ACA insurers seek median 14% premium hike for 2027 as enrollment falls

Insurers filing with state regulators for 2027 ACA plans are asking for a median premium increase of 14%, according to an analysis of filings in 16 states and the District of Columbia.

This would be the second-largest rise since 2018 and follows a year of double-digit hikes, driven by higher medical costs and recent policy shifts.

Consumers could feel a triple whammy because they already faced higher premiums in 2026 and the enhanced tax credits introduced by the Biden administration expired at the end of last year.

The shift reflects the Trump administration's effort to reduce federal subsidies for ACA coverage, contrasting with earlier moves to expand them and boost enrollment beyond 20 million.