Off-Marketplace Enrollment Remains An Important Part Of Health Insurance Under The ACA.

The introduction of Marketplaces under the Affordable Care Act greatly expanded individual-market health insurance coverage in 2014, but millions of adults continued to purchase individual coverage outside of the Marketplaces. They were more likely to be male, be white, have higher incomes, and be in excellent or very good health, compared to Marketplace enrollees.
(Project HOPE—The People-to-People Health Foundation, Inc.)