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What to know about ACA open enrollment this year

What to know about ACA open enrollment this year

Summary

The Affordable Care Act open enrollment for 2027 starts November 1 in most states with several new rules. These changes include higher insurance costs, extra identity checks for some buyers, and limits on subsidies for certain immigrants.

Key Facts

  • Open enrollment begins November 1, except in Idaho, Connecticut, and Massachusetts where it starts earlier.
  • Overall enrollment is expected to drop because special extra subsidies ended at the end of 2025.
  • Increased identity checks will apply to consumers using agents or brokers in the federal marketplace, which covers 29 states.
  • People working with agents must get a code or link sent to them to authorize the agent to enroll or change coverage.
  • "High-risk" consumers, such as those enrolling for the first time or changing states, must prove their identity using services like Experian.
  • Plans costing $30 or less per month get special scrutiny because some agents might misuse them for profit.
  • Consumers who fail identity checks may need to provide official ID documents or apply on their own through healthcare.gov.
  • These new rules aim to reduce fraud but may slow down enrollment for some people.
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