And then there were 10. Of the 23 health insurance co-ops set up through the Patient Protection and Affordable Care Act (PPACA), 13 have now failed.

The latest closure comes in Ohio, where the state department of insurance announced plans Thursday to liquidate InHealth Mutual.

"Our examination of the company's financials made it clear that the company's losses would prevent it from paying future claims should its operations continue," Mary Taylor, the Ohio director of insurance and the state's lieutenant governor, said in a statement. "Under Ohio law, we acted with certainty to protect the consumers."

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