WPS Health Insurance

Affordable Care Act (ACA) subsidies challenged in courts

MADISON, Wis.—July 23, 2014

On July 22, two conflicting federal court decisions were made regarding the legality of federal subsidies for low- and middle-income people who bought health insurance through the Federally Facilitated Marketplace (FFM), or Exchange, in certain states, including Wisconsin.

WPS Health Insurance customers are not affected by these rulings as WPS health plans were not sold on the Marketplace. Therefore, WPS customers do not need to worry about their current policies or coverage.

Court cases

In the first case (Halbig v. Burwell), a panel of the U.S. Court of Appeals for the District of Columbia Circuit ruled, 2-1, that the Affordable Care Act allows subsidies only for insurance purchases made through state-run Exchanges, not the federal Exchange.

In the second case (King v. Burwell), a three-judge panel of the U.S. Court of Appeals for the Fourth Circuit unanimously ruled in favor of the government on the same issue, thus upholding the subsidies.


WPS Health Insurance remains focused on ensuring stability, affordability, and accessibility for its customers and is committed to customer care.

WPS members who have questions or concerns may call WPS Customer Service using the number on the back of their member ID card.


About WPS Health Insurance
Founded in 1946, WPS is Wisconsin’s leading not-for-profit health insurer, offering affordable individual health insurance, family health insurance, high-deductible health insurance, and short-term health plans, as well as flexible and affordable group plans and cost-effective benefit plan administration for businesses. The WPS Medicare division administers Part A and B benefits for millions of seniors in multiple states, and the WPS TRICARE division serves millions more members of the U.S. military and their families. In 2013, the international Ethisphere® Institute named WPS one of the World’s Most Ethical Companies for the fourth straight year. WPS is the only health insurance company to earn this distinction four times. For more information about WPS, visit www.wpsic.com.