Which insurance companies are leaving the Georgia marketplace in 2027

Sources

• Cigna sold individual marketplace plans in 66 of 159 Georgia counties in 2026 (CMS 2026 plan data, counted by company) source
• Cigna is leaving the individual market in Georgia on January 1, 2027, on and off the marketplace, as part of the nationwide exit it announced in April 2026. source
• UnitedHealthcare sold individual marketplace plans in 53 of 159 Georgia counties in 2026 (CMS 2026 plan data, counted by company) source
• Whether UnitedHealthcare is leaving the Georgia marketplace is disputed: it filed 2027 Georgia rates in July 2026 and that filing is still under review, but a Georgia Recorder table built from state insurance data lists it as leaving. source
• Also cited for UnitedHealthcare in Georgia source
• After the confirmed and reported exits, 66 of 159 Georgia counties lose at least one marketplace insurer and 0 are left with one, counting the 2026 plans of the companies that stay (CMS 2026 plan data) source
• If the disputed exit also happens, 80 of 159 Georgia counties lose at least one marketplace insurer (CMS 2026 plan data) source
• Georgia marketplace PPO plans in 2026: 71 of 159 counties; after the confirmed exits: 71 (CMS 2026 plan data) source
• Ambetter is not leaving Georgia: Ambetter of Peach State filed 2027 rates. source
• Aetna left the individual marketplace in Georgia for 2026, when CVS Health exited the individual exchange business where Aetna ran its own ACA plans. source
• Georgia runs its own marketplace, Georgia Access, instead of HealthCare.gov 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
• After Cigna's exit, Hall, Towns and Union counties go from 3 marketplace insurers to 2, and Fulton, DeKalb, Cobb and Gwinnett go from 7 to 6 (CMS 2026 state marketplace plan files, counted by company) source
• Chatham County goes from 5 marketplace insurers to 4 after Cigna's exit, and to 3 if UnitedHealthcare's disputed exit also happens (CMS 2026 state marketplace plan files, counted by company) source