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2027 marketplace changes in Utah

Which insurance companies are leaving the Utah marketplace in 2027

Who is leaving, what's left in your county, and what to do before the deadline. Last checked October 5, 2026.

The short answer

No major insurer is leaving the Utah marketplace for 2027.

  • What I checked: Every company that sold Utah marketplace plans in 2026 has a 2027 rate filing on the federal rate review site. source

In 2026, 5 companies sold Utah marketplace plans: Imperial Health Plan of the Southwest, Inc., Molina, Regence/BridgeSpan (Cambia), Select Health and University of Utah Health Plans.

Sam Jaber, licensed health insurance broker

What this means in Utah

Hi, I'm Sam Jaber, a health insurance broker licensed in 36 states, Utah among them. So far, Utah's marketplace looks stable for 2027. I haven't found a confirmed insurer departure, and I've verified that every company offering marketplace coverage in 2026 submitted a 2027 filing on the federal rate review site.

Molina is the one insurer I'm watching, specifically in southwestern Utah. Its 2026 marketplace coverage was limited to 2 counties: Washington, including St. George, and Iron, including Cedar City. A federal record connected to its 2027 filing suggests off-marketplace coverage, while the filing itself includes marketplace pricing. Until the published 2027 lineup confirms otherwise, I'm treating Molina as remaining.

Consider a landscaper working for himself in St. George who enrolled with Molina last fall. He doesn't have confirmation that a switch is necessary yet. I'd advise him to review the marketplace notice expected by November 1 and check Washington County's offerings when the 2027 plans appear in late October. That's when he can verify Molina's participation.

Last year's move, and where choice is thin

Some Utah residents were already required to change insurers. When CVS Health withdrew from the marketplace business, Aetna's plans ended for 2026 and its members moved elsewhere. If you were affected, you're now renewing coverage you may have chosen quickly. I'd review that replacement carefully before keeping it.

Your county makes a major difference in marketplace selection. In 2026, Salt Lake and Utah counties each offered 4 insurers, while Sanpete County had only one. When there's just one company available, changes to its provider network matter much more than statewide departure announcements.

Utah's marketplace had no PPO offerings in 2026, relying instead on HMOs, EPOs and similar coverage. If you need a network extending beyond Utah, I can help you obtain a nationwide private PPO. The insurer reviews your health information before determining your premium.

What's on the Utah marketplace

No Utah county loses a marketplace insurer for 2027 from what I checked.

The Utah marketplace had no PPO plans in 2026.

Other changes you may have read about

You've probably seen a few other names mentioned in news coverage of this. Here's what their actual situations look like.

  • Molina filed 2027 rates in Utah; one federal record suggests its plans may move off the marketplace, but the filing itself prices marketplace plans, so I am not calling it an exit, and I will check again when the 2027 plan list publishes. source
  • Aetna left the individual marketplace in Utah for 2026, when CVS Health exited the individual exchange business where Aetna ran its own ACA plans. source

What happens to your plan

Your coverage doesn't end immediately just because the insurer is leaving. The existing policy continues through December 31, 2026, and you're entitled to written notice beforehand. Federal requirements call for at least 90 calendar days of notice when an insurer discontinues a plan, or at least 180 calendar days when it withdraws completely from a state's individual market. Haven't received anything yet? Contact your insurer and request the notice.

Here's where people often misunderstand the process. Under federal regulation 45 CFR 155.335, the marketplace may place you with another insurer when your current company has no remaining marketplace plan. That's permission, not a guarantee. State law and the regulator's instructions govern the transfer. Without specific direction, the marketplace chooses a "similar" plan. The regulation doesn't require anyone to verify that your doctors or medications are covered.

Purchased your coverage directly from the insurer rather than through the marketplace? Its automatic re-enrollment provisions don't apply to your policy. You'll have to select replacement coverage on your own.

HealthCare.gov opens enrollment November 1. You should receive 2 notices by that point, one from your insurer and another from the marketplace. The marketplace notice identifies any replacement plan you'll be placed in if you haven't acted by December 15. HealthCare.gov also warns that automatic re-enrollment doesn't happen in every situation.

Choose your replacement no later than December 15 to begin coverage January 1. Enrolling from December 16 through January 15 gives you a February 1 effective date. If your previous policy ends December 31, that means going without coverage for January.

You might still qualify to enroll after the regular window closes. HealthCare.gov recognizes discontinued coverage as a qualifying event, and federal regulations allow 60 days before and 60 days after your old plan's termination to select replacement coverage. I wouldn't rely on that as your first choice. Make sure you're eligible before planning around those dates.

What to do now

The way I'd approach this depends on your particular situation and where things stand for you. Whichever route makes sense, the next step is the same: let's talk on the phone before the deadline.

Scenario 1 of 2

Your income qualifies you for help with the premium

When your household qualifies for a premium tax credit, marketplace coverage is generally the more affordable route because you can't apply that credit anywhere else. Still, don't accept an automatic plan selection without checking it. Compare every remaining insurer in your county before December 15, and verify your prescriptions and doctors against the new plan's network. Your old plan's network doesn't determine what the new one covers.

Scenario 2 of 2

You pay full price and you're healthy

If your income puts you outside the tax credit range, you're responsible for the entire marketplace premium, with your choices limited to the insurers serving your county. That's when I'd also consider private coverage. Medically underwritten plans use nationwide PPO networks, and their pricing reflects your health. Healthy applicants may pay less than the marketplace's unsubsidized rate. There are tradeoffs: insurers ask medical questions and can reject an application or exclude a preexisting condition. We'll review those details together before you decide.

You can still get a nationwide PPO in Utah

Regardless of which insurers remain on your county's marketplace, I can help you obtain a nationwide PPO in Utah. The Utah marketplace had no PPO plans in 2026.

For healthy people paying the entire marketplace premium, it's worth comparing private, medically underwritten PPO coverage. These plans offer networks extending nationwide. I carry health insurance licenses in 36 states, including Utah.

Questions about insurers leaving Utah

Straight answers, no sales pitch.

Which insurance companies are leaving the Utah marketplace in 2027?

No major insurer is leaving the Utah marketplace for 2027. Every company that sold Utah marketplace plans in 2026 has a 2027 rate filing on the federal rate review site.

If my insurance company leaves, will I be moved to a new plan automatically?

Possibly, but there's no guarantee. Federal rules permit the marketplace to assign a comparable plan from another insurer when state law and regulators allow it. HealthCare.gov specifically cautions that automatic re-enrollment isn't always available. And if your current coverage was purchased outside the marketplace, that process won't apply. My advice is to choose your replacement yourself.

What's the deadline to pick a new Utah plan for 2027?

To start coverage January 1 through HealthCare.gov, enroll by December 15. You have until January 15 before open enrollment ends, but selecting a plan after December 15 means it won't take effect until February 1.

Can I still get a PPO in Utah?

Yes. I can help you find a nationwide PPO available in Utah. The Utah marketplace had no PPO plans in 2026.

Sources

  • In 2026, 5 companies sold Utah marketplace plans: Imperial Health Plan of the Southwest, Inc., Molina, Regence/BridgeSpan (Cambia), Select Health and University of Utah Health Plans (CMS 2026 plan data) source
  • Utah marketplace PPO plans in 2026: 0 of 29 counties; after the confirmed exits: 0 (CMS 2026 plan data) source
  • Molina filed 2027 rates in Utah; one federal record suggests its plans may move off the marketplace, but the filing itself prices marketplace plans, so I am not calling it an exit, and I will check again when the 2027 plan list publishes. source
  • Aetna left the individual marketplace in Utah for 2026, when CVS Health exited the individual exchange business where Aetna ran its own ACA plans. source
  • Every company that sold Utah marketplace plans in 2026 has a 2027 rate filing on the federal rate review site. source
  • HealthCare.gov says that by November 1 you should get 2 letters, one from your current insurance company and one from the Marketplace, and that in some cases you won't be automatically re-enrolled source
  • 45 CFR 155.335(j)(3): when no plans from the same insurer are available, the Exchange "may enroll the enrollee in a QHP issued by a different issuer, to the extent permitted by applicable State law", as the state regulator directs or, if it does not, "in a similar QHP from a different issuer, as determined by the Exchange" source
  • HealthCare.gov open enrollment starts November 1; enroll by December 15 for coverage that starts January 1, or December 16 to January 15 for coverage that starts February 1 source
  • 45 CFR 155.420: losing coverage is a triggering event, the loss date is the last day of the old plan's coverage, and the person has 60 days before and 60 days after it to pick a new plan source
  • HealthCare.gov lists "Your individual plan or your Marketplace plan is discontinued (no longer exists)" as a qualifying event for a special enrollment period source
  • 45 CFR 147.106: an insurer that drops a product must give written notice at least 90 calendar days before coverage ends; one that leaves a state's individual market entirely must give at least 180 calendar days notice and cannot return to that market for 5 years source
  • 6 issuers had a 2026 Utah individual rate filing on the federal rate review site and all 6 have a 2027 filing; they make up the 5 companies that sold Utah marketplace plans in 2026 source
  • Molina sold 2026 Utah marketplace plans in 2 counties, Washington and Iron (CMS 2026 plan data) source
  • In 2026, Sanpete County had 1 Utah marketplace company, and Salt Lake and Utah counties had 4 (CMS 2026 plan data, counted by company, with Regence and BridgeSpan as one company) source

Last checked October 5, 2026. I update this page when the 2027 plan list publishes in late October.

Got a letter? Bring it to the call.

Call me with your county, the people who need coverage and the details of your notice. I'll compare the remaining Utah marketplace plans with a nationwide PPO quote and help you decide before enrollment ends. I'm licensed in 36 states, and we can handle everything by phone.

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