Decreases in Private Risk Enrollment Continue in U.S. Markets
November 13, 2026
- As of June 30, 2026 (2Q26), total private risk enrollment, also referred to as commercial health insurance, included nearly 67.8 million Americans, representing a year-over-year (YOY) decrease of 6.5 million (M) enrollees (8.7%) compared to 2Q25.
- With the largest private risk presence in the nation by a significant margin, California saw a decline of over 372,000 (K) enrollees YOY, or about 2.7% of its enrollment.
- Florida membership fell by 7.9%, representing a YOY loss of nearly 574K covered lives in the commercial market.
- Texas saw a significant member shift in YOY private risk enrollment, dropping more than 727K covered lives (10.1%).
- Overall, the steepest percentage decreases in private enrollment occurred in Mississippi, South Carolina, and Georgia, where enrollment fell by 24.3% (159K), 23.3% (238K), and 20.5% (479K), respectively.
Mark Farrah Associates (MFA) will continue to monitor enrollment across the country, using County Health CoverageTM and integrating highly relevant sources to provide reliable estimates of health insurance market share at these levels.
About County Health CoverageTM
County Health CoverageTM provides reliable estimates of health insurance enrollment and market share at the state, county, and Metropolitan Statistical Area (MSA) levels. Product features include company market share by county, company, and state for the Individual, Private Group Risk, Private Administrative Services Only (ASO), Managed Medicaid, Medicare Advantage, and stand-alone Prescription Drug Plan (PDP) segments. Breakdowns by product type (HMO, PPO, etc.) are also presented, as well as population demographics and interactive, visual mapping tools. To learn more, visit the product page - County Health CoverageTM.
About Mark Farrah Associates (MFA)
Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Our product portfolio includes Health Coverage Portal™, County Health Coverage™, 5500 Employer Health plus, ASO Employer Health plus, Medicare Business Online™, Medicare Benefits Analyzer™, and Health Plans USA™. For more information about these products, refer to the product pages and brochures available under the Our Products section of the website (www.markfarrah.com) or call 724-338-4100.
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