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

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

Healthcare Provider Update: Offers health insurance through Anthem PPO/HSA and Kaiser HMO (CA & HI), plus dental and vision via Guardian 3. As ACA premiums surge, Dropboxs comprehensive coverage and employer-paid options help employees avoid steep out-of-pocket costs expected in the marketplace. Click here to learn more

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

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

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

Yes, Dropbox provides a matching contribution to employee contributions made to the 401(k) plan.

What is the maximum contribution limit for the Dropbox 401(k) plan?

The maximum contribution limit for the Dropbox 401(k) plan is in accordance with IRS guidelines, which may change annually.

Can employees at Dropbox choose between traditional and Roth 401(k) contributions?

Yes, employees at Dropbox have the option to choose between traditional and Roth 401(k) contributions.

When can Dropbox employees enroll in the 401(k) plan?

Dropbox employees can enroll in the 401(k) plan during the open enrollment period or when they first become eligible.

How often can Dropbox employees change their contribution amounts to the 401(k) plan?

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

Does Dropbox offer financial education resources for employees regarding the 401(k) plan?

Yes, Dropbox provides financial education resources to help employees understand their 401(k) options and investment choices.

Are there any fees associated with the Dropbox 401(k) plan?

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

What investment options are available in the Dropbox 401(k) plan?

The Dropbox 401(k) plan offers a variety of investment options, including mutual funds and target-date funds.

Can Dropbox employees take loans against their 401(k) savings?

Yes, Dropbox employees may have the option to take loans against their 401(k) savings, subject to plan rules.

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

Dropbox Pension Plan and 401(k) Plan Information (2022-2024) Dropbox offers its employees a robust retirement savings structure, primarily centered around a 401(k) plan rather than a traditional pension plan. The Dropbox 401(k) plan allows employees to contribute pre-tax income towards their retirement, and the company provides a matching contribution. In 2023, Dropbox's 401(k) contribution limit was $22,500, with a catch-up contribution of $7,500 for employees aged 50 and older (CapitalGroup NACG) (Benefits Law Advisor). In 2024, these limits increased slightly to $23,000 with the same catch-up provision (Day Pitney). Plan Terminology and Eligibility The Dropbox 401(k) plan follows common industry standards, such as "Elective Deferral" and "Catch-Up Contribution" for those aged 50+. Eligible employees are immediately enrolled and must meet service and age requirements for vesting and matching contributions (CapitalGroup NACG). Employees are fully vested in their contributions from the start and generally in company contributions after one year of service. Dropbox’s terminology for its retirement plan is aligned with IRS guidelines and includes terms like "Defined Contribution Plan" and "Matching Contribution"

Restructuring and Layoffs: In 2023, Dropbox announced a restructuring plan aimed at optimizing its operations and reducing costs. This involved a reduction in workforce, impacting several departments as the company sought to streamline its processes. The restructuring was part of a broader strategy to maintain competitiveness and adapt to changing market conditions. Given the current economic climate, it is crucial to monitor such developments as they impact job security and the company's financial stability. Company Benefits and 401(k) Changes: Dropbox has also reviewed its employee benefits and 401(k) plans. The company made adjustments to its 401(k) matching program and offered new benefits packages to align with industry standards and employee needs. These changes are essential to follow closely due to the shifting economic landscape, which can influence retirement planning and financial security. Changes in company benefits can have significant implications for employee retention and satisfaction.

Dropbox provides stock options (SO) and Restricted Stock Units (RSUs) as part of their compensation packages. Stock options (SO) at Dropbox generally include standard incentive stock options (ISOs) and non-qualified stock options (NSOs). RSUs at Dropbox are usually granted based on employee performance and tenure.

Dropbox Careers Page: Provides information on employee benefits including health insurance. Dropbox offers comprehensive healthcare benefits, including medical, dental, and vision coverage. They also provide mental health support and wellness resources. Dropbox Benefits Overview: Dropbox provides a variety of health benefits such as flexible health spending accounts (FSAs), health savings accounts (HSAs), and access to wellness programs. They are known for offering generous parental leave and remote work support.