For the third straight year, the number plans sold through the Affordable Care Act (ACA) Health Insurance Marketplace increased. Between 2018 and 2019, the average number of marketplace insurers per state increased from 3.5 to 4.0. In 2020, that number increased to 4.5 per state. As of 2021, each state has an average of 5.0 number of marketplace insurers. For 2021, approximately 78% of marketplace enrollees now will be able to choose from at least three insurers, up from about half (48%) in 2018. The new Kaiser Family Foundation (KFF) analysis finds that a total of . . .