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

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

Healthcare Provider Update: Healthcare Provider for Costco Wholesale: Costco Wholesale partners with a range of healthcare providers through its Costco Health Insurance Marketplace. This includes various insurers that offer health plans to members, with options for individual and family coverage as well as plans targeted towards small and large groups. Healthcare Cost Increases in 2026: In 2026, healthcare costs are poised to rise sharply, largely due to the anticipated expiration of enhanced federal premium subsidies for Affordable Care Act (ACA) marketplace plans. Without these subsidies, many enrollees could face premium increases exceeding 75%, dramatically impacting their out-of-pocket expenses. As leading insurers report significant revenue and profit growth, the convergence of high medical costs and aggressive rate hikes is set to create a challenging landscape for healthcare affordability. This situation compels individuals and employers alike to reconsider their healthcare strategies heading into 2026. Click here to learn more

'With ACA premiums expected to rise in 2026, Costco Wholesale 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, Costco Wholesale 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 Costco Wholesale 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 Costco Wholesale 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.).

How does Costco implement its 401(k) retirement plan for employees, and what specific contributions does Costco make to this plan? In the context of retirement planning, understanding the structure and benefits of the 401(k) plan is crucial for employees as they approach retirement. Costcoâ€™s approach in this regard offers an insight into how the company supports its employees' retirement financial goals. This question invites an exploration of plan details such as contribution options, matching contributions, and the vesting schedule.

Costco implements its 401(k) retirement plan by providing eligible employees with options to save for retirement through pre-tax contributions, which are matched by the company to a certain extent. Employees can contribute a percentage of their salary, and Costco offers matching contributions to support long-term savings. The vesting schedule typically ensures employees gain full rights to these contributions over a period, promoting loyalty and retention.

What options does Costco provide for employees nearing retirement when it comes to healthcare benefits, and how do these options integrate with retirement planning? This question focuses on the interplay between healthcare benefits and retirement. As employees contemplate retirement, the associated healthcare costs become paramount. Analyzing Costcoâ€™s healthcare offerings can provide insights into how employees can effectively plan for these expenses in their retirement years.

For healthcare benefits nearing retirement, Costco provides employees with a range of options that can integrate with Medicare or other post-retirement health plans. These options help employees manage healthcare expenses as part of their broader retirement planning strategy, ensuring that healthcare costs are mitigated during retirement years.

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Deferred compensation plans at Costco allow employees to defer a portion of their income, reducing their taxable income in the present and postponing tax obligations until retirement when they may be in a lower tax bracket. These plans are typically used as a part of a broader financial retirement strategy, with eligibility criteria and options varying by employee role and tenure.

How does Costco ensure that its retirement benefits remain competitive compared to industry standards, and what is the company's strategy for employee retention through these benefits? Understanding Costcoâ€™s competitive stance in the marketplace regarding retirement benefits can shed light on both employee retention strategies and the effectiveness of their benefits packages. This inquiry can lead to an analysis of how Costco benchmarks its benefits against other employers in the retail sector.

Costco ensures competitiveness in retirement benefits by benchmarking against industry standards, ensuring its offerings are attractive to both new and existing employees. By maintaining competitive benefits, including 401(k) matching and deferred compensation, Costco uses these packages to support employee retention and satisfaction.

What resources and support does Costco offer to employees as they transition into retirement, and how can employees take full advantage of these resources? This question addresses the process of transitioning into retirement, focusing on the specific support mechanisms that Costco provides. Employees will benefit from understanding the companyâ€™s available resources, which could include financial planning services, retirement seminars, or counseling.

Costco offers several resources to aid the retirement transition, including financial planning tools, counseling services, and seminars aimed at helping employees maximize their benefits. Employees are encouraged to engage with these resources early to better prepare for retirement and take full advantage of available benefits.

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Balancing short-term incentives and long-term benefits, Costco’s strategy focuses on offering a combination of immediate financial rewards, such as bonuses, alongside robust retirement savings plans like the 401(k) and deferred compensation options. This approach ensures that employees are motivated in the present while still planning for their future financial well-being.

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Employee contributions to Costco’s 401(k) plan are managed through a system that allows employees to invest their contributions in a variety of investment options. The company matches a portion of these contributions, and employees can monitor and adjust their contributions as part of their overall retirement savings strategy.

How can employees at Costco prepare for changes in tax regulations regarding retirement benefits, particularly in light of updates from the IRS? With ongoing changes to tax codes, especially those affecting retirement income, employees need guidance on effective preparation strategies. This question opens the floor for discussing IRS updates, implications for Costco employees, and proactive planning steps.

Costco prepares employees for changes in tax regulations by providing updates through internal communications and offering access to financial planning resources. These resources guide employees in understanding IRS updates and help them adjust their retirement plans to accommodate tax law changes.

How does Costco handle communications regarding retirement benefits for employees, and what channels are available for employees to seek clarification or support? Effective communication is essential in benefits administration, particularly for retirement planning. This question seeks insight into the methods Costco employs to communicate benefits information and how employees can navigate these channels for assistance.

Communication regarding retirement benefits at Costco is handled through multiple channels, including online portals, direct mail, and HR consultations. Employees can seek clarification and support through these methods, ensuring they fully understand their retirement options and any changes that occur.

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Employees can contact Costco for retirement benefits information through HR support lines, online employee portals, or in-person consultations with benefits specialists. This allows employees to stay informed about their retirement plans and any potential updates that may impact their long-term financial planning.

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

Leading wholesale retailer

Costco offers stock options to eligible employees. The stock options vest over time, providing long-term incentives.