Key takeaways
- Florida recorded 4,538,772 plan selections for 2026, down about 4% from 4,735,415 for 2025.
- It is the first year-over-year decline since 2018, after enrolment more than doubled between 2020 and 2025.
- A plan selection is not the same as coverage that takes effect: some people never pay a first premium.
- Florida remains the largest Marketplace state, so national policy changes land here harder than anywhere else.
Florida closed the 2026 Open Enrollment Period with 4,538,772 Marketplace plan selections, according to the enrolment figures CMS publishes in its Open Enrollment Period public use files. That is down from 4,735,415 for the 2025 plan year, and it ends a streak of year-over-year increases that ran unbroken from 2019.
- 2026 plan selections
- 4,538,772
- Change from 2025
- −196,643
- Growth since 2014
- +361%
Florida, at the close of Open Enrollment
about a 4% decline
from 983,775 selections
A decade in one line
The longer series puts the dip in proportion. Florida's Marketplace has grown more than fourfold since the first Open Enrollment in 2014, with the sharpest climb between 2021 and 2025.
Florida
Floridians who picked a Marketplace plan, 2014-2026
Plan selections at the end of each Open Enrollment Period. Florida enrols more people through the Marketplace than any other state.
Plan selections
Plan year
View the data as a table
| Plan year | Plan selections |
|---|---|
| 2014 | 983,775 |
| 2015 | 1,596,296 |
| 2016 | 1,742,819 |
| 2017 | 1,760,025 |
| 2018 | 1,715,227 |
| 2019 | 1,783,304 |
| 2020 | 1,913,975 |
| 2021 | 2,120,350 |
| 2022 | 2,723,094 |
| 2023 | 3,225,435 |
| 2024 | 4,211,902 |
| 2025 | 4,735,415 |
| 2026 | 4,538,772 |
What the number does and does not mean
A plan selection is counted when someone picks a plan during Open Enrollment. It is not the same as an effectuated enrolment, which requires a first premium payment. The gap between the two is why enrolment reported in the spring is always lower than the figure reported in January.
Why Florida moves the national picture
Florida enrols more people through the Marketplace than any other state. When a rule changes at the federal level, a larger share of the people affected live here than anywhere else, which is why state-level detail is worth watching rather than only the national total.
If you are reviewing your own coverage, the practical questions have not changed: confirm the enrolment window that applies to you, re-check that your doctors and prescriptions are still covered, and compare the full annual cost rather than the monthly premium alone.
Sources
Checked . Figures are published by the organisations below; confirm the current year before relying on any of them.
- 1Marketplace Enrollment, 2014-2026KFF State Health Facts, from CMS Marketplace OEP public use files
- 22026 Marketplace Open Enrollment Period Public Use FilesCenters for Medicare & Medicaid Services
