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

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

'With ACA premiums expected to rise in 2026, CHS 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, CHS 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 CHS 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 CHS 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 are the specific criteria that determine eligibility for the various contributions within the CHS 401(k) plan, and how do these contributions affect an employeeâ€™s retirement savings over time at CHS? Understanding these criteria can help employees maximize their contributions to ensure they are making the most of the benefits offered by CHS.

Eligibility for 401(k) Contributions: CHS employees can contribute up to 75% of their eligible compensation to their 401(k), with an IRS limit of $18,000 (in 2017) plus an additional $6,000 for those aged 50 and older. CHS also provides a basic contribution of 2% and a performance-based contribution, which increases based on years of service(CHS_12_31_2017_Retireme…). Understanding these contributions can help maximize retirement savings.

How does the CHS Pension Plan work, particularly regarding the differences between the traditional account and the cash balance account? Employees might want to delve into how their choices and years of service will impact their retirement payout from either account.

CHS Pension Plan Structure: CHS offers a pension plan with both traditional and cash balance accounts. The traditional account is based on average pay and years of service, while the cash balance account accrues pay credits based on service. After December 31, 2017, pay credits ceased, but interest credits continue(CHS_12_31_2017_Retireme…). Employees should understand how these accounts affect their retirement benefits.

In what ways does the vesting schedule of CHS employer contributions influence an employee's retirement strategy? Employees at CHS need to understand how vesting affects their overall benefits and what steps they must take to ensure they are fully vested in time for retirement.

Vesting Schedule Impact: CHS has a three-year vesting schedule for its basic 401(k) contributions, while match and performance-based contributions are immediately vested(CHS_12_31_2017_Retireme…). Knowing the vesting rules is crucial for employees planning their retirement strategy, ensuring full benefits are realized.

Can you explain what "frozen" benefits mean for employees nearing retirement at CHS, and how this affects the calculations of future pension benefits? It's critical for employees to grasp the implications of a frozen pension account on their retirement plans.

Frozen Benefits: CHS employees with frozen benefits in the pension plan will not receive further pay credits after December 31, 2017, but interest credits will continue(CHS_12_31_2017_Retireme…). Understanding this freeze is essential for planning retirement payouts.

How can employees at CHS plan for their retirement withdrawals post-employment, particularly focusing on the pension distribution options that are available to them? Employees may find it beneficial to understand the long-term effects of these options on their financial health during retirement.

Retirement Withdrawals: CHS employees have the option to withdraw retirement savings via lump-sum payments or monthly annuities(CHS_12_31_2017_Retireme…). Choosing the right distribution option can significantly impact long-term financial health in retirement.

What actions should employees take if they want to change their contribution elections or investment strategies within CHS retirement plans? Knowledge of the processes for making changes can empower employees to take proactive steps in managing their retirement savings.

Changing Contribution Elections: Employees can change their contribution and investment elections online via the Empower Retirement portal or by calling Empower Retirement(CHS_12_31_2017_Retireme…). This flexibility allows for proactive management of retirement savings.

How does the ability to access and review pension benefits online through the Empower Retirement website enhance the retirement planning process for employees at CHS? This question can lead to discussions about the importance of staying informed about one's financial future.

Access to Pension Benefits Online: Employees can access their pension benefits through Empower Retirement’s website(CHS_12_31_2017_Retireme…). Regularly reviewing these accounts is crucial for staying informed about retirement planning.

What are the implications for CHS employees who are not 100% vested in the Pension Plan before the freeze date, and what alternative options do they have for their retirement savings? Understanding this will help employees make informed choices regarding their benefits.

Not Fully Vested Before Freeze: If employees were not fully vested in the pension plan before the freeze date, they are still eligible to receive vested benefits(CHS_12_31_2017_Retireme…). Exploring alternative retirement savings options is important for those affected.

How do fluctuations in national interest rates impact the retirement plans of employees at CHS, particularly in the context of cash balance accounts? Employees should consider how external economic factors can affect their financial future.

Interest Rate Impact: The interest rate used to calculate cash balance account credits is the 10-year Treasury constant maturity rate plus 2%. These rates fluctuate annually(CHS_12_31_2017_Retireme…). Employees should be aware of how changes in interest rates affect their pension growth.

How should employees contact CHS for more information regarding their retirement benefits, and what resources are particularly useful for navigating the complexities of the pension and 401(k) plans? Contacting the right departments or utilizing specific resources can be crucial for maximizing retirement benefits at CHS. These questions are designed to provide depth and complexity, enabling employees to better understand their retirement benefits and the policies at CHS.

Contacting CHS for Retirement Information: Employees can contact Empower Retirement for pension and 401(k) inquiries via the Empower Retirement website or by phone(CHS_12_31_2017_Retireme…). Utilizing these resources can help navigate complex retirement options.

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For more information you can reach the plan administrator for CHS at 5500 Cenex Dr Inver Grove Heights, MN 55077; or by calling them at (651) 355-6000.