItems": 1,
      "itemListElement": [
        {
          "@type": "schema:ListItem",
          "position": 1,
          "item": {
            "market_coverage": "Individual",
            "plan_count": 211
          }
        }
      ]
    },
    {
      "@type": "schema:ItemList",
      "name": "Delaware — sticker ACA premiums by metal tier (40yo, pre-subsidy, DERIVED)",
      "numberOfItems": 5,
      "itemListElement": [
        {
          "@type": "schema:ListItem",
          "position": 1,
          "item": {
            "tier": "Catastrophic",
            "plans": 1,
            "median_usd": 468,
            "p25_usd": 468,
            "p75_usd": 468,
            "min_usd": 468,
            "max_usd": 468
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 2,
          "item": {
            "tier": "Bronze",
            "plans": 13,
            "median_usd": 582,
            "p25_usd": 576,
            "p75_usd": 618,
            "min_usd": 542,
            "max_usd": 652
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 3,
          "item": {
            "tier": "Silver",
            "plans": 10,
            "median_usd": 762,
            "p25_usd": 723,
            "p75_usd": 766,
            "min_usd": 685,
            "max_usd": 893
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 4,
          "item": {
            "tier": "Gold",
            "plans": 14,
            "median_usd": 767,
            "p25_usd": 750,
            "p75_usd": 795,
            "min_usd": 727,
            "max_usd": 833
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 5,
          "item": {
            "tier": "Platinum",
            "plans": 2,
            "median_usd": 1018,
            "p25_usd": 1016,
            "p75_usd": 1019,
            "min_usd": 1015,
            "max_usd": 1020
          }
        }
      ]
    },
    {
      "@type": "schema:ItemList",
      "name": "Delaware — issuers present on the marketplace (RECORDED)",
      "numberOfItems": 5,
      "itemListElement": [
        {
          "@type": "schema:ListItem",
          "position": 1,
          "item": {
            "issuer": "Ambetter Health of Delaware"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 2,
          "item": {
            "issuer": "AmeriHealth Caritas Next"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 3,
          "item": {
            "issuer": "Delta Dental PPO"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 4,
          "item": {
            "issuer": "Dominion National"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 5,
          "item": {
            "issuer": "Highmark Blue Cross Blue Shield Delaware"
          }
        }
      ]
    }
  ]
}