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

Largest Increase Ever From Top Insurers. Will Casey's General Stores Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for Casey's General Stores Casey's General Stores utilizes The Retirement Group as its healthcare provider, which assists retirees and employees in navigating healthcare benefits and understanding changing healthcare costs. Potential Healthcare Cost Increases in 2026 As 2026 approaches, Casey's General Stores employees and retirees may face significant increases in healthcare costs, largely due to anticipated record hikes in Affordable Care Act (ACA) premiums. With some states predicting premium increases surpassing 60%, coupled with the expiration of enhanced federal subsidies, the potential for out-of-pocket expenses to climb by over 75% looms large. This perfect storm of rising medical expenses and regulatory changes could place additional financial strain on those relying on ACA plans, necessitating careful budgeting and planning to mitigate the impact of these changes. Click here to learn more

'With ACA premiums expected to rise in 2026, Casey's General Stores 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, Casey's General Stores 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 Casey's General Stores 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 Casey's General Stores 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 type of retirement savings plan does Casey's General Stores offer to its employees?

Casey's General Stores offers a 401(k) retirement savings plan to help employees save for their future.

Is the 401(k) plan at Casey's General Stores available to all employees?

Yes, the 401(k) plan at Casey's General Stores is available to all eligible employees.

Does Casey's General Stores provide matching contributions to the 401(k) plan?

Yes, Casey's General Stores provides a matching contribution to the 401(k) plan, subject to certain conditions.

How can employees at Casey's General Stores enroll in the 401(k) plan?

Employees at Casey's General Stores can enroll in the 401(k) plan by completing the enrollment process through the company's HR portal.

What is the minimum age requirement to participate in Casey's General Stores' 401(k) plan?

The minimum age requirement to participate in Casey's General Stores' 401(k) plan is typically 21 years old.

Can employees at Casey's General Stores take loans against their 401(k) savings?

Yes, employees at Casey's General Stores may have the option to take loans against their 401(k) savings, depending on the plan's provisions.

What investment options are available in Casey's General Stores' 401(k) plan?

Casey's General Stores' 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

How often can employees at Casey's General Stores change their 401(k) contribution amounts?

Employees at Casey's General Stores can typically change their 401(k) contribution amounts on a quarterly basis or as specified in the plan documents.

What is the vesting schedule for employer contributions in Casey's General Stores' 401(k) plan?

The vesting schedule for employer contributions in Casey's General Stores' 401(k) plan may vary, but employees usually become fully vested after a certain number of years of service.

Are there any fees associated with Casey's General Stores' 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with Casey's General Stores' 401(k) plan, which are disclosed 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.

Casey's General Stores recently announced a restructuring plan that includes a reduction in workforce and changes to employee benefits. The company is also revising its pension plan to address financial pressures.

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For more information you can reach the plan administrator for Casey's General Stores at One SE Convenience Blvd. Ankeny, IA 50021; or by calling them at +1 515-965-6100.