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ACA Premiums Double, Cigna Exits 2027 Amid Enrollment Decline

6/27/2026

40 9 Full Breakdown

Summary

Story summary

Premiums in the ACA marketplaces doubled after the enhanced tax credits expired in 2025.
Cigna announced it will not participate in the ACA market in 2027 after a 13 percent enrollment drop and 5 million disenrollments reported by the U.S. Department of Health and Human Services for 2026.
Analysts warned that continued premium hikes could further shrink the market, though they do not expect an immediate death spiral.

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Story summary

Premiums in the ACA marketplaces doubled after the enhanced tax credits expired in 2025.
Cigna announced it will not participate in the ACA market in 2027 after a 13 percent enrollment drop and 5 million disenrollments reported by the U.S. Department of Health and Human Services for 2026.
Analysts warned that continued premium hikes could further shrink the market, though they do not expect an immediate death spiral.