Which statement accurately describes off-exchange insurance?

Off-exchange insurance refers to health insurance plans that are sold outside of the government-run marketplaces, which are established under the Affordable Care Act (ACA). When considering what off-exchange insurance entails, it is important to understand that no federally funded subsidies or tax credits are available for these plans, meaning consumers must pay the full premium without assistance.

By stating that no subsidy is provided, the correct answer highlights a key characteristic of off-exchange insurance. Since off-exchange plans are not available through the marketplace, individuals who choose these options do so often because they seek specific plans or do not qualify for marketplace coverage. This lack of subsidy distinguishes off-exchange insurance from plans available within a marketplace, where individuals may receive financial help depending on their income and family size.

Other options suggest elements that align more closely with on-exchange plans, where state or federal subsidies might be available or where enrollment occurs through a marketplace. Additionally, stating eligibility restrictions based on age does not accurately represent off-exchange plans, which are available to a broader audience regardless of age demographics.