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Illinois Tool Works Retirees Face Rising Health Care Costs: Insights from Patrick Ray & Tyson Mavar

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Healthcare Provider Update: Healthcare Provider for Illinois Tool Works: Illinois Tool Works (ITW) primarily partners with Blue Cross Blue Shield (BCBS) of Illinois as their healthcare provider. This choice reflects a focus on comprehensive coverage options for their employees, aligning with the company's commitment to employee health and well-being. Potential Healthcare Cost Increases in 2026: In 2026, healthcare costs are expected to surge, with Blue Cross Blue Shield in Illinois anticipating an overall premium increase of approximately 27%. This spike is driven by a confluence of factors, including escalating medical expenses, diminishing federal premium subsidy support, and substantial hikes from major insurers. As the Affordable Care Act premiums rise sharply-potentially impacting 22 million enrollees-ITW's employees may face considerable out-of-pocket costs if no congressional action is taken to extend the enhanced subsidies. This underscores the necessity for proactive strategies in managing healthcare expenses amidst rapidly changing market dynamics. Click here to learn more

'With health care inflation outpacing general costs, Illinois Tool Works employees should consider building personalized strategies that include HSAs and emergency reserves to help manage future medical expenses.' — Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'As medical expenses continue to rise, Illinois Tool Works employees benefit from proactively incorporating health care costs into their retirement planning through customized approaches like HSAs and dedicated emergency funds.' — Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article we will discuss:

  1. How health care inflation impacts retirement planning for Fortune 500 employees.

  2. Strategies with Health Savings Accounts (HSAs) and emergency medical funds.

  3. The need for tailored planning to meet Medicare gaps and long-term care needs.

Managing retirement health care costs calls for thoughtful planning, especially as medical expenses continue to outpace general inflation. Yet, for Fortune 500 professionals approaching retirement, generic guidance often misses the mark. Patrick Ray and Tyson Mavar of The Retirement Group, a division of Wealth Enhancement, recommend a customized approach that factors in health care inflation, coverage choices, tax-efficient tools, and access to liquid funds for unexpected medical events.

Health Care Estimate for Retirees

According to the Fidelity Retiree Health Care Cost Estimate, a 65-year‑old retiring in 2025 may need approximately $172,500 saved to cover health and medical expenses during retirement—an increase of over 4% since 2024. 1  Notably, this estimate assumes enrollment in Medicare Parts A, B, and D and excludes the costs of long‑term care.

Of that estimate, 44% of the costs would go to Medicare Parts B and D premiums, 47% relate to standard out‑of‑pocket costs (such as co-payments and deductibles), and 9% would be needed to purchase prescription medications. 1

These trends are particularly concerning given that roughly 20% of Americans say they haven’t considered health care in retirement planning, while 17% haven’t taken any planning steps yet. 2

For its part, the Employee Benefit Research Institute (EBRI) notes that a 65‑year‑old couple with higher prescription drug expenses may need as much as $413,000 to have a 90% likelihood of covering their medical needs in retirement. 3

The Value of a Personalized Retirement Health Care Approach

In light of this data, Ray and Mavar recommend developing a retirement health care strategy tailored to each individual's situation, particularly for those at large employers like Fortune 500. Key components could include:

  • - Estimating expected medical needs

  • - Using Health Savings Accounts (HSAs)

  • - Keeping readily available funds for emergencies

  • - Aligning health care coverage with lifespan and income expectations

1. Estimating Your Health Care Budget

Although industry research offers a baseline for average health care costs, it does not consider the full range of medical expenses Illinois Tool Works employees could face post-retirement. For instance, if you factor in costs related to long-term care, estimates could balloon by an additional $26,000 to $127,750 per year. 4

Beyond long-term care, additional cost categories could include:

  • - Medicare premiums

  • - Prescription medications and co‑pays

  • - Services not covered by Medicare (e.g., dental, vision)

Ray and Mavar caution Fortune 500 professionals not to underestimate these figures when planning.

2. Gaps in Preparedness

With 17% of Americans having taken no action to plan for health care in retirement, Ray and Mavar emphasize treating health care planning as a central component—not an afterthought.

3. Making Full Use of HSAs

Ray and Mavar suggest consistently contributing to HSAs during working years. For instance, a 35‑year‑old contributing up to $4,300 annually and assuming a 7% return might accumulate over  $500,000  by age 65, including approximately  $140,000 in tax savings . Only about  30%  of HSA holders currently invest those balances.

In their recent webinar, ' Leveraging HSAs to Reduce Health Care Costs ,' Mavar described benefits such as tax‑free growth and withdrawals for qualified medical expenses for those with high‑deductible health plans.

4. Building an Emergency Medical Reserve

Unexpected diagnoses or emergencies can quickly drain resources. Mavar recommends a separate cash reserve—such as in a money market or high‑yield savings account—outside primary retirement accounts. This may help retirees handle health care shocks without impacting long‑term investments.

  • Broader Economic Landscape: Health Care Inflation and Trends

Health care spending is projected to continue rising. In a report published by federal actuaries, U.S. health care spending is expected to rise by 7.1% in 2025—well ahead of general inflation. 5  Reasons for this rise range from growing personal health care spending and hospital spending growth, to prescription drugs and physician services. As a result, health care expenses could account for 20% of U.S. GDP by 2033. 5

At the same time, many health care insurers report higher medical-loss ratios, indicating increased spending on care—including chronic disease management and mental health services—costs that could be passed down to retirees.

Key Recommendations for Retirement Health Care Preparation

  • As Mavar and Ray note, the $172,500 estimate for those retiring in 2025 is simply a starting reference point. Early retirement or long-term care needs could push your total higher.

  • If you are among the percentage of people who has not yet considered health care costs in your retirement planning, now is the time to start. By leveraging the triple tax advantages available through HSAs, putting aside sufficient reserves to address medical emergencies, and exploring individual strategies that take your personal coverage choices, retirement timing, and health conditions into account, you can build a safety net that considers your long-term health care spending needs.

Final Thoughts

Health care outcomes and personal circumstances vary widely—especially among long‑time Fortune 500 professionals. A tailored planning strategy—covering realistic spending projections, full use of HSAs, dedicated medical reserves, and thoughtful coverage choices—can help support a more predictable and manageable retirement journey.

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Sources:

1. Fidelity Investments. “ Fidelity Investments Releases 2025 Retiree Health Care Cost Estimate: A Timely Reminder for All Generations .” 30 July 2025.

2. Barron's. “ The Healthcare Tab for Retirees Keeps Growing. How to Prepare ,” by Elizabeth O'Brien. 30 July 2025.

3. EBRI. ' New Research Report Finds Projected Savings Medicare Beneficiaries Need for Health Expenses Increased Again in 2023 .' 29 Jan. 2024. 

4. Genworth. ' Genworth and CareScout Release Cost of Care Survey Results for 2024 .' 4 March 2025. 

5. Fierce Healthcare. “ CMS study: Healthcare spending likely to grow by 7.1% in 2025 ,” by Paige Minemyer. 30 June 2025.

What retirement savings options does Illinois Tool Works offer to its employees?

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

How can employees of Illinois Tool Works enroll in the 401(k) plan?

Employees of Illinois Tool Works can enroll in the 401(k) plan by completing the enrollment process through the company’s benefits portal or by contacting the HR department for assistance.

Does Illinois Tool Works provide a company match for the 401(k) contributions?

Yes, Illinois Tool Works provides a company match for employee contributions to the 401(k) plan, subject to specific terms and conditions.

What is the maximum contribution limit for the 401(k) plan at Illinois Tool Works?

The maximum contribution limit for the 401(k) plan at Illinois Tool Works is determined by the IRS guidelines, which can change annually.

Can employees of Illinois Tool Works take loans against their 401(k) savings?

Yes, employees of Illinois Tool Works may have the option to take loans against their 401(k) savings, subject to the plan's rules.

What investment options are available in the Illinois Tool Works 401(k) plan?

The Illinois Tool Works 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

How often can employees change their contribution amount to the Illinois Tool Works 401(k) plan?

Employees of Illinois Tool Works can typically change their contribution amount on a quarterly basis or as specified in the plan details.

What happens to my Illinois Tool Works 401(k) if I leave the company?

If you leave Illinois Tool Works, you can choose to roll over your 401(k) balance to another retirement account, keep it in the Illinois Tool Works plan (if eligible), or withdraw the funds, subject to taxes and penalties.

Is there a vesting schedule for the company match in the Illinois Tool Works 401(k) plan?

Yes, Illinois Tool Works has a vesting schedule for the company match, which means employees must work for a certain period to fully own the matched contributions.

Can part-time employees participate in the Illinois Tool Works 401(k) plan?

Yes, part-time employees at Illinois Tool Works may be eligible to participate in the 401(k) plan, depending on specific criteria set by the company.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Name of Pension Plan: Illinois Tool Works Pension Plan Years of Service and Age Qualification: Employees typically need to have a minimum of 5 years of service to qualify for the pension plan. Full benefits may be available to employees who are at least 65 years old or have reached a combination of age and service requirements totaling at least 85 years. Pension Formula: The pension is calculated based on years of service and the average of the highest-paid years of salary. For example, it may be calculated as 1.5% of the average of the highest 5 years of salary multiplied by years of service. Name of 401(k) Plan: Illinois Tool Works 401(k) Plan Who Qualifies: All full-time employees who are at least 21 years old and have completed 90 days of service are eligible to participate in the 401(k) plan. 401(k) Plan Features: Employees can contribute a percentage of their salary up to the annual limit set by the IRS. The company may provide matching contributions up to a certain percentage of the employee's contributions. Document: Illinois Tool Works 2024 Benefits Summary
Restructuring and Layoffs: In 2023, Illinois Tool Works announced a restructuring plan aimed at streamlining operations and improving efficiency. This plan included workforce reductions in certain sectors to adapt to shifting market demands and economic pressures. The company stated that these changes are intended to bolster its competitive position in a challenging economic environment. The importance of addressing this news is heightened due to the current economic landscape, where companies are adjusting their structures to maintain profitability amid fluctuating economic conditions. Understanding these changes is crucial for employees and stakeholders to navigate the evolving business environment and its impact on their roles and benefits.
ITW offers stock options and RSUs as part of their employee compensation packages. Stock options at ITW allow employees to purchase company stock at a set price, usually granted to senior executives and key employees. ITW provides RSUs, which are granted to employees as a form of equity compensation, usually vesting over several years. The company typically awards these to employees based on performance and seniority.
Health Insurance: ITW offers comprehensive health insurance plans, including medical, dental, and vision coverage. Employees can choose from multiple plan options to fit their needs. Wellness Programs: The company provides wellness programs that include resources for mental health, fitness, and preventive care. Retirement Savings: ITW offers 401(k) plans with company matching contributions and other financial wellness programs.
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