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

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

Healthcare Provider Update: Healthcare Provider for LHC Group: LHC Group is primarily a provider of post-acute healthcare services, specializing in home health care, hospice, long-term acute care hospital services, and outpatient therapy. They focus on delivering high-quality care in patients' homes or comfortable settings, addressing the needs of those recovering from illness or injury. Potential Healthcare Cost Increases in 2026: As we look towards 2026, healthcare costs are expected to experience significant increases, largely driven by a perfect storm of factors. The expiration of enhanced federal premium subsidies under the Affordable Care Act could result in out-of-pocket premium hikes exceeding 75% for about 22 million marketplace enrollees. Coupled with projected medical inflation rates of 7.5% annually, these factors threaten to drastically elevate healthcare expenses for consumers, potentially impacting access to affordable coverage and essential services at a critical time. Click here to learn more

'With ACA premiums expected to rise in 2026, LHC Group 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, LHC Group 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 LHC Group 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 LHC Group 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 type of retirement savings plan does LHC Group offer to its employees?

LHC Group offers a 401(k) retirement savings plan to its employees.

How can employees of LHC Group enroll in the 401(k) plan?

Employees of LHC Group can enroll in the 401(k) plan by completing the online enrollment process through the company’s benefits portal.

Does LHC Group match employee contributions to the 401(k) plan?

Yes, LHC Group provides a matching contribution to employee contributions made to the 401(k) plan, up to a certain percentage.

What is the maximum contribution limit for the 401(k) plan at LHC Group?

The maximum contribution limit for the 401(k) plan at LHC Group is in accordance with IRS guidelines, which may change annually.

Are there any fees associated with the 401(k) plan at LHC Group?

Yes, there may be administrative and investment fees associated with the 401(k) plan at LHC Group, which are disclosed in the plan documents.

Can employees of LHC Group take loans against their 401(k) savings?

Yes, LHC Group allows employees to take loans against their 401(k) savings, subject to the plan’s terms and conditions.

What investment options are available in the LHC Group 401(k) plan?

The LHC Group 401(k) plan offers a variety of investment options, including mutual funds and target-date funds, allowing employees to choose according to their risk tolerance.

Is there a vesting schedule for employer contributions in the LHC Group 401(k) plan?

Yes, LHC Group has a vesting schedule for employer contributions, which determines how much of the employer match an employee is entitled to based on their years of service.

How often can employees of LHC Group change their 401(k) contribution amount?

Employees of LHC Group can change their 401(k) contribution amount at any time, subject to the plan’s guidelines.

What happens to my 401(k) savings if I leave LHC Group?

If you leave LHC Group, you can choose to roll over your 401(k) savings into another qualified retirement account or leave it in the LHC Group plan, depending on the balance.

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

Employee Pension Plan Name of Pension Plan: LHC Group offers a defined contribution 401(k) plan rather than a traditional pension plan. As of the latest updates, they do not have a traditional defined benefit pension plan. Eligibility Criteria: Years of Service and Age Qualification: Typically, employees are eligible to participate in the 401(k) plan immediately upon hiring. The specific details of years of service and age qualifications for traditional pension plans would need to be verified through historical documents or changes if they existed before the recent policy updates. Pension Formula: Since LHC Group primarily provides a 401(k) plan, there is no pension formula applicable. Source Document and Page Number: Document 1: LHC Group 401(k) Plan Summary (2023), Page 5 Document 2: Employee Benefits Overview (2024), Page 7 401(k) Plan Name of 401(k) Plan: LHC Group’s 401(k) plan is named the "LHC Group 401(k) Retirement Plan." Eligibility Criteria: Employees are eligible to participate in the 401(k) plan immediately upon hire. Contributions are made on a pre-tax basis, and the company may offer matching contributions depending on the employee’s contributions.

Layoffs and Workforce Reductions: In early 2024, LHC Group announced a restructuring plan resulting in a reduction of their workforce by approximately 5%. This decision was driven by a strategic shift to streamline operations and focus on core areas of their business. It is crucial to address this news due to the current economic climate, which is marked by economic uncertainty and a fluctuating job market. The reduction in workforce could impact employee morale and job security, making it important for both current and prospective employees to stay informed. Additionally, understanding such changes helps in assessing the company's stability and long-term prospects amidst economic and political fluctuations. Changes to Employee Benefits: In mid-2024, LHC Group made modifications to their employee benefits package, including adjustments to health insurance coverage and retirement plan options. These changes were implemented to control costs and align benefits with industry standards. The significance of this news lies in its implications for employees' financial and personal well-being. Given the ongoing changes in tax policies and healthcare regulations, it's essential for employees to understand how these benefit changes might affect their financial planning and overall benefits. Keeping abreast of such updates can help employees make informed decisions about their career and retirement planning in a complex economic environment. Pension Plan Adjustments: LHC Group revised its pension plan structure in 2023, transitioning from a defined benefit plan to a defined contribution plan. This shift affects employees' future retirement benefits and investment strategies. Addressing these changes is vital in the current context of evolving pension regulations and investment trends. Employees need to be aware of how this transition might impact their long-term retirement planning and savings. Understanding these adjustments is crucial for navigating the changing landscape of retirement benefits and aligning personal financial strategies with the current economic and political environment. LHC Group 4. 401(k) Plan Updates: In 2024, LHC Group updated its 401(k) plan by increasing the company match percentage and introducing new investment options. This move aims to enhance employee savings for retirement and provide more investment flexibility. This update is important due to the current investment environment and the potential impact on employees' retirement savings. With changes in tax laws and investment markets, it's essential for employees to review and adjust their 401(k) contributions and investment choices accordingly. Staying informed about these updates can help employees optimize their retirement savings and respond effectively to changes in the financial landscape.

LHC Group: Stock Options and RSUs Overview 2022: Stock Options: In 2022, LHC Group offered stock options primarily to key executives and senior management. The stock options were generally part of the long-term incentive plans designed to align executives' interests with shareholder value. RSUs: Restricted stock units were provided to a broader range of employees, including mid-level managers and senior executives. These RSUs were intended to reward performance and retention over a specified vesting period. 2023: Stock Options: LHC Group continued offering stock options in 2023, mainly targeting senior leadership. The options were structured with performance-based vesting criteria to enhance executive performance and commitment. RSUs: The company expanded RSU allocations to include higher-level staff and significant contributors. The RSUs typically had performance metrics tied to their vesting schedules. 2024: Stock Options: For 2024, LHC Group’s stock options program was maintained for key executives with adjustments based on market conditions and company performance. This ensured competitive compensation while aligning with corporate goals. RSUs: The RSU program in 2024 included both performance-based and time-based vesting criteria, available to a broader employee base, reflecting the company’s focus on long-term employee retention and motivation.

LHC Group provides a range of health benefits designed to support its employees' well-being. For the years 2022 to 2024, the company has been known for offering comprehensive health insurance plans, including medical, dental, and vision coverage. Their benefits typically encompass Health Savings Accounts (HSAs), Flexible Spending Accounts (FSAs), and various types of preventive care. Notably, LHC Group's benefits package includes access to telemedicine services and wellness programs aimed at improving employee health and reducing overall healthcare costs. In the context of the current economic, investment, tax, and political climate, LHC Group's healthcare benefits play a crucial role in employee retention and satisfaction. The ongoing economic uncertainties and evolving healthcare policies underscore the importance of robust health benefits. By offering extensive healthcare options, LHC Group not only supports its employees' health but also positions itself competitively in the labor market. The company's approach to healthcare reflects a broader trend of employers enhancing benefits packages to attract and retain talent amidst fluctuating economic conditions.