The federal government now has Iowa's formal proposal for a stopgap healthcare insurance plan. Insurance Commissioner Doug Ommen says he filed the plan Monday in the hopes that the federal government will approve the plan quickly. He says that needs to happen because more than 20,000 Iowans could lose their health insurance next year if nothing is approved. Only Medica plans to sell plans compliant with the Affordable Care Act next year, but they want a 57 percent premium increase.