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

Largest Increase Ever From Top Insurers. Will Bank of New York Mellon Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for Bank of New York Mellon The primary healthcare provider for Bank of New York Mellon (BNY Mellon) is EmblemHealth, which offers a range of plans catering to the needs of the company's employees. Potential Healthcare Cost Increases in 2026 As we approach 2026, healthcare costs are expected to rise significantly, driven by a combination of factors. Data reveals that many states are facing record premium hikes for Affordable Care Act plans, with some projections showing increases exceeding 60%. The potential expiration of enhanced federal premium subsidies will compound these challenges, resulting in over 22 million ACA marketplace enrollees possibly seeing their out-of-pocket premiums jump by upwards of 75%. This surge in costs is indicative of a broader trend affecting healthcare affordability for many Americans, intensifying pressure on already strained household budgets. Click here to learn more

'With ACA premiums expected to rise in 2026, Bank of New York Mellon 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, Bank of New York Mellon 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 Bank of New York Mellon 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 Bank of New York Mellon 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.).

What types of retirement savings plans does Bank of New York Mellon offer to its employees?

Bank of New York Mellon offers a 401(k) plan as part of its retirement savings options for employees.

How can I enroll in the 401(k) plan at Bank of New York Mellon?

Employees can enroll in the Bank of New York Mellon 401(k) plan through the company’s benefits portal or by contacting the HR department for assistance.

Does Bank of New York Mellon provide matching contributions to the 401(k) plan?

Yes, Bank of New York Mellon offers a matching contribution to the 401(k) plan, which helps employees boost their retirement savings.

What is the vesting schedule for the Bank of New York Mellon 401(k) matching contributions?

The vesting schedule for Bank of New York Mellon’s matching contributions typically follows a standard schedule, which can be confirmed in the employee handbook or by contacting HR.

Can I change my contribution rate to the 401(k) plan at Bank of New York Mellon?

Yes, employees at Bank of New York Mellon can change their contribution rate to the 401(k) plan at any time, subject to certain guidelines.

What investment options are available in the Bank of New York Mellon 401(k) plan?

The Bank of New York Mellon 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

How often can I make changes to my investment selections in the Bank of New York Mellon 401(k) plan?

Employees can typically make changes to their investment selections in the Bank of New York Mellon 401(k) plan on a regular basis, often daily or monthly.

Is there a loan provision available in the Bank of New York Mellon 401(k) plan?

Yes, Bank of New York Mellon allows employees to take loans against their 401(k) savings, subject to certain conditions and limits.

What happens to my 401(k) account if I leave Bank of New York Mellon?

If you leave Bank of New York Mellon, you have several options for your 401(k) account, including rolling it over to an IRA or a new employer’s plan, or cashing it out.

Are there any fees associated with the Bank of New York Mellon 401(k) plan?

Yes, there may be fees associated with the Bank of New York Mellon 401(k) plan, which can include administrative fees and investment-related fees. Employees can review the fee structure in the plan documents.

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

Bank of New York Mellon has announced a significant reduction in its workforce, with layoffs expected to affect around 5% of its employees by the end of 2024.

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For more information you can reach the plan administrator for Bank of New York Mellon at 240 Greenwich St New York, NY 10286; or by calling them at +1 212-495-1784.