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

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

Healthcare Provider Update: Healthcare Provider for Saia Saia, a leading transportation and logistics company, offers its employees access to health insurance through various providers, primarily utilizing the health plans available in the Affordable Care Act (ACA) marketplace. As of now, specific healthcare providers associated with Saia may vary based on region and employee enrollment, but major insurers such as UnitedHealthcare, Blue Cross Blue Shield, and Cigna are commonly explored options within their offerings. Potential Healthcare Cost Increases in 2026 As we approach 2026, Saia employees should prepare for significant healthcare cost increases. Due to rising medical expenses and anticipated adjustments in benefit structures, many employees may face a greater share of their healthcare costs. The ACA marketplace is expected to see premium hikes averaging around 20%, with some states reporting increases exceeding 60%. These changes signal a crucial need for Saia workers to understand their benefit options, maximize their health savings accounts, and carefully select their insurance plans to mitigate the impact of escalating healthcare expenses in the upcoming year. Click here to learn more

'With ACA premiums expected to rise in 2026, Saia 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, Saia 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 Saia 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 Saia 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 Saia 401(k) plan?

The Saia 401(k) plan is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out, helping them build a nest egg for retirement.

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

Saia offers a matching contribution to the 401(k) plan, which means that for every dollar an employee contributes, Saia will match a percentage up to a certain limit, enhancing the employee's retirement savings.

When can I enroll in the Saia 401(k) plan?

Employees can enroll in the Saia 401(k) plan during the initial eligibility period, which is typically upon hire, and during open enrollment periods thereafter.

What are the eligibility requirements for the Saia 401(k) plan?

To be eligible for the Saia 401(k) plan, employees generally need to be at least 21 years old and have completed a certain period of service, as defined in the plan documents.

Can I change my contribution rate to the Saia 401(k) plan?

Yes, employees can change their contribution rate to the Saia 401(k) plan at any time, subject to the plan's guidelines and limits.

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

The Saia 401(k) plan offers a variety of investment options, including mutual funds, stocks, bonds, and target-date funds, allowing employees to choose based on their risk tolerance and retirement goals.

Does Saia allow for loans against my 401(k) balance?

Yes, Saia allows employees to take loans against their 401(k) balance under certain conditions, providing a way to access funds for emergencies or significant expenses.

What happens to my Saia 401(k) if I leave the company?

If you leave Saia, you have several options for your 401(k) balance, including rolling it over into an IRA or another employer's 401(k) plan, or cashing it out, though cashing out may incur taxes and penalties.

How can I access my Saia 401(k) account information?

Employees can access their Saia 401(k) account information through the plan's online portal or by contacting the plan administrator for assistance.

Are there any fees associated with the Saia 401(k) plan?

Yes, there may be administrative fees and investment fees associated with the Saia 401(k) plan, which are disclosed in the plan documents and can vary based on the investment options selected.