Eleven 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 Aug. 11
11 updates:
- Cox HealthPlans, the insurance arm of Springfield, Mo.-based CoxHealth, will stop selling plans on the Missouri marketplace in 2027. Cox said it will continue selling off-exchange plans in seven Missouri counties.
- Molina Healthcare will reduce its marketplace footprint from 14 to six states in 2027.
- ConnectiCare will only offer coverage off-exchange in Connecticut for 2027.
- Medica will no longer offer individual marketplace plans in Iowa, Kansas and Oklahoma past 2026.
- Centene will discontinue exchange coverage in Delaware and New Hampshire at the end of 2026.
- Cigna is exiting the exchange in Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Mississippi, North Carolina, Tennessee, Texas and Virginia, affecting about 369,000 members.
- 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.
- CareSource will exit the ACA marketplace in Indiana, West Virginia and Ohio. The insurer previously exited Kentucky, Michigan and North Carolina for the 2026 plan year.
- PacificSource will stop offering ACA plans in Oregon, Idaho and Montana.
- Providence Health Plan is winding down most of its business, including its Oregon ACA plans.
- 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.
Editor’s note: an earlier version of this article incorrectly stated that Centene is discontinuing exchange coverage in Florida. The company’s Sunshine State Health Plan is withdrawing from the Florida individual market for 2027 and is moving members to another Centene subsidiary, which will continue offering Ambetter marketplace plans in the state.
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