A significant share of Americans enrolled in Affordable Care Act marketplace health plans did not make their January premium payments on time, according to federal enrollment data reviewed by health policy analysts. The trend comes as many households face higher monthly insurance costs following changes to federal subsidy programs and broader adjustments in marketplace pricing.
Roughly 14% of enrollees missed their premium payments, reflecting growing affordability pressures across the individual health insurance market. Analysts say the timing coincides with the expiration of expanded federal subsidies that had temporarily lowered monthly premiums for millions of consumers in recent years.
