The Navigator Resource Guide has not been updated for 2025 Open Enrollment. For more current information please visit:
cms.gov/marketplace/in-person-assisters/information-partners.
QUESTION

What happens if my Marketplace insurer decides to discontinue its health plans on the Marketplace?

Post enrollment issues | Individual Health Insurance |
ANSWER

If your insurer decides to discontinue offering Marketplace health plans, it must provide you with notice of the discontinuation at least 90 days before coverage is discontinued. Other state-specific requirements may also apply. If your insurer exits the Marketplace at the end of the plan year, you will be automatically enrolled in a plan from another insurer that is similar to your discontinued plan. If your insurer exits the Marketplace and your plan is discontinued outside of the open enrollment period, you will be eligible for a special enrollment period to apply for new coverage on and off the Marketplace.

If your insurer is leaving the market altogether and won’t offer coverage on or off the Marketplace, it must provide you with notice of its withdrawal and discontinuation of coverage at least 180 days before coverage is discontinued. Other state-specific requirements may also apply. You will be eligible for a special enrollment period to purchase coverage on or off the Marketplace. (45 C.F.R. § 147.106; 45 C.F.R. § 156.1255; 45 C.F.R. § 155.420; 45 C.F.R. § 155.335).

Individuals with no coverage
Individuals with coverage
Coverage for small employers
Post enrollment issues