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Blue Cross Blue Shield is the only insurer that remains statewide in Tennessee's ACA marketplace. (Photo: Getty Images)

Tennessee’s top insurance official warns that the Affordable Care Act exchange is in danger of “collapsing” after approving major rate hikes for ACA plans in the state. 

“I would characterize the exchange market in Tennessee as very near collapse … and that all of our efforts are really focused on making sure we have as many writers in the areas as possible, knowing that might be one,” Insurance Commissioner Julie Mix McPeak told The Tennessean. “I’m doing everything I can to prevent a situation where that turns to zero.” 

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