11 Insurers Plan ACA Marketplace Exits for 2027; Proposed Premiums Up About 15%
The Facts
- Insurers offering ACA plans are proposing an average premium increase of about 15% for 2027, the second straight year of double-digit increases, per a KFF analysis of public insurer filings across all 50 states and D.C. NBC News only
- 11 insurers have announced plans to leave the ACA marketplaces in 2027 in at least some states where they currently operate, according to KFF; six insurers have announced plans to enter new marketplaces. NBC News only
- Cigna will exit all 11 states where it offers ACA plans; it has more than 350,000 ACA enrollees. NBC News only
- PacificSource has also decided to leave the ACA marketplace, according to a company spokesperson. NBC News only
- Enhanced ACA tax credits expired at the end of 2025, and ACA enrollment fell by roughly 3 million. NBC News only
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- ACA open enrollment for 2027 coverage begins Sunday in most states and runs about two months. NBC News only
- A KFF poll found public favorability toward the ACA fell to 58% from 64%. NBC News only
- Cigna's spokesperson pointed to CEO Brian Evanko's April comments that leaving the ACA marketplace aligns with positioning the company's core healthcare businesses for sustainable growth. NBC News only
Context
More insurers are leaving the ACA marketplaces than entering for 2027, while proposed premiums rise about 15% on average, according to KFF analysis reported by NBC News. Open enrollment begins Sunday in most states.
Enrollment dropped by about 3 million after enhanced tax credits expired at the end of 2025. Health policy experts quoted by NBC said remaining enrollees tend to have higher medical needs, and fewer insurer options could force plan switches and disrupt care. Enrollees interviewed described premium increases, including one Tennessee enrollee paying $1,250 a month, up from $850 in 2025.
How the Agent Panel Scored This
Independent AI personas each scored importance 1–10; the story's score is a trimmed mean (highest and lowest votes dropped). Vote spread: 1.
| 7 | Informed Citizen | Proposed average premium increase of about 15% plus 11 insurers exiting marketplaces, including Cigna with 350,000+ enrollees, affects many ACA consumers during open enrollment starting imminently, though these are proposals rather than final actions. |
| 7 | Critical Reader | Insurer exits affecting 11 insurers and Cigna's 350,000+ enrollees plus a ~15% proposed premium rise impact many ACA consumers, though these are proposed filings and the story rests on a single source. |
| 7 | Business Analyst | Eleven insurers exiting ACA marketplaces, including Cigna with 350,000+ enrollees, alongside a roughly 15% average premium increase affecting millions of consumers, is a significant concrete market development with broad consumer and insurer impact. |
| 7 | Policy Expert | Insurer exits from ACA marketplaces affecting millions of enrollees and a ~15% proposed premium hike are significant concrete market actions, though they are proposals and filings rather than enacted laws. |
| 7 | Science & Tech Analyst | Insurer exits from ACA marketplaces affecting 11 states (including Cigna's 350,000+ enrollees) and a roughly 15% proposed premium hike for millions of Americans is significant news with broad consumer impact, though it is proposed rather than finalized and drawn from a single source. |
| 7 | News Editor | Concrete actions affecting millions of ACA enrollees include 11 insurers exiting, Cigna dropping 350,000+ enrollees, and roughly 15% proposed premium hikes ahead of open enrollment starting Sunday, though it is a single-source, sector-specific story rather than breaking national crisis news. |
| 6 | Global Affairs Analyst | Concrete actions include 11 insurers exiting marketplaces, Cigna exiting 11 states with 350,000+ enrollees, and proposed ~15% premium hikes affecting millions of ACA enrollees, which is significant domestic health-policy news, though it is not a geopolitical event and is reported by a single source. |