MarketMarket

2027 ACA premiums: the median proposed increase is about 15%

It's the second big jump in a row. Unsubsidized buyers feel it most, while subsidized clients are partly protected because tax credits follow the benchmark plan.

The Haven Brief · Haven Brief desk 2 min read
The bottom lineRe-shop every renewal. Rising benchmarks can raise tax credits, but net cost still varies plan to plan.

KFF's review of 276 insurers puts the national median proposed 2027 increase for individual-market plans at about 15%. That follows a finalized median of about 20% for 2026. Final rates are set before open enrollment begins.

What's driving it

  • The enhanced federal premium tax credits ended after 2025. Many younger, healthier enrollees left, leaving an older and sicker risk pool. KFF attributes about 4 points of the 2027 increase to that shift.
  • Enrollment fell from 24.2 million in 2025 to 19.2 million effectuated by February 2026. Florida had the largest drop, about 440,000 people.
  • Small-group plans have a proposed median increase of about 14%, and ICHRA adoption rose 53% in 2026.

States to watch

StateProposed 2027 change
FloridaDouble-digit increases expected
Ohio14.7% average
Georgia20%+
Arizona29% weighted average, the highest nationally

Who is protected

Premium tax credits are pegged to the benchmark Silver plan, so when benchmark prices rise, subsidies usually rise too. Clients who pay full price, including those just above the subsidy cutoff, absorb the whole increase.

Key dates

DateWhat
Nov 1, 2026Open enrollment opens on HealthCare.gov
Dec 15, 2026Last day to pick a plan for Jan 1, 2027 coverage
Jan 15, 2027HealthCare.gov open enrollment closes (Feb 1 start)

For the Haven team

What Haven agents should do next, who to call and internal notes are for signed-in team members.

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Sources

  1. Insurance Business: ACA premiums are rising again in 2027 (Aug 31, 2026)insurancebusinessmag.com
  2. healthinsurance.org: 2027 open enrollment press release (Sep 29, 2026)healthinsurance.org

Reporting by the Haven Brief desk at Haven Health Group, based on the sources above. Plan details vary by state and carrier; confirm before you enroll.