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

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

Healthcare Provider Update: FTI Consulting provides its U.S. employees with a comprehensive benefits package that includes medical, dental, and vision coverage. Employees can also access Health Savings Accounts (HSAs), Flexible Spending Accounts (FSAs), life and disability insurance, and mental health support. Additional perks include paid parental leave, tuition reimbursement, and a 401(k) plan with matching contributions 2. Healthcare costs in the United States are projected to continue rising through 2026, with insurers proposing significant premium increases for Affordable Care Act (ACA) plans. A recent analysis found that ACA insurers are seeking a median premium increase of 15% for 2026, marking the largest hike since 2018. This surge is attributed to factors such as the anticipated expiration of enhanced premium tax credits, rising medical costsincluding expensive medications and increased hospital staysand a shift in the risk pool towards higher-cost enrollees. Without the renewal of enhanced subsidies, out-of-pocket premiums for ACA marketplace enrollees could increase by more than 75% on average. Click here to learn more

'With ACA premiums expected to rise in 2026, FTI Consulting 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, FTI Consulting 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 FTI Consulting 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 FTI Consulting 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 is the 401(k) plan offered by FTI Consulting?

The 401(k) plan at FTI Consulting is a retirement savings plan that allows employees to save a portion of their salary on a pre-tax basis, which can help reduce their taxable income.

How can employees enroll in FTI Consulting's 401(k) plan?

Employees can enroll in FTI Consulting's 401(k) plan by accessing the benefits portal or contacting the HR department for guidance on the enrollment process.

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

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

What is the maximum contribution limit for FTI Consulting's 401(k) plan?

The maximum contribution limit for FTI Consulting's 401(k) plan is determined by the IRS guidelines, which can change annually. Employees should check the latest limits for the current year.

When can employees start contributing to FTI Consulting's 401(k) plan?

Employees at FTI Consulting can typically start contributing to the 401(k) plan after completing a specified waiting period, which is outlined in the plan documents.

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

FTI Consulting'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.

Can employees take loans against their 401(k) accounts at FTI Consulting?

Yes, FTI Consulting allows employees to take loans against their 401(k) accounts, subject to the terms and conditions outlined in the plan.

What happens to an employee's 401(k) account if they leave FTI Consulting?

If an employee leaves FTI Consulting, they have several options for their 401(k) account, including rolling it over to a new employer's plan, an IRA, or cashing it out, subject to taxes and penalties.

How often can employees change their contribution amounts in FTI Consulting's 401(k) plan?

Employees at FTI Consulting can change their contribution amounts at designated times throughout the year, as specified in the plan guidelines.

Is there a vesting schedule for FTI Consulting's 401(k) matching contributions?

Yes, FTI Consulting has a vesting schedule for matching contributions, which determines how much of the employer's contributions an employee is entitled to based on their length of service.

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

FTI Consulting offers a comprehensive benefits package, including retirement plans and a 401(k) plan designed to support employees throughout their careers. FTI Consulting provides a defined contribution plan for retirement, which includes employer matching contributions to the employee's 401(k) account. According to sources, the company offers a 5% match for employee contributions. Employees are eligible for immediate participation in the 401(k) plan upon hire, without a waiting period, and employer contributions vest after three years of service (FTI Consulting) (FTI Consulting). The company's 401(k) plan is referred to as the FTI Consulting 401(k) Plan, and employees can contribute a portion of their salary pre-tax, which is matched by the company up to 5%. Additionally, FTI Consulting offers a traditional pension plan as part of its defined benefit program. This pension plan provides 3% contributions from employees, with the company contributing an additional 5%, ensuring a robust financial security framework for long-term employees

In 2023, FTI Consulting announced a restructuring plan that involved streamlining its operations to focus on its core services. This restructuring included layoffs in several departments, particularly affecting support roles and administrative positions. The changes were part of a broader effort to enhance operational efficiency and adapt to evolving market conditions. Understanding these developments is crucial due to the current economic environment, which emphasizes the need for companies to remain agile and cost-effective amid economic uncertainties.

FTI Consulting offers stock options and RSUs as part of its employee compensation package. Stock options typically come with a vesting period and are granted based on employee performance and tenure. RSUs are also granted to employees, usually based on performance metrics and role within the company.

Search for employee reviews and benefits information on Glassdoor, where employees often discuss their healthcare benefits and overall satisfaction with the company. Indeed: Look up FTI Consulting's company profile on Indeed to see if there are any reviews or posted details about health benefits and related employee experiences. LinkedIn: Check LinkedIn for posts or updates related to FTI Consulting’s health benefits from current or former employees.