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

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

Healthcare Provider Update: Healthcare Provider for IBM: IBM primarily partners with Aon and Anthem Blue Cross for its employee healthcare plans, providing a range of medical coverage options to its employees including retirees. Projected Healthcare Cost Increases in 2026: In 2026, IBM and many other companies are expected to face significant healthcare cost increases, largely driven by the looming expiration of enhanced subsidies under the Affordable Care Act (ACA). As these subsidies potentially vanish, reports indicate that out-of-pocket premiums could surge by over 75% for the majority of enrollees, creating an affordability crisis. With combined factors of escalating medical costs, aggressive premium hikes by major insurers, and the uncertainty surrounding federal assistance, businesses like IBM must brace for rising healthcare expenses that may impact their overall compensation strategies and employee benefits offerings. Click here to learn more

'With ACA premiums expected to rise in 2026, IBM 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, IBM 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 IBM 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 IBM 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.).

How does the International Business Machines Corporation (IBM) Personal Pension Plan benefit employees in terms of retirement savings, and what specific features does this plan offer to ensure financial security for its participants during retirement? Additionally, how does IBM's pension plan compare to industry standards, and what unique advantages does IBM provide to its employees through this retirement plan?

Retirement Savings Benefits of IBM’s Personal Pension Plan: IBM’s Personal Pension Plan benefits employees by offering a secure pathway to accumulate retirement savings. The plan primarily operates as a defined benefit cash balance plan, providing employees with a predictable retirement benefit based on a formula. This structure allows for easier financial planning as employees can foresee their benefits at retirement, contrasting favorably with plans where payouts depend on investment returns. IBM's pension plan typically includes features such as early retirement options and survivor benefits, enhancing financial security for participants and their families.

In what ways can employees of International Business Machines Corporation (IBM) maximize their benefits from the company-sponsored Personal Pension Plan? Discuss both the contribution limits and enrollment processes that IBM has in place and how employees can effectively navigate these policies to enhance their future retirement income.

Maximizing Benefits from IBM’s Pension Plan: IBM employees can maximize their benefits from the company-sponsored Personal Pension Plan by actively participating and understanding the plan’s contribution limits and enrollment processes. Employees are encouraged to join the plan as soon as they are eligible and to contribute consistently throughout their tenure at IBM. Navigating these policies effectively involves utilizing IBM's resources for financial planning and advice, which can help employees optimize their contributions in alignment with their retirement goals.

What measures does the International Business Machines Corporation (IBM) take to educate employees about their options under the pension plan, and how can IBM better improve communication regarding retirement benefits? Analyze the resources available to employees and how these resources facilitate a more informed decision-making process concerning their retirement planning.

Employee Education on Pension Options: IBM takes several measures to educate its employees about pension options. This includes providing detailed plan documentation, access to financial advisors, and online resources that explain various aspects of the pension plan. To improve communication, IBM could further enhance these efforts by offering more frequent informational workshops and personalized counseling sessions, which would help employees make informed decisions about their retirement planning.

What are the tax implications for employees participating in the International Business Machines Corporation (IBM) Personal Pension Plan, particularly in reference to the latest IRS limits for 2024? Discuss how IBM aligns its pension contributions with IRS regulations and what employees should know about the potential tax benefits linked to their retirement savings.

Tax Implications for Plan Participants: The tax implications for employees participating in IBM’s Personal Pension Plan are significant, especially with respect to the latest IRS limits for 2024. IBM aligns its pension contributions with these regulations, offering tax benefits such as deferred taxation on contributions and earnings until withdrawal. Employees should be aware of the annual contribution limits set by the IRS and understand how these affect their taxable income and retirement savings.

Can you detail how the defined benefit cash balance structure of the International Business Machines Corporation (IBM) pension plan works? Explain how this structure provides certainty and predictability for employees nearing retirement and compare it to traditional defined contribution plans available in the industry.

Defined Benefit Cash Balance Structure: IBM's defined benefit cash balance plan provides certainty and predictability by crediting participants' accounts with a set percentage of their annual earnings plus interest credits, which are independent of the plan’s investment performance. This structure benefits employees by providing a stable accumulation of retirement benefits, contrasting with defined contribution plans where retirement savings are subject to market fluctuations. This predictability is especially valuable for employees nearing retirement, who might be concerned about market volatility.

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Pension Plan Sustainability and Funding: To ensure the financial stability and sustainability of its pension plan, IBM employs strategic management practices, including regular funding contributions and conservative investment strategies. Additionally, IBM regularly reviews its plan's funding status and makes adjustments to ensure it meets future obligations. This proactive management helps maintain the plan’s health, ensuring its ability to meet the promised benefits to retirees.

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Improving Pension Offerings: To attract and retain top talent, IBM could enhance its pension offerings by increasing the benefits or flexibility of the plan. For instance, offering higher accrual rates or more diverse investment options could make the plan more attractive. Analyzing competitive trends and employee preferences could guide IBM in refining its pension benefits to offer a more compelling value proposition in the competitive tech industry landscape.

How does the retirement counseling process work for employees of International Business Machines Corporation (IBM) when preparing for retirement? Provide an overview of the resources and tools available to employees and how IBM can better support its workforce in achieving their retirement goals.

Retirement Counseling Process at IBM: IBM provides a comprehensive retirement counseling process that includes access to personal financial advisors, detailed plan documentation, and online planning tools. To better support its workforce in achieving retirement goals, IBM could expand its counseling services to offer more customized advice and increase the frequency of one-on-one sessions to address individual employee needs and concerns more effectively.

What steps does the International Business Machines Corporation (IBM) take to ensure compliance with federal regulations regarding pension plans, and how does this compliance affect employees' benefits? Discuss the importance of regulatory compliance in the administration of the pension plan and how it impacts employees' trust in IBM's commitment to their financial well-being.

Compliance with Federal Regulations: IBM ensures compliance with all federal regulations concerning pension plans, which is crucial for maintaining the integrity and trustworthiness of its retirement benefits. Compliance involves regular audits, adherence to funding requirements, and transparent communication with plan participants about any changes. This strict adherence helps protect the benefits of employees and fosters trust in IBM’s commitment to their financial well-being.

How can employees of the International Business Machines Corporation (IBM) contact the human resources department to learn more about their retirement benefits, specifically regarding the Personal Pension Plan? Discuss the available channels for communication and the types of information employees can expect to receive when reaching out to IBM for retirement-related inquiries.

Contacting IBM for Retirement Benefits Information: Employees of IBM can contact the human resources department to learn more about their retirement benefits through multiple channels, including dedicated support lines, email, and internal web portals. These channels provide access to comprehensive information on the Personal Pension Plan, and employees can expect to receive guidance on enrollment, benefit calculations, and plan options when reaching out for assistance.

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