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

Largest Increase Ever From Top Insurers. Will Arthur J. Gallagher Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for Arthur J. Gallagher Arthur J. Gallagher & Co. is a global insurance brokerage and risk management firm that offers various healthcare-related solutions, including employee benefits and health insurance services. Their healthcare practice focuses on assisting businesses with health insurance needs, compliance, and cost management solutions. Healthcare Cost Increases in 2026 As healthcare costs continue to escalate, the outlook for 2026 indicates a troubling trend for consumers seeking coverage through the Affordable Care Act (ACA). With potential premium increases soaring by over 60% in certain states, many individuals may find their out-of-pocket costs rising dramatically. If enhanced federal premium subsidies are not extended, an estimated 92% of ACA marketplace enrollees could face skyrocketing premiums, potentially increasing by more than 75%. This perfect storm of market pressures may leave millions scrambling to secure affordable care as both insurers and policymakers navigate a challenging economic landscape. Click here to learn more

'With ACA premiums expected to rise in 2026, Arthur J. Gallagher 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, Arthur J. Gallagher 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 Arthur J. Gallagher 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 Arthur J. Gallagher 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.).

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Understanding the advantages and disadvantages of cash balance plans: Gallagher, Flynn & Company LLP helps employees understand the benefits of cash balance retirement plans by comparing them to traditional pension plans. Cash balance plans offer higher contribution limits and more retirement savings while also reducing tax liability. However, employees must consider that cash balance plans distribute benefits evenly across all working years, which could lead to lower benefits than traditional pension plans that focus on the highest earning years(Gallagher_Flynn_Company…).

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Communication about plan updates: Gallagher, Flynn & Company LLP regularly communicates updates and changes in cash balance retirement plan regulations through company-wide communications and financial advising services. Employees are encouraged to stay informed by contacting the company’s financial advisors or reviewing regulatory updates to understand their rights and obligations(Gallagher_Flynn_Company…).

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Tax benefits of cash balance plans: Cash balance retirement plans at Gallagher, Flynn & Company LLP offer significant tax benefits by allowing for higher contribution limits than traditional 401(k) plans. These higher limits enable employees to lower their taxable income, making these plans advantageous for employees seeking to minimize tax liabilities and increase retirement savings(Gallagher_Flynn_Company…).

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How does Gallagher, Flynn & Company LLP determine the annual employer contribution rates for its cash balance retirement plan, and what factors influence the sustainability of these contributions in the long-term financial health of the company and its employees?

Annual employer contribution rates: Gallagher, Flynn & Company LLP determines the employer contribution rates for cash balance plans based on a percentage of employee salaries, typically ranging from 5-8%. These contributions are influenced by the company’s financial stability and commitment to providing robust retirement benefits for long-term employee financial health(Gallagher_Flynn_Company…).

If an employee at Gallagher, Flynn & Company LLP has additional questions about the cash balance retirement plans and needs further assistance, what are the best ways for them to contact Gallagher, Flynn & Company LLP to receive tailored guidance or information?

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With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

Arthur J. Gallagher recently announced a series of restructuring efforts aimed at streamlining operations and improving efficiency. This includes significant layoffs and changes to employee benefits. Given the current economic volatility and the evolving tax and investment climate, it is crucial to stay informed about these developments to navigate potential impacts on retirement planning and investment strategies.

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For more information you can reach the plan administrator for Arthur J. Gallagher at 2850 Golf Rd Rolling Meadows, IL 60008; or by calling them at +1 847-953-3000.