Healthcare Provider Update: Healthcare Provider for Centene Corporation Centene Corporation's primary healthcare provider services are delivered through its various insurance products, particularly under the Ambetter and Celtic brands. Centene specializes in providing managed care and Medicaid services, ensuring access to a comprehensive range of healthcare services across numerous states in the U.S. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are poised to witness significant increases, largely driven by sharp hikes in Affordable Care Act (ACA) premiums, which are projected to rise by an average of 20%. Several factors contribute to this escalation, including increasing medical costs, the potential expiration of enhanced federal premium subsidies, and aggressive rate adjustments by major insurers like Centene. As a result, many consumers could face out-of-pocket premium increases of over 75%, compounding the financial strain on families and individuals who rely on ACA marketplace plans. The convergence of these forces represents a considerable challenge for those navigating the health insurance landscape in 2026. Click here to learn more
'Centene employees with concentrated stock positions should understand that strategies like a Section 351 exchange can offer flexibility in managing large unrealized gains while preserving long-term planning options.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
'Centene employees facing concentrated stock exposure may find that a Section 351 exchange provides an effective way to mitigate risk and maintain control over the timing of potential tax liabilities.' – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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When a Section 351 exchange can help diversify concentrated stock positions without an immediate tax bill.
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The core eligibility rules (80% control test) and basis/step-up mechanics that drive tax deferral.
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Sample case studies (James & Sarah) illustrating the numbers and outcomes.
The Strategic Potential of Section 351: An Analysis of a Multi-Stock Case in Tax-Deferred Reorganization
A sizable amount of the wealth of many high-earning professionals at Centene may be invested in a small number of highly valued equities, including company shares accumulated through restricted stock units (RSUs), the employee stock purchase plan (ESPP), or equity awards earned due to long tenure. While rebalancing may seem out of reach due to the tax ramifications of selling these positions, investors can make tax-deferred contributions of appreciated assets to a new business entity through a Section 351 exchange. When an investor wants to manage several sizable, embedded gains at once, this tactic may be especially useful.
Think about James, a client with a $10 million portfolio. The value of one stock investment, which he purchased for $50,000, has increased to $1 million, or 10% of his total portfolio. At a long-term capital gains rate that can reach 23.8% for certain high-income taxpayers (20% maximum long-term capital gains rate plus the 3.8% Net Investment Income Tax), selling this position would result in a $950,000 capital gain and an estimated $226,100 tax bill. The amount available for reinvestment would be reduced by this tax.
Section 351(a) of the Internal Revenue Code provides: “If property is transferred to a corporation by one or more persons solely in exchange for stock in such corporation and immediately after the exchange such person or persons are in control (as defined in section 368(c)) of the corporation, no gain or loss shall be recognized.” Under Section 368(c), “control” generally means ownership of at least 80% of the voting power and 80% of each class of non-voting shares.
The transferor or transferors must own at least 80% of the new corporation’s stock right after the exchange to qualify for this treatment. This can be done for investors with sizable portfolios by joining a larger seeding group or acting as the principal seeder of a new entity.
In a Section 351 transaction, any built-in gains are preserved because the shareholder’s basis in the received stock typically carries over from the contributed property. If the shares are held until death, a step-up in basis under Section 1014 may eliminate the deferred gain.
Another client example involves Sarah, who has a $13 million portfolio. She owns two appreciated stocks:
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Stock A: Originally $300,000, now worth $3 million.
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Stock B: Initial cost basis $500,000, now worth $3 million.
At a long-term capital gains rate that can reach 23.8% for certain high-income taxpayers, the aggregate unrealized gain of $5.2 million would translate into an estimated tax of roughly $1,237,600 if sold today, which can constrain portfolio adjustments.
For employees of Centene holding concentrated positions, taking part in a Section 351 exchange can reduce concentration risk and defer recognition of these gains without an immediate tax bill. If assets receive a step-up in basis at death, the deferred gain may be fully eliminated under current law, and deferral can provide flexibility in managing future tax obligations.
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- Stages of Retirement for Corporate Employees
- 7 Things to Consider Before Leaving Your Company
- How Are Workers Impacted by Inflation & Rising Interest Rates?
- Lump-Sum vs Annuity and Rising Interest Rates
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Sources:
1. Internal Revenue Service. Revenue Ruling 2003-51 . Internal Revenue Bulletin 2003-21, 2003. PDF.
2. Friedel, David B., and Yaw O. Awuah. “ Sec. 351 Control Requirement: Opportunities and Pitfalls .” The Tax Adviser , 1 July 2014. Web.
3. Internal Revenue Service. “ Net Investment Income Tax (NIIT) .” IRS.gov , last reviewed 1 July 2025. Web.
4. Internal Revenue Service. Publication 551: Basis of Assets . December 2024 revision, posted 18 February 2025. PDF.
5. FINRA Investor Education Foundation (FINRA). “ Concentrate on Concentration Risk .” FINRA.org , 15 June 2022. Web.
What type of retirement plan does Centene offer to its employees?
Centene offers a 401(k) Savings Plan to help employees save for retirement.
Does Centene provide a matching contribution for its 401(k) plan?
Yes, Centene provides a matching contribution to encourage employees to save for retirement.
How can Centene employees enroll in the 401(k) Savings Plan?
Centene employees can enroll in the 401(k) Savings Plan through the employee benefits portal during open enrollment or after they become eligible.
What is the eligibility criteria for Centene’s 401(k) Savings Plan?
Employees at Centene are generally eligible to participate in the 401(k) Savings Plan after completing a specified period of employment.
Can Centene employees make changes to their 401(k) contributions?
Yes, Centene employees can change their contribution amounts at any time through the benefits portal.
What investment options are available in Centene's 401(k) Savings Plan?
Centene offers a variety of investment options including mutual funds, target-date funds, and other investment vehicles.
Is there a vesting schedule for Centene’s 401(k) matching contributions?
Yes, Centene has a vesting schedule for matching contributions, which means employees must work for a certain period to fully own those funds.
How often can Centene employees review their 401(k) account statements?
Centene employees can review their 401(k) account statements quarterly through the online benefits portal.
What happens to my Centene 401(k) if I leave the company?
If you leave Centene, you can choose to roll over your 401(k) balance to another retirement account or withdraw the funds, subject to tax implications.
Does Centene offer financial education resources for its 401(k) plan participants?
Yes, Centene provides financial education resources and tools to help employees make informed decisions about their 401(k) savings.