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

Largest Increase Ever From Top Insurers. Will Altria Group Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for Altria Group Altria Group primarily relies on Carefirst BlueCross BlueShield as a healthcare provider. This partnership offers benefits to Altria's employees, ensuring access to a range of healthcare services. Brief on Potential Healthcare Cost Increases in 2026 As 2026 approaches, Altria Group is bracing for significant increases in healthcare costs driven by broader trends affecting the Affordable Care Act (ACA) marketplace. With insurers expected to implement average premium hikes of around 18%, many states may see increases upwards of 60%. The expiration of enhanced federal premium subsidies is projected to exacerbate these challenges, potentially leading to a staggering 75% rise in out-of-pocket costs for the majority of marketplace enrollees, including many of Altria's workforce. Such financial pressures could directly impact employee healthcare access and overall company wellness programs, emphasizing the need for proactive management of employee health benefits. Click here to learn more

'With ACA premiums expected to rise in 2026, Altria Group 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, Altria Group 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.

In this article we will discuss:
1. The expected premium increases for ACA marketplace plans in 2026 and their potential impact on Altria Group employees and retirees.
2. The major national insurers and states with the largest requested rate hikes.
3. 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 Altria Group 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:
- New York: UnitedHealthcare requesting up to +66.4% (individual market).
- Arkansas: QualChoice +54.4% , Ambetter (Celtic) +42.5% , statewide average +36.1% .
- Colorado: Western Slope ~+38.8% ; statewide average +28.4% . Rocky Mountain HMO +36.4% , Cigna +29.4% , Anthem +33.6% , Kaiser +15.3% .
- Florida: Molina ~+41% , Florida Blue +27% , Centene Venture +18.73%
- Maine: Anthem (revised) +24.8% ; statewide weighted average +25.9% .
- Washington: 14 insurers; requested average +21.2% .
- Vermont: BCBS Vermont +23.3% .
- Maryland: Requested statewide average +17.1% (individual market).
- Illinois: BCBS Illinois +27% .
- Texas: BCBS Texas +21% .
Major National Insurers and Their 2026 Requests:
- UnitedHealthcare (UnitedHealth Group): Up to +66.4% in New York.
- Elevance Health (Anthem BCBS): +33.6% in Colorado; +24.8% in Maine.
- Kaiser Permanente: +15.3% in Colorado (individual market).
- Centene Corporation (Ambetter/Celtic): +42.5% in Arkansas; +18.73% in Florida.
- Cigna Healthcare: +29.4% in Colorado.
- Molina Healthcare: ~41% in Florida.
- HCSC (BCBS IL, TX): +27% in Illinois; +21% in Texas.
- GuideWell (Florida Blue): +27% in Florida.
- CareFirst BlueCross BlueShield: Maryland requested statewide average +17.1% .
- CVS Health/Aetna: Withdrawing ACA marketplace plans in 17 states in 2026, affecting ~1 million members.
Key Factors Driving the Increases:
- 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
- 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.
- 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 .
Pages/Sections referenced: Article body noting ~1 million exchange members and the 2026 exit (single web page; n. pag.).

How does the retirement plan at Brown & Williamson Tobacco Corporation ensure the financial security of its employees in retirement? What are the specific features and benefits incorporated into the plan that aim to provide a reliable income source for employees after they retire?

Financial Security in Retirement: The retirement plan at Brown & Williamson Tobacco Corporation (B&W) provides financial security through its defined benefit structure, which ensures a steady stream of income post-retirement. The plan integrates with the RAI 401(k) Savings Plan, Social Security, and personal savings to offer a comprehensive retirement package, helping employees secure a reliable income after they retire.

In what ways does the Broward Health Cash Balance Pension Plan accommodate employees who wish to retire early? Explain the eligibility requirements, benefits available upon early retirement, and how these may differ from benefits received at normal retirement age.

Integration with Social Security: B&W's retirement plan works in conjunction with Social Security benefits and individual savings to create a well-rounded retirement strategy. The retirement income calculation incorporates a Social Security Adjustment, which reduces the pension benefit by a portion of Social Security payments. Employees should consider the combined effect of these sources when planning their retirement income to ensure they meet their financial needs.

How does the vesting schedule work within the Broward Health Cash Balance Pension Plan, and what does it mean for employees in terms of their rights to benefits? Elaborate on how years of service impact vesting percentages and detail the consequences for employees who leave before becoming fully vested.

Eligibility for Early Retirement Pension: Eligibility for early retirement at B&W depends on the employee being at least 55 years old with a minimum of 10 years of Qualifying Service. The calculation of early retirement benefits considers factors like years of service and age, with reductions applied for retirement before age 60. Those with 30 years of service can avoid reductions even if they retire early.

What role does the Broward Health Pension Plan Committee play in the administration of the Cash Balance Pension Plan, and how does this committee ensure compliance with applicable laws and the financial soundness of the plan? Discuss the responsibilities of overseeing plan implementation and benefits management.

Payment Forms and Impact: B&W offers various forms of retirement payments, including single life annuities and joint and survivor annuities. Each option has different financial implications, with single life annuities offering higher payments but ending upon the retiree’s death, while joint annuities provide for a surviving spouse at a reduced rate. Employees must weigh these options to choose the one that best suits their financial goals.

How does the Broward Health Cash Balance Pension Plan address potential changes or amendments to its terms, and what protections are in place for employees' vested rights? Discuss the process for plan amendments and any circumstances under which the plan could be terminated.

Disability and Death Benefits: B&W’s retirement plan provides disability and pre-retirement death benefits, offering financial protection for employees and their families in unexpected circumstances. For example, a surviving spouse may receive a Pre-Retirement Surviving Spouse Annuity if the employee dies before retirement, ensuring continued financial support.

For employees with prior service history seeking to return to Broward Health, how does the Cash Balance Pension Plan facilitate the recognition of their past contributions and service? Discuss re-employment rules and how they affect benefit calculations for those returning after a break in service.

Steps to Initiate Retirement: To initiate the retirement process, employees must contact the Alight Benefits Center 60 to 90 days before their desired retirement date. The process includes understanding accrued benefits, selecting a payment form, and completing the required paperwork to ensure a smooth transition into retirement.

What options are available to employees of Broward Health regarding beneficiary designations, and how does this affect benefit distributions upon an employee's death? Detail the procedures for appointing a beneficiary and the implications of not having a designated beneficiary in place.

Accessing Benefits after Termination: Former employees who leave B&W before meeting the vesting requirements may not be eligible for full retirement benefits. However, those who complete at least five years of Qualifying Service before leaving are fully vested and can receive benefits when they reach the appropriate retirement age.

How does the Broward Health Cash Balance Pension Plan manage and calculate interest credits on cash balance accounts? Discuss the methodology for determining interest rates and the impact these credits have on overall retirement savings.

ERISA Rights: Employees participating in the B&W retirement plan are entitled to rights under ERISA, such as the right to receive information about the plan, review plan documents, and appeal denied benefit claims. These rights ensure that participants are well-informed and protected under federal law.

What challenges might Broward Health employees face when navigating the claim filing process for retirement benefits? Describe the steps involved in requesting benefits, what to do in case of a denied claim, and the importance of timely communications with the Plan Administrator.

Handling Unlocatable Participants: If participants cannot be located for benefit distribution, their payments are temporarily forfeited. However, B&W has a process to restore these benefits if the participant is later found, without the addition of interest. Employees should keep their contact information updated to avoid such issues.

How can employees contact Broward Health to learn more about the Cash Balance Pension Plan and its provisions? Provide details on the available resources, including contact information for the Employee Benefits department, and explain how these resources can assist employees in understanding their retirement options.

Contact Information for Resources: Employees can contact the RAI Benefits Administration Committee for plan-related questions or the Alight Benefits Center for administrative assistance. The Alight Benefits Center can be reached at 1-866-342-6986 or through the website www.RAIbenefits.com for help with retirement processes and questions(Brown_and_Williamson_To…).

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: Identify the official name of Altria Group's pension plan. Eligibility: Determine the years of service and age qualifications required to qualify for the pension plan. Pension Formula: Find details on the pension formula used to calculate benefits. Name of 401(k) Plan: Identify the official name of Altria Group's 401(k) plan. Eligibility: Determine who qualifies for the 401(k) plan.

Restructuring and Layoffs: In 2023, Altria Group announced a significant restructuring effort aimed at streamlining operations and reducing costs. This included a reduction in workforce across various departments, impacting hundreds of employees. The decision to restructure is partly in response to declining cigarette sales and shifts in consumer preferences towards reduced-risk products. It’s crucial to monitor these changes given the broader economic challenges and evolving regulatory environment impacting the tobacco industry.

Stock Options: Altria Group offers stock options as part of its compensation packages. Employees eligible for stock options typically include executives and senior management. Stock options give employees the right to purchase company stock at a predetermined price. RSUs: Restricted Stock Units (RSUs) are granted to employees as a form of compensation. These units vest over time, meaning employees receive the actual stock only after meeting certain conditions, such as continuing employment with the company. RSUs are commonly used to retain key employees. Eligibility: Generally, stock options and RSUs are provided to higher-level employees and executives within Altria Group. They are often part of long-term incentive plans designed to align employees' interests with the company's performance.

2024: Altria announced enhancements to its health benefits package, including increased contributions to HSAs and expanded coverage for mental health services. The company has also introduced new wellness programs aimed at improving overall employee well-being. 2023: Altria made changes to its medical plan options, introducing a new PPO plan and offering additional resources for managing chronic conditions. The company has been actively promoting its wellness initiatives, including mental health support and fitness programs.

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For more information you can reach the plan administrator for Altria Group at 6601 West Broad Street, Richmond, VA 23230; or by calling them at (804) 274-2200.

https://www.actuarialservices.com/ https://www.bloomberg.com/asia https://www.thelayoff.com/ https://pensionrights.org/