Health insurers that sell their products on Healthcare.gov had to submit their 2016 premiums by May 15, but what happens if the U.S. Supreme Court decides next month to eliminate federal subsidies for as many as 10 million consumers in 37 states and carriers are unable to cover claims based on those rates?

The dilemma was recently raised by Aetna Inc. CFO Shawn Guertin, who noted that the nation’s third-largest U.S. health insurer’s proposed rates assume such assistance will survive the hotly contested King v. Burwell legal battle. But if the high court strikes subsidies and they’re not restored by a new law or administrative rule, then he suggested that there would be a need to revisit those rates.

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