Silver coins Many customers who are choosing low-premiums bronze plans better hope they don’t rack up big medical bills: 62 percent do not pay for any portion of medical services until a member hits their deductible. (Photo: Shutterstock)

The Trump administration’s decision last year to stop making cost-sharing reduction (CSR) payments to insurers has led to a peculiar situation.

In the absence of those subsidies, which were meant to help insurers to reduce copays and other out-of-pocket costs for low-income customers, insurers have substantially increased premiums for silver-level plans, which serve as the benchmark for determining premium tax credits.

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