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Each year, health insurers submit rate filings to state regulators proposing premium changes for plans that are compliant with the Affordable Act.
For 2026, the median proposed premium increase among 318 small group insurers across all 50 states and Washington, D.C., is 11%, according to the Peterson-KFF Health System Tracker.
The small group market covers plans offered to small businesses (Generally with 50 or fewer employees) through the Small Business Heath Options Program, state-based exchanges or directly from insurers.