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Cigna exits ACA after 2026, 369 k lose coverage

5/1/2026

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Story summary
  • Cigna will exit ACA marketplaces after 2026, ending coverage for 369,000 members in 2027.
  • Brian Evanko will become chief executive on July 1, 2026 to steer the company toward employer plans and pharmacy-benefit growth.
  • Cigna posted Q1 revenue of $68.5 billion and raised its 2026 earnings outlook to $30.35 per share.
  • ACA enrollment fell 17% to 369,000, prompting analysts to warn the risk pool could get sicker as 2026 enrollment may drop 17%-26%.