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

Largest Increase Ever From Top Insurers. Will Digital Realty Trust Employees Be Affected?

'With ACA premiums expected to rise in 2026, Digital Realty Trust 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, Digital Realty Trust 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 Digital Realty Trust 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 Digital Realty Trust 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 Digital Realty Trust offer to its employees?

Digital Realty Trust offers a 401(k) retirement savings plan to its employees.

Does Digital Realty Trust match employee contributions to the 401(k) plan?

Yes, Digital Realty Trust provides a matching contribution to employee 401(k) contributions, subject to certain limits.

What is the eligibility requirement for employees to participate in the Digital Realty Trust 401(k) plan?

Employees of Digital Realty Trust are eligible to participate in the 401(k) plan after completing a specified period of service.

Can employees of Digital Realty Trust choose how their 401(k) contributions are invested?

Yes, employees of Digital Realty Trust can select from a variety of investment options for their 401(k) contributions.

What is the maximum contribution limit for the Digital Realty Trust 401(k) plan?

The maximum contribution limit for the Digital Realty Trust 401(k) plan aligns with the IRS limits, which may change annually.

Does Digital Realty Trust offer a Roth 401(k) option?

Yes, Digital Realty Trust offers a Roth 401(k) option, allowing employees to make after-tax contributions.

What happens to my 401(k) account if I leave Digital Realty Trust?

If you leave Digital Realty Trust, you can either roll over your 401(k) balance to another retirement account or leave it in the Digital Realty Trust plan, subject to the plan's rules.

Are there any fees associated with the Digital Realty Trust 401(k) plan?

Yes, there may be administrative fees associated with the Digital Realty Trust 401(k) plan, which are disclosed in the plan documents.

How often can employees change their contribution amounts in the Digital Realty Trust 401(k) plan?

Employees of Digital Realty Trust can change their contribution amounts at designated times throughout the year, as outlined in the plan guidelines.

Does Digital Realty Trust provide educational resources for employees regarding their 401(k) plan?

Yes, Digital Realty Trust offers educational resources and tools to help employees understand their 401(k) plan options and investment choices.

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

Digital Realty Trust offers a 401(k) plan known as the "Digital Realty Trust, L.P. 401(K) PLAN" through Fidelity. This plan covers approximately 1,499 employees, providing them with options for retirement savings. Employees are eligible to contribute to the 401(k) plan, and Digital Realty Trust offers a matching contribution to help enhance retirement savings. As for pension plans, the details specific to Digital Realty Trust employees include qualifications based on years of service and age, but further specifics regarding the pension formula or plan name were not explicitly detailed in the documents reviewed. The 401(k) plan information and general retirement benefits were outlined across various documents, including retirement plan comparison charts for 2023 and specific plan details

Restructuring and Layoffs: Digital Realty Trust announced a series of layoffs and organizational restructuring in late 2023. This decision was driven by the need to streamline operations and reduce costs amid a challenging economic environment. The company aimed to enhance operational efficiency and better align its workforce with its strategic goals. Importance: Addressing these changes is crucial due to the current economic climate, which has seen fluctuating market conditions and increased pressure on companies to optimize their operations. Understanding these moves helps in assessing the broader impact on the job market and corporate strategies.

Digital Realty Trust (DLR) offers a combination of stock options and Restricted Stock Units (RSUs) as part of their compensation packages, particularly aimed at executives and high-level employees. These incentives are designed to align employee interests with the company’s performance and long-term shareholder value. In 2022, 2023, and 2024, Digital Realty Trust issued RSUs under its long-term incentive plans (LTIPs), granted based on performance metrics and tenure. Stock options typically follow a vesting schedule, where employees gain the right to exercise options after specific periods. RSUs at Digital Realty Trust are often given to senior management and other key contributors to foster retention and incentivize long-term growth. Eligibility for these programs typically includes employees at the Director level and above, but some RSUs are also extended to other tiers as part of strategic retention efforts. Digital Realty (DLR) emphasizes using performance-based RSUs to drive business outcomes and reward top talent, aligning with the company’s broader financial goals.

Digital Realty Trust Careers Page: The company's official website provides a general overview of employee benefits, including health insurance options, wellness programs, and employee assistance programs. However, detailed specifics for each year may not be available on the website. Employee reviews on Glassdoor suggest that Digital Realty Trust offers competitive health benefits, including medical, dental, and vision insurance. Employees have noted that the company provides a range of wellness programs and preventive care options. Indeed: Similar to Glassdoor, Indeed reviews highlight that the company provides comprehensive health insurance options and wellness benefits. Specific details about annual changes in benefits might be less clear.

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For more information you can reach the plan administrator for Digital Realty Trust at 120 Kearny St, Suite 800 San Francisco, CA 94104; or by calling them at (415) 738-6500.

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