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

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Retiring Early from 3M? Major Increases to 2026 ACA Premiums Projected in Several States

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Healthcare Provider Update: Healthcare Provider for 3M: 3M does not directly provide healthcare services but has a significant stake in the healthcare sector through its Health Care business, which will operate as Solventum following its spin-off. Solventum focuses on various healthcare innovations, including medical devices, pharmaceuticals, and health information systems, positioning itself as a critical player in improving patient outcomes and healthcare delivery. Potential Healthcare Cost Increases in 2026: As the healthcare landscape faces an impending crisis, projections indicate that healthcare costs may surge significantly in 2026, with some states expecting premium hikes surpassing 60% - primarily as a result of the potential expiration of enhanced federal subsidies for ACA plans. This situation, compounded by rising medical costs and aggressive rate increases from leading insurers, could lead to a staggering average out-of-pocket premium increase of 75% for 92% of marketplace enrollees, making affordable healthcare increasingly elusive for millions. Stakeholders will need to navigate these changes carefully to mitigate financial impacts on consumers. Click here to learn more

'With 2026 ACA premiums set to rise, 3M employees approaching early retirement should integrate health care cost projections into their broader income planning to help maintain long-term financial stability.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

'Given the anticipated ACA premium hikes in 2026, 3M employees considering early retirement should evaluate how health care expenses fit within their retirement budget to support a sustainable financial plan.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article we will discuss:

  1. The proposed2026 ACA premium increases and the states facing the steepest hikes.

  2. Key economic and policy factors influencingthese premium changes.

  3. Strategies retirees can use to help manage rising health care costs before Medicare eligibility.

Following recent changes to the Affordable Care Act (ACA), millions of Americans covered by ACA marketplace insurance may be set to see a sharp rise in their annual premiums. Preliminary estimates place the median national increase at 18%, 1  with many states anticipated to exceed this level. Early filings cite the planned expiration of enhanced subsidies, ongoing medical inflation, the rising cost of specialty drugs, and broad policy and market pressures as contributors to premium jumps that could increase by as much as 30% in certain areas. 2

States With the Biggest Increases Under Consideration

While changes vary by insurer and plan, early filings identify five states with some of the steepest expected increases:

  • Projected  →  Anticipated  increase of about 24%. UnitedHealthcare, for example, requested a 66.4% increase for specific ACA policies.

  • Colorado: Insurers report statewide average increases in the high teens to 20% range, with some geographic areas facing hikes above 33%.

  • Illinois: Blue Cross & Blue Shield of Illinois has filed for an almost 27% increase for 2026, placing the state among those with the highest expected rate changes.

  • Rhode Island: Rate-review report shows a weighted average request in the low to high 20% range, depending on carrier.

  • Washington: Fourteen individual-market insurers requested an average statewide increase of 21.2% for 2026.

Final approved rates will be determined later in the year following each state’s review process. However, the data so far indicates 2026 will be challenging for those on ACA coverage before Medicare eligibility. Nationwide, most planned increases fall between 12% and 27%, with many topping 20%.

Factors Contributing to the 2026 Increase

Several converging factors are influencing these rate hikes:

  • 1. Expiration of Enhanced ACA Premium Subsidies: Without new legislation, temporary premium tax credits will end in 2026, raising monthly costs and potentially reducing enrollment among healthier individuals—worsening risk pools and pushing rates up.

  • 2. Medical Inflation and Provider Pricing: Hospitals and health care providers are negotiating higher reimbursement rates to offset increased labor, supply, and inflationary costs.

  • 3. High-Cost Pharmaceuticals: Specialty drugs, including GLP‑1 therapies for diabetes and weight management, are driving higher payouts, with expenses being pushed back to consumers.

  • 4. Supply Chain Costs and Tariffs: Delays and tariffs on health care equipment and imports are contributing to insurers’ cost forecasts.

  • 5. Risk Pool Deterioration: Rising rates may cause healthier enrollees to exit the market, raising the average cost for those remaining.

Ways to Manage Rising ACA Premium Costs

Financial planning professionals, including Brent Wolf and Paul Bergeron of Wealth Enhancement, note that proactive, tax-aware strategies can help 3M retirees mitigate these increases:

  • Adjust Retirement Timing: Delaying retirement until closer to Medicare eligibility could reduce years of elevated ACA coverage costs.

  • Manage Modified Adjusted Gross Income (MAGI): Strategic Roth conversions or income‑efficient withdrawals can help preserve eligibility for premium support.

  • Contribute to a Health Savings Account (HSA): Full HSA funding offers pre‑tax contributions, tax‑deferred growth, and tax‑free withdrawals for qualified medical expenses.

  • Compare Plans During Open Enrollment: Reviewing network access, cost-sharing, and prescription coverage across carriers can help identify more budget‑friendly options.

  • Evaluate COBRA vs. ACA Coverage: Depending on age, health needs, and location, COBRA continuation may be cost effective for a limited time after leaving employer coverage.

  • Use Special Enrollment Periods: Income or household changes may qualify enrollees for updated subsidies.

Particular Considerations in New York

New York’s ACA marketplace offers one of the most diverse plan selections nationwide, and rate requests vary widely. The Department of Financial Services releases carrier-level tables showing proposed changes. Significant hikes from carriers like United Healthcare and Oxford have attracted attention; 3  final approvals will be announced later this summer.

Looking Ahead

While rate increase reports remain preliminary, it appears that ACA enrollees may face substantial premium increases in 2026. For some households, rate hikes of 20–30% could mean hundreds more per month. For Fortune 500 employees considering retiring early, incorporating health care costs into broader tax and income planning will be vital.

According to Avalere Health and AARP’s Public Policy Institute, nearly five million adults aged 50–64 may experience average annual premium increases exceeding $4,000 if enhanced ACA subsidies lapse, and some could lose eligibility altogether. 4

With national rates expected to go up by a median of 18%—and more in specific states—retirees will need to adopt targeted planning. Thoughtful plan comparison, HSA contributions, and income management can offer some relief ahead of Medicare eligibility.

Retiring early before Medicare can be likened to setting sail toward an approaching storm. In 2026, the winds of expiring subsidies, medical inflation, and costly new treatments could make for turbulent conditions. By adjusting income strategies, funding HSAs, and choosing plans carefully, retirees may navigate these waters much like a seasoned captain charts a steady course through rough seas.

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Given the recent decision by 3M to freeze its pension plans for non-union employees effective December 31, 2028, how should employees prepare for this significant change? What resources and strategies can they explore to ensure they are financially secure during retirement, considering the shift from traditional pension benefits at 3M to 401(k) plans?

Preparation for Pension Freeze at 3M: As 3M plans to freeze its pension plans for non-union employees by the end of 2028, employees should begin by assessing their current pension benefits and understanding how much they will have accrued by the freeze date. It's advisable for employees to consult financial advisors to discuss alternative retirement savings strategies, such as IRAs or other investment vehicles. Additionally, employees should take advantage of the company's matching contributions to 401(k) plans and consider increasing their contributions to maximize their retirement savings.

With 3M transitioning from a pension-based retirement system to a 401(k) structure, what implications does this have for employee contributions and investment options? How can 3M employees utilize the flexibility offered by 401(k) plans to align with their individual retirement goals, and what specific considerations should they keep in mind when selecting investments?

Implications for Employee Contributions at 3M: With 3M transitioning to a 401(k) model, employees will have more control over their retirement investments. This shift means that employees need to be more proactive in selecting investment options that align with their retirement goals. Employees should consider factors like risk tolerance, time horizon, and financial goals when selecting investments. Utilizing tools and resources offered by 3M, such as financial planning services and investment education workshops, can help employees make informed decisions.

How will the freeze on accrual of pension benefits affect the retirement planning process for employees who have been with 3M for many years compared to newer employees? What unique challenges might long-term employees face as they transition from relying on defined benefits to managing their retirement accounts through 3M?

Impact on Long-term vs. New Employees: Long-term 3M employees who have accrued significant pension benefits might find the transition challenging as they shift from a defined benefit to a defined contribution plan. These employees should review their projected pension payouts and consider additional savings or investment strategies to cover any shortfalls. Newer employees might be less affected as they have less accrued in the pension plan and potentially more time to adjust their savings strategies in the 401(k) plan.

What educational resources are available through 3M to assist employees in understanding their retirement plan options following the pension freeze? How can employees leverage these resources to make informed decisions about their future and ensure that they understand the differences between the pension plan and their new 401(k) options?

Educational Resources at 3M: 3M is likely to offer a range of educational resources to help employees understand their new retirement plan options. Employees should look out for seminars, webinars, and one-on-one counseling opportunities that can provide guidance on navigating the changes. The HR department at 3M will also be a valuable resource for accessing personalized advice and detailed explanations of the differences between the old pension plans and the new 401(k) options.

In light of the recent changes to 3M's pension structure, what steps can employees take to maximize their retirement savings over the next five years before the freeze takes effect? What savings strategies are recommended for 3M employees to ensure that they are adequately prepared for retirement given this significant policy change?

Educational Resources at 3M: 3M is likely to offer a range of educational resources to help employees understand their new retirement plan options. Employees should look out for seminars, webinars, and one-on-one counseling opportunities that can provide guidance on navigating the changes. The HR department at 3M will also be a valuable resource for accessing personalized advice and detailed explanations of the differences between the old pension plans and the new 401(k) options.

How does the decision by 3M to move to a 401(k) retirement model reflect broader trends in the corporate world regarding pension plans? What are the potential benefits and drawbacks of this shift from both the company’s and the employees’ perspectives, and how can employees navigate this changing landscape?

Broader Trends in Pension Plans: 3M's decision reflects a broader trend in the corporate world where companies are shifting from defined benefit pension plans to defined contribution plans like 401(k)s. This shift allows companies to reduce the volatility of pension liabilities on their balance sheets and provides employees with potentially higher returns on their retirement savings, albeit with higher risks. Employees need to become more financially literate to navigate this landscape effectively.

What mechanisms does 3M have in place to provide ongoing communication and support regarding the changes to the pension plan? How can employees at 3M stay informed about updates and optimally utilize company meetings or counseling sessions to address their retirement concerns?

Ongoing Communication and Support at 3M: 3M is expected to provide ongoing communication and support to employees regarding the pension changes. Regular updates, FAQs, and dedicated channels for raising concerns, such as HR hotlines or dedicated email addresses, will be crucial. Attending scheduled meetings and participating in counseling sessions can help employees stay informed and prepare adequately for the future.

As the pension plans at 3M are frozen, what options do employees have if they are uncertain about their retirement strategy? How can 3M's HR department assist employees in evaluating their current financial situations and developing customized retirement plans?

Options for Uncertain Employees: For employees uncertain about their retirement strategy post-pension freeze, 3M's HR department can provide significant assistance. HR can offer tools for financial modeling and planning, assist in setting up meetings with financial planners, and provide detailed comparisons of various retirement strategies. Employees should actively seek out these resources and engage with HR to build a personalized retirement plan.

How will the freeze of pension plans impact the overall financial stability of 3M retirees, and what considerations should current employees keep in mind as they anticipate retirement? How does this shift align with 3M’s commitment to employee welfare and long-term planning for their staff?

Impact on Financial Stability of Retirees: The freeze of the pension plans at 3M could impact the financial stability of retirees, especially those close to retirement who have less time to adjust their savings strategies. Employees should review their anticipated income from the pension plan and assess any potential shortfalls. Diversifying investments and seeking ways to generate additional income during retirement can help mitigate the impact of the pension freeze.

If employees at 3M wish to engage with the company's Human Resources department to gain clarity on the new pension and retirement policy implementations, what is the most effective way to reach out? How can 3M staff gain access to additional support and resources related to their retirement options?

Engaging with HR for Clarity: Employees seeking clarity on the new pension and retirement policies at 3M should reach out to the HR department effectively. Utilizing company-provided channels such as HR portals, direct emails, or scheduled office hours can facilitate better understanding and access to resources. Engaging in open dialogues during HR-led sessions or through direct consultations can help employees gain the necessary support and guidance.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Transition to 401(k) plan, pension freeze by 2028, annuity transfer in 2024 covering $2.5B obligations for 23,000 retirees.
3M offers RSUs to its executives and eligible employees as part of its long-term incentive plan. RSUs vest over time and are intended to align employees' interests with shareholders.
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For more information you can reach the plan administrator for 3M at 3M Center St. Paul, MN 55144-1000; or by calling them at (651) 733-1110.

*Please see disclaimer for more information

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