Cigna to Exit ACA Individual Marketplaces and Explore Sale of EviCore

Cigna Group said it will stop offering Affordable Care Act (ACA) individual plans after 2026, ending coverage for about 369,000 members in 11 states (Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Mississippi, North Carolina, Tennessee, Texas, Virginia). The insurer will help affected members during the 2027 open enrollment period.

Cigna’s Obamacare Exit Puts 369,000 Members on the Clock for 2027 Coverage

After enhanced premium tax credits expired at the end of 2025, ACA premiums rose and enrollment shifted toward cheaper bronze plans. The market is now described as “smaller and sicker,” prompting carriers such as CVS Health’s Aetna to exit after 2025. Cigna’s decision follows a 2025 sale of its Medicare Advantage business.

Cigna’s Obamacare Exit Puts 369,000 Members on the Clock for 2027 Coverage

Chief operating officer Brian Evanko, who will become CEO in July 2026, led the announcement. Outgoing CEO David Cordani is stepping down after nearly two decades, and CFO Ann Dennison highlighted the profit drivers behind the decision.

HealthCareDive

In Q1 2026 Cigna reported $1.7 billion net income on $68.5 billion revenue, a 25 % profit rise. Adjusted EPS was lifted to at least $30.35 for the year. ACA enrollment dropped from 446,000 to 369,000 members, about 2 % of its 18.3 million total, and the medical loss ratio fell to 79.8 % from 82.2 %.

Cigna’s Obamacare Exit Puts 369,000 Members on the Clock for 2027 Coverage

Cigna said the ACA segment does not offer a scalable growth path and that its departure will let the company devote resources to its main business lines, including specialty care, pharmacy services, and employer-sponsored plans. The firm also voiced support for prior-authorization reforms and noted that automation could create partnership opportunities for EviCore.

HealthCareDive

Lawmakers and regulators claim claims-review firms like EviCore profit by denying provider payments. Advocacy groups argue prior-authorization rules delay care and demand stricter oversight.

HealthCareDive

Sources disagree on the exit date: some say Cigna will leave the ACA exchanges by end-2026, others cite a 2027 departure. No buyer or partnership details for EviCore have been released.

HealthCareDive

• “Both of these actions reflect a deliberate strategy to sharpen our focus on our key platforms,” — Brian Evanko, COO, Cigna

HealthCareDive

• “So the decision will allow us to further intensify focus on our core growth platforms” — Brian Evanko, COO, Cigna

HealthCareDive

• “Cigna president and COO Brian Evanko said there’s no “clear path to scale this business” within Cigna’s overall portfolio.” — Brian Evanko, COO, Cigna

Cigna’s Obamacare Exit Puts 369,000 Members on the Clock for 2027 Coverage

• “Brian Evanko, Cigna’s chief operating officer, said on the call that Cigna did not take the decision lightly.” — Brian Evanko, COO, Cigna

STAT (News)

Cigna will help members through the 2027 open enrollment starting Nov 1, 2026. It is weighing sale or partnership options for EviCore and will shift Express Scripts to a fixed per-prescription fee model by 2027, per its FTC-linked settlement.

Cigna’s Obamacare Exit Puts 369,000 Members on the Clock for 2027 Coverage