Rate filings are submitted to the department by carriers. By law, rate filings in the individual and small employer markets are informational and not subject to prior approval; however, the Department may disapprove any informational filing if the Department finds that the filing is incomplete and not in compliance with relevant laws or that the rates are inadequate or unfairly discriminatory.
Below is the average total rate action by carrier in the individual market, which includes both on marketplace and off marketplace offerings:
|
Individual Market 2026 Rate Change
| Carrier |
Avg. Rate Change |
| AmeriHealth* |
15.5% |
| Horizon*+ |
18.1% |
| Oscar* |
4.6% |
| UnitedHealthcare* |
18.4% |
| Ambetter from WellCare of New Jersey* |
17.1% |
| Total IHC Market |
16.6% |
*Indicates that the company will offer products on Get Covered New Jersey, the State’s Official Health Insurance Marketplace, for plan year 2026. Only plans offered on Get Covered New Jersey will have access to state subsidies and federal tax credits.
+Horizon’s final plan year 2026 average rate increase is 18.1%, up from 17%, due to ongoing litigation around the Centers for Medicare & Medicaid Services’ Marketplace Integrity Rule that permitted changes to plan design and rates.
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