Midyear coverage changes: 6 things to know

Enrollment is increasing employer plans and Medicare Advantage (MA), while individual, Medicaid and fully insured plans lost enrollees.

A recent Mark Farrah Associates brief assessed year-over-year enrollment trends, comparing membership changes from the second quarter of 2025 to the second quarter of 2026. Here are its leading findings as of June 30.

1. About 312.5 million people received medical coverage from U.S. health insurers, which was 2.8% less than on June 30, 2025.
2. MA enrollment increased by 700,000 more seniors to reach 35.1 million enrollees.
3. The self-funded employer group segment gained slightly more than 1.1 million members to reach 135.8 million enrollees.
4. The individual market for ACA marketplace and off-exchange coverage lost more than 4.5 million enrollees, falling from 26.5 million members to nearly 22 million.
5. The employer-group risk segment, which includes Federal Employees Health Benefit Plans, lost 2.1 million members to reach about 46.7 million enrollees.
6. Both managed Medicaid and fee-for-service Medicaid lost almost 4.1 million combined members to reach 73 million beneficiaries.