← Latest briefing

Health

ACA premiums proposed to rise about 15% as insurers exit marketplaces

NBC News reports insurers propose a 2027 premium increase of about 15%, while 11 plan to exit some marketplaces.

The short version

  • Insurers offering ACA plans propose an average 2027 premium increase of about 15%, the second straight year of double-digit increases.[NBC News]
  • Eleven insurers plan to leave ACA marketplaces in at least some states in 2027, according to KFF.[NBC News]
  • Cigna will exit all 11 states where it offers ACA plans, affecting more than 350,000 enrollees.[NBC News]
  • Six insurers have announced plans to enter new marketplaces, and enhanced tax credits expired at the end of 2025.[NBC News]

Key facts

  • Insurers offering ACA plans propose an average premium increase of about 15% for 2027, the second straight year of double-digit increases.[NBC News]
  • Eleven insurers have announced plans to leave ACA marketplaces in 2027 in at least some states, according to KFF.[NBC News]
  • Cigna will exit all 11 states where it offers ACA plans and has more than 350,000 ACA enrollees.[NBC News]
  • Six insurers have announced plans to enter new marketplaces.[NBC News]
  • Enhanced tax credits expired at the end of 2025, leading ACA enrollment to fall by roughly 3 million.[NBC News]

What remains uncertain

  • The 15% increase reflects insurers' proposed rates, not final approved 2027 premiums.[NBC News]
  • Insurer exits are described as occurring in at least some states, so the full scope of state-level departures is not established.[NBC News]

Sources

Outlet counts describe coverage, not independent confirmation. Reports may share a wire service or original source.