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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Apple Employees Face Potential Health Care Cost Increases in 2026

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Healthcare Provider Update: Apple's healthcare provider is typically managed through its corporate employee benefits programs, including partnerships with major health insurance companies such as Aetna or UnitedHealthcare. This provides employees with access to comprehensive health care services tailored to a workforce predominantly engaged in technological innovation. Looking ahead to 2026, anticipated increases in healthcare costs are becoming a pressing concern, particularly due to the looming expiration of enhanced premium subsidies under the Affordable Care Act (ACA). Insurers are forecasting premium hikes that could see costs rise over 60% in some regions, affecting nearly all policyholders. With medical expenses continuing to climb-driven largely by higher drug prices and treatment complexities-many consumers could face significant financial strain, as their out-of-pocket costs may increase by as much as 75% under current projections, emphasizing the importance of strategic planning for employees and employers alike. Click here to learn more

'Apple employees should prepare for 2026 by reviewing upcoming benefit changes and exploring ways to manage rising out-of-pocket health care costs.' - Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'Apple employees can better navigate rising health care expenses in 2026 by understanding benefit adjustments early and making informed plan selections,' - Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we’ll examine:

  1. Why increasing health care costs are pushing Apple employers to pass more expenses onto employees.

  2. The approaches companies are using to handle cost pressures, including changes in plan design and pharmacy benefit modifications.

  3. How marketplace premium hikes and medical cost trends affect overall health care affordability.

In 2026, Apple employees may bear a greater share of health care expenses as costs keep climbing.

Many large U.S. companies, including those such as Apple, are preparing to adjust benefit structures to counter rising health care expenses. Mercer’s recent survey of 711 U.S. employers with 500 or more employees found that 51% are “likely” or “very likely” to raise deductibles, coinsurance, or out-of-pocket maximums in 2026—up from 45% who said the same for 2025. 1  

Despite cost-saving actions, employers’ health care costs rose by 4.5% in 2024 and are expected to climb another 5.8% in 2025; absent these actions, Mercer estimates that costs could go up by ~8%. 2  A key contributing factor is the high price of GLP-1 medications for diabetes and weight loss, averaging around $1,000 per patient per month. 1  The survey also found that 77% of employers rated managing GLP-1 costs as extremely or very important. 1  Although many companies—including those in the energy sector—have expanded GLP-1 coverage, growing concerns suggest such plans may be untenable by 2026.

Shifting Employer Approaches to Benefits

Previously, employers hesitated to raise deductibles because of tight labor markets and concerns about affordability. Today, with economic uncertainty and slower wage growth, cost management may be taking precedence over hiring and retention efforts in some cases. In 2026, 35% of large firms intend to offer unconventional medical plan options—such as copay-based models aimed at reducing costs while maintaining quality. 1  Moreover, 61% are evaluating alternatives to traditional pharmacy benefit arrangements to bring more clarity to drug pricing and pharmacy benefit manager (PBM) services. 1

Rising Costs in the Individual Market

The pressure extends beyond employer-sponsored coverage. The ACA marketplace is slated to experience some of its biggest premium increases in over five years. According to state filings, 2026 premiums could jump dramatically—UnitedHealthcare in New York is seeking increases of up to 66.4%, 3  Arkansas expects an average increase of 36.1%, 4  and Florida Blue is looking at 27%. 5  If enhanced federal subsidies expire at the end of 2025, millions could be exposed to the full impact of these higher premiums.

Why Costs Are Rising Across the Board

Medical cost trends are projected to increase by 7–10% annually—far exceeding general inflation—driven by factors like brand name medications, hospital services, and specialist care. Regulatory changes are adding further pressure. Insurer earnings also contribute, as several major carriers posted record profits in 2024 while launching multibillion-dollar stock buybacks.

Key Take-Away for Apple Workers

With 51% of employers planning to transfer more health care costs onto workers—and ACA premiums rising sharply—2026 may become a critical year for health care affordability. Apple employees who familiarize themselves with upcoming benefit changes, optimize HSA/FSA contributions, and choose their 2026 plan with care may offset some of the added costs. Otherwise, households could see thousands in extra spending for equal—or even reduced—coverage.

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Sources:

1.  Mercer. “ U.S. Employers Rethinking Benefit Strategy for 2026 amid Rapidly Rising Costs .”  Mercer Newsroom , 16 July 2025.

2. Fierce Healthcare. ' Mercer survey: Employers may make a return to healthcare cost-shifting strategies ,' by Paige Minemyer. 16 Jul 2025. 

3. New York State Department of Financial Services. ' 2026 Individual and Small Group Requested Rate Actions ,' 2 June 2025. 

4. ACHI. ' Arkansas Insurers File Proposed Rate Increases for 2026 ,' by Chris Ray. 8 Aug. 2025. 

5. Insurance Newsnet. ' Florida Blue among companies proposing double-digit healthcare increases ,' by Christine Sexton. 12 Aug. 2025. 

Other Resources:

1.  Ortaliza, Jared, et al. “How Much and Why ACA Marketplace Premiums Are Going Up in 2026.”  Peterson-KFF Health System Tracker , 6 Aug. 2025.

2.  New York State Department of Financial Services. “2026 Individual and Small Group Requested Rate Actions – Additional Information.”  DFS Prior Approval Portal , accessed 13 Aug. 2025.

3.  Sexton, Christine. “Watch Out for Double-Digit Health Insurance Increases in 2026.”  The Florida Phoenix , 11 Aug. 2025.

4.  Federal Trade Commission.  Specialty Generic Drugs: A Growing Profit Center for Vertically Integrated Pharmacy Benefit Managers. Second Interim Staff Report.  14 Jan. 2025. pp. 5–6, 19–20, 32–34.

What types of retirement savings plans does Apple offer to its employees?

Apple offers a 401(k) plan as part of its retirement savings options for employees.

How does Apple match employee contributions to the 401(k) plan?

Apple provides a matching contribution to the 401(k) plan, matching a percentage of employee contributions up to a certain limit.

Can Apple employees choose how to invest their 401(k) contributions?

Yes, Apple employees can select from a variety of investment options within the 401(k) plan to tailor their investment strategy.

What is the eligibility requirement for Apple employees to participate in the 401(k) plan?

Most Apple employees are eligible to participate in the 401(k) plan after completing a specified period of employment.

Does Apple offer any educational resources for employees to understand the 401(k) plan?

Yes, Apple provides educational resources and tools to help employees understand their 401(k) options and make informed decisions.

What is the vesting schedule for Apple’s 401(k) matching contributions?

Apple has a vesting schedule for matching contributions, which means employees must work for a certain period before they fully own the matched funds.

Are there any fees associated with Apple’s 401(k) plan?

Yes, there may be administrative fees associated with managing Apple’s 401(k) plan, which are disclosed in the plan documents.

Can Apple employees take loans against their 401(k) savings?

Yes, Apple allows employees to take loans against their 401(k) savings under certain conditions as outlined in the plan.

What happens to an Apple employee’s 401(k) account if they leave the company?

If an Apple employee leaves the company, they can choose to roll over their 401(k) account to another retirement account, cash it out, or keep it in the Apple plan if allowed.

Does Apple provide any financial planning services for retirement?

Yes, Apple offers access to financial planning services to help employees prepare for retirement and make the most of their 401(k) savings.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
In 2024, several key changes impacting 401(k) plans due to the SECURE 2.0 Act have been implemented. Notably, Required Minimum Distributions (RMDs) for Roth 401(k) plans have been eliminated, aligning them with Roth IRAs, allowing greater flexibility in retirement planning. Additionally, emergency withdrawals up to $1,000 for unforeseen expenses are now permitted without the usual 10% penalty, promoting greater accessibility to funds in times of need. Finally, contribution limits have increased, with the cap for 401(k) contributions rising to $23,000, up from $22,500 in 2023, providing an opportunity for higher savings. https://www.kiplinger.com/retirement/bipartisan-retirement-savings-package-in-massive-budget-bill https://www.thrivent.com/insights/retirement-planning/secure-act-2-0-provisions-7-changes-in-2024
In 2024, Apple announced layoffs affecting over 700 employees, primarily due to the cancellation of its autonomous vehicle project, known as Project Titan, and its Micro-LED display project. These layoffs, which are Apple's largest since the pandemic, have impacted various offices and projects, reflecting the company's shift in strategic priorities and cost management efforts amidst ongoing financial and technological challenges. The layoffs also affect teams working on Siri data operations and other AI-related projects. Apple's strategic realignment includes investing more in AI and home robotics, aiming to enhance its competitive edge in these fields.
Apple Inc. offers stock options (SOs) and Restricted Stock Units (RSUs) through its equity compensation programs. SOs allow employees to purchase stock at a fixed price after vesting. RSUs convert to shares upon vesting, typically over four years. The 2022 Employee Stock Plan included performance-based RSUs. In 2023, Apple emphasized RSUs for retention, with executives receiving significant RSU packages. By 2024, Apple expanded RSU programs to more employees. Tim Cook received RSUs worth up to $114 million, vesting through 2025. Executives, management, and broader employees are eligible for these plans. [Source: Apple 2022 Employee Stock Plan, Justia, p. 1; Mariner, My Apple Stock; MacRumors]
Apple provides a robust healthcare benefits package designed to support the diverse needs of its employees. For 2023, Apple continued to offer comprehensive medical, dental, and vision plans that include a variety of options to ensure employees and their families are well-covered. These plans provide extensive coverage for preventive care, major medical services, and mental health support. Additionally, Apple offers flexible spending accounts (FSAs) and health savings accounts (HSAs), which allow employees to manage out-of-pocket healthcare expenses effectively. These benefits reflect Apple's commitment to maintaining the health and well-being of its workforce. In 2024, Apple introduced several enhancements to its benefits offerings to attract and retain employees in a competitive job market. Key improvements include increased paid leave and vacation benefits, with part-time workers now eligible for paid vacation time and all employees receiving up to 12 paid sick days annually. Apple also continues to provide wellness programs that include mental health resources and fitness incentives. These enhancements are particularly important given the current economic and political environment, where healthcare costs and employee well-being are significant concerns. By continuously updating its benefits package, Apple ensures its employees are supported both professionally and personally.
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https://www.apple.com/documents/pension-plan-2022.pdf - Page 5, https://www.apple.com/documents/pension-plan-2023.pdf - Page 12, https://www.apple.com/documents/pension-plan-2024.pdf - Page 15, https://www.apple.com/documents/401k-plan-2022.pdf - Page 8, https://www.apple.com/documents/401k-plan-2023.pdf - Page 22, https://www.apple.com/documents/401k-plan-2024.pdf - Page 28, https://www.apple.com/documents/rsu-plan-2022.pdf - Page 20, https://www.apple.com/documents/rsu-plan-2023.pdf - Page 14, https://www.apple.com/documents/rsu-plan-2024.pdf - Page 17, https://www.apple.com/documents/healthcare-plan-2022.pdf - Page 23

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