Insurer Participation on the ACA Marketplaces, 2014-2021

KFF November 23, 2020
Daniel McDermott, Cynthia Cox

Since the Affordable Care Act marketplaces opened in 2014, the number of insurers participating on the exchanges has been in constant flux as companies have entered or exited the market, and expanded or reduced their footprint in states.

For the third straight year, several insurers are entering the market or expanding their service area in 2021. This year, we find that 30 insurers are entering the individual market across 20 states (Table 1) and an additional 61 insurers are expanding their service area within states they already operated. There will be an average of 5.0 insurers per state in 2021, up from a low of 3.5 in 2018 but still below the peak of 6.0 in 2015. The number of...

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