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

Largest Increase Ever From Top Insurers. Will Knights of Columbus Employees Be Affected?

'With ACA premiums expected to rise in 2026, Knights of Columbus 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, Knights of Columbus 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 Knights of Columbus 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 Knights of Columbus 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 are the factors that determine an employee's retirement benefits under the Christian Brothers Employee Retirement Plan, and how are these factors influenced by an employee's length of service and compensation? Understanding the nuances of these factors can help employees plan for their retirement more effectively. Additionally, how does the recent shift in tenure and wages in the industry affect the calculation of these retirement benefits for employees of the Christian Brothers organization?

Factors Determining Retirement Benefits: Under the Christian Brothers Employee Retirement Plan (CBERP), retirement benefits are determined by a combination of years of continuous service, credited past and future service, and compensation. The benefit formulas consider W-2 earnings and past service contributions if applicable. The length of service increases the number of credited years, leading to higher benefits, while higher compensation during service periods also boosts the overall calculation(Christian_Brothers_Empl…).

How does the Christian Brothers Employee Retirement Plan define "vesting" and what are the implications for employees regarding their retirement benefits as outlined in the plan? Furthermore, what strategies can employees implement to ensure they maximize their vesting and thus, their retirement fund contributions during their tenure with the Christian Brothers organization?

Vesting: Vesting refers to an employee's right to receive retirement benefits, and under CBERP, employees become vested after 4 years and 9 months of continuous service. Employees can always receive the return of their contributions plus interest, but to maximize vesting, they should maintain continuous employment for the full vesting period(Christian_Brothers_Empl…).

Can you elaborate on the "Golden Rule of 90" regarding early retirement and the criteria that must be met for employees of Christian Brothers to qualify for this benefit? How does meeting this qualification potentially affect an employee's retirement income stream and financial planning going forward?

Golden Rule of 90: The "Golden Rule of 90" allows employees to retire early without a reduction in benefits if their age and years of service sum to 90, provided they are at least 55 years old. Meeting this qualification offers employees a full retirement benefit without the reduction typically associated with early retirement(Christian_Brothers_Empl…).

What steps should Christian Brothers employees take if they become temporarily disabled and wish to initiate their retirement benefits? Additionally, what provisions does the Christian Brothers Employee Retirement Plan offer to ensure that the disability status does not adversely impact their overall retirement benefits?

Temporary Disability and Retirement Benefits: Employees who become temporarily disabled may initiate retirement benefits if they meet Social Security’s disability requirements. If qualified before July 1, 2018, employees continue to accrue benefits until normal retirement without employer contributions. Starting benefits early due to disability results in a cessation of future accruals(Christian_Brothers_Empl…).

In the context of re-employment after retirement, what specific conditions must Christian Brothers employees be aware of under the retirement plan regarding their eligibility for benefits? Furthermore, how can returning to work impact their benefits and what should they consider when making this decision?

Re-employment After Retirement: Employees who return to work for a participating employer after retirement must be cautious, as working more than the required hours will suspend their retirement benefits. This could reduce their income stream and interrupt the collection of benefits(Christian_Brothers_Empl…).

What methods does the Christian Brothers Employee Retirement Plan outline for employees to designate beneficiaries for their retirement benefits, and how do those designations change upon events like marriage or divorce? Understanding these provisions is crucial for employees to ensure their final wishes regarding benefits are honored.

Beneficiary Designations: CBERP allows employees to designate beneficiaries for their retirement benefits. These designations can be updated after major life events such as marriage or divorce. Employees should ensure that their designations reflect current relationships to ensure that their wishes are honored(Christian_Brothers_Empl…).

How can employees of Christian Brothers effectively contact the benefits department for further clarification on their retirement benefits? What information should they prepare to facilitate a productive conversation regarding the specifics of their retirement plan?

Contacting the Benefits Department: Christian Brothers employees can contact the Benefits Department at 800-807-0700 or via email at rpscustomerservice@cbservices.org. Employees should prepare personal and employment details, along with specific questions about their plan, to facilitate a productive conversation(Christian_Brothers_Empl…).

What are the available forms of benefit distribution upon retirement for employees in the Christian Brothers organization, and how does the choice between these options affect overall retirement security? Employees must weigh their options carefully to ensure they select a distribution method aligned with their financial needs.

Benefit Distribution Forms: CBERP offers several forms of benefit distribution, including life-only options and joint and survivor annuities. The choice between these options significantly affects retirement security. For example, choosing a joint and survivor annuity reduces the primary benefit but provides ongoing income for a spouse(Christian_Brothers_Empl…).

How does the Christian Brothers Employee Retirement Plan address potential changes to the plan and the rights of employees in such instances? Understanding the procedures in place for plan amendments is vital for employees to stay informed about their benefits and rights.

Plan Amendments: CBERP includes provisions for amending the plan. Employees' rights to accrued benefits are protected, meaning that any modifications will not affect benefits that have already been earned. Understanding these protections can help employees stay informed about changes(Christian_Brothers_Empl…).

Can you explain the relationship between Social Security benefits and the retirement benefits provided through the Christian Brothers Employee Retirement Plan? Specifically, how will employeesâ€™ Social Security benefits interact with their retirement funds, and what should they consider when planning for a holistic retirement income strategy?

Interaction with Social Security: CBERP retirement benefits do not reduce or integrate with Social Security benefits. Employees need to consider both sources of income separately when planning their overall retirement strategy(Christian_Brothers_Empl…).