Around 14% of Enrollees in ACA Plans Failed to Make Payments, Data Shows

Source: The Wall Street Journal.

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Around 14% of Enrollees in ACA Plans Failed to Make Payments, Data Shows

Decline in January payments is driven by loss of federal Affordable Care Act subsidies

By Anna Wilde Mathews
April 15, 2026 5:00 am ET

Number of people who signed up for Affordable Care Act plans, by year

Based on analysis of 80% sample of the Affordable Care Act (ACA) individual market

Sources: KFF (plan selections); Wakely (premium payment)
One in seven people who signed up for Affordable Care Act plans this year failed to pay after premium costs rose sharply, according to an analysis that provides the first comprehensive look at the impact of expiring federal subsidies.

Nationally, around 14% of those who enrolled in ACA plans this year didn’t pay their first monthly bill for January coverage. In some states, the share was a quarter or more, according to a new analysis from the actuarial firm Wakely Consulting Group, provided exclusively to The Wall Street Journal.

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Read more: https://www.wsj.com/health/healthcare/around-14-of-enrollees-in-aca-plans-failed-to-make-payments-data-shows-6971b363

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Exclusive: One in seven people who signed up for Affordable Care Act plans failed to pay their premiums in January, indicating millions of people might lose insurance in coming months.

— The Wall Street Journal (@wsj.com) 2026-04-15T09:10:28.194993Z

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The Wall Street Journal
‪@wsj.com‬

Exclusive: One in seven people who signed up for Affordable Care Act plans failed to pay their premiums in January, indicating millions of people might lose insurance in coming months.

Around 14% of Enrollees in ACA Plans Failed to Make Payments, Data Shows
The decline in January payments has been driven by a loss of federal Affordable Care Act subsidies.
on.wsj.com
5:10 AM · Apr 15, 2026
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