WASHINGTON — District of Columbia residents purchasing insurance on the city’s health exchange will have fewer options next year.

The Washington Post reports there will be just one carrier offering individual plans that provide more flexibility than health maintenance organizations. The cost of some plans is also expected to rise.

Aetna Life Insurance has been notifying D.C. residents that plans purchased through the health exchange will terminate at the end of the year. Aetna says it determined it can no longer be competitive in the market.

That will leave CareFirst, the region’s dominant insurance carrier, as the only company offering preferred provider plans on the exchange. CareFirst is proposing rate increases from less than 3 percent to more than 17 percent.

Aetna will continue to offer plans through employers, including Congress.

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