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Don't Auto-Renew: How a Benchmark Change Can Raise Your 2027 Net Premium

Letting HealthCare.gov renew you automatically keeps you covered. In 2027, it can also cost you more.

Reviewed by Lara Heath, ACA Sales Manager, Agent & Broker

Published · Updated

In this guide

You generally should not auto-renew your Marketplace plan for 2027. Your tax credit is tied to your county's benchmark silver plan, and in 22 of South Carolina's 46 counties the 2027 benchmark comes from a different carrier than in 2026. In all 46, it is a different plan. When the benchmark moves, the net price of the plan you already have can rise even if you change nothing.

Update your application and compare plans before December 15 so your new coverage starts January 1.

How auto-renewal works on HealthCare.gov

If you do nothing by December 15, HealthCare.gov automatically re-enrolls you in a plan for next year so you avoid a gap in coverage. HealthCare.gov itself recommends updating your application and comparing plans instead, and it warns that even if you're automatically re-enrolled, plan costs can change.

Auto-renewal also keeps last year's income on file unless you update it, which can leave your credit too high (owed back at tax time) or too low.

Why the benchmark plan matters

Your premium tax credit equals the price of the benchmark plan, the second-lowest-cost silver plan in your county, minus the amount you are expected to pay based on income. For 2027, someone between 300% and 400% of the poverty level is expected to pay 10.22% of income for that benchmark plan, according to the IRS.

Your own plan's price isn't part of that formula. The credit is sized to the benchmark. If your plan costs more than the benchmark, you pay your expected share plus the difference. If it costs less, you pay less.

When carriers enter or leave, the benchmark can move, and a plan that sat near it may now sit well above it.

Real examples: where the benchmark carrier changed

From 2026 to 2027, the benchmark carrier changed in 22 counties. In 12 of them, the 2026 benchmark was a Molina plan, and Molina is not selling Marketplace plans in South Carolina for 2027. In Aiken, Florence and York, the new benchmark comes from a carrier that just entered the county.

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AikenMolinaFirst Choice Next$534$671
AllendaleMolinaAmbetter$556$670
BarnwellMolinaAmbetter$515$655
BerkeleyMolinaFirst Choice Next$556$694
CharlestonMolinaAmbetter$509$705
ChesterAmbetterFirst Choice Next$596$758
ClarendonMolinaAmbetter$586$687
ColletonMolinaAmbetter$570$732
EdgefieldAmbetterBCBS$504$666
FlorenceInStilFirst Choice Next$544$692
GeorgetownBCBSAmbetter$499$621
GreenvilleBCBSFirst Choice Next$592$741
GreenwoodMolinaBCBS$497$704
HamptonMolinaAmbetter$558$765
KershawBCBSAmbetter$520$606
LancasterMolinaFirst Choice Next$605$763
LaurensAmbetterFirst Choice Next$588$760
MarlboroMolinaAmbetter$588$789
McCormickMolinaAmbetter$500$626
OrangeburgBCBSAmbetter$530$646
SpartanburgInStilFirst Choice Next$642$760
YorkInStilOscar$614$701

Benchmark = second-lowest-cost silver plan. Full-price monthly premium for a 40-year-old, before subsidies.

In Greenville, the benchmark moved from a BCBS plan to First Choice Next's Silver Signature. In Aiken, it moved from Molina to First Choice Next, which is new to the county.

What staying put can cost

In nine counties, the carrier that had the 2026 benchmark still sells plans in 2027, but its lowest-priced silver plan now sits above the new benchmark. In 2026, that carrier's lowest silver plan was at or just below the benchmark in each county. If you get a tax credit and stay with that carrier's lowest silver plan, you now pay the gap on top of your expected share.

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CountyCarrier (2026 benchmark)Its lowest silver vs. benchmark, 2026Its lowest silver vs. benchmark, 2027Extra per year above the 2027 benchmark
YorkInStil-$1+$99$1,185
EdgefieldAmbetter-$6+$95$1,135
LaurensAmbetter-$6+$76$909
ChesterAmbetter-$6+$42$501
OrangeburgBCBS-$2+$36$433
KershawBCBS-$2+$26$312
GeorgetownBCBS-$2+$20$236
GreenvilleBCBS-$2+$19$224
FlorenceInStil-$2+$4$53

Full-price monthly premiums for a 40-year-old, before subsidies. "Lowest silver" is the carrier's lowest-priced silver plan in the county in our data. The gap is what a subsidized enrollee pays above their expected share.

A Greenville example

Take a single 40-year-old in Greenville County earning $55,860, which is 350% of the 2026 poverty guideline. For 2027, they are expected to pay 10.22% of income, about $476 a month, for the benchmark plan. Their estimated tax credit is about $266 a month (the $741 benchmark minus $476).

Option (Greenville, age 40, $55,860 income)Full priceEst. after credit
BCBS lowest silver (last year's benchmark carrier)$760$494
2027 benchmark (First Choice Next Silver Signature)$741$476
First Choice Next lowest silver$710$444

Estimates for illustration. Your credit depends on your age, income and household. BCBS lowest silver and First Choice Next lowest silver prices are rounded to whole dollars in our data.

Staying with a BCBS silver plan may still be the right call if it has your doctors. You only see the trade-off if you compare.

If your carrier is leaving

Molina is leaving all 37 of the South Carolina counties where it sold Marketplace plans in 2026. UnitedHealthcare leaves eight counties and InStil Health leaves Spartanburg. If you were with one of these carriers, you cannot renew the same plan, and a plan you did not pick may have a different network and drug list. Read our guide for members who were auto-enrolled after Molina's exit.

Your don't-auto-renew checklist

  1. Log in to HealthCare.gov and open your 2027 application.
  2. Update your 2027 income and household. See how to estimate your 2027 income.
  3. Find your new benchmark. Look up your county in our 2027 rate changes by county report.
  4. Compare every carrier in your county. Our carriers by county list shows who sells where.
  5. Check doctors, hospitals and prescriptions for any plan you are considering. Our guide on checking your doctors and drugs helps.
  6. Enroll by December 15 for a January 1 start. See our December 15 deadline guide.

Our agents can run this checklist with you at no cost.

Frequently asked questions

Usually not without checking first. Auto-renewal keeps you covered, but your tax credit and your plan's price relative to the new benchmark may have changed. Update your application and compare plans by December 15.

It is the second-lowest-cost silver plan available in your county. Your premium tax credit is calculated from its price, no matter which plan you actually buy.

Because the credit follows the benchmark. If a new, lower-priced plan becomes the benchmark, your credit is sized to that plan, and you pay the difference to keep a plan priced above it.

You can still enroll or change plans through January 15, 2027, but coverage starts February 1. See what to do if you missed December 15.

Sources

Premiums shown are full-price monthly premiums for a 40-year-old before subsidies, from Murdock Insurance Group's analysis of PY2027 South Carolina Marketplace plan data. Your actual cost depends on your age, income, household size, tobacco use and the plan you choose. Murdock Insurance Group is a licensed, independent insurance agency. We are not affiliated with HealthCare.gov, CMS or any government agency. Information about income and tax credits is general information, not tax advice. Talk with a CPA or tax professional about your situation. Networks and drug lists can change; we verify with the carrier before you enroll. Last verified: November 2026.

Lara Heath

Reviewed by

Lara Heath

ACA Sales Manager, Agent & Broker

I'm a field agent who helps individuals and groups with health and life insurance.

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