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Healthcare Provider Update: Healthcare Provider for PepsiCo PepsiCo's primary healthcare provider for employee health benefits is the UnitedHealthcare network, which offers a range of healthcare services and insurance plans for PepsiCo employees. Potential Healthcare Cost Increases in 2026 In 2026, PepsiCo and its employees may face notable increases in healthcare costs due to a combination of factors influencing the Affordable Care Act (ACA) marketplace. Insurance premiums are projected to rise significantly, with some states seeing hikes upwards of 60%, primarily driven by the expiration of enhanced federal premium subsidies. Additionally, the rising costs of medical services and pharmaceuticals are contributing to overall healthcare inflation, with insurers reporting anticipated increases in claims expenses. This perfect storm could potentially lead to out-of-pocket costs skyrocketing for consumers, creating substantial financial pressures. Click here to learn more
'With ACA premiums expected to rise in 2026, PepsiCo employees should compare marketplace and employer-related options early, model net costs with and without current subsidies, and coordinate with HR and a qualified tax professional for decisions suited to their situation.' — Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.
'With ACA marketplace premiums expected to climb in 2026, PepsiCo employees should compare employer and marketplace options early, estimate net costs under both current and lapsed subsidy scenarios, and coordinate with HR and a qualified tax professional to align coverage with their budget.' — Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.
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In this article we will discuss:
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The expected premium increases for ACA marketplace plans in 2026 and their potential impact on PepsiCo employees and retirees.
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The major national insurers and states with the largest requested rate hikes.
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The primary economic, legislative, and industry factors driving these increases.
In 2026, health insurance rates for plans purchased through the Affordable Care Act (ACA) marketplace are expected to surge, with several insurers requesting increases exceeding 60%. 1 For PepsiCo employees and retirees using ACA coverage, this could mean a substantial rise in health care costs. State insurance filings and industry publications point to higher medical expenses, the potential end of enhanced federal premium subsidies, and significant rate-hike proposals from major insurers as key drivers of the increase.
According to KFF’s analyses, the vast majority of marketplace enrollees receive premium tax credits, and if the enhanced credits expire after 2025, average out-of-pocket premium payments for subsidized enrollees could rise by more than 75% in 2026. 1 As of January 2025, 24.2 million people selected 2025 marketplace coverage, 2 and about 93% of marketplace enrollees rely on premium tax credits. 3 KFF also reports that requested premium increases for 2026 are the largest in years, with most proposals falling between roughly 12% and 27% and a median of 18% across reviewed filings. 4
Top 10 States With the Largest Requested Premium Increases for 2026:
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New York: UnitedHealthcare requesting up to +66.4% (individual market).
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Arkansas: QualChoice +54.4% , Ambetter (Celtic) +42.5% , statewide average +36.1% .
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Colorado: Western Slope ~+38.8% ; statewide average +28.4% . Rocky Mountain HMO +36.4% , Cigna +29.4% , Anthem +33.6% , Kaiser +15.3% .
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Florida: Molina ~+41% , Florida Blue +27% , Centene Venture +18.73%
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Maine: Anthem (revised) +24.8% ; statewide weighted average +25.9% .
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Washington: 14 insurers; requested average +21.2% .
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Vermont: BCBS Vermont +23.3% .
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Maryland: Requested statewide average +17.1% (individual market).
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Illinois: BCBS Illinois +27% .
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Texas: BCBS Texas +21% .
Major National Insurers and Their 2026 Requests:
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UnitedHealthcare (UnitedHealth Group): Up to +66.4% in New York.
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Elevance Health (Anthem BCBS): +33.6% in Colorado; +24.8% in Maine.
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Kaiser Permanente: +15.3% in Colorado (individual market).
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Centene Corporation (Ambetter/Celtic): +42.5% in Arkansas; +18.73% in Florida.
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Cigna Healthcare: +29.4% in Colorado.
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Molina Healthcare: ~41% in Florida.
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HCSC (BCBS IL, TX): +27% in Illinois; +21% in Texas.
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GuideWell (Florida Blue): +27% in Florida.
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CareFirst BlueCross BlueShield: Maryland requested statewide average +17.1% .
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CVS Health/Aetna: Withdrawing ACA marketplace plans in 17 states in 2026, affecting ~1 million members.
Key Factors Driving the Increases:
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Loss of Enhanced Premium Subsidies: The American Rescue Plan and Inflation Reduction Act extended ACA subsidies through 2025. Without renewal, subsidized enrollees could see sharp increases in monthly premiums beginning in 2026 (KFF estimates more than a 75% jump in average out-of-pocket premiums for subsidized enrollees if the enhancements lapse). 1
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Medical Cost Inflation: Leading consultancies report elevated medical cost trends heading into 2026—about 7.5% in the individual market and 8.5% in the group market 5 —driven by hospital/physician services and prescription drugs.
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Regulatory Shifts: Market rules and state laws have influenced filings. For example, analysts note federal policy changes (e.g., the Marketplace Integrity rule) as a factor cited in filings, adding operational uncertainty for vertically integrated insurers/PBMs.
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Sources:
1. KFF, Health System Tracker. ' How much and why ACA Marketplace premiums are going up in 2026 ,' by J. Ortaliza, M. McGough, K. Vu, I. Telesford, S. Rakshit, E. Wager, L. Cotter, C. Cox. 6 Aug. 2026.
2. CMS.gov. ' Over 24 Million Consumers Selected Affordable Health Coverage in ACA Marketplace for 2025 .' 17 Jan. 2025.
3. The Commonwealth Fund. ' Proposed Rule Will Make Consumers Pay More for Health Insurance and Care in ACA Marketplaces ,' by Sara Collins. 7 May 2025.
4. Fierce Healthcare. ' KFF Analysis finds a median ACA premium hike of 18% for 2026 ,' by Paige Minemyer. 8 Aug. 2025.
5. PwC Health Research Institute. Medical Cost Trend: Behind the Numbers 2026 . PwC , 16 July 2025, https://www.pwc.com/us/en/industries/health-industries/library/behind-the-numbers.html .
Other reources:
1. New York State Department of Financial Services. “Summary of 2026 Requested Rate Actions.” DFS Portal , 2 June 2025, https://myportal.dfs.ny.gov/web/prior-approval/ind-and-sg-medical/summary-of-2026-requested-rate-actions .
2. Centers for Medicare & Medicaid Services (CMS). Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability (Final Rule). 18 June 2025, PDF, https://www.cms.gov/files/document/cms-9884-f-2025-pi-rule-master-5cr-062025.pdf .
3. Minemyer, Paige. “Aetna to Exit the ACA Exchanges in 2026.”
Fierce Healthcare
, 1 May 2025,
https://www.fiercehealthcare.com/payers/aetna-exit-aca-exchanges-2026
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Pages/Sections referenced:
Article body noting ~1 million exchange members and the 2026 exit (single web page; n. pag.).
What are the key steps an employee needs to take to prepare for retirement from PepsiCo, and how do these steps ensure that they maximize their benefits and entitlements?
Preparing for Retirement: Employees preparing for retirement from PepsiCo need to understand their retirement benefits, estimate their financial needs, and officially inform PepsiCo of their decision to retire. These steps are vital to ensure they maximize their benefits, including pensions, 401(k) plans, and retiree healthcare. The PepsiCo Savings and Retirement Center at Fidelity helps guide employees through this process, ensuring they make well-informed decisions(PepsiCo_October 2022_Ge…).
In what ways can PepsiCo employees navigate the complexities of their pension options, and what considerations should they have in mind when deciding between a lump sum and annuity?
Navigating Pension Options: PepsiCo employees can choose between a lump sum or an annuity for their pension benefits. When deciding, they should consider personal circumstances, such as life expectancy and financial needs. Employees can use the NetBenefits platform to estimate pension values at different retirement dates and consult financial counselors through Healthy Money for personalized advice(PepsiCo_October 2022_Ge…).
How does the PepsiCo Retiree Health Care Program function after retirement, and what criteria must be met for an employee to effectively enroll and maintain this coverage?
Retiree Health Care Program: PepsiCo offers a Retiree Health Care Program available until employees reach age 65, after which coverage transitions to the Via Benefits marketplace. Employees must actively enroll within 31 days of retirement to maintain coverage, or defer enrollment if preferred. The Retiree Health Care Contribution Estimator helps estimate future costs(PepsiCo_October 2022_Ge…)(PepsiCo_October 2022_Ge…).
How do the Automatic Retirement Contributions (ARC) at PepsiCo enhance an employee's retirement savings strategy, and what options do employees have to manage their ARC investments?
Automatic Retirement Contributions (ARC): Employees who receive ARC can manage their investments through NetBenefits. These contributions are automatically added to their retirement savings, enhancing long-term financial security. Employees can review and adjust their investment options to align with their retirement strategy(PepsiCo_October 2022_Ge…).
For employees aging 50 and over, what catch-up contribution options does PepsiCo provide to help with their 401(k) savings, and how can they take advantage of these benefits in their retirement planning?
Catch-Up Contributions: PepsiCo employees aged 50 and above can contribute additional amounts to their 401(k) plans under the catch-up contribution option. This benefit allows employees to boost their retirement savings, helping them prepare more effectively for retirement(PepsiCo_October 2022_Ge…).
What resources are available through PepsiCo for employees looking to calculate their retirement expenses, and how do these tools help in setting realistic financial goals for retirement?
Retirement Expense Calculators: PepsiCo provides tools like the Fidelity Planning & Guidance Center, which helps employees estimate retirement expenses. This tool includes health care costs, mortgage payments, and other potential retirement expenses, enabling employees to set realistic financial goals(PepsiCo_October 2022_Ge…).
How should employees at PepsiCo approach Social Security benefits when planning for retirement, and what role does the company play in facilitating their understanding of these benefits?
Social Security Benefits: Employees approaching retirement should consider when to start Social Security benefits. PepsiCo provides guidance through Healthy Money, helping employees understand how Social Security fits into their overall retirement strategy(PepsiCo_October 2022_Ge…).
What impact does health care coverage have on retired employees' finances, and how can PepsiCo retirees effectively use the Retiree Health Care Contribution Estimator to prepare for future health costs?
Retiree Health Care Contribution Estimator: Health care can significantly impact a retiree's budget. The Retiree Health Care Contribution Estimator is a tool PepsiCo retirees can use to prepare for future health costs. It helps employees estimate their contributions and explore different plan options to manage their post-retirement health care expenses(PepsiCo_October 2022_Ge…).
How can employees get in touch with the appropriate resources to learn more about PepsiCo’s retirement benefits, and what specific contact information should they keep handy during this process?
Contact Information: To learn more about PepsiCo's retirement benefits, employees should contact the PepsiCo Savings and Retirement Center at Fidelity at 1-800-632-2014. Additionally, they can access resources on NetBenefits or consult Healthy Money counselors for personalized financial guidance(PepsiCo_October 2022_Ge…).
What are the implications of interest rate fluctuations on pension benefit calculations at PepsiCo, and how should employees factor these rates into their retirement planning decisions? These questions encourage a comprehensive understanding of the various aspects of retirement planning specific to PepsiCo, as well as consideration for personal financial management.
Interest Rate Fluctuations and Pension Calculations: PepsiCo employees considering a lump sum pension payout should be aware that lump sum values are inversely related to interest rates. A higher interest rate results in a lower lump sum payout, so employees should monitor interest rate trends when planning their pension distribution(PepsiCo_October 2022_Ge…)(PepsiCo_October 2022_Ge…).
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