2026 Open Enrollment

Almost exactly a year ago I began my 2025 ACA Open Enrollment Period guide with the following words:

This is the best OEP ever for the ACA for several reasons:

  • The expanded/enhanced premium subsidies first introduced in 2021 via the American Rescue Plan, which make premiums more affordable for those who already qualified while expanding eligibility to millions who weren't previously eligible, are continuing through the end of 2025 via the Inflation Reduction Act;
  • A dozen states are either launching, continuing or expanding their own state-based subsidy programs to make ACA plans even more affordable for their enrollees;
  • 100,000 or more DACA recipients are finally eligible to enroll in ACA exchange plans & receive financial assistance!

What a difference a year can make.

via Covered California's Open Enrollment Dashboard, as of January 3rd:

  • New enrollments: 163,023
  • Active renewals: 509.526
  • Passive Autorenewals: 1,252,350
  • Total: 1,924,899

As of the same point last year (actually 1 day more; the data from last year is as of 12/28), Covered CA was reporting:

  • New enrollments: 235,573
  • Active renewals: 425,700
  • Passive/Autorenewals: 1,241,745
  • Total: 1,903,018

Now that we're past the deadline for January coverage, I can start including auto-renewals as well. Overall...

Magazine advertisement for the 1946 film Deadline at Dawn Date	March 1946 publication Source	Photoplay for March 1946, page 9 Author	RKO Pictures

Welcome to 2026, for good or bad.

Now that we're into January and there have been several more Open Enrollment deadline extensions, it's time for another updated rundown of the remaining deadlines are for every state and what your options are if you miss them.

This is basically a standalone version of the first section of my annual Open Enrollment Guide; I hope that separating it out will make it less overwhelming.

IDAHO: December 15th was the only deadline for 2026 coverage. If you missed it, you're out of luck unless you qualify for one of the following exceptions:

Last week I issued a warning that once the 2026 ACA Open Enrollment Period ends in a few weeks, the Trump Regime is likely to crow about total enrollment "only" dropping by perhaps a million people compared to a year ago (while also blaming all of that loss on "fraudulent enrollees" etc etc) even though enrollment will actually likely drop by several times as many over the next few months.

As I explained, the reason for this is that around half of the ~22 million enrollees as of last fall likely allowed themselves to be passively auto-renewed into the same plans, meaning that they'll be counted as having "selected" a plan for 2026 even if many of them immediately cancel it as soon as they see the shocking rate hikes. Others will stick it out for a few months before not being able to afford their coverage any longer & dropping out of the market altogether.

A few weeks ago I reported that Access Health CT, Connecticut's ACA exchange, was planning on joining several other states including California, Colorado, Maryland, New Jersey & New Mexico in offering supplemental subsidies to partially (or, in the case of New Mexico, fully) backfill the lost federal tax credits for ACA enrollees.

Connecticut will spend $70 million to partly offset the looming loss of $295 million in enhanced federal tax credits that subsidize health insurance premiums for tens of thousands of residents under the Affordable Care Act, Gov. Ned Lamont said Thursday.

Using emergency authority granted him by the General Assembly in special session last month, the governor announced the commitment minutes after the U.S. Senate failed to advance either a Democratic proposal to extend the credits or a Republican alternative.

BeWell NM, New Mexico's ACA exchange, is the only state marketplace with ongoing daily enrollment data reports:

New Mexico Open Enrollment 2026 - Enrollment Summary

Last Refreshed On: December 31st, 2025

  • Active Re-enrollees: 17,287
  • New Enrollees: 8,443
  • Auto-Re-enrollees: 53,042
  • Total: 78,772

By comparison, at the same point last year, BeWell NM reported:

  • Active Re-enrollees: 19,216
  • New Enrollees: 6,644
  • Auto-Re-enrollees: 39,826
  • Total: 65,686

In other words, new enrollments are up 27% while active renewals are down about 10%; they pretty much cancel each other out compared to the same point last year.

via CoverME, Maine's ACA exchange:

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2026. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin coverage. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2026 is December 15, 2025. Consumers who select a plan between December 16, 2025 and January 15, 2026 will have coverage beginning February 1, 2026. 

via the New Jersey Dept. of Banking & Insurance:

TRENTON — With a critical deadline approaching to enroll in 2026 health coverage through Get Covered New Jersey, Department of Banking and Insurance Commissioner Justin Zimmerman is encouraging residents in need of health insurance to enroll by December 31st for coverage that is effective on January 1st . 

Open Enrollment at Get Covered New Jersey, the state’s Official Health Insurance Marketplace, runs from November 1, 2025, through January 31, 2026, but consumers must enroll in a plan by December 31, 2025, for coverage beginning January 1, 2026. Those who enroll by January 31, 2026, will have coverage beginning on February 1, 2026.

via Covered California's Open Enrollment Dashboard, as of December 27th:

  • New enrollments: 137,958
  • Active renewals: 479,358
  • Passive Autorenewals: 1,318,779
  • Total: 1,936,095

As I've noted before: While I include the passive/auto-renewal number for completeness sake, that number won't really be relevant until after the deadline for January 1st coverage passes (which isn't until New Year's Eve in California).

More important for the moment is the total number of active enrollments, which includes both new enrollees as well as current enrollees who log into their account and actively select a plan for 2026.

In California, those come to 617,316 combined.

As of the same point last year (actually 1 day more; the data from last year is as of 12/28), Covered CA was reporting:

Magazine advertisement for the 1946 film Deadline at Dawn Date	March 1946 publication Source	Photoplay for March 1946, page 9 Author	RKO Pictures

Originally posted 12/19/25

Since we're past the initial December 15th Open Enrollment Deadline for coverage starting January 1st in most states and since there's been several enrollment deadline extensions announced by various states (including two more today), I figured this would be a good time to post a completely updated rundown of just what the remaining deadlines are for every state as well as what your options are if you miss them.

This is basically a standalone version of the first section of my annual Open Enrollment Guide; I hope that separating it out will make it less overwhelming.

IDAHO: December 15th was the only deadline for 2026 coverage. If you missed it, you're pretty much out of luck unless you qualify for one of the following exceptions:

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