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

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

Healthcare Provider Update: Healthcare Provider for Mosaic Mosaic is known for its commitment to quality health services, focusing on advanced specialty care. This commitment is underpinned by a range of healthcare providers who collaborate within the organization, prioritizing value-based care to enhance patient outcomes and reduce overall healthcare costs. Healthcare Cost Increases in 2026 As healthcare costs are projected to rise sharply in 2026, consumers, particularly those in the Affordable Care Act (ACA) marketplace, may face substantial financial burdens. With reports indicating possible premium hikes of over 60% in some states due to increasing medical expenses and the potential expiration of enhanced federal subsidies, many average consumers could see their out-of-pocket costs surge by up to 75%. This situation highlights the pressing need for strategic planning in healthcare spending and coverage selection well ahead of the looming increases. Click here to learn more

'With ACA premiums expected to rise in 2026, Mosaic 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, Mosaic 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 Mosaic 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 Mosaic 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 is the 401(k) plan offered by Mosaic?

The 401(k) plan at Mosaic is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.

How does Mosaic match employee contributions to the 401(k) plan?

Mosaic offers a company match of 50% on employee contributions up to 6% of their salary, helping employees maximize their retirement savings.

When can employees at Mosaic enroll in the 401(k) plan?

Employees at Mosaic can enroll in the 401(k) plan during the initial onboarding process and during the annual open enrollment period.

Is there a vesting schedule for Mosaic's 401(k) plan?

Yes, Mosaic has a vesting schedule for company contributions, which typically requires employees to work for a certain number of years before they fully own the employer match.

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

Mosaic offers a variety of investment options, including target-date funds, index funds, and actively managed funds, allowing employees to choose based on their risk tolerance.

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

Yes, Mosaic allows employees to take loans against their 401(k) balance, subject to specific terms and conditions outlined in the plan.

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

If you leave Mosaic, you can choose to roll over your 401(k) balance to another retirement account, cash it out, or leave it in the Mosaic plan if eligible.

Does Mosaic offer financial education resources for its 401(k) plan?

Yes, Mosaic provides financial education resources, including workshops and one-on-one consultations, to help employees make informed decisions about their 401(k) savings.

How often can employees change their contribution rate to the Mosaic 401(k) plan?

Employees at Mosaic can change their contribution rate at any time, subject to the plan’s guidelines.

Are there any fees associated with Mosaic's 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with Mosaic's 401(k) plan, which are disclosed in the plan documents.

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

The Mosaic Company provides its employees with a robust 401(k) retirement plan, offering several benefits designed to enhance financial wellness. The Mosaic 401(k) plan allows employees to make pre-tax payroll deductions, which contribute to their retirement savings, with tax-deferred growth. Mosaic also supports employees through company matching contributions and annual company contributions, helping to grow their retirement accounts. The plan offers a wide range of investment options, and employees can manage their accounts through Fidelity, which provides access to tools, calculators, and account management options. Eligibility for the Mosaic 401(k) plan includes full-time employees, with options for part-time and hourly workers depending on their hours of service. The plan allows for automatic payroll deductions and enrollment at any time, providing flexibility to employees. Mosaic uses Fidelity's platform for all aspects of the 401(k) plan, including account management and beneficiary updates (Mosaic Benefits). For Mosaic's pension plan, details are typically outlined in the company's summary plan description documents. The pension plan, often referred to as a Defined Benefit Plan, considers factors such as years of service and age qualification. Employees typically qualify after completing a certain number of years of service, which is standard in defined benefit plans across industries. Further details about the pension plan name, specific formulas, and eligibility would be available in company documents, such as the Summary Plan Description, which can be requested from Mosaic's HR department

In 2024, Mosaic Insurance underwent a significant restructuring of its underwriting and operational teams. The restructuring was aimed at supporting the company’s strategic expansion and driving growth for its agency business. The reorganization led to the redistribution of roles across key operational areas and advancements in technological integration. Key personnel updates included the promotion of leaders in strategic finance, corporate affairs, digital and AI strategy, and underwriting. This restructuring demonstrates Mosaic’s focus on evolving its global agency model and fostering partnerships that bring innovative solutions to the market (Royal Gazette) (Royal Gazette).

Mosaic (MOS) offers both employee stock options and Restricted Stock Units (RSUs) as part of its compensation package, with specific eligibility and conditions tied to each. The stock options are divided into Non-Qualified Stock Options (NQSOs) and Incentive Stock Options (ISOs). NQSOs are available to employees, contractors, directors, and advisors, while ISOs are limited to employees and are capped at $100,000 per year in exercisable value. RSUs can also be awarded to employees, contractors, directors, and advisors, with no set annual limits. In 2022, 2023, and 2024, Mosaic has continued to offer stock options and RSUs to key personnel, especially employees contributing to long-term company growth. Mosaic stock options grant the right to purchase company stock at a set price, and vesting schedules are typically spread over several years.

Medical Premiums: For both 2023 and 2024, employees saw slight increases in medical premiums. The monthly premium rise was approximately $6 to $29 in 2023 and $5 to $25 in 2024, depending on the plan. These adjustments reflected national trends while maintaining lower increases than expected. Dental and Vision: For four consecutive years, Mosaic maintained stable costs for dental and vision plans, ensuring that employee contributions did not rise. Wellness Incentives: Mosaic offers a $500 wellness incentive for employees and spouses/domestic partners who participate in personal health screenings under the company’s health plan. This incentive continues into 2024 as part of their focus on preventive care. Flexible Time Off: In addition to health benefits, Mosaic implemented a "Flexible Time Off" program allowing employees to take time for vacation, illness, mental health, and volunteering.

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For more information you can reach the plan administrator for Mosaic at , ; or by calling them at .

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