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

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

Healthcare Provider Update: Healthcare Provider for Markel Corporation Markel Corporation primarily relies on multiple healthcare providers to offer benefits to its employees. As a major insurance company, it collaborates with various health insurers to curate competitive health plans suited for its workforce. Potential Healthcare Cost Increases in 2026 As we look ahead to 2026, healthcare costs are projected to escalate significantly, particularly for those relying on Affordable Care Act (ACA) marketplace plans. Major insurers are expected to implement steep premium hikes, with some states forecasting increases exceeding 60%. A pivotal factor contributing to these alarming projections is the impending expiration of enhanced federal premium subsidies, which, if not renewed, could result in a staggering 75% increase in out-of-pocket costs for the majority of policyholders. This combined strain of rising medical costs and policy changes presents a challenging landscape for healthcare consumers, making careful planning and proactive management essential for navigating these financial hurdles. Click here to learn more

'With ACA premiums expected to rise in 2026, Markel 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, Markel 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 Markel 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 Markel 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 plan does Markel offer to its employees?

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

Does Markel provide any matching contributions to the 401(k) plan?

Yes, Markel provides matching contributions to the 401(k) plan, helping employees boost their retirement savings.

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

Employees at Markel can enroll in the 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.

What is the eligibility criteria for Markel's 401(k) plan?

Employees at Markel are typically eligible to participate in the 401(k) plan after completing a specified period of employment, usually outlined in the employee handbook.

Can employees at Markel take loans against their 401(k) savings?

Yes, Markel allows employees to take loans against their 401(k) savings, subject to specific terms and conditions.

What investment options are available in Markel's 401(k) plan?

Markel's 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to choose based on their risk tolerance.

How often can employees at Markel change their 401(k) contribution amounts?

Employees at Markel can change their 401(k) contribution amounts during designated enrollment periods or as permitted by the plan rules.

Does Markel offer financial education resources for employees regarding their 401(k)?

Yes, Markel provides financial education resources and workshops to help employees make informed decisions about their 401(k) savings.

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

If you leave Markel, you have several options for your 401(k) savings, including rolling it over to a new employer's plan, an IRA, or cashing it out, subject to tax implications.

Is there a vesting schedule for Markel's 401(k) matching contributions?

Yes, Markel has a vesting schedule for its matching contributions, which means employees must work for a certain period before they fully own those contributions.

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

Markel’s Pension Plan Information: Look for information on the name of the pension plan, eligibility requirements (years of service and age qualifications), and the pension formula. Identify the terminology used by Markel in their pension plan documents. Markel’s 401(k) Plan Information: Look for details on the 401(k) plan name, who qualifies, and the relevant terminology used by Markel.

Restructuring and Layoffs: In early 2023, Markel Corporation announced a significant restructuring initiative aimed at streamlining its operations and reducing overhead costs. The company reported that this move would lead to a reduction in workforce by approximately 5%, impacting various departments, including underwriting and claims processing. This decision was driven by the need to adapt to a shifting insurance market and improve operational efficiency. Given the current economic climate and investment challenges, it's crucial for stakeholders to stay informed about such restructuring efforts, as they can affect job security and company performance.

Markel Corporation offers stock options and RSUs to its executives and senior employees. The company’s stock options usually vest over a period of several years, and the RSUs are typically awarded based on performance metrics and tenure.

2022 Benefits Overview: Markel offers a range of health benefits including medical, dental, and vision insurance. They provide various plan options, often with a focus on flexibility and employee choice. For medical coverage, Markel typically offers both PPO and HSA-compatible plans. 2023 Benefits Changes: In 2023, Markel introduced new wellness incentives and expanded telehealth services. They emphasized mental health support and added more resources for employee well-being. 2024 Benefits Update: Markel continued to expand its health benefits, focusing on comprehensive mental health services, enhanced telehealth capabilities, and preventive care programs.