Who is leaving, what's left in your county, and what to do before the deadline. Last checked October 5, 2026.
No major insurer is leaving the Utah marketplace for 2027.
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.
Hi, I'm Sam Jaber, a broker licensed in 36 states, Utah included. For Utah, the answer this fall is reassuring: I found no company leaving the marketplace for 2027. Every company that sold Utah marketplace plans in 2026 has a 2027 rate filing on the federal rate review site, and I checked all of them.
There's one company I'm keeping an eye on, and it only matters in the southwest corner. Molina sold marketplace plans in just 2 Utah counties in 2026: Washington County, around St. George, and Iron County, around Cedar City. One federal record about its 2027 filing points toward the off-marketplace side, while the filing itself prices marketplace plans, so I'm treating Molina as staying until the 2027 plan list says otherwise.
Imagine a self-employed landscaper in St. George who signed up with Molina last fall. Nothing tells him to switch today. What I'd tell him is to open the marketplace letter that should arrive by November 1, then look up Washington County when the 2027 plans publish in late October and confirm Molina is still on the list.
Some Utah households already had their forced move. Aetna's plans went away for 2026 when CVS Health got out of the marketplace business, and those members landed somewhere else. If that was you, this is the first renewal on a plan you may not have picked carefully, so give it a proper look.
Choice also varies a lot by where you live. Salt Lake and Utah counties had 4 marketplace companies in 2026, and Sanpete County had a single one. In a county like Sanpete, a network change at that one company matters more than any exit headline.
The Utah marketplace sold no PPO plans in 2026, only HMOs, EPOs and similar plans. So if you want a network that works outside the state, you can still get a PPO through me: a nationwide private plan that asks about your health before it sets your price.
No Utah county loses a marketplace insurer for 2027 from what I checked.
The Utah marketplace had no PPO plans in 2026.
A few other names come up in the news about this. Here's where each one actually stands.
When an insurance company leaves, your plan doesn't stop overnight. It runs through December 31, 2026, and the company has to tell you in writing first. Federal rules require at least 90 calendar days notice when a company drops a plan, and at least 180 calendar days when it leaves a state's individual market entirely. If your company is leaving and you haven't seen that letter, call the company and ask for it.
What happens next is the part people get wrong. If no plan from your company is left on the marketplace, the federal rule (45 CFR 155.335) says the marketplace may move you to a plan from a different company. It doesn't say it will. The move has to fit state law, it follows the state regulator's direction, and without that direction the marketplace picks a "similar" plan. Nothing in that rule checks your doctors or your prescriptions.
If you bought your plan straight from the company, off the marketplace, the marketplace's re-enrollment rule doesn't reach you at all. You need to pick a new plan yourself.
Open enrollment on HealthCare.gov starts November 1. By then you should get 2 letters: one from your current company and one from the marketplace. The marketplace letter tells you which plan, if any, you'll be moved into if you do nothing by December 15. HealthCare.gov is plain that in some cases you won't be automatically re-enrolled.
Pick by December 15 and your new plan starts January 1. Pick between December 16 and January 15 and it starts February 1, which leaves January uncovered if your old plan ended December 31.
Miss open enrollment and you may still have a way in. Losing a plan because it's discontinued is on HealthCare.gov's list of qualifying events, and the federal rule gives you 60 days before and 60 days after the day your old coverage ends to pick a new plan. Don't build your plan around that window. Confirm you qualify before you count on it.
Here's how I'd think about it, depending on where you are. Each path ends the same way: a call with me before the deadline.
If you earn too much for the credit, you're paying the full marketplace price, and now you're paying it for whatever is left in your county. You have another option. Private plans with medical underwriting run on nationwide PPO networks and are priced on your health, which is how the price for a healthy person can come in under the marketplace's full rate. They ask health questions up front, and the company can decline you or leave out a past condition, so we go through the details together before you choose.
Next step: Call me and I'll price a nationwide PPO for your household next to the Utah marketplace plans in your county.
Whatever the marketplace looks like in your county, you can still get a nationwide PPO in Utah through me. The Utah marketplace had no PPO plans in 2026.
Private PPO plans with medical underwriting use networks that work across the country, and for a healthy person who pays full price on the marketplace, they're often worth pricing. I'm licensed in 36 states, and Utah is one of them.
Straight answers, no sales pitch.
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.
Maybe, but don't count on it. The federal rule says the marketplace may move you to a similar plan from a different company, as state law and your state regulator allow. HealthCare.gov says that in some cases you won't be automatically re-enrolled, and if you bought off the marketplace, nobody moves you. Pick your own plan.
On HealthCare.gov, pick by December 15 for coverage that starts January 1. Open enrollment runs to January 15, but a plan picked after December 15 starts February 1.
Yes. You can still get a nationwide PPO in Utah through me. The Utah marketplace had no PPO plans in 2026.
Last checked October 5, 2026. I update this page when the 2027 plan list publishes in late October.
Tell me your county, who's on your plan and what your letter says. I'll show you what's left on the Utah marketplace, price a nationwide PPO next to it, and help you pick before the deadline. I'm licensed in 36 states and work by phone.
Every state on the list, and guides for Utah