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

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

Healthcare Provider Update: Healthcare Provider for Equinix: Equinix, a global leader in data center and interconnection services, has implemented health initiatives designed to enhance employee well-being. While specific healthcare providers can vary by location and plan offerings, Equinix collaborates with major insurance carriers such as UnitedHealthcare to deliver comprehensive health benefits to its employees across various regions. Potential Healthcare Cost Increases in 2026: As we look towards 2026, significant healthcare cost increases are anticipated, exacerbated by various factors affecting the Affordable Care Act (ACA) marketplace. Projections indicate that health insurance premiums could soar, with some states facing increases of over 60%, impacting millions of enrollees. The expiration of enhanced federal premium subsidies, coupled with escalating medical costs, could drive out-of-pocket expenses up by more than 75% for a vast majority of policyholders. Consequently, consumers are urged to proactively plan and strategize for these impending financial shifts to mitigate the potential impact on their healthcare budgets. Click here to learn more

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

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

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

Yes, Equinix provides employer matching contributions to help employees maximize their retirement savings.

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

Equinix employees can enroll in the 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.

What is the vesting schedule for employer contributions at Equinix?

The vesting schedule for employer contributions at Equinix typically follows a graded vesting schedule, which employees can review in the plan documents.

Can Equinix employees change their contribution rate to the 401(k) plan?

Yes, Equinix employees can change their contribution rate at any time during the year, subject to the plan’s guidelines.

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

Equinix offers a variety of investment options in its 401(k) plan, including mutual funds, target-date funds, and other investment vehicles.

Is there a loan provision in Equinix's 401(k) plan?

Yes, Equinix allows employees to take loans against their 401(k) balance, subject to the plan's terms and conditions.

What is the minimum age requirement for Equinix employees to participate in the 401(k) plan?

Equinix employees must be at least 21 years old to participate in the 401(k) plan.

Does Equinix allow for hardship withdrawals from the 401(k) plan?

Yes, Equinix permits hardship withdrawals under certain circumstances as defined by the plan.

How often can Equinix employees review their 401(k) account statements?

Equinix employees can review their 401(k) account statements quarterly through the plan's online portal.

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

Equinix provides employees with a 401(k) retirement plan, which includes both a traditional pre-tax option and a Roth option. Employees can contribute to the 401(k) plan, and Equinix will match 50% of contributions on the first 6% of eligible earnings, both pre-tax and Roth contributions. The employer matching contributions vest over four years, with 25% vested each year. The Equinix 401(k) plan is available to all full-time employees, with eligibility to participate starting on the first day of employment (Equinix). In addition to the 401(k), Equinix does not offer a traditional defined benefit pension plan. However, the company emphasizes its 401(k) plan as the primary retirement savings vehicle, and encourages employees to contribute towards it to take advantage of the matching contributions

Restructuring and Layoffs: In early 2024, Equinix announced a significant restructuring plan aimed at streamlining operations and enhancing efficiency. This plan included the reduction of approximately 5% of its global workforce, primarily impacting administrative and support roles. This move is seen as a response to the shifting demands in the data center industry and aims to optimize Equinix's operational structure. Importance: It is crucial to monitor these changes due to the current economic climate, which includes inflationary pressures and shifts in data consumption trends. This restructuring is part of a broader trend among tech companies adjusting to new economic realities.

For employees of Equinix, RSUs are a prevalent form of compensation, especially in 2022, 2023, and 2024. These RSUs are typically single-trigger, meaning they vest based on tenure alone. However, in certain cases, Equinix may offer double-trigger RSUs that vest upon both tenure and a significant company event, such as a merger or acquisition (Amplify Partners) (Vested Finance). RSUs are granted in alignment with the company's performance, offering employees ownership incentives. Equinix provides clear guidelines regarding the forfeiture of unvested RSUs if an employee leaves the company before the vesting date (Equinix, Inc.). Equinix has consistently refreshed its stock option and RSU pools, especially following financing rounds or strategic acquisitions. The goal is to maintain a sufficient number of equity grants available for current and future employees. Both stock options and RSUs are awarded to key contributors across all levels, but executives and senior leadership often receive larger allocations. RSUs retain value regardless of stock price fluctuations, unlike stock options which may lose value if the stock price falls below the strike price

2022 Benefits Overview: The Equinix benefits program for 2022 included comprehensive health insurance options, wellness programs, and employee assistance programs. They provided multiple health plans including PPO (Preferred Provider Organization), HMO (Health Maintenance Organization), and HDHP (High Deductible Health Plan) options. 2023 Updates: The benefits plan for 2023 saw enhancements in mental health support, including expanded telehealth services and a focus on holistic wellness. 2024 Changes: For 2024, Equinix continued to emphasize mental health and wellness, integrating new digital health tools and resources. They also introduced a new benefit for fertility and family planning support.