The market has been in the spotlight this year for the state’s decision to scrap the Medicaid expansion.

But it’s not just the state that is dealing with a complex set of costs, but also with a growing set of insurers, which have been raising premiums for many Missourians.

That’s because of changes in the health insurance exchanges, which are set to begin enrolling in 2018, according to the state.

Insurers are raising premiums in anticipation of the exchange taking effect in 2020.

The state’s health insurance exchange, MissouriCare, was established in 2014.

Since then, the market has expanded, and now more than 25 million people in the state have health insurance.

But that expansion has faced several challenges, including an increasing number of uninsured people and a shortage of insurance for older adults and the disabled.

The exchanges are set up to meet the needs of those who don’t have coverage in the individual and small group market.

And that means that if there are fewer enrollees on the individual market, then the cost of providing coverage to those who do have coverage will also go up.

The exchange is designed to offer policies that cover most or all of the costs for medical expenses, hospital stays and prescription drugs.

But those plans are subject to state rules that require insurers to cover the full cost of those plans.

That means people in those plans who can’t afford their premiums won’t be able to afford coverage on the exchanges, and they won’t get the benefits that people with coverage can.

But even if they have a plan that meets the state exchange’s rules, some people will still have to pay premiums.

For example, the Missouri Medical Association says that those who are in the plans for more than a year or two could be eligible for premium subsidies.

So how does the marketplace work?

There are two types of plans: those that are offered on the exchange and those that aren’t.

On the exchange, people can choose from a variety of plans, including bronze, silver and gold plans, which cover the majority of costs for health care.

The most popular plan is the Bronze Plan, which covers the full costs of medical expenses and a small portion of hospital stays.

Silver plans are the least expensive and cover a small percentage of costs.

And Gold plans cover the bulk of costs but cover less than a third of costs overall.

The Missouri Health Insurance Association says the exchange has reduced the cost for consumers by reducing the amount of costs covered and providing lower deductibles and coinsurance.

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The new rules for health insurance premiums will be announced later this month.