Almost exactly a year ago I began my 2025 ACA Open Enrollment Period guide with the following words:

This is the best OEP ever for the ACA for several reasons:

  • The expanded/enhanced premium subsidies first introduced in 2021 via the American Rescue Plan, which make premiums more affordable for those who already qualified while expanding eligibility to millions who weren't previously eligible, are continuing through the end of 2025 via the Inflation Reduction Act;
  • A dozen states are either launching, continuing or expanding their own state-based subsidy programs to make ACA plans even more affordable for their enrollees;
  • 100,000 or more DACA recipients are finally eligible to enroll in ACA exchange plans & receive financial assistance!

What a difference a year can make.

SCROLL DOWN FOR UPDATES

Every year, I spend months painstakingly tracking every insurance carrier rate filing (nearly 400 for 2025!) for the following year to determine just how much average insurance policy premiums on the individual market are projected to increase or decrease.

Carriers tendency to jump in and out of the market, repeatedly revise their requests, and the confusing blizzard of actual filing forms sometimes make it next to impossible to find the specific data I need.

I really only need three pieces of information for each carrier:

USE THE DROPDOWN MENU ABOVE TO PICK A STATE.

9/29/25: Welcome Paul Krugman subscribers! I greatly appreciate the shoutout by him but should add the following clarification:

Regarding the chart below which he reposted comparing the original ACA subsidy scale to the current version: You probably think that if the enhanced subsidies expire it will revert back to the original version, which would be bad enough. In fact, however, the Trump Regime has also made THAT version even worse, like so:

I should also note that I've started cross-posting key entries at Substack as well.

via Covered California's Open Enrollment Dashboard, as of December 6th:

  • New enrollments: 62,247
  • Active renewals: 389,329
  • Passive Autorenewals: 1,363,264
  • Total: 1,814,840

As I've noted before: While I include the passive/auto-renewal number for completeness sake, that number won't really be relevant until after the deadline for January 1st coverage passes (which is December 15th in most states, although not until 12/23 in MA & 12/31 in MD, NV, NJ, NM & RI).

More important for the moment is the total number of active enrollments, which includes both new enrollees as well as current enrollees who log into their account and actively select a plan for 2026.

In California, those come to 451,576 combined. This also means that only 22% of current enrollees had actively re-enrolled as of 12/06.

As of the same point last year (actually 1 day more; the data from last year is as of 12/07), Covered CA was reporting:

via Connect for Health Colorado:

Denver, Colo. – The Dec. 15 deadline to enroll in health insurance for Jan. 1 is fast approaching, and Connect for Health Colorado, the state’s official health insurance marketplace, is encouraging people to shop and start their applications today to avoid a lapse in coverage. 

“Dec. 15 is an important deadline; it’s the final day for Coloradans to enroll in health coverage that starts Jan. 1, and our team is ready to help customers stay covered,” said Kevin Patterson, chief executive officer of Connect for Health Colorado. “Staying covered is one of the most important things people can do for their physical and financial well-being. Gaps in coverage can leave Coloradans vulnerable to unexpected medical costs – but we’re here to help. We want to be sure people have the information and assistance they need to choose a plan that works for them.”

Washington HealthPlan Finder

via the Washington HealthBenefit Exchange:

Amid tax credit uncertainty, many Washingtonians are still finding their health insurance for 2026 through Washington Healthplanfinder

OLYMPIA, Wash. – During the first month of open enrollment for 2026, more than 268,000 Washingtonians used Washington Healthplanfinder to shop, compare and sign up for health and dental insurance. Even though enhanced premium tax credits for next year may not be extended through Congress, many customers can still find plans with state and federal savings.

Open enrollment is currently underway for 2026, people who sign up by Dec. 15 will have coverage that starts on Jan. 1.  Everyone who signs up between Dec. 16 and Jan. 15 will have plans that begin on Feb. 1. At wahealthplanfinder.org, Washingtonians can shop for themselves or find help from a trusted resource in their community. Premium savings may be available to help make monthly costs more affordable.

via Access Health CT:

HARTFORD, Conn. (Dec. 8, 2025) — Access Health CT (AHCT), Connecticut’s official health insurance marketplace, today announced the deadline to enroll in health and dental coverage starting Jan. 1, 2026 is Dec. 15, 2025. Customers who enroll Dec. 16, 2025 through Jan. 15, 2026 will have coverage beginning Feb. 1, 2026.

The Open Enrollment Period for Connecticut residents to shop, compare and enroll in health insurance or renew their coverage began Nov. 1, 2025 and runs through Jan. 15, 2026. Customers may enroll in health and dental coverage. 

Hot on the heels of Republican Senators Bill Cassidy of Louisiana & Mike Crapo of Idaho presenting their so-called "Health Care Freedom for Patients Act" which would do almost nothing to actually help ACA enrollees while causing more harm to transgender individuals (of course) and undocumented immigrants (of course), at least two more "The clock is ticking, we have to come up with SOMETHING!" bills have been rolled out today by Congressional Republicans.

First up is this one from former centrist Democrat-turned-MAGA-Republican Congressman Jeff Van Drew of New Jersey (h/t Andrew Sprung for bringing it to my attention):

Washington, DC -Today, Congressman Van Drew joined a bipartisan coalition of House members calling for a short-term extension of the Affordable Care Act's (ACA) tax credits with targeted modifications of the system. The group also sent a letter to House and Senate leadership asking for a meeting to discuss a clear path forward for health insurance.

(sigh) Via Peter Sullivan & Stef Kight of Axios:

Scoop: Senate GOP chairs circulate health plan as clock ticks on ACA subsidies

Two key Senate Republican chairmen are circulating the outline of a health care plan to Republican offices ahead of a crucial week that could decide the fate of enhanced Affordable Care Act subsidies, multiple sources tell Axios.

Why it matters: The plan from Finance Committee chair Mike Crapo (R-Idaho) and health committee chair Bill Cassidy (R-La.) does not extend the tax credits past their expiration at year's end, instead providing funds to enrollees in health savings accounts, according to a summary obtained by Axios.

It's not the only GOP plan that's been floated in recent days as Republicans struggle to unite around health care policies.

via the New Jersey Dept. of Banking & Insurance:

TRENTON — In a bulletin issued today, the New Jersey Department of Banking and Insurance issued guidance to insurance carriers on health insurance coverage for childhood immunizations.

The Department advises that, regardless of federal actions relating to the childhood immunization schedule, it expects carriers to provide coverage for childhood immunizations recommended by the New Jersey Department of Health, including for the hepatitis B vaccination series, in accordance with State law and without cost sharing or the imposition of additional barriers.

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