Cigna to Exit Affordable Care Act Individual Marketplace in 2027

Cigna will stop offering ACA individual plans after 2026, affecting roughly 369,000 members in 11 states. The company indicated the exit will occur at the end of 2026, with open enrollment for 2027 beginning Nov 1, 2026.

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

The ACA marketplace faces heightened cost pressures after the expiration of enhanced premium tax credits at the end of 2025. KFF reports that 80 % of returning shoppers saw premium, deductible, or cost-sharing increases for 2026, and 51 % described the jump as “a lot higher.” CVS Health’s Aetna unit withdrew its ACA individual plans for 2026, affecting about 1 million members across 17 states, making Cigna the second large insurer to leave in as many years. CMS data show 23.1 million people were enrolled in exchange plans for 2026.

Cigna’s Obamacare Exit Puts 369,000 Members on the Clock for 2027 CoverageBloombergSTAT (News)

• 369,000 ACA members (vs. “fewer than 400,000” in another source) across 11 states; 18.3 million total Cigna members.

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

• Q1 2026 profit $1.7 billion; adjusted earnings $7.79 per share; revenue $68.5 billion.

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

• Specialty and care services division profit rose 20 %; margins in the health-plan business expanded.

Bloomberg

• Pharmacy-benefits pretax income fell 28 %; medical prior-review volume cut 15 %.

Bloomberg

• Evernorth health-services segment drove revenue growth; Cigna is evaluating strategic options for its EviCore medical-review business.

Bloomberg

Cigna said the decision was not taken lightly and stemmed from limited growth prospects for the ACA segment. Executives emphasized that the move frees resources for Evernorth, pharmacy-benefits, and the flagship employer-plan business. The company assured continuity of coverage for 2026 and pledged assistance to members during the 2027 open-enrollment period. CEO David Cordani will step down in July, with COO Brian Evanko slated to assume the chief-executive role.

Bloomberg

Market analysts warn the exit could strain the ACA risk pool, especially as healthier enrollees depart. Wakely Consulting projects a 17 %–26 % decline in 2026 ACA enrollment relative to 2025, which could push 2027 premiums higher for insurers that remain. Consumer groups have voiced concern about the limited options facing the 369,000 members who must secure new coverage.

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

• Membership count differs: one source cites 369,000 members; another reports “fewer than 400,000.”

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

• Timeline description varies: some reports say the exit occurs “at the end of this year,” while others note Cigna will exit “before open enrollment for 2027.”

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

• No data are provided on how many affected members have secured alternative plans.

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

• “We did not make this decision lightly and appreciate the importance of ensuring patients have continuity through the transition,” — Brian Evanko, COO, Cigna Group

Bloomberg

• “This is a small business for us today and it’s been shrinking in recent years,” — Brian Evanko, COO, Cigna Group

Bloomberg

• “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 Group

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

• “a solid start to the year, though PBM margins look light,” — Andrew Mok, Barclays analyst

Bloomberg

• “solid quarter,” — Lance Wilkes, Bernstein analyst

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

Brian Evanko becomes CEO on July 1, 2026. Open enrollment for 2027 ACA plans begins Nov 1, 2026, with Cigna pledging transition support. Remaining insurers may confront tighter risk pools and pricing challenges as the market adjusts to Cigna’s departure.

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