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Sempra Retirees Face Rising Health Care Costs: What You Need to Know

'With rising premiums, shifting federal programs, and mounting medical debt, Sempra employees must take a more deliberate approach to budgeting for health care in retirement to help avoid financial pitfalls that could derail long-term plans.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'As health care policy continues to evolve, Sempra employees should regularly revisit their retirement strategies to account for potential coverage gaps and unexpected medical expenses that could strain fixed budgets.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article we will discuss:

How rising health care premiums and shrinking federal support may affect pre-Medicare retirees.
The impact of medical debt, weakened consumer protections, and changing credit rules on retirement outcomes.
Adjustments to Medicaid and government health care programs that could disrupt early retirement plans.

Health Care Costs Continue to Climb for Retirees

The following article has been revised to reflect recent changes in health care policy and economics for individuals with longstanding corporate careers. Sempra retirees and employees preparing for retirement are experiencing higher medical expenses, tighter household budgets, and new health care regulations—an especially relevant concern for those managing fixed incomes or long-term savings goals.

Premiums Rising, Coverage Shrinking

One key factor driving up costs is the anticipated end of Affordable Care Act (ACA) premium subsidies. If these subsidies expire, annual out-of-pocket premiums could increase by an average of $1,247—a 75% jump. ¹ This would affect Sempra retirees relying on ACA plans prior to Medicare eligibility. Additionally, the One Big Beautiful Bill Act (OBBBA), passed in July 2025, calls for nearly $1 trillion in cuts to federal health care spending, with Medicaid bearing the brunt over the next ten years. ²

These reductions could result in up to 10.9 million Americans losing health care coverage by 2034, according to the Congressional Budget Office (CBO). ³

Eroding Consumer Protections

Policy changes are also exposing Sempra retirees to greater financial stress. A federal ruling overturned a consumer-friendly rule that prevented medical debts over $500 from appearing on credit reports. ⁴ As a result, credit scores for millions could be affected—an issue that carries implications for mortgages, employment applications, and other financial decisions during retirement transitions.

The Weight of Medical Debt

Across the country, medical debt remains a persistent challenge: ⁵

- 40% of adults report having dental or medical debt.
- 1 in 6 borrowed money or used credit cards to pay off medical bills.
- Over 20 million owe $250 or more; 14 million owe over $1,000; and 3 million owe more than $10,000.
- Adults aged 50–64 carry more debt than those 65–79 due to delayed Medicare access.

These statistics underscore the pressure on Sempra employees who retire before reaching Medicare eligibility.

Health Decisions at Risk

According to Tyson Mavar, a financial advisor with Wealth Enhancement, 'Credit scores may not be affected for those who hold medical debt, potentially resulting in delayed treatment.' This concern is amplified for Sempra retirees who may have limited health care coverage and rising expenses.

While some households cope with medical debt by cutting back on food and housing, depleting savings, or borrowing more, these approaches only serve to contribute to poorer health and higher stress.

Government Program Adjustments

Medicaid changes under OBBBA bring added burdens, particularly for early retirees in rural areas. Adjustments include stricter eligibility verification, new work requirements, and increased co-pays of up to $35 per visit for those near the poverty line. These revisions may impact millions of rural Americans and bring added stress to rural health care facilities that are already stretched thin.

A $50 billion Rural Hospital Transformation Fund was announced, but it is expected to address just 37% of anticipated losses and is set to expire by 2032. ⁶

Why It Matters for Sempra Families

Recent health care changes are reshaping retirement planning. Even though Sempra offers a range of employee benefits and retirement options, not all workers transition into Medicare or employer-based retiree coverage without gaps. According to Fidelity, a 65-year-old individual retiring in 2025 may need to spend $172,500 health care throughout retirement—not including long-term care. ⁷

Future policy shifts could add thousands more to that estimate. Keeping an eye on health care policy and evaluating benefit elections are now essential components of retirement planning.

The Bottom Line

Navigating today’s health care system is like taking a road trip with higher tolls, fewer exits, and less reliable maps. Sempra employees near or in retirement are encountering a shifting landscape of costs, coverage, and legal rules. If these developments are overlooked, retirement plans may be exposed to financial disruptions that are difficult to recover from.

Being proactive with coverage reviews, medical budgeting, and credit management can help retirees steer clear of costly missteps and adapt to an increasingly complex health care environment.

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Sources:

1. Business Insider. “ Millions of Americans could pay up to $1,247 more for Affordable Care Act health insurance next year ,' by Juliana Kaplan, 23 July 2025.

2. The Guardian. “ Democrats Use New Tactic to Highlight Trump’s Gutting of Medicaid ,” by Stephanie Kirchgaessner, 27 July 2025.

3. USA Today. ' Neary 11 million Americians would lose insurance under Trump's tax bill, analysis says ,' by Ken Alltucker, 4 June 2025.

4. Medicare Rights Center. ' Federal Court Reverses Federal Medical Debt Protections ,' by Julie Carter, 31 July 2025.

5. Peterson-KFF, Health System Tracker. ' The burden of medical debt in the United States ,' by S. Rakshit, M. Rae, G. Claxton, K. Amin, and C. Cox, 12 Feb. 2024.

6. KFF. ' A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law ,' by Zachary Levinson and Tricia Neuman, 4 Aug. 2025.

7. Fidelity. ' How to plan for rising health care costs ,' Fidelity Viewpoints, 12 Aug. 2024.

How does Sempra Energy define and implement its retirement benefits policies, and in what ways do these policies align with current IRS regulations for 2024? Employees may want to explore how modifications to retirement plans can affect their financial readiness for retirement and the levels of income they can anticipate. Understanding the nuances of vested benefits can provide insight into the implications of early withdrawal or delays in retirement for employees at Sempra.

Retirement Benefits Policies and IRS Regulations Sempra Energy's retirement benefits policies include a 401(k) Savings Plan, nonqualified deferred compensation plans, and a broad-based Cash Balance Plan. These plans are structured to comply with IRS regulations, ensuring tax-qualified status and adherence to contribution limits set by the IRS. For example, their 401(k) plan includes features like immediate vesting of contributions and a variety of tax-deferred investment options, aligned with current IRS guidelines for 2024 .

What are the key features of the 401(k) Savings Plan offered by Sempra Energy, and how do these features compare to industry standards? Employees should analyze the matching contributions, eligibility requirements, and enrollment procedures, as well as the variety of investment options available, to assess the plan's overall effectiveness in meeting their long-term retirement savings goals.

Key Features of the 401(k) Savings Plan The Sempra Energy 401(k) Savings Plan allows employees to contribute a portion of their eligible pay on a tax-deferred basis, with an option for Roth contributions. The plan offers matching contributions of up to 4% of eligible pay, with a basic match of 50% on the first 6% of employee contributions and a stretch match on the next 5%. This structure is designed to encourage higher employee contributions and is comparable to industry standards, which typically offer similar matching schemes .

In what ways does Sempra Energyâ€™s approach to employee financial wellness programs benefit employees nearing retirement, and how does this approach reflect industry trends? Engaging in benefits like financial counseling and retirement planning workshops can empower employees to make informed decisions about their retirement strategy and provide them with necessary tools to plan for their future.

Employee Financial Wellness Programs Sempra Energy's approach to employee financial wellness includes offering financial counseling and retirement planning workshops. These programs are aimed at helping employees nearing retirement make informed decisions about their financial future. This proactive approach aligns with industry trends where comprehensive financial wellness programs are increasingly becoming a standard part of employee benefits packages to enhance overall employee satisfaction and retention .

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Impact of Economic Factors on Retirement Plans The company regularly evaluates the impact of external economic factors like inflation and tax changes on its retirement plans. Adjustments are made to ensure that the benefits remain competitive and secure, thereby safeguarding employees' retirement savings against economic fluctuations. This commitment to adapting benefits in response to changing economic conditions demonstrates a proactive approach to maintaining the robustness of its retirement offerings .

What are the different retirement options available to employees at Sempra Energy, including traditional pensions and defined contribution plans? Understanding the distinctions and implications of these options can play a crucial role in retirement planning, enabling employees to choose the best path for their individual circumstances.

Retirement Options Available to Employees Employees at Sempra Energy have access to traditional pensions through the Cash Balance Plan and defined contribution plans like the 401(k). The availability of these diverse options allows employees to tailor their retirement planning according to their individual financial goals and circumstances, providing flexibility in choosing the most suitable retirement path .

How can Sempra Energy employees navigate the process of applying for retirement benefits, including required documentation and typical timelines for approval? Itâ€™s essential for employees to be aware of the step-by-step process, what is expected from them, and how long they should anticipate before benefits become accessible, which will ultimately affect their transition into retirement.

Navigating the Retirement Benefits Application Process Sempra Energy provides a clear process for applying for retirement benefits, which includes detailed documentation requirements and typical timelines for approval. This streamlined process is designed to minimize uncertainties and ensure that employees understand what is required of them to successfully access their retirement benefits upon transitioning into retirement .

What resources does Sempra Energy provide for employees seeking retirement planning assistance, and how do employees gain access to these resources? Employees should be encouraged to utilize available financial planning tools and advisory services to enhance their understanding of retirement savings options and strategies that align with their personal financial goals.

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In what ways can Sempra Energy employees stay informed about changes to retirement policies and IRS regulations, and whom should they contact for more detailed inquiries? Understanding the importance of maintaining current knowledge regarding benefits administration can help employees align their personal financial planning with the companyâ€™s offerings.

Staying Informed About Retirement Policy Changes Employees at Sempra Energy are encouraged to stay informed about changes to retirement policies and IRS regulations through regular updates provided by the HR department. This ensures that employees can align their retirement planning with the latest company policies and regulatory requirements, maintaining their financial well-being .

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Preparing for Retirement at Sempra Energy Sempra Energy outlines specific steps for employees to prepare for retirement, emphasizing the importance of early and informed planning. The company provides detailed resources and support to help employees understand their retirement options, effectively use company-provided tools, and develop a personalized retirement strategy that ensures a comfortable and secure retirement .