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

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

Healthcare Provider Update: Healthcare Provider for CarMax: CarMax partners with UnitedHealthcare as its primary healthcare provider. This partnership allows CarMax employees to access a variety of health insurance options tailored to meet their healthcare needs. Potential Healthcare Cost Increases in 2026: As we look ahead to 2026, CarMax employees may face significant healthcare cost increases due to rising premiums driven by several factors. The anticipated expiration of enhanced federal premium subsidies, combined with aggressive rate hikes from major insurers, could see some enrollees facing premium increases of up to 75%. This perfect storm of higher medical costs and regulatory changes indicates that families may need to brace for a substantial financial impact, making navigating healthcare options more critical than ever for employees. Click here to learn more

'With ACA premiums expected to rise in 2026, CarMax 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, CarMax 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 CarMax 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 CarMax 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 is the 401(k) plan offered by CarMax?

The 401(k) plan at CarMax is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out, helping them prepare for retirement.

Does CarMax match contributions to the 401(k) plan?

Yes, CarMax offers a matching contribution to employees' 401(k) plans, which helps employees grow their retirement savings even faster.

How much can I contribute to my CarMax 401(k) plan?

Employees at CarMax can contribute up to the IRS annual limit, which is adjusted each year. For 2023, the limit is $22,500, with an additional catch-up contribution for those aged 50 and older.

When can I enroll in the CarMax 401(k) plan?

New employees at CarMax are typically eligible to enroll in the 401(k) plan after completing a waiting period, usually within the first few months of employment.

What investment options are available in the CarMax 401(k) plan?

The CarMax 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their portfolios.

How does CarMax's matching contribution work?

CarMax matches a percentage of employee contributions to the 401(k) plan, up to a certain limit, which helps employees maximize their retirement savings.

Can I take a loan from my CarMax 401(k) plan?

Yes, CarMax allows employees to take loans from their 401(k) accounts under certain conditions, providing a way to access funds in case of emergencies.

What happens to my CarMax 401(k) if I leave the company?

If you leave CarMax, you have several options for your 401(k), including rolling it over into an IRA or a new employer's plan, or leaving it in the CarMax plan if permitted.

Is there a vesting schedule for the CarMax 401(k) matching contributions?

Yes, CarMax has a vesting schedule for matching contributions, meaning employees must work for a certain period before they fully own the matched funds.

How can I check my CarMax 401(k) balance?

Employees can check their 401(k) balance through the CarMax benefits portal or by contacting the plan administrator for assistance.

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: CarMax does not offer a traditional defined benefit pension plan. Instead, CarMax provides retirement benefits primarily through a 401(k) plan. Years of Service and Age Qualification: CarMax does not have a traditional pension plan, so there are no specific qualifications for years of service or age for a pension plan. Pension Formula: There is no pension formula as CarMax does not offer a traditional pension plan. 401(k) Plan Details: Employee Contributions: Employees can contribute a portion of their salary up to the annual IRS limit. Employer Match: CarMax offers a company match up to a certain percentage of the employee's contributions.

Restructuring and Layoffs: In recent months, CarMax has announced a significant restructuring plan, including layoffs across various departments. This move is part of a broader strategy to streamline operations and improve efficiency amid changing market conditions. The layoffs are aimed at reducing overhead costs and reallocating resources to more profitable areas of the business. This restructuring is crucial to address the shifting economic landscape and maintain the company's competitive edge. It’s important for employees and investors to stay informed about these changes due to the current economic volatility, investment uncertainties, and evolving tax and political environments.

CarMax Stock Options (SO) and Restricted Stock Units (RSU): Acronyms: CarMax uses SO for Stock Options and RSU for Restricted Stock Units. Specifics: In 2022, CarMax provided stock options and RSUs to eligible employees, primarily focusing on senior management and key contributors. Availability: Both stock options and RSUs are typically granted as part of the compensation package to high-level executives and sometimes to other employees based on performance and tenure. Acronyms: For CarMax, the acronyms SO and RSU remain consistent. Specifics: In 2023, CarMax continued to offer stock options and RSUs. The grants were aligned with industry standards, aiming to attract and retain talent. Availability: Stock options and RSUs were granted to select employees, with an emphasis on roles critical to the company's strategic goals.

Benefits Overview: CarMax provides a comprehensive benefits package, including medical, dental, and vision insurance. They offer health plans that cover preventive care, medical visits, prescription drugs, and other essential health services. Healthcare Terms/Acronyms: HDHP (High Deductible Health Plan): A plan with higher deductibles and lower premiums, paired with Health Savings Accounts (HSAs). HSA (Health Savings Account): A tax-advantaged savings account used to pay for qualified medical expenses. FSA (Flexible Spending Account): An account allowing employees to use pre-tax dollars for out-of-pocket health expenses.

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For more information you can reach the plan administrator for CarMax at 12800 Tuckahoe Creek Parkway Richmond, VA 23238; or by calling them at +1 800-519-1511.

https://www.irs.gov/ https://www.pbgc.gov/ https://www.businessinsider.com/ https://www.forbes.com/ https://www.reuters.com/ https://www.thelayoff.com/