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

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

Healthcare Provider Update: Healthcare Provider for Gap Inc. Gap Inc., the global apparel retail company, typically provides employee health benefits through various insurance carriers. As of recent data, they predominantly utilize UnitedHealthcare for their healthcare plans. This partnership offers their employees comprehensive coverage options, including medical, dental, and vision plans. Healthcare Cost Increases for Gap in 2026 As we approach 2026, healthcare costs are expected to rise significantly, impacting Gap's overall employee benefits expenditures. Recent projections indicate that premiums for health insurance plans may increase by an average of 20%, with certain states experiencing jumps of 60% or more, primarily due to heightened medical expenses and the potential loss of federal premium subsidies. Consequently, many employees enrolled in Affordable Care Act (ACA) plans might see out-of-pocket costs surge by over 75%, compelling employers like Gap to reassess and potentially adjust their health benefits strategies to mitigate these financial pressures for their workforce. Click here to learn more

'With ACA premiums expected to rise in 2026, Gap 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, Gap 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 Gap 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 Gap 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 Gap's 401(k) plan?

Gap's 401(k) plan is a retirement savings plan that allows employees to save for their future by contributing a portion of their paycheck before taxes are taken out.

How does Gap match employee contributions to the 401(k) plan?

Gap offers a company match on employee contributions to the 401(k) plan, typically matching a percentage of the employee's contributions up to a certain limit.

What are the eligibility requirements for Gap's 401(k) plan?

Employees at Gap are generally eligible to participate in the 401(k) plan after completing a specified period of service, usually within the first year of employment.

Can Gap employees change their contribution rates to the 401(k) plan?

Yes, Gap employees can change their contribution rates to the 401(k) plan at any time, allowing them to adjust their savings based on their financial situation.

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

Gap's 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to choose investments that align with their retirement goals.

Does Gap provide financial education regarding the 401(k) plan?

Yes, Gap provides resources and financial education to help employees understand their 401(k) options and make informed decisions about their retirement savings.

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

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

What happens to my 401(k) plan if I leave Gap?

If you leave Gap, you have several options for your 401(k) plan, including rolling it over to an individual retirement account (IRA) or another employer’s plan, or cashing it out.

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

Yes, like many 401(k) plans, Gap's 401(k) plan may have administrative fees and investment-related fees, which are disclosed in the plan documents.

How often can Gap employees change their investment allocations in the 401(k) plan?

Gap employees can change their investment allocations in the 401(k) plan at any time, allowing them to respond to market conditions or personal financial changes.

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

Name of Pension Plan: Gap Inc. Pension Plan Years of Service and Age Qualification: Eligibility: Employees are generally eligible for the pension plan if they have at least 5 years of service. The retirement age qualification is typically 65 years, but early retirement options may be available with reduced benefits. Pension Formula: 401(k) Plan Details Name of 401(k) Plan: Gap Inc. 401(k) Plan Eligibility: Eligibility: Generally available to employees who meet the minimum service requirements, which is usually one year of service. The plan allows employees to contribute a portion of their salary pre-tax.

In 2023, Gap Inc. announced a significant restructuring plan as part of its efforts to streamline operations and improve profitability. This included a reduction in its global workforce and the closure of several underperforming stores. These changes are part of a broader strategy to adapt to shifting consumer preferences and economic pressures. It's crucial to monitor these developments due to the current economic climate, which impacts employment stability and corporate financial health. The restructuring aims to position Gap Inc. better amidst evolving market conditions, emphasizing the need for employees and investors to stay informed about these changes.

Gap Inc. offered stock options (SO) and Restricted Stock Units (RSUs) to key executives and senior management in 2022. SO typically allowed for purchase at a set price, while RSUs were granted as a form of performance or retention incentive.

1. Gap Official Website Health Benefits Page: The official Gap website typically contains information on employee benefits, including health insurance plans. Specific terms and acronyms used might include "HMO" (Health Maintenance Organization), "PPO" (Preferred Provider Organization), and "HSAs" (Health Savings Accounts). 2. Glassdoor Employee Reviews: Glassdoor often includes employee reviews and feedback on benefits. Look for terms like "medical insurance," "dental coverage," and "vision benefits." 3. Indeed Company Reviews: Indeed provides employee reviews and sometimes includes details on benefits packages. Key terms might be "401(k) match," "healthcare coverage," and "family leave." 4. LinkedIn Company Page: LinkedIn's company page sometimes features posts about benefits and changes. Acronyms like "FSA" (Flexible Spending Account) and "EAP" (Employee Assistance Program) might be mentioned. 5. Benefit News Websites Recent Articles: Websites focused on employee benefits, such as BenefitsPro or Employee Benefit News, may have articles detailing recent changes or updates in Gap's benefits. Summary of Recent Employee Healthcare News: Healthcare Plans: Gap has been known to offer a variety of healthcare plans including PPO and HMO options. Recent changes in 2023 included enhancements to their telehealth services and expansion of mental health resources. Healthcare Terms & Acronyms: PPO: Preferred Provider Organization HMO: Health Maintenance Organization HSA: Health Savings Account FSA: Flexible Spending Account EAP: Employee Assistance Program Recent Changes: 2023: Introduction of new mental health support services and increased coverage for telemedicine visits. 2024: Possible updates to premium rates and network expansions; specific details will be more apparent as official announcements are made. For the most accurate and up-to-date information, you should visit the official Gap website and check recent employee reviews and benefit articles from reliable sources. If you need further details on any specific aspect, let me know!

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For more information you can reach the plan administrator for Gap at , ; or by calling them at .

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