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Cigna Exits ACA Marketplaces by 2027, Affecting 350,000

By Drooid · Oct 30, 2026 · How we work

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Summary

Cigna and insurers are exiting ACA marketplaces for 2027, abandoning 11 states and 350,000 enrollees.
Insurers propose a 15% premium increase for 2027, the second year of double-digit hikes.
Expired enhanced subsidies at end-2025 caused ACA enrollment to fall by roughly 3 million.
Open enrollment begins Nov. 1, 2026 in most states, with Idaho, Connecticut and Massachusetts starting earlier.
Out-of-pocket caps rise 13% in 2027 to $12,000 for individuals and $24,000 for families.

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Cigna and insurers are exiting ACA marketplaces for 2027, abandoning 11 states and 350,000 enrollees.
Insurers propose a 15% premium increase for 2027, the second year of double-digit hikes.
Expired enhanced subsidies at end-2025 caused ACA enrollment to fall by roughly 3 million.
Open enrollment begins Nov. 1, 2026 in most states, with Idaho, Connecticut and Massachusetts starting earlier.
Out-of-pocket caps rise 13% in 2027 to $12,000 for individuals and $24,000 for families.