TML, TAC and TRSAC combined membership is but a fraction compared to the largest government supported risk pool in Texas.
More employers are ditching traditional group health insurance plans in favor of ICHRA fascillitated risk pool access. At 3.9 million members this is one of the largest health insurance risk pools on the planet.
ACA Enrollment Breaks Records Again in 2025
About 24.2 million people signed up for Affordable Care Act plans during the open enrollment period for 2025, with huge increases in major Republican-led states.
Published Jan. 21, 2025
About 24.2 million people signed up for Affordable Care Act plans during the open enrollment period for 2025 — an all-time high, blowing past last year’s previous record of 21.3 million.
The enrollment figures were announced by the Biden administration on Friday, three days before President Donald Trump was sworn into office, ushering in a Washington notably less friendly to the ACA. The Trump administration is expected to chip away at the 15-year-old law, including by introducing alternative plans and reducing funding for programs that help people navigate the exchanges.
Still, much of the enrollment growth was in Republican states, including Florida, Texas and Georgia, which makes it more difficult for Trump to take drastic action targeting the ACA without angering conservative voters, according to experts.
Enrollment for 2025 got off to a slow start at the beginning of the open sign-up period in the fall. Some Americans who put off insurance elections said they were concerned how the Trump administration might affect their coverage. However, the pace of sign-ups picked up before enrollment concluded last month — and most people with existing ACA coverage were automatically reenrolled in plans, according to regulators.
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