Cigna Exits ACA Marketplace 2027: What 369,000 Members in 11 States Must Do Now

# Cigna Exits ACA Marketplace 2027: What 369,000 Members in 11 States Must Do Now

> **Quick answer:** Cigna announced on April 30, 2026 that it will exit the ACA individual exchange market at the end of this year, ending coverage for approximately 369,000 members in 11 states — Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Mississippi, North Carolina, Tennessee, Texas, and Virginia — when 2027 begins. Current Cigna plans continue through December 31, 2026. Members must actively select new coverage during open enrollment (November 1 – January 15) or risk a gap in coverage starting January 1, 2027.

Cigna exits ACA marketplace participation in a move that leaves nearly 370,000 people scrambling for new health insurance — and does so despite reporting $1.7 billion in profit for Q1 2026. If you're among the affected members, you have a shrinking window to act. Here's exactly what is happening, why it matters, and the specific steps you need to take before open enrollment closes.

*This article is for informational purposes only and does not constitute financial or legal advice. For specific coverage decisions, consult a licensed insurance broker or navigator.*

## Cigna's ACA Exit: What Happened and Which 11 States Are Affected

On April 30, 2026, Cigna COO Brian Evanko confirmed during the company's Q1 earnings call that Cigna will not offer ACA individual market plans for 2027. The announcement was buried inside a largely positive earnings report — the company posted $1.7 billion in first-quarter profit, a 25% jump year-over-year, and raised full-year earnings guidance to at least $30.35 per share.