Health inurance button on a keyboard Nearly all the Obamacare co-ops struggled to compete with established carriers, which already had more money and recognized brands. (Photo: Shutterstock)

New Mexico Health Connections' decision to close at year's end will leave just three of the 23 nonprofit health insurance co-ops that sprang from the Affordable Care Act.

One co-op serves customers in Maine, another in Wisconsin, and the third operates in Idaho and Montana and will move into Wyoming next year. All made money in 2019 after having survived several rocky years, according to data filed with the National Association of Insurance Commissioners.

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