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

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

Healthcare Provider Update: Healthcare Provider for Equifax: Equifax collaborates with various healthcare providers and partners, primarily offering solutions that utilize their comprehensive data and analytics services to enhance healthcare delivery and patient experiences. They focus on improving patient outcomes by leveraging insights gathered from their expansive databases, facilitating better decision-making for healthcare organizations. Potential Healthcare Cost Increases in 2026: As we approach 2026, significant increases in healthcare costs are anticipated, primarily driven by the looming expiration of enhanced ACA premium subsidies. Without these critical financial supports, patients could face out-of-pocket premium increases exceeding 75%, effectively pricing many out of necessary coverage. Coupled with escalating medical service costs and a sharp rise in insurer demand for rate adjustments, particularly in states like New York where proposed hikes reach as high as 66.4%, the burden on consumers will intensify, prompting an urgent need for strategic healthcare planning. Click here to learn more

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

Equifax offers a 401(k) retirement savings plan to help employees save for retirement.

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

Employees at Equifax can enroll in the 401(k) plan through the company's benefits portal during the enrollment period or after they meet eligibility requirements.

Does Equifax provide any matching contributions to the 401(k) plan?

Yes, Equifax offers a matching contribution to the 401(k) plan, which helps employees boost their retirement savings.

What is the vesting schedule for matching contributions at Equifax?

The vesting schedule for matching contributions at Equifax typically follows a graded vesting formula, allowing employees to gradually gain ownership of the contributions over time.

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

Yes, Equifax allows employees to take loans against their 401(k) savings, subject to certain conditions and limits.

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

Equifax's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

How often can employees at Equifax change their 401(k) contribution amounts?

Employees at Equifax can change their 401(k) contribution amounts at any time, subject to the plan's guidelines.

Is there an automatic enrollment feature in Equifax's 401(k) plan?

Yes, Equifax has an automatic enrollment feature that enrolls eligible employees in the 401(k) plan unless they choose to opt out.

What is the minimum contribution percentage for Equifax's 401(k) plan?

The minimum contribution percentage for Equifax's 401(k) plan may vary, but typically it starts at 1% of the employee's eligible pay.

Are there any fees associated with Equifax's 401(k) plan?

Yes, there may be fees associated with Equifax's 401(k) plan, such as administrative fees or investment fees, which are disclosed 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.

Equifax, as part of its employee benefits structure, offers both a pension plan and a 401(k) plan. In 2009, Equifax froze its defined benefit pension plan for many of its employees. This freeze impacted approximately 4,000 U.S. employees, though about 300 employees who met certain grandfathering criteria continued to participate in the pension plan. The defined benefit pension plan remains active for these grandfathered employees, while the remainder of the workforce transitioned to an enhanced 401(k) plan. Equifax's pension plan had over $606 million in assets as of 2007 (Workforce.com) (Equifax Inc.). For the employees transitioned to the enhanced 401(k) plan, Equifax introduced automatic contributions ranging from 1.5% to 4% of salary based on years of service. This contribution is made regardless of employee participation. Additionally, Equifax provides a 100% match on employee contributions up to 4% of pay. The company also offers investment options to maximize retirement benefits through its 401(k) plan

Restructuring and Layoffs: In early 2024, Equifax announced a strategic restructuring plan aimed at streamlining operations and improving efficiency. This move included a reduction in the workforce, affecting approximately 10% of its employees globally. The restructuring is part of a broader initiative to focus on core areas and reduce operational costs. Importance: It is crucial to monitor these developments due to the current economic climate, which is characterized by increased volatility and changing investment conditions. Companies are adjusting their strategies to stay competitive, and understanding these changes can provide insights into broader market trends and potential impacts on investment and tax strategies.

Equifax (EFX) offers stock options as part of its employee compensation packages. Employees at Equifax are granted stock options to align their interests with those of the company's shareholders. Stock options at Equifax generally vest over a period of time, encouraging long-term employment. Specific details on the vesting schedule and eligibility can be found in Equifax’s employee handbook or compensation plan documents. As of 2022-2024, Equifax has periodically updated its stock option plans to stay competitive and reward high-performing employees. Restricted Stock Units (RSUs): Equifax (EFX) provides Restricted Stock Units (RSUs) to employees, which are typically used to retain talent and incentivize performance. RSUs at Equifax vest based on time or performance metrics. RSUs at Equifax are usually granted to senior executives and high-performing employees. The vesting schedule for RSUs is detailed in Equifax's equity compensation plan. For the years 2022, 2023, and 2024, Equifax has adjusted its RSU grants to align with market trends and company performance goals.

Health Benefits Overview (2023): Equifax provides a range of health benefits including medical, dental, and vision coverage. They offer both HMO and PPO plans, with some plans featuring Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs). Acronyms: HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), HSA (Health Savings Account), FSA (Flexible Spending Account). Recent Updates: As of 2023, Equifax has continued to enhance its health benefits offerings, focusing on mental health support and expanding telemedicine services. They also introduced new wellness programs aimed at improving overall employee health and well-being.