In New Mexico, on the other hand, insurance regulators did not allow people to keep their old plans and required any insurer<br />that sold plans through the Affordable Care Act marketplace to offer them in every county.<br />John G. Franchini, the state’s superintendent of insurance, has also negotiated rates with insurers,<br />even denying a 52 percent increase requested by Blue Cross and Blue Shield of New Mexico for 2016.<br />But Blue Cross plans have generally been doing better in the marketplaces,<br />and Health Care Service Corporation, which offers plans in Oklahoma, New Mexico and three other states, is losing less money.<br />Uncertainty about the subsidies, which are a critical financial underpinning of the law, may drive more insurers out of the market — leaving Oklahoma with no health plans in the marketplace —<br />and raise premiums significantly higher for those that stay.<br />And it wants plans under the law to be sold not through the federal marketplace,<br />but through a local program called Insure Oklahoma, which has provided subsidized coverage to a small subset of low-income residents here since before the health law took effect.<br />Even when other insurers offered plans through the Affordable Care Act marketplace<br />during its first few years, Blue Cross scooped up by far the most customers.<br />In New Mexico, several local insurers have long competed on the individual market,<br />but Blue Cross has been the dominant player in Oklahoma for years, and is now the only insurer offering plans on the exchange.
