Premiums sold on the Affordable Care Act’s federal exchange and outside the exchange will rise an average of 45 percent in Florida this year, according to state officials. However that doesn’t mean consumers will end up spending more money. In fact, they could end up seeing slight decreases. State insurance officials said Tuesday that “Most consumers with the silver plans will not see an out-of-pocket change, as the federal premium subsidy will also increase to absorb this extra cost.” According to their data, a family of four earning $53,000, as well as an individual earning $27,000, may see a slight decrease in their out-of-pocket health insurance premium in 2018.