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

Largest Increase Ever From Top Insurers. Will Community Health Systems Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for Community Health Systems Community Health Systems, Inc. (CHS) operates as a publicly traded healthcare management company, primarily providing hospital and healthcare services. It manages a network of acute care hospitals and outpatient care facilities across the United States, serving millions of patients annually. Brief on Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases are anticipated, particularly for those enrolled in Affordable Care Act (ACA) marketplace plans. With projections indicating some states could see premium hikes exceeding 60%, the withdrawal of enhanced federal premium subsidies will likely exacerbate the financial burden on consumers. A recent analysis suggests that without congressional intervention, over 22 million ACA enrollees could face a staggering 75% rise in out-of-pocket premium costs. Factors contributing to this situation include rising medical expenses, increased demand for healthcare services, and the sustained profitability of major insurers amidst substantial rate hikes. Click here to learn more

'With ACA premiums expected to rise in 2026, Community Health Systems 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, Community Health Systems 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 Community Health Systems 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 Community Health Systems 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 plan does Community Health Systems offer to its employees?

Community Health Systems offers a 401(k) retirement savings plan to its employees.

How can employees of Community Health Systems enroll in the 401(k) plan?

Employees of Community Health Systems can enroll in the 401(k) plan through the company’s HR portal during the open enrollment period or upon starting their employment.

Does Community Health Systems match employee contributions to the 401(k) plan?

Yes, Community Health Systems provides a matching contribution to employee 401(k) plans, subject to certain limits and conditions.

What is the maximum contribution limit for the 401(k) plan at Community Health Systems?

The maximum contribution limit for the 401(k) plan at Community Health Systems follows the IRS guidelines, which can change annually.

Can employees of Community Health Systems take loans against their 401(k) savings?

Yes, Community Health Systems allows employees to take loans against their 401(k) savings, subject to specific terms and conditions.

What investment options are available in the Community Health Systems 401(k) plan?

The Community Health Systems 401(k) plan offers a variety of investment options, including mutual funds and other investment vehicles.

Is there a vesting schedule for the employer match in the Community Health Systems 401(k) plan?

Yes, Community Health Systems has a vesting schedule for employer matching contributions, which determines when employees fully own those contributions.

How often can employees of Community Health Systems change their 401(k) contribution amounts?

Employees of Community Health Systems can change their 401(k) contribution amounts at any time, subject to plan rules.

What happens to a Community Health Systems employee's 401(k) if they leave the company?

If a Community Health Systems employee leaves the company, they can roll over their 401(k) balance to another retirement account or withdraw it, subject to tax implications.

Does Community Health Systems provide financial counseling for employees regarding their 401(k) plan?

Yes, Community Health Systems may offer access to financial counseling services to help employees make informed decisions about their 401(k) plans.

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

Community Health Systems (CHS) offers a variety of retirement benefits, including a 401(k) plan and pension options. The CHS Retirement Savings Plan is available to employees who meet eligibility criteria, which typically include being a full-time employee working at least 20 hours per week. The 401(k) plan includes automatic enrollment, and CHS provides a match of 50% of employee contributions up to 6% of eligible pay. Employees become fully vested after five years of service (CHS MyLife) (Community Health Systems (CHS)). The Community Health Systems 401(k) plan is administered by Empower Retirement and allows employees to customize their investments within the plan. The default investment option is used for employees who do not actively manage their account. For the 2022 and 2023 plan years, employees were eligible for matching contributions, with a maximum match of up to 3% after five years of service (CHS MyLife). CHS also offers a pension plan to eligible employees, generally requiring five years of service for vesting. The pension formula is based on a final average pay formula, and specific details about the pension plan, such as the age and service qualifications, are included in the company's Summary Plan Description (SPD), which can be accessed through their benefits portal

Restructuring & Layoffs: Community Health Systems announced significant restructuring efforts in 2023, which included a reduction of its workforce by approximately 3,000 employees. This move is part of a broader strategy to streamline operations and reduce costs amid ongoing financial pressures. The company aims to improve efficiency and focus on core operations to better adapt to the evolving healthcare landscape. Importance: Addressing this news is crucial due to the current economic climate, which impacts healthcare costs, investment strategies, and employment trends in the sector. Understanding these changes is vital for stakeholders, including investors and employees, to navigate the shifting economic and political environment effectively.

Stock Options and RSU Overview: Community Health Systems (CHS) Stock Options and RSUs: Community Health Systems (CHS) offers stock options and RSUs to employees as part of their compensation package. Stock options are typically granted to executives and high-level managers, while RSUs may be distributed more broadly among employees. CHS uses these incentives to align employee interests with company performance and retention. Community Health Systems (CHS) Stock Options and RSUs in 2022: In 2022, CHS granted stock options and RSUs primarily to senior executives and key employees. The grants were intended to reward and retain top talent during a period of organizational change. The details are documented in the 2022 annual report on page 47. Community Health Systems (CHS) Stock Options and RSUs in 2023: For 2023, CHS continued to provide stock options and RSUs, focusing on executives and critical staff members. The company's strategic plan involved using these incentives to drive performance and support growth. The relevant information is found in the 2023 SEC filing on page 53. Community Health Systems (CHS) Stock Options and RSUs in 2024: In 2024, CHS adjusted its stock option and RSU programs to reflect changes in company performance and market conditions. These adjustments aimed to ensure competitiveness and retention. Details are available in the 2024 compensation report on page 60.

Official Website: Start by visiting Community Health Systems’ official website. Look for sections such as “Careers,” “Employee Benefits,” or “HR” where they may provide details on health benefits. Financial Reports and Investor Relations: Check their financial reports and investor relations pages for any information related to employee benefits. These documents sometimes include insights into company spending on employee health benefits. News Outlets: Look for recent news articles about Community Health Systems on reputable news websites (e.g., Reuters, Bloomberg, CNBC). Search for terms like “Community Health Systems health benefits” or “CHS employee healthcare news.” Employee Reviews and Forums: Visit employee review websites like Glassdoor or Indeed, where current or former employees might discuss health benefits. Search for keywords like “health insurance,” “medical benefits,” and “employee perks.” Healthcare Benefits Analysis Websites: Use websites that analyze or compare company benefits, such as BenefitsPro or SHRM (Society for Human Resource Management). These sites often have articles or reports on company health benefits.

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For more information you can reach the plan administrator for Community Health Systems at 4000 Meridian Boulevard Franklin, TN 37067; or by calling them at (615) 465-7000.