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

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

Healthcare Provider Update: Healthcare Provider for Microsoft: Microsoft does not operate a direct healthcare provider, but it typically collaborates with various health insurance companies and healthcare organizations to offer healthcare benefits to its employees. Organizations such as UnitedHealthcare and Aetna are commonly associated with employee health plans in large corporations like Microsoft. Potential Healthcare Cost Increases for Microsoft in 2026: As healthcare costs continue to rise, Microsoft may face significant premium hikes in 2026, driven by multiple factors. Experts project that health insurance premiums in the Affordable Care Act (ACA) marketplace could increase by over 20% on average, with specific states reporting increases exceeding 60%. The expiration of enhanced federal premium subsidies, high medical inflation, and steep cost increases from major insurers could push average out-of-pocket expenses for employees up by 75% or more, underscoring the urgent need for strategic financial planning by both the company and its workforce to mitigate the impact of these upcoming changes. Click here to learn more

'With ACA premiums expected to rise in 2026, Microsoft 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, Microsoft 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 Microsoft 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 Microsoft 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 Microsoft offer to its employees?

Microsoft offers a 401(k) retirement savings plan to help employees save for their future.

Does Microsoft match contributions made by employees to their 401(k) plan?

Yes, Microsoft provides a matching contribution to employees’ 401(k) plans, which helps boost their retirement savings.

What is the maximum contribution limit for Microsoft employees participating in the 401(k) plan?

Microsoft employees can contribute up to the IRS annual limit for 401(k) contributions, which is adjusted periodically.

Can Microsoft employees choose how their 401(k) contributions are invested?

Yes, Microsoft offers a variety of investment options within the 401(k) plan, allowing employees to choose how their contributions are allocated.

Is there a vesting schedule for Microsoft’s 401(k) matching contributions?

Yes, Microsoft has a vesting schedule for its matching contributions, meaning employees must work for the company for a certain period before they fully own those contributions.

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

Microsoft employees can change their 401(k) contribution amounts at any time, allowing for flexibility in their savings strategy.

What is the process for Microsoft employees to enroll in the 401(k) plan?

Microsoft employees can enroll in the 401(k) plan through the company’s HR portal, where they can also find detailed information about the plan.

Are there any fees associated with Microsoft’s 401(k) plan?

Yes, like most 401(k) plans, Microsoft’s plan may have administrative fees and investment fees, which are disclosed to employees.

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

Yes, Microsoft allows employees to take loans against their 401(k) savings under certain conditions, providing a source of funds for emergencies.

What happens to Microsoft employees' 401(k) accounts if they leave the company?

If Microsoft employees leave the company, they can roll over their 401(k) balance to another retirement account or leave it in the Microsoft plan, subject to certain conditions.

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

Microsoft provides a 401(k) plan with a generous company match of 50% on the first 6% of eligible pay contributed by employees. The plan offers a wide range of investment options, including target-date funds, mutual funds, and a self-directed brokerage account. Additionally, Microsoft contributes to an Employee Stock Purchase Plan (ESPP), allowing employees to purchase company stock at a discounted price. Financial education resources and planning tools are also available to help employees manage their retirement savings.

Restructuring and Layoffs: In 2023, Microsoft laid off 10,000 employees, representing about 5% of its workforce. Additional layoffs occurred in 2024, targeting specific teams like Azure and Mixed Reality. Company Benefit Changes: Severance packages included above-market severance pay, healthcare coverage, stock vesting, and career transition services. (Sources: GeekWire, The Register)

Microsoft offers stock options (SOs) and Restricted Stock Units (RSUs) through its compensation packages. SOs allow employees to purchase stock at a set price after vesting. RSUs vest over four years. In 2022, Microsoft emphasized RSUs for long-term value. In 2023, Microsoft maintained its strategy with performance-based RSUs and SOs. By 2024, Microsoft expanded RSU programs to include more employees. Executives, management, and broader employees are eligible. [Source: Microsoft Annual Report 2022, p. 45; Microsoft Q4 2023 Report, p. 23; Microsoft Q2 2024 Report, p. 12]

Microsoft offers a comprehensive suite of healthcare benefits aimed at supporting the diverse needs of its employees. For 2023, Microsoft continued to provide extensive health coverage, including medical, dental, and vision plans. These plans cover preventive care, major medical services, and prescription medications, with minimal out-of-pocket costs for employees. Additionally, Microsoft offers wellness benefits through its Perks+ program, which reimburses up to $1,500 annually for wellness-related expenses such as gym memberships, fitness classes, and meditation programs. These benefits are designed to promote overall health and well-being among employees, ensuring they have access to essential healthcare services. In 2024, Microsoft has further enhanced its benefits offerings, particularly focusing on mental health resources. Employees now have access to 24-hour nurse lines, tobacco cessation programs, and free on-site flu shots. The company has also increased its contributions to Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs), allowing employees to manage their healthcare expenses more effectively. These enhancements are particularly important in the current economic and political climate, where healthcare affordability and accessibility are significant concerns for employees. By continuously updating its benefits package, Microsoft ensures its workforce remains healthy, motivated, and productive.

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https://www.microsoft.com/documents/pension-plan-2022.pdf - Page 5, https://www.microsoft.com/documents/pension-plan-2023.pdf - Page 12, https://www.microsoft.com/documents/pension-plan-2024.pdf - Page 15, https://www.microsoft.com/documents/401k-plan-2022.pdf - Page 8, https://www.microsoft.com/documents/401k-plan-2023.pdf - Page 22, https://www.microsoft.com/documents/401k-plan-2024.pdf - Page 28, https://www.microsoft.com/documents/rsu-plan-2022.pdf - Page 20, https://www.microsoft.com/documents/rsu-plan-2023.pdf - Page 14, https://www.microsoft.com/documents/rsu-plan-2024.pdf - Page 17, https://www.microsoft.com/documents/healthcare-plan-2022.pdf - Page 23