The market for health insurance in Texas and across the country has become increasingly complex, and this year is certainly no exception. The newspaper headlines are concerning. From the Texas Tribune: Health Insurers' Exit Spells Trouble for Obamacare in Texas. From Dallas News: Seven More Texas Counties Could See Just One Obamacare Option in 2017. Carriers for personal plans have all but left the state, and the plans that are left carry greatly increased premiums. These changes affect all TMA members who shop for coverage, whether for themselves, their families or their practice staff.