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

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

Healthcare Provider Update: Healthcare Provider for W.W. Grainger W.W. Grainger offers healthcare benefits primarily through UnitedHealthcare and Anthem Blue Cross Blue Shield (BCBS). These providers supply various health insurance plans and related services for Grainger's employees, focusing on both individual and group health insurance solutions. Projected Healthcare Cost Increases for 2026 As W.W. Grainger prepares for 2026, it faces the looming prospect of healthcare cost increases resulting from projected record hikes in Affordable Care Act (ACA) premiums. Experts forecast that without the continuation of enhanced federal subsidies, which are set to expire, more than 22 million policyholders could experience a staggering increase of over 75% in their out-of-pocket premiums. The combination of rising medical costs, including hospital and prescription drug prices, alongside significant insurance company rate hikes, indicates that both employers like Grainger and their employees will need to brace for heightened financial strain in the coming year. Click here to learn more

'With ACA premiums expected to rise in 2026, W.W. Grainger 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, W.W. Grainger 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 W.W. Grainger 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 W.W. Grainger 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 W.W. Grainger?

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

How does W.W. Grainger match employee contributions to the 401(k) plan?

W.W. Grainger offers a matching contribution up to a certain percentage of the employee's salary, which helps to enhance retirement savings.

When can employees at W.W. Grainger start contributing to the 401(k) plan?

Employees at W.W. Grainger can begin contributing to the 401(k) plan after completing a specified period of employment, typically within their first year.

What types of investments are available in W.W. Grainger's 401(k) plan?

W.W. Grainger's 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to diversify their portfolios.

Are there any fees associated with W.W. Grainger's 401(k) plan?

Yes, W.W. Grainger's 401(k) plan may have administrative fees and investment-related fees, which are disclosed in the plan documents.

How can employees at W.W. Grainger access their 401(k) account?

Employees can access their W.W. Grainger 401(k) account online through the plan's designated portal or by contacting the plan administrator.

Can employees at W.W. Grainger take loans against their 401(k) savings?

Yes, W.W. Grainger allows employees to take loans against their 401(k) savings, subject to certain terms and conditions outlined in the plan.

What happens to the 401(k) plan if an employee leaves W.W. Grainger?

If an employee leaves W.W. Grainger, they can roll over their 401(k) balance to another retirement account, withdraw the funds, or leave the money in the W.W. Grainger plan if allowed.

Is there a vesting schedule for W.W. Grainger's 401(k) matching contributions?

Yes, W.W. Grainger has a vesting schedule for its matching contributions, meaning employees must work for the company for a certain period to fully own those contributions.

How often can employees at W.W. Grainger change their 401(k) contribution amount?

Employees at W.W. Grainger can change their 401(k) contribution amount during designated enrollment periods or as permitted by the plan.

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

Search for W.W. Grainger's Pension Plan: Review the most recent Form 10-K or similar annual report. Check company filings with the SEC. Look into employee benefit guides or summary plan descriptions. Search for W.W. Grainger's 401(k) Plan: Check the same sources as above for information on 401(k) specifics. Look into any recent plan changes or updates.

Restructuring and Layoffs: In early 2024, W.W. Grainger announced a restructuring plan aimed at streamlining operations and improving efficiency. This restructuring involves the reduction of approximately 5% of their workforce. The decision is part of a broader strategy to optimize their supply chain and adapt to shifting market conditions. The importance of this news is underscored by the current economic climate, where companies are increasingly adjusting their operations to navigate inflationary pressures and evolving market demands.

W.W. Grainger provides Non-Qualified Stock Options (NSOs) and Restricted Stock Units (RSUs) to its executives and key employees. In 2022, W.W. Grainger granted RSUs with a typical vesting period of three years, aligning with industry standards. For 2023, the company continued to offer RSUs and stock options to attract and retain talent, detailed in their 2023 DEF 14A on page 32.

Health Insurance Options: Grainger provides a variety of health insurance plans, including dental, vision, life, and disability insurance, alongside a standard medical plan. They also offer a Health Savings Account (HSA) option, which enables employees to save for future medical expenses on a tax-advantaged basis (Built In) (Home Page). Flexible Spending Accounts (FSA): Employees can use FSAs to set aside pre-tax funds for healthcare expenses, which can help offset rising healthcare costs. Mental Health and Wellness Programs: Grainger supports mental health through wellness programs, mental health benefits, and on-site resources, emphasizing a holistic approach to employee wellness (Home Page). Healthcare Cost Increases: In 2024, like many employers, Grainger faces rising healthcare costs, anticipated to increase between 5.4% and 8.5%. These trends reflect the broader economic challenges in managing employer-sponsored healthcare (Home Page). Pet and Transgender Health Benefits: Unique benefits include coverage for transgender health care and pet insurance, illustrating Grainger's commitment to diverse and inclusive employee needs (Built In). Abortion Travel Benefits: In response to changing legal landscapes, Grainger added abortion travel benefits to ensure access to care for employees in states where services might be restricted (Home Page).