Here's an interesting summary of actions that Minnesota has taken in the past year to respond to Blue Cross and Blue Shield's exit from that state's individual insurance market, a dilemma that's now faced by Iowa with Wellmark's and Aetna's recent decisions to pull out of the individual market in 2018. In the wake of more than 103,000 Minnesotans who lost coverage with Blue Cross' individual market exit, Minnesota's legislature has initiated enrollment caps as a measure to protect its five remaining insurers from an influx of higher-risk enrollees. It also approved $312 million in state funding for premium rebates that will be paid directly to insurers that enroll individuals for coverage, with the requirement that quoted premiums be reduced by 25 percent. Read more