“We expect both fully insured group and individual enrollment to contract and be partially offset by continued momentum in our group self-funded offerings.”

In context

“he second half of this year Nearly all of our employer group and fully insured pricing align with continued increases in care activity for 2026. In the individual ACA market, we re-priced nearly all states in response to higher medical trends, and the elevated needs of ACA beneficiaries in 2025. These actions were necessary to ensure a sustainable foundation in these plans. And enable us to maintain our participation in all the states we served in 2025. We are working with CMS on solutions to address the consumer affordability challenge given the unfolding dynamics in the ACA marketplace. As we announced last week, we have voluntarily pledged to rebate ACA market profits back to our ACA customers this year as policymakers work to determine how to improve affordability in this marketplace. We expect both fully insured group and individual enrollment to contract and be partially offset by continued momentum in our group self-funded offerings. 2026 overall, our strategic focus on margin recovery through product repositioning and repricing efforts enables us to estimate approximately 13% adjusted operating earnings growth across all of UHC. Principally from the improvement in serving commercial, and Medicare market needs. These actions should expand operating earnings margins for United by 40 basis points and are expected to result in membership contraction of 2.3 million to 2.8 million. The expected contraction in commercial membership is in line with our plans. While this will drive margin expansion in 2026, we still anticipate operating operating just slightly below our historical margin range until 2027. Our UHC recovery effort is being supported by steady efficiency gains as we advance AI and machine learning capabilities a”