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Insurance counselors help people enroll in an ACA plan in 2016. Photo: Eric Gay / AP

Health insurance companies have to inform the federal government today if they are in or out of the ACA's individual and small-group marketplaces for next year. There's reason to believe many insurers that have publicly committed to offer plans will indeed sign contracts.

Who's likely in

  • Regional safety net health plans: "Almost all our plans have filed and are ready to go. But many were waiting to see what happened with Graham-Cassidy before locking in their final answer," said Meg Murray, CEO of the Association for Community Affiliated Plans.
  • Plans that are part of hospital and doctor systems: Kaiser Permanente CEO Bernard Tyson and Intermountain Healthcare CEO Marc Harrison have relatively large exchange populations, and both have told me somewhat recently they have no intention of bailing.
  • "Our community-based plans have long recognized the exchange market is not a moneymaker but part of a comprehensive approach to serving an entire community and nation," said Ceci Connolly, head of the Alliance of Community Health Plans.

Who's outAetna, Humana and UnitedHealth Group are still gleefully sitting on the sidelines.The othersAnthem has pruned its exchange plans heavily. It's the company to watch most closely this week, along with the other state Blue Cross Blue Shield plans.Centene has aggressively expanded its offerings. It'd be surprising if the company made any last-minute changes. Molina Healthcare, the troubled Medicaid insurer, is a little unpredictable given its massive ACA losses. But a spokesperson said Molina "plans to participate in the 2018 individual exchanges in California, Florida, Michigan, New Mexico, Ohio, Texas and Washington."The wild card: If the Trump administration continues to play chicken with cost-sharing subsidies, insurers may hedge the risk by jacking up premiums. They'd rather pay back the money to consumers in the form of rebates, or drop out entirely, than roll the dice on lower premiums.

Go deeper

3 hours ago - Health

5 times as many police officers have died from COVID as from guns since pandemic began

Photo: Genaro Molina / Los Angeles Times via Getty Images

COVID-19 is the leading cause of death for police officers even though members of law enforcement were among the first to be eligible to receive the vaccine, CNN reports, citing data from the Officer Down Memorial Page.

Why it matters: Nearly 476 police officers have died of COVID-19 since the pandemic started, compared to the 93 deaths as a result of gunfire in the same time period, according to ODMP and CNN.

Virginia energy giant quietly boosts McAuliffe

Former Virginia Gov. Terry McAuliffe speaks during a campaign rally on Oct. 15 in Henrico, Virginia. Photo: Win McNamee/Getty Images

Virginia Democrat Terry McAuliffe has sworn off money from the Richmond company Dominion Energy. But the utility has found more subtle ways to back McAuliffe's gubernatorial bid, records show.

Driving the news: Dominion's political action committee has donated $200,000 to a murky political group called Accountability Virginia PAC, a group with ties to prominent Democrats that's been running ads attacking Republican candidate Glenn Youngkin from the right.

5 hours ago - Technology

Race and technology in America

Illustration: Annelise Capossela/Axios

The technology industry is famously determined to change the world — but its efforts to diversify its workforce and remove bias from its products haven't changed nearly enough.