Consumers’ trust in US health insurers has stagnated despite gains in their Total Experience Scores and related Forrester indices. Without materially strengthening trust, insurers will struggle to convert experience gains into sustained growth and competitive differentiation. Customer experience, digital, and B2B2C and B2C marketing leaders should read this report to understand the state of trust for US health insurers in 2026 and the actions that healthcare leaders can take to improve consumer trust.