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

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

Healthcare Provider Update: Gartner Healthcare Provider Gartner collaborates with various healthcare providers and organizations to deliver research and insights that guide healthcare strategies. While specific healthcare partners may change over time, Gartner is known for providing expert consultancy in the healthcare sector, helping organizations optimize their technology and IT spending. Potential Healthcare Cost Increases in 2026 As we approach 2026, healthcare costs are projected to surge significantly, particularly within the Affordable Care Act (ACA) marketplace. Reports suggest that some states may experience premium hikes exceeding 60%, driven by a confluence of rising medical expenses, the potential expiration of enhanced federal subsidies, and aggressive rate increases by major insurers. Without action from Congress to extend these subsidies, about 92% of marketplace enrollees could face staggering increases of up to 75% in their out-of-pocket premiums, making affordability a pressing issue for millions. As healthcare consumers prepare for these anticipated changes, understanding these dynamics is crucial for navigating the evolving landscape of healthcare costs. Click here to learn more

'With ACA premiums expected to rise in 2026, Gartner 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, Gartner 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 Gartner 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 Gartner 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 primary purpose of Gartner's 401(k) plan?

The primary purpose of Gartner's 401(k) plan is to help employees save for retirement by providing a tax-advantaged account to accumulate savings over time.

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

Gartner employees can enroll in the 401(k) plan by accessing the employee benefits portal and following the enrollment instructions provided.

Does Gartner offer a company match for contributions to the 401(k) plan?

Yes, Gartner offers a company match for employee contributions to the 401(k) plan, which helps employees boost their retirement savings.

What types of investment options are available in Gartner's 401(k) plan?

Gartner'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 Gartner employees change their contribution percentages at any time?

Yes, Gartner employees can change their contribution percentages at any time through the employee benefits portal, subject to certain plan rules.

What is the vesting schedule for the company match in Gartner's 401(k) plan?

The vesting schedule for the company match in Gartner's 401(k) plan typically follows a graded vesting schedule, which means employees earn rights to the company match over a period of time.

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

Yes, there may be fees associated with managing Gartner's 401(k) plan, which can include administrative fees and investment management fees. Employees can review the fee structure in the plan documents.

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

Gartner employees can review their 401(k) account statements quarterly, and they also have access to their account information online at any time.

What happens to a Gartner employee's 401(k) account if they leave the company?

If a Gartner employee leaves the company, they can choose to roll over their 401(k) account to another retirement plan, leave it in the current plan, or cash it out, subject to taxes and penalties.

Is there a loan option available within Gartner's 401(k) plan?

Yes, Gartner's 401(k) plan may offer a loan option, allowing employees to borrow against their account balance under certain conditions.

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

Plan Name: Gartner does not appear to have a defined benefit pension plan. The company primarily offers a defined contribution plan, which is a 401(k) plan. Years of Service and Age Qualification: Not applicable as Gartner does not offer a traditional pension plan. Plan Name: Gartner 401(k) Plan. Eligibility: Gartner's 401(k) Plan is generally available to all eligible employees. Eligibility typically depends on factors such as length of service and employment status. Employees usually become eligible to participate in the plan after completing a specified period of employment, often 30 days. Contribution Limits: Employees can contribute up to the IRS annual limit. Gartner may offer a match or other contributions, which should be detailed in the plan documents. Company Match: Gartner provides a matching contribution, though the specific percentage or formula should be verified in the most recent plan documents.

Restructuring and Layoffs: In early 2024, Gartner announced a significant restructuring plan, which included layoffs affecting approximately 5% of its global workforce. This decision comes as the company aims to streamline its operations and adapt to evolving market demands. The restructuring is part of Gartner's broader strategy to focus on high-growth areas and improve operational efficiency. Given the current economic climate, where companies are reevaluating their workforce and operational strategies, it is crucial to stay informed about such changes to understand their potential impact on the job market and broader economic conditions. Company Benefits, Pensions, and 401k Changes: Gartner has also made adjustments to its employee benefits, including modifications to its pension and 401k plans. The company has shifted to a more flexible 401k match program, which now varies based on individual performance and company profitability. Additionally, changes to the pension plan have been made to better align with current financial realities and investment returns. These changes are particularly important to follow in the context of fluctuating investment markets and evolving tax regulations, as they can directly affect retirement planning and financial security for employees.

Gartner provides stock options as part of its employee compensation package. These options typically vest over a period of time, offering employees the opportunity to purchase shares at a set price. Stock options are generally available to senior executives and other key employees.

Health Insurance: Gartner offers comprehensive health insurance options including medical, dental, and vision coverage. Wellness Programs: Includes access to wellness resources, mental health support, and employee assistance programs. Acronyms and Terms: Common terms include HSA (Health Savings Account), FSA (Flexible Spending Account), and EAP (Employee Assistance Program).