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

Largest Increase Ever From Top Insurers. Will D.R. Horton Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for D.R. Horton D.R. Horton, being a major homebuilding company, typically provides health insurance through large insurers like UnitedHealthcare and Cigna. These providers offer a range of plans to support D.R. Horton employees and their families, including options for both individual and family coverage. Potential Healthcare Cost Increases in 2026 As we look ahead to 2026, healthcare consumers can expect significant premium increases, particularly driven by the looming expiration of enhanced federal subsidies under the Affordable Care Act. Reports indicate that some individuals may face premium hikes of up to 75%, severely impacting access to affordable healthcare. Coupled with rising medical costs-amplified by inflation and increased demand for services-these changes could place a substantial financial burden on employees and their families. The combination of these factors suggests that proactive planning in 2025 will be essential for managing the coming year's healthcare expenses. Click here to learn more

'With ACA premiums expected to rise in 2026, D.R. Horton 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, D.R. Horton 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 D.R. Horton 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 D.R. Horton 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 D.R. Horton offer to its employees?

D.R. Horton offers a 401(k) retirement savings plan to its employees.

Is there a company match for contributions made to the D.R. Horton 401(k) plan?

Yes, D.R. Horton provides a company match for employee contributions to the 401(k) plan, subject to certain limits.

How can employees enroll in the D.R. Horton 401(k) plan?

Employees can enroll in the D.R. Horton 401(k) plan through the company’s benefits portal or by contacting the HR department for assistance.

What is the eligibility requirement for D.R. Horton employees to participate in the 401(k) plan?

Generally, D.R. Horton employees are eligible to participate in the 401(k) plan after completing a specified period of service, as outlined in the plan documents.

Can D.R. Horton employees take loans against their 401(k) savings?

Yes, D.R. Horton 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 D.R. Horton 401(k) plan?

The D.R. Horton 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

How often can D.R. Horton employees change their 401(k) contribution amounts?

D.R. Horton employees can change their 401(k) contribution amounts at designated times throughout the year, as specified in the plan rules.

What is the vesting schedule for D.R. Horton’s company match in the 401(k) plan?

The vesting schedule for D.R. Horton’s company match typically follows a graded vesting schedule, which means employees earn ownership of the match over time.

Are there any fees associated with managing the D.R. Horton 401(k) plan?

Yes, there may be fees associated with managing the D.R. Horton 401(k) plan, which are disclosed in the plan documents and annual statements.

How can D.R. Horton employees access their 401(k) account information?

D.R. Horton employees can access their 401(k) account information online through the plan’s designated website 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.

D.R. Horton offers its employees both a defined contribution pension plan and a 401(k) plan, known as the D.R. HORTON, INC. PROFIT SHARING PLUS PLAN. The 401(k) plan is managed through Empower and is available to 9,393 employees as of the latest data. This plan allows participants to contribute a portion of their salary towards their retirement savings, with D.R. Horton offering a matching contribution. Typically, the company matches 50% of employee contributions up to a certain percentage of their salary. The defined contribution pension plan provided by D.R. Horton also plays a key role in helping employees build a secure financial future. While specific details on eligibility requirements like years of service and age qualification are not publicly available, the defined contribution nature of the plan suggests that the benefits are likely based on the total contributions made by both the employee and the employer over time.

Pension Liability Concerns: D.R. Horton has seen fluctuations in its pension liabilities over the past few years. The company’s pension liabilities in 2023 were reportedly stable, though previous years have shown variability. Monitoring these liabilities is essential in understanding the company’s long-term financial commitments. Importance: It's crucial to address this news given the potential impact of economic shifts and tax regulations on the housing market and employee benefits, which can directly influence D.R. Horton's financial stability.

Stock Options (SOs): Employees of D.R. Horton may be granted stock options that allow them to purchase company stock at a predetermined price after a certain vesting period. This price is usually set at the market value of the stock on the grant date. Restricted Stock Units (RSUs): RSUs are another form of equity compensation offered by D.R. Horton, where employees are granted units that convert into shares of company stock once certain conditions, such as time-based vesting, are met. Eligibility and Availability: D.R. Horton's stock options and RSUs are typically made available to key employees and executives, though the exact eligibility criteria may vary depending on the employee's role, performance, and tenure with the company. These equity incentives are part of D.R. Horton’s broader strategy to retain top talent and incentivize performance. For example, D.R. Horton’s recent filings indicate continued use of these compensation tools through 2022, 2023, and 2024, with ongoing reviews and updates to their stock option and RSU plans to remain competitive in the market. These incentives are detailed in the company's SEC filings and earnings reports, which are publicly available for shareholders and interested parties to review

D.R. Horton offers a comprehensive health benefits package to its employees, focusing on both short-term and long-term well-being. The company's healthcare offerings include standard health insurance plans, dental and vision coverage, flexible spending accounts (FSAs), and health savings accounts (HSAs) paired with high-deductible health plans (HDHPs). These plans provide employees with a wide range of coverage options, from basic preventative care to more comprehensive services.

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For more information you can reach the plan administrator for D.R. Horton at 1341 Horton Cir Arlington, TX 76011; or by calling them at (817) 390-8200.

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