October 30, 2025

As the Affordable Care Act's (ACA) tax credits approach their expiration date, there is growing concern about the potential repercussions on commercial insurance. A Cigna executive recently shed light on what could be a significant shift in the landscape of health care coverage.
The ACA has been a cornerstone of American health policy since its inception in 2010, providing tax credits to help lower insurance costs for consumers purchasing health insurance through the marketplace. These subsidies have made healthcare more affordable for millions of Americans, stabilizing the individual insurance market and enabling a drop in the number of uninsured.
However, as these tax credits are set to expire, the industry is bracing for impact. According to the Cigna executive, the expiration could lead to higher premiums in the commercial insurance market. "The removal of tax credits means that fewer individuals will be able to afford marketplace insurance, potentially causing a shift where more individuals are forced to rely on employer-provided plans," the executive explained.
This not only increases the burden on businesses but also could lead to increased premiums as the risk pool becomes less balanced. "With a likely increase in the number of uninsured, there could also be a rise in the overall healthcare costs, as uninsured patients often delay care until it becomes critical," the executive added. Such delays in care tend to increase emergency care costs, which are then often passed on to insurers and subsequently, to businesses through higher premiums.
The executive highlighted the need for proactive measures to mitigate these effects. "It’s imperative that businesses and insurers prepare for these changes by exploring alternative solutions such as flexible benefit options or wellness programs that can help manage rising costs."
The potential expiration of these tax credits poses significant challenges and opportunities within the commercial insurance sector. As the deadline approaches, all eyes will be on how insurers and employers adapt to the evolving healthcare landscape to continue providing affordable and comprehensive coverage.