Ohioans who get their health-care coverage through the Affordable Care Act’s federal marketplace can relax a bit; those premium spikes averaging 25 percent in the news since Monday won’t apply in many cases here. In fact, in Cleveland, according to an analysis by the Kaiser Family Foundation, the premium for one popular plan used as a benchmark actually will go down by $5 for a hypothetical consumer who is 40, doesn’t smoke and earns $30,000 per year.adcelannotate = {"mobilepaywallcategory" : "MOBILE_PREM-LOCAL","nativepaywallcategory" : "NATIVE_PREM-LOCAL"};