Cigna Plans To Exit Obamacare In 2027 Affecting 369,000 With Coverage
The Cigna Group disclosed plans to exit the individual health insurance business, also known as Obamacare next year, leaving about 369,00 health plan members in 11 states looking for new coverage in 2027.
The decision, disclosed Thursday, a day when Cigna reported $1.7 billion in net income, comes as more Americans can no longer afford Obamacare after the Republican-led Congress and the Trump administration failed to renew enhanced subsidies.
Already, enrollment in individual plans Cigna sells dropped 17% to 369,000 in the first quarter compared to 446,000 in the first quarter of last year. Enrollment in Cigna’s individual coverage was flat when compared to the end of last year despite adding 20 new counties to the more than 370 counties across 11 states where the company has sold Obamacare.
“We are planning to exit our individual exchange business at the end of this year,” Cigna president and chief operating officer Brian Evanko told analysts Thursday morning on a call to discuss first quarter earnings.
“We did not make this decision lightly and appreciate the importance of ensuring patients have continuity through the transition,” Evanko added. “There are no changes to coverage or networks related to this announcement. And we will support members through their open enrollment transitions into 2027.”
Evanko didn’t elaborate on the decision but said the company is divesting certain assets to enable “greater focus and investment in the remaining businesses within our portfolio.”
Other health insurers are also scaling back sales of Obamacare. The end of enhanced tax credits is hitting health insurers who are reporting an exodus of health plan members who either can no longer afford coverage or who are buying lower-priced “bronze” plans that carry high deductibles.
Earlier this week, Centene – a much bigger player in Obamacare – said such enrollment tumbled by 2 million enrollees to 3.58 million at the end of the first quarter compared to 5.54 million at the end of last year and 5.62 million in the year ago quarter. UnitedHealth Group’s UnitedHealthcare last week said its Obamacare enrollment was down as well, falling to 1.4 million from 1.7 million last year. And a year ago, announced plans to exit the individual health insurance business, leaving about 1 million Aetna members in 17 states looking for new coverage for this year.
The big dip in enrollment and health insurer exits are what Democrats in Congress and health insurance industry analysts said would happen after Republicans in Congress and the Donald Trump White House wouldn’t agree to extend enhanced tax credits for buyers of Obamacare. A KFF analysis last fall said middle income Americans “as well as those with low incomes” will see “major out-of-pocket premium increases" if tax credits aren’t extended. And they are with customers reporting a doubling and even tripling of premiums for this year.
The subsidies, or tax credits, made health insurance premiums more affordable for individuals and were enhanced by the Biden administration and the Democratic-controlled Congress, which passed the Inflation Reduction Act of 2022, allowing more Americans to buy coverage. The enhanced subsidies helped enrollment in the ACA’s individual coverage, also known as Obamacare, eclipse a record 24 million Americans and help its popularity hit all-time highs.
The Trump administration, via the Centers for Medicare & Medicaid Services, said in late January that 23 million consumers “have signed up for 2026 individual market health insurance coverage through the Marketplaces since the start of the 2026 Marketplace Open Enrollment Period on November 1, 2025.” Those numbers, however, are a reflection of those who signed up or renewed coverage and not those who ended up paying their first month’s premium, industry analysts have said.
As plans disclose falling enrollment or exits, it’s become more clear that more than 1 million than the Trump administration has disclosed are dropping coverage or can no longer afford it.
For Cigna, the move means the company going forward will be largely focused in providing health insurance coverage in the commercial and employer sector.
Cigna doesn’t administer Medicaid coverage for poor Americans and last year sold its Medicare health insurance plans for older adults to Health Care Service Corp., an operator of Blue Cross and Blue Shield plans in five states. And its Obamacare business was a small portion of its U.S. healthcare business, which reported 16.6 million medical customers in the first quarter.
Cigna reported net income of $1.65 billion, or $6.26 per share compared to $1.3 billion, or $4.85 per share in the year-ago quarter. Revenues rose to $68.5 billion compared to $65.5 billion in the-year ago period driving by the company’s Evernorth health services business, which includes the Express Scripts pharmacy benefit management company.
“Total revenues for first quarter 2026 increased 5% relative to first quarter 2025, primarily driven by growth in Evernorth Health Services, partially offset by the impact of the (Health Care Services Corp) transaction,” Cigna said in its first quarter earnings report.
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