With health reform, Health Insurance Exchanges will be where individuals and businesses with fewer than 100 employees will shop for insurance. Exchanges allow individuals and small businesses to join together and get better prices and more choices in health insurance – the kinds of things that big corporations can negotiate for their employees. Exchanges are being established on a state-by-state basis. In the Exchange, individuals will also be able to see if they qualify for a government subsidy to help pay for their insurance or enroll in a commercial plan when they don’t. The Exchanges must be operational in each state by 2014.