Source: Federal effectuated enrollment data (CMS, June 2026); New York Times (May 1, 2026)

Marketplace coverage fell from 21.8 million people in February 2025 to 19.2 million in February 2026, 2.6 million fewer, about 1 in 8 enrollees. More are expected to drop coverage through the year as people stop paying higher premiums. In some markets, premiums for early retirees with middle-class incomes rose $1,000 a month or more. Cigna will leave the marketplace in 2027.