Hoo boy. Via the Delaware Insurance Dept:

Plan year 2026 health and dental insurance rate filings, as proposed, are available for the companies listed below. These filings are subject to actuarial review. Additional companies will be listed as their filings are received. Any insurance filings already approved are available to the public through the NAIC’s System for Electronic Rate and Form Filing (SERFF) interface. There is no fee for using SERFF. Rate info can also be accessed at the Rate Review  page at Healthcare.gov

AmeriHealth Caritas VIP Next, Inc:

  • Company Legal Name AmeriHealth Caritas VIP Next, Inc.
  • Market for which proposed rates apply (Individual or Small Group) Individual
  • Total proposed rate change (increase/decrease) 46.20% increase
  • Effective date of proposed rate change January 1, 2026

Summary

This actually came out a couple of weeks ago but ironically, I've been too swamped analyzing & posting 2026 rate filings for other states to get around to posting it here until now.

Covered California has officially confirmed the preliminary 2026 ACA individual market rate hikes, and the weighted average (10.3% statewide) is nearly identical to what I had it at  a few days prior to their press release (10.2%).

Via CoveredCA:

August 14, 2025

Covered California Rates and Plans for 2026: Consumer Affordability on the Line with Uncertainty Surrounding Federal Premium Tax Credit Extension

La versión en español de este Comunicado puede ser descargada en este enlace.

Overall preliminary rate changes via SERFF database, state insurance dept. website and/or the federal Rate Review database.

Hawaii Medical Service Association:

Our requested rates include only the amounts needed to cover the expected health care benefits of our members, the cost of administering their benefits, expected Affordable Care Act (ACA) fees, and a small charge to help manage the risk of offering benefits to this population.

We based our rate increase request on a review of past costs of benefits and other expenses. These historical costs are adjusted for trend, to account for expected changes in use of medical services, cost inflation, and other factors that affect the cost of care. We also adjusted costs for benefit changes, which were largely made to comply with government mandated plan designs. Administrative expenses have been relatively flat over the past couple of years.

Originally posted 7/18/25; see important updates below.

via the Indiana Dept. of Insurance:

Rate Watch is a convenient way for Hoosiers to access key data on Accident and Health rate filings submitted to the IDOI on or after May 1, 2010. Use it to determine which companies have requested rate changes, their originally requested overall % rate change, and the overall final % rate change approved. These are overall rate changes and are not individually specific. The table below is searchable and sortable. You can also download your filtered results by pressing the Save Excel File button at the bottom of the table. If you need the full data set, including a few additional columns, you can download the CSV file.

...INDIANA 2026 ACA FILINGS

Originally posted 8/8/25

Overall preliminary rate changes via the SERFF database, Alabama Insurance Dept. and/or the federal Rate Review database.

Blue Cross Blue Shield of AL

The average rate increase included in this filing is 19.3%, affecting over 210,000 members.

The main factors driving the need for this increase are:

  • Alabama market membership loss and remaining members projected to be less healthy following expiration of enhanced premium subsidies in place since 2021
  • Projected claim cost trends are higher for 2025 than anticipated in the 2025 filing and are projected to continue into 2026
  • Administrative costs increased in 2025 and are expected to rise further in 2026 due to new eligibility and billing rules, along with a higher Exchange User Fee

...Expiring Enhanced Advance Premium Tax Credits

Originally posted 1/30/25

Vermont has around ~32,000 residents enrolled in ACA exchange plans, 93% of whom are currently subsidized. I estimate they also have another ~2,000 unsubsidized off-exchange enrollees.

Combined, that's ~35,000 people, although the official carrier rate filings claim it's more like 36,000 statewide.

Originally posted 12/12/24

Washington State has around ~308,000 residents enrolled in ACA exchange plans, 73% of whom are currently subsidized. I estimate they also have another ~29,000 unsubsidized off-exchange enrollees.

Combined, that's ~338,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 310,000 statewide.

Originally posted 1/07/25

Tennessee has around ~642,000 residents enrolled in ACA exchange plans, 95% of whom are currently subsidized. I estimate they also have another ~9,000 unsubsidized off-exchange enrollees.

Combined, that's ~652,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 609,000 statewide.

Originally posted 12/17/24

Utah has around ~421,000 residents enrolled in ACA exchange plans, 95% of whom are currently subsidized. I estimate they also have another ~17,000 unsubsidized off-exchange enrollees.

Combined, that's ~438,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 410,000 statewide.

Originally posted 12/15/24

Rhode Island has around ~42,000 residents enrolled in ACA exchange plans, 88% of whom are currently subsidized. I estimate they also have another ~3,000 unsubsidized off-exchange enrollees.

Combined, that's ~45,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 42,000 statewide.

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