WA| Fourteen health insurers in Washington state have requested an average rate increase of 21.2% for the 2026 individual health insurance market, with the proposed changes currently under review by the Office of the Insurance Commissioner. A major driver of these proposed hikes is the scheduled expiration of Enhanced Advance Premium Tax Credits at the end of 2025, which, if not renewed by Congress, could cause as many as 80,000 residents to lose coverage and would account for up to a 6.4% reduction in the proposed rate increases if extended. The state is taking steps, such as implementing a uniform cost-sharing reduction silver load adjustment, to mitigate the impact of the subsidy expiration and maintain coverage affordability for the more than 300,000 Washingtonians who rely on the individual market.
Key Points:
- Fourteen insurers seek a 21.2% average rate increase for 2026 individual health plans in Washington, affecting over 300,000 people.
- The potential expiration of Enhanced Advance Premium Tax Credits at the end of 2025 is a key factor, with up to 80,000 people at risk of losing coverage if Congress does not act.
- The state is introducing regulatory adjustments, including a uniform silver load, to help offset premium increases and preserve market stability.
- See News Release for List of Insurers and Requests