Nearly all health insurance companies that sell individual plans on Pennie, Pennsylvania’s Affordable Care Act marketplace, are asking for average premium increases ranging from 10.5% to as high as 41% for coverage in 2027. The state department will review the requests and public feedback before approving final premium rates this fall. Annual open enrollment for ACA marketplaces, when people can shop for plans and switch coverage for 2027, begins Nov. 1. More than 177,000 other Pennsylvanians have canceled their ACA plans altogether in the last eight months, according to Pennie data. State insurance experts say they believe many who have dropped coverage are going uninsured because they can no longer afford to pay the monthly premiums.