Press "Enter" to skip to content

State approves 22.2% average rate increase for 2027 Washington exchange health plans

WHATCOM COUNTY, Wash. — According to the Washington State Office of the Insurance Commissioner (OIC), regulators approved an average rate increase of 22.2% for individual health insurance plans to be sold on the state exchange for 2027.

People who don’t receive health coverage through their employer shop for a health plan on the individual health insurance market. This also includes self-employed people and early retirees. Small businesses with fewer than 50 employees also rely on the Exchange to provide health coverage for their workers.

– Washington State Office of the Insurance Commissioner (September 9, 2026)

Insurers initially requested an average increase of 22.4% across the exchange market. According to the OIC, 12 insurers received approval to sell individual health plans on the exchange in 2027, covering 281,055 people statewide. This follows last year’s 21.0% rate change.

Advertisement

Click for more information

Advertisement

Click for more information

According to the OIC, the approved 2027 individual market plans, participation, and rate changes include the following.

Company nameSold on Exchange, off Exchange, or bothNumber of people impactedRequested average rate changeApproved average rate change
Asuris Northwest HealthOff Exchange78914.9%Pending
BridgeSpan Health CompanyOn Exchange20912.7%11.1%
Community Health Plan of WashingtonOn Exchange36,85424.5%30.5%
Coordinated Care CorporationOn Exchange97,97927.8%25.2%
Kaiser Foundation Health Plan of the NorthwestBoth8,1809.5%10.0%
Kaiser Foundation Health Plan of WashingtonBoth40,34114.0%14.1%
LifeWise Health Plan of WashingtonOn Exchange25,62821.3%22.5%
Molina Healthcare of Washington, Inc.On Exchange30,84525.8%24.4%
Premera Blue CrossOn Exchange9,63924.0%25.1%
Regence BlueShieldBoth16,0168.6%6.7%
Regence Blue Cross Blue Shield of OregonBoth8,33617.4%18.4%
UnitedHealthcare of Oregon, Inc.Both6,75926.4%24.3%
Wellpoint Washington, Inc.Both26913.7%13.8%
Total 281,05522.4%22.2%
Bold type identifies the 3 carriers serving Whatcom County. Source: Washington State Office of the Insurance Commissioner

According to the OIC, 4 factors produced the higher rate requirements.

  • healthcare organizations increased charges for services and prescription drugs
  • members increased utilization of services and shifted to higher-cost care
  • departing market participants created an enrollees pool with higher average medical needs
  • the expiration of federal Enhanced Premium Tax Credits reduced plan affordability, leading healthier members to drop coverage

Individual plan enrollment on the exchange fell by 13% in 2026 to about 250,000 residents following the expiration of the federal tax credits. The credits previously reduced annual premium costs by an average of $1,330 per enrollee.

According to the OIC, Providence Health Plan covered 254 enrollees in 2026 and will not offer individual coverage in 2027. Asuris Northwest Health sells plans only outside the exchange and its requested 14.9% rate increase is pending review.


Discover more from Whatcom News

Subscribe to get the latest posts sent to your email.

Be First to Comment

Leave a comment here. Best comments add additional information or context to the story. Least favorite simply express meaningless polarized political talking points. Personal attacks and violating victims' privacy will result in being banned from commenting.

My custom footer text

Discover more from Whatcom News

Subscribe now to keep reading and get access to the full archive.

Continue reading

Discover more from Whatcom News

Subscribe now to keep reading and get access to the full archive.

Continue reading