The number of New Hampshire residents getting health insurance through the HealthCare.gov Marketplace has grown almost 40% in three years, including a 19.4% increase this year, according to the state.

The New Hampshire Insurance Department says 65,117 people enrolled for coverage in 2024, compared to 54,557 last year and just 46,670 back in 2021. Open enrollment period ended in mid-January.

“The substantial increase in enrollment for the Marketplace 2024 Open Enrollment Period is indicative of our commitment to accessible and affordable healthcare for all Granite State residents,” said New Hampshire Insurance Commissioner DJ Bettencourt in a prepared statement. “Through collaboration with the Legislature and other stakeholders, we have implemented policies aimed at bringing down premiums and ensuring citizens have access to necessary coverage.”

Three companies offer health insurance through the federal marketplace at a variety of levels.