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Mar 04, 2026

Cigna To Leave Obamacare Exchanges As Enrollment, Subsidies Decline

Cigna announced it will exit the Affordable Care Act marketplace beginning in 2027,

becoming the second major insurer to withdraw from the exchanges as uncertainty grows across the individual insurance market.

The decision follows the expiration of enhanced federal subsidies that had helped millions afford coverage.

Executives revealed the move during the company’s earnings call Thursday, where Cigna reported stronger-than-expected financial results.

The insurer posted $1.7 billion in net income for the first quarter, The Hill reported.

Company leadership said the ACA business no longer aligns with its long-term strategy.

“We did not make this decision lightly, and appreciate the importance of ensuring patients have continuity through the transition,” said Brian Evanko, Cigna’s president and incoming chief executive.

Evanko said the company does not see a viable path to scaling its ACA plans into a meaningful part of its business.

“This is small business for us today, and it’s been shrinking in recent years,” he said.

Cigna’s withdrawal will affect approximately 369,000 members across 11 states.

The company serves more than 18 million members overall, making its ACA footprint a relatively small portion of its total operations.

Enrollment in Cigna’s exchange plans has declined significantly over the past year. Membership fell from roughly 446,000 in early 2025 to about 369,000 in 2026, a drop of nearly 17 percent.

The company’s decision follows a similar move by Aetna, which exited the ACA exchanges earlier this year. Together, the departures have raised questions about the long-term stability of the marketplace.

The broader ACA market has already seen declining enrollment after Congress failed to extend enhanced subsidies that lowered premiums.

Those subsidies had made coverage free for many low-income individuals and more affordable for middle-income households.

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Initial enrollment dropped by about 1.2 million people this year, and analysts expect further declines as higher premiums take effect.

Insurers are now facing increased uncertainty as they prepare pricing for future plans.

The Trump administration has attributed the enrollment drop in part to efforts to eliminate fraud within the system.

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