Thursday's development leaves the vast majority of the 50,000 Iowans purchasing subsidy-eligible insurance on the exchange with only one option --
"Aetna did notify the office this morning and advised us they won't offer coverage for 2018," Iowa Insurance Commissioner
An Aetna spokesman said the company still is evaluating its presence in remaining states, which includes
The Iowa Insurance Division said Aetna reported 32,822 Iowans on the marketplace and 3,383 Iowans off the marketplace will be affected.
"We are currently evaluating the situation and our options," said
The company currently has 14,000
One other insurer, Gundersen Health Plan, sells individual policies but only in five
Insurers have said uncertainty over which rules will be in place in 2018 and the billions of dollars in government subsidies that make the plans more affordable to millions of people make it difficult to commit to offering such insurance.
Many have asked the government to extend the subsidies for 2018.
Health insurers are preparing 2018 premium rate proposals to submit to federal and state insurance regulators over the next few months.
Reuters contributed to this story.
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