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

Largest Increase Ever From Top Insurers. Will Illinois Tool Works Employees Be Affected?

Healthcare Provider Update: Healthcare Provider for Illinois Tool Works: Illinois Tool Works (ITW) primarily partners with Blue Cross Blue Shield (BCBS) of Illinois as their healthcare provider. This choice reflects a focus on comprehensive coverage options for their employees, aligning with the company's commitment to employee health and well-being. Potential Healthcare Cost Increases in 2026: In 2026, healthcare costs are expected to surge, with Blue Cross Blue Shield in Illinois anticipating an overall premium increase of approximately 27%. This spike is driven by a confluence of factors, including escalating medical expenses, diminishing federal premium subsidy support, and substantial hikes from major insurers. As the Affordable Care Act premiums rise sharply-potentially impacting 22 million enrollees-ITW's employees may face considerable out-of-pocket costs if no congressional action is taken to extend the enhanced subsidies. This underscores the necessity for proactive strategies in managing healthcare expenses amidst rapidly changing market dynamics. Click here to learn more

'With ACA premiums expected to rise in 2026, Illinois Tool Works 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, Illinois Tool Works 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 Illinois Tool Works 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 Illinois Tool Works 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 retirement savings options does Illinois Tool Works offer to its employees?

Illinois Tool Works offers a 401(k) plan as part of its retirement savings options for employees.

How can employees of Illinois Tool Works enroll in the 401(k) plan?

Employees of Illinois Tool Works can enroll in the 401(k) plan by completing the enrollment process through the company’s benefits portal or by contacting the HR department for assistance.

Does Illinois Tool Works provide a company match for the 401(k) contributions?

Yes, Illinois Tool Works provides a company match for employee contributions to the 401(k) plan, subject to specific terms and conditions.

What is the maximum contribution limit for the 401(k) plan at Illinois Tool Works?

The maximum contribution limit for the 401(k) plan at Illinois Tool Works is determined by the IRS guidelines, which can change annually.

Can employees of Illinois Tool Works take loans against their 401(k) savings?

Yes, employees of Illinois Tool Works may have the option to take loans against their 401(k) savings, subject to the plan's rules.

What investment options are available in the Illinois Tool Works 401(k) plan?

The Illinois Tool Works 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

How often can employees change their contribution amount to the Illinois Tool Works 401(k) plan?

Employees of Illinois Tool Works can typically change their contribution amount on a quarterly basis or as specified in the plan details.

What happens to my Illinois Tool Works 401(k) if I leave the company?

If you leave Illinois Tool Works, you can choose to roll over your 401(k) balance to another retirement account, keep it in the Illinois Tool Works plan (if eligible), or withdraw the funds, subject to taxes and penalties.

Is there a vesting schedule for the company match in the Illinois Tool Works 401(k) plan?

Yes, Illinois Tool Works has a vesting schedule for the company match, which means employees must work for a certain period to fully own the matched contributions.

Can part-time employees participate in the Illinois Tool Works 401(k) plan?

Yes, part-time employees at Illinois Tool Works may be eligible to participate in the 401(k) plan, depending on specific criteria set by the company.

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: Illinois Tool Works Pension Plan Years of Service and Age Qualification: Employees typically need to have a minimum of 5 years of service to qualify for the pension plan. Full benefits may be available to employees who are at least 65 years old or have reached a combination of age and service requirements totaling at least 85 years. Pension Formula: The pension is calculated based on years of service and the average of the highest-paid years of salary. For example, it may be calculated as 1.5% of the average of the highest 5 years of salary multiplied by years of service. Name of 401(k) Plan: Illinois Tool Works 401(k) Plan Who Qualifies: All full-time employees who are at least 21 years old and have completed 90 days of service are eligible to participate in the 401(k) plan. 401(k) Plan Features: Employees can contribute a percentage of their salary up to the annual limit set by the IRS. The company may provide matching contributions up to a certain percentage of the employee's contributions. Document: Illinois Tool Works 2024 Benefits Summary

Restructuring and Layoffs: In 2023, Illinois Tool Works announced a restructuring plan aimed at streamlining operations and improving efficiency. This plan included workforce reductions in certain sectors to adapt to shifting market demands and economic pressures. The company stated that these changes are intended to bolster its competitive position in a challenging economic environment. The importance of addressing this news is heightened due to the current economic landscape, where companies are adjusting their structures to maintain profitability amid fluctuating economic conditions. Understanding these changes is crucial for employees and stakeholders to navigate the evolving business environment and its impact on their roles and benefits.

ITW offers stock options and RSUs as part of their employee compensation packages. Stock options at ITW allow employees to purchase company stock at a set price, usually granted to senior executives and key employees. ITW provides RSUs, which are granted to employees as a form of equity compensation, usually vesting over several years. The company typically awards these to employees based on performance and seniority.

Health Insurance: ITW offers comprehensive health insurance plans, including medical, dental, and vision coverage. Employees can choose from multiple plan options to fit their needs. Wellness Programs: The company provides wellness programs that include resources for mental health, fitness, and preventive care. Retirement Savings: ITW offers 401(k) plans with company matching contributions and other financial wellness programs.