Insurers are requesting a median 14% premium increase for the small group market next year, according to a new analysis of rate filings from health policy research group KFF. Most insurers are asking for a 10% to 20% raise, though some are aiming higher Distribution of proposed 2027 rate changes among ACA-compliant small group insurers analyzed by KFF. According to the KFF, higher premiums are spurring more businesses to consider cheaper options than what they might find in the small group market. The number of people in the fully-insured small group market has declined from 17 million in 2013 to 10 million people in 2024, according to the KFF. It’s generally less expensive for small businesses with healthy employees.