How many people are enrolled in Affordable Care Act plans in ?

Refreshed annually
About 387K in 2026 (based on numbers from open enrollment period, which typically runs from early November to mid-January of the next year). That’s roughly 1 in 9 people, or about 10.9% of Utah’s population. Utah enrolls more residents than average: enrollment nationally averaged about 6.8%, and Utah ranked 4th among all states and Washington, DC.

387K

enrolled in qualified health plans (2026)

10.9%

of the states population enrolled in qualified health plans (2026)
In 2015, 4.8% of Utah residents were enrolled in a qualified health plan through the Affordable Care Act (ACA), often called "Obamacare," both inside and outside of government. Enrollment rose to 5.9% in 2016; by the 2022 plan year, the first open enrollment period after the temporary expansion of ACA tax credits, it went up to 7.7%. The largest year-over-year increase occurred between 2023 and 2024, when enrollment grew by 1.9 percentage points, before peaking in 2025 at 12%.

In 2026, the share of Utah's population enrolled in an ACA health plan was 4.2 percentage points higher than the national average.

Estimated share of the population enrolled in qualified health plans, by year

How many ACA enrollees in Utah are new to the marketplace?

Enrollment changes reflect both new people buying ACA insurance for the first time and returning customers re-enrolling. In Utah, re-enrollees made up a larger share of enrollment than new consumers starting in 2015 — a trend that continued through 2026. In 2026, re-enrollees accounted for 88.1% of enrollment, while new consumers made up 11.9%.

In 2026, 88.1% of ACA enrollees in Utah were returning consumers, while 11.9% were new to the marketplace.

Share of qualified health plan enrollment in Utah by new consumers and re-enrollees, 2015–2026

How many enrollees in Utah receive ACA financial assistance?

There are several mechanisms that can lower the costs of ACA plans. Eligible individuals can apply for an Advance Premium Tax Credit (APTC) to reduce their monthly premiums; at year's end, their actual income determines whether they must repay excess credit or receive additional funds. There are also cost-sharing reductions that lower deductibles, copayments, out-of-pocket maximums, and coinsurance. 
In Utah, 90.8% of the people enrolled in qualified health plans received an APTC and/or cost-sharing reduction in 2026, 4.0 percentage points more than the national rate of 86.7%.

In 2026, 90.8% of ACA enrollees in Utah received financial assistance.

Percentage of people enrolled in qualified health plans receiving APTC and/or CSRs, 2026

What is the average APTC in Utah?

The average APTC in Utah was $499, lower than the national average of $650 by $151, a 23.2% difference.

In 2026, Utah's average APTC was 23.2% lower than the national average.

Average APTC among consumers receiving APTC, 2026

How much do APTCs reduce monthly premium costs in Utah?

APTCs lowered the average 2026 premium in Utah from $571 to $120, a reduction of $451, or roughly 79%.

In Utah, 2026 APTCs reduced the statewide average premium from $571 to $120.

Average premium and average premium after APTC in Utah, 2026

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Methodology

USAFacts standardizes data, in areas such as time and demographics, to make it easier to understand and compare.

Page sources

USAFacts endeavors to share the most up-to-date information available. We sourced the data on this page directly from government agencies; however, the intervals at which agencies publish updated data vary.