In 2013, Missouri Foundation for Health (MFH) created the Expanding Coverage Initiative (ECI). The goal of this Initiative was to reduce the percentage of uninsured Missourians under age 65 to less than five percent in five years. The Initiative focuses on three key strategies to accomplish this goal: creating awareness about the Missouri Health Insurance Marketplace (also known as the Missouri Marketplace); enrolling individuals, families and small businesses into health insurance through the Missouri Marketplace and building health insurance literacy among consumers.