Ohio ACA Marketplace Sees Largest Enrollment Drop, Insurers Propose Premium Hikes
Ohio has seen the largest enrollment drop in the Affordable Care Act (ACA) marketplace among all states, with nearly a third of enrollees dropping coverage after federal subsidies expired. As a result, insurers remaining in Ohio's marketplace are proposing an…
Columbus, OH, August 31, 2026 — Ohio’s Affordable Care Act (ACA) marketplace is experiencing the most significant enrollment decline across the United States, following the expiration of federal subsidies. Data indicates that approximately one-third of individuals previously enrolled in the marketplace have discontinued their coverage.
The expiration of federal subsidies is cited as the primary reason for this substantial drop in enrollment. This reduction in the number of enrollees has led insurers still participating in Ohio’s marketplace to propose an average premium increase of 14.7% for the 2027 plan year. This proposed adjustment is intended to address the financial implications of a shrinking and potentially less healthy risk pool.
The contractor or entity responsible for the enrollment data reporting was not specified. Furthermore, the exact timeline for when the federal subsidies expired was not detailed in the available information.
Insurers are making these proposals to maintain financial stability within the marketplace. The expectation is that a smaller customer base may include a higher proportion of individuals with greater healthcare needs, which could drive up overall costs for coverage.
The proposed average premium increase of 14.7% for 2027 reflects the insurers’ financial modeling based on current enrollment trends and projected healthcare expenditures. The final approved rates for 2027 are subject to regulatory review.
Story summarized from the original created by Marty Schladen on ohiocapitaljournal.com, see more information here.
Media gallery
