Eight insurers have announced they will stop offering individual ACA marketplace plans, either nationally or in specific states, after the 2026 plan year.
The withdrawals come amid declining enrollment nationwide, rising premiums and the expiration of enhanced premium tax credits at the end of 2025.
Editor’s note: this article was originally published June 10 and was last updated July 9.
Eight updates:
1. Medica will no longer offer individual marketplace plans in Iowa, Kansas and Oklahoma past 2026.
2. Centene will discontinue ACA coverage in New Hampshire at the end of 2026.
3. Cigna is exiting the exchange in Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Mississippi, North Carolina, Tennessee, Texas and Virginia, affecting about 369,000 members.
4. Baylor Scott & White Health Plan‘s discontinuation of exchange coverage will affect roughly 100,000 Texas enrollees, or about 2.6% of the state’s marketplace.
5. CareSource will exit Indiana’s ACA marketplace, leaving roughly 60,000 members to find new coverage. The insurer previously exited Kentucky, Michigan and North Carolina for the 2026 plan year.
6. PacificSource will stop offering ACA plans in Oregon, Idaho and Montana.
7. Providence Health Plan is winding down most of its business, including its Oregon ACA plans.
8. Mending (formerly Taro Health) is exiting the health insurance business entirely in 2027, leaving the Maine and Oklahoma marketplaces. The company is shifting toward a direct primary care platform for self-funded employers and third-party administrators.
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