More insurers are leaving the ACA Marketplace for 2027 than joining it. Carriers are exiting in 24 states, while seven states gain a new carrier: California, Colorado, Georgia, Indiana, Minnesota, Ohio and Texas.
The biggest exits
- Cigna will offer no Marketplace plans in any state for 2027, following Aetna's exit after 2025.
- Molina is leaving Florida.
- Medica is leaving Kansas and Oklahoma.
- CareSource is leaving Ohio, West Virginia and Indiana.
- UnitedHealthcare is leaving Georgia.
Why it matters
When a carrier exits, the Marketplace can auto-renew members into a different plan chosen by an algorithm. That plan may not include the client's doctors or medications, and the cost can change sharply. Picking a new plan with a licensed agent before Dec 15 keeps January 1 coverage on the client's terms.
For the Haven team
What Haven agents should do next, who to call and internal notes are for signed-in team members.
Sign in to readSources
- healthinsurance.org: 2027 open enrollment press release (Sep 29, 2026)healthinsurance.org
- Insurance Business: ACA premiums are rising again in 2027 (Aug 31, 2026)insurancebusinessmag.com
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.