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

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

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Healthcare Provider Update: Provides health insurance, dental, vision, life insurance, and FSAs, with flexible work arrangements and wellness support 2. With ACA costs projected to increase by 1518%, Covetruss employer-sponsored coverage offers a more stable and affordable alternative for employees and their families. Click here to learn more

'With ACA premiums expected to rise in 2026, Covetrus 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, Covetrus 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 Covetrus 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 Covetrus 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 Covetrus offer to its employees?

Covetrus offers a 401(k) retirement savings plan to its employees.

Can employees of Covetrus contribute to their 401(k) plan?

Yes, employees of Covetrus can make contributions to their 401(k) plan through payroll deductions.

What is the maximum contribution limit for Covetrus employees under the 401(k) plan?

The maximum contribution limit for Covetrus employees under the 401(k) plan is determined by the IRS and may change annually. Employees should check the current limits for the specific year.

Does Covetrus match employee contributions to the 401(k) plan?

Yes, Covetrus offers a matching contribution to employee 401(k) contributions, subject to certain conditions.

When does Covetrus start matching employee contributions to the 401(k) plan?

Covetrus typically starts matching employee contributions after the employee has completed a certain period of service, as outlined in the plan documents.

How can Covetrus employees enroll in the 401(k) plan?

Covetrus employees can enroll in the 401(k) plan by completing the enrollment process through the company's designated benefits portal.

What investment options are available in Covetrus' 401(k) plan?

Covetrus offers a variety of investment options in its 401(k) plan, including mutual funds, target-date funds, and other investment vehicles.

Can Covetrus employees change their contribution amounts to the 401(k) plan?

Yes, Covetrus employees can change their contribution amounts to the 401(k) plan at any time, subject to plan rules.

Is there a vesting schedule for Covetrus' 401(k) matching contributions?

Yes, Covetrus has a vesting schedule for its matching contributions, which means employees must work for a certain period before they fully own the matched funds.

How can Covetrus employees access their 401(k) account information?

Covetrus employees can access their 401(k) account information through the company's benefits portal or by contacting the plan administrator.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Covetrus offers its employees both a 401(k) plan and a pension plan, designed to help them prepare for retirement. For the 401(k) plan, employees are eligible to participate after one year of service. Covetrus provides a company match, which becomes available once the employee has completed their first year. The 401(k) plan is designed to align with Covetrus's commitment to employee well-being and financial health. Regarding the pension plan, Covetrus uses a Defined Benefit plan structure. The eligibility for this plan typically includes a combination of years of service and age, though specific details about the formula or exact qualifications were not readily available. The name of the pension plan and more detailed information about the pension formula are typically found in the company’s official documents or annual reports.
Restructuring and Layoffs: Covetrus has undergone significant restructuring, leading to layoffs as part of consolidating its North American operations. The company laid off 80 employees across various U.S. locations. This restructuring aims to streamline operations, reduce role duplication, and enhance customer service for veterinary practices. Additionally, Covetrus has completed its separation from former parent company Henry Schein, which included exiting transitional service agreements. Pension and 401(k) Changes: With ongoing economic shifts, adjustments in 401(k) contribution limits for 2024 have been announced. These changes include an increase in the contribution limit to $23,000 and catch-up contributions for those aged 50 and over, allowing them to contribute up to $30,500. These pension adjustments are aligned with the SECURE Act 2.0, impacting Covetrus employees and others participating in these plans.
For Covetrus, employee stock options (SOs) and Restricted Stock Units (RSUs) are critical components of their compensation packages, especially designed to attract and retain top talent within the organization. Covetrus offers both Non-Qualified Stock Options (NQSOs) and Incentive Stock Options (ISOs) as part of their stock option program. NQSOs are available to employees at all levels, offering the right to purchase Covetrus stock at a predetermined price, typically below market value, after meeting specific vesting periods. ISOs are usually reserved for top executives and offer favorable tax treatment compared to NQSOs. Regarding RSUs, Covetrus grants these units primarily to senior leadership and critical employees. RSUs represent a commitment by Covetrus to award shares of its stock at a future date, contingent upon the employee meeting certain performance milestones or continued employment. RSUs typically vest over a set period, such as three to five years, promoting long-term retention. In 2022, 2023, and 2024, Covetrus continued to emphasize these equity compensation tools as part of their overall strategy to enhance employee engagement and align their workforce with shareholder interests. Eligibility for stock options and RSUs at Covetrus is generally based on job level and performance, with the company ensuring that key contributors are rewarded with these equity incentives.
Covetrus offers a comprehensive suite of health benefits to its employees, focusing on various options that cater to different needs. For the years 2022 through 2024, Covetrus provided standard health insurance, dental and vision insurance, and options for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). These plans are designed to support a wide range of healthcare needs, from routine check-ups to more extensive medical procedures. Additionally, Covetrus includes life insurance and disability coverage in their benefits package, ensuring that employees have access to critical support in case of unforeseen circumstances. The company also emphasizes wellness programs, offering initiatives to promote healthier lifestyles among its workforce. A significant aspect of Covetrus's health benefits is their commitment to flexibility. Employees have options for different levels of coverage depending on their personal or family needs. The use of wellness incentives, such as gym memberships or health coaching, is encouraged to maintain a balanced work-life integration.
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For more information you can reach the plan administrator for Covetrus at 7 Custom House St. Portland, ME 4101; or by calling them at 888-280-2221.

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