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

Largest Increase Ever From Top Insurers. Will Cracker Barrel Old Country Store Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for Cracker Barrel Old Country Store Cracker Barrel Old Country Store primarily provides healthcare benefits through various insurance carriers, with one of the most notable being UnitedHealthcare. Employees typically access a range of healthcare services including medical, dental, and vision coverage administered under their employer-sponsored health plans. Potential Healthcare Cost Increases in 2026 As we approach 2026, employees at Cracker Barrel Old Country Store brace for significant increases in healthcare costs. With the anticipated expiration of enhanced federal subsidies under the Affordable Care Act (ACA), average out-of-pocket premiums could surge by over 75%, impacting the majority of marketplace enrollees. Additionally, price hikes from major insurers may push healthcare expenses further, challenging employees' budgets. It's crucial for workers to stay informed about changing benefits and consider strategic planning to mitigate these rising costs as they navigate the upcoming financial landscape. Click here to learn more

'With ACA premiums expected to rise in 2026, Cracker Barrel Old Country Store 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, Cracker Barrel Old Country Store 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 Cracker Barrel Old Country Store 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 Cracker Barrel Old Country Store 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 Cracker Barrel Old Country Store offer to its employees?

Cracker Barrel Old Country Store offers a 401(k) retirement savings plan to help employees save for their future.

Is there a company match for contributions to the 401(k) plan at Cracker Barrel Old Country Store?

Yes, Cracker Barrel Old Country Store provides a company match on employee contributions to the 401(k) plan, which helps to boost retirement savings.

How can employees of Cracker Barrel Old Country Store enroll in the 401(k) plan?

Employees of Cracker Barrel Old Country Store can enroll in the 401(k) plan through the company’s benefits portal or by contacting the HR department for assistance.

What is the eligibility requirement for Cracker Barrel Old Country Store employees to participate in the 401(k) plan?

Generally, employees of Cracker Barrel Old Country Store are eligible to participate in the 401(k) plan after completing a specified period of service, as outlined in the company’s benefits documentation.

Can employees of Cracker Barrel Old Country Store take loans against their 401(k) savings?

Yes, Cracker Barrel Old Country Store allows employees to take loans against their 401(k) savings, subject to the plan's terms and conditions.

What investment options are available in the Cracker Barrel Old Country Store 401(k) plan?

The 401(k) plan at Cracker Barrel Old Country Store offers a variety of investment options, including mutual funds and target-date funds, to help employees diversify their portfolios.

How often can employees of Cracker Barrel Old Country Store change their contribution amounts to the 401(k) plan?

Employees of Cracker Barrel Old Country Store can change their contribution amounts to the 401(k) plan at any time, subject to the plan’s guidelines.

What is the vesting schedule for the company match in the Cracker Barrel Old Country Store 401(k) plan?

The vesting schedule for the company match in the Cracker Barrel Old Country Store 401(k) plan typically follows a graded vesting schedule, which employees can review in their plan documents.

How does Cracker Barrel Old Country Store communicate 401(k) plan changes to employees?

Cracker Barrel Old Country Store communicates 401(k) plan changes to employees through email notifications, employee meetings, and updates in the company’s benefits portal.

Is there a minimum contribution requirement for the 401(k) plan at Cracker Barrel Old Country Store?

Yes, Cracker Barrel Old Country Store may have a minimum contribution requirement for employees participating in the 401(k) plan, which is detailed 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.

Cracker Barrel announced a reduction in workforce as part of a broader restructuring effort to streamline operations and improve profitability.

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For more information you can reach the plan administrator for Cracker Barrel Old Country Store at 305 Hartmann Dr. Lebanon, TN 37087; or by calling them at 615-444-5533.