Federal health officials say they canceled 315,000 Affordable Care Act health plans covering approximately 760,000 people nationwide in August 2026. According to Reuters’ September 22 report, CMS cited unresolved citizenship or immigration documentation and suspected improper enrollments. The report does not specify how many North Carolina residents were affected. (reuters.com⁠)

What This Means for Raleigh Marketplace Customers

For Raleigh residents with Marketplace health insurance, the practical takeaway is to review your account and respond to requests for information.

HealthCare.gov explains that enrollees may need to provide documents confirming income, citizenship or immigration status. Missing the deadline in a Marketplace notice can put coverage or financial assistance at risk. A request for documents does not, by itself, mean your coverage has already ended. (healthcare.gov⁠)

Steps to Take if You Receive a Notice

• Read the notice carefully. Identify the information requested and your submission deadline.
• Submit the required documents. HealthCare.gov accepts uploads or mailed copies and recommends uploading as the fastest option.
• Ask for help. If you have questions or trouble submitting documents, contact the Marketplace Call Center through HealthCare.gov. (healthcare.gov⁠)

Start with HealthCare.gov’s document verification guide⁠ to understand the process and review your next steps.

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