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Two more states have released proposed Affordable Care Act premiums over the past few days. The results are a mixed bag.

The details: In Kentucky, both of the insurers in the state's individual market are seeking premium hikes. In Florida, nine insurers want to sell policies in the state's individual market, including seven who want to sell on its ACA exchange.

Kentucky:

  • Anthem is proposing an average rate increase of just 3.5%, and is planning to expand into 17 counties where it didn't sell coverage this year.
  • Take that expansion with a grain of salt, though — Anthem pulled out of 61 counties between 2017 and 2018. Moving back into 17 of them still bypasses a lot of the state.
  • CareSource proposed an average increase of 19%. It said about 5% of that comes from the growth in medical costs, while the rest is a result of decisions from Washington — namely, the repeal of the individual mandate.

Florida:

  • They're seeking an average premium increase of 8.8%.
  • Cigna is the outlier, seeking hikes of 30%. However, Cigna is only planning to sell outside the exchange and, according to its rate filing, the company only expects 269 people to be affected by its premium hikes next year.

Go deeper

Caitlin Owens, author of Vitals
4 hours ago - Health

Biden taps ex-FDA chief to lead Operation Warp Speed amid rollout of COVID plan

Photo: Alex Wong/Getty Images

President-elect Joe Biden has picked former FDA chief David Kessler to lead Operation Warp Speed, a day after unveiling a nearly $2 trillion pandemic relief plan that includes $400 billion for directly combatting the virus.

Why it matters: Biden's transition team said Kessler has been advising the president-elect since the beginning of the pandemic, and hopes his involvement will help accelerate vaccination, the New York Times reports. Operation Warp Speed's current director, Moncef Slaoui, will stay on as a consultant.

The case of the missing relief money

Illustration: Sarah Grillo/Axios

A chunk of stimulus payments is missing in action, thanks to a mix up that put as many as 13 million checks into invalid bank accounts.

Why it matters: The IRS (by law) was supposed to get all payments out by Friday. Now the onus could shift to Americans to claim the money on their tax refund — further delaying relief to struggling, lower-income Americans.

The post-Trump GOP, gutted

McConnell (L), McCarthy (R) and Trump. Photo: Erin Schaff-Pool/Getty Images

Republicans will emerge from the Trump era gutted financially, institutionally and structurally.

The big picture: The losses are stark and substantial.