The Missouri Health Insurance Exchange will be operated through a federally-run health insurance exchange, also referred to as the Health Insurance Marketplace. Starting October 1, 2013, Missouri residents will be able to access information about all the plans available through the Exchange, shop for plans, and access individual premium tax credits. The SHOP Exchange will be available to small businesses with 100 or fewer employees. Coverage from the Exchange starts in January 2014. According to an estimate by healthcare.gov, 799,250 or 16% of Missouri’s non-elderly residents are uninsured, of whom 744,700 (93%) may qualify for either tax credits to purchase coverage in the Marketplace or for Medicaid if Missouri participates in the Medicaid expansion.