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

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Amazon Employees: Expect Rising Health Insurance Costs in 2026

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Healthcare Provider Update: Amazon has partnered with One Medical as its primary healthcare provider. One Medical offers a membership model aimed at providing accessible and efficient healthcare, including virtual visits and same-day appointments. As we approach 2026, healthcare costs are projected to rise significantly, a trend attributed to various factors including the potential expiration of enhanced federal premium subsidies associated with the Affordable Care Act (ACA). Many states are bracing for steep premium hikes, with some individual markets seeing increases exceeding 60%, which could push out-of-pocket costs for consumers up by more than 75%. This perfect storm of escalating medical expenses, combined with insurers pursuing aggressive rate hikes, underscores the urgent need for consumers to prepare for the financial implications of rising healthcare costs in the coming year. Click here to learn more

'Rising health care costs underscore the importance for Amazon employees to regularly review their benefits and long-term financial strategy,' says Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'With health care expenses climbing faster than wages, Amazon employees should proactively evaluate their coverage options to help protect their long-term financial well-being,' says Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. Why health insurance costs may rise in 2026.

  2. What changes could impact Affordable Care Act and employer plans.

  3. How to review your options during open enrollment.

Health insurance expenses may soon climb even higher for millions of households, including those of Amazon employees. Some people have even received advance notice of increases through 2026, adding to concerns that affordable insurance options are becoming more limited.

If you are one of the approximately 24 million Americans enrolled in an ACA marketplace plan, 1  be aware that significant shifts could occur soon. If enhanced ACA premium tax credits expire after 2025, the average family premium could rise 114%, jumping from $888 in 2025 to $1,904 in 2026. 1

Rising expenses are also impacting those covered through employer plans, including employees at Amazon. Surveys indicate that employer-sponsored health insurance costs are estimated to go up by 6% to 9% in 2026—the biggest increase in more than 15 years. 2  As companies continue shifting more of these expenses to workers, payroll deductions and out-of-pocket costs are on the rise. Health care cost growth is even outpacing wage growth, 3  adding pressure on family budgets.

Why Are Prices Increasing?

Many factors contribute to the upward trend, 3  including:

  • - A surge in medical visits delayed during the pandemic

  • - The growing number of older Americans requiring ongoing care

  • - Continued high incidence of chronic illnesses such as diabetes and heart disease

  • - Shortages and rising labor costs in the health care workforce

  • - Higher demand for services combined with fewer workers

  • Competitive differences across regions also influence costs—some markets have many insurance options, while others have only one or two participating carriers.

What to Do During Open Enrollment

  • Review your current health care usage. If you typically use fewer services, a high-deductible plan paired with a Health Savings Account might lower monthly premiums and offer certain tax advantages.

  • Plan ahead for anticipated medical needs. If you expect more care next year, a plan with higher monthly payments but lower deductibles may help spread costs more evenly.

  • Explore additional coverage options. Depending on eligibility, Medicaid, CHIP, or catastrophic plans may help if employer or marketplace premiums increase sharply.

  • Stay flexible while enrollment is open. You can modify your plan through the end of open enrollment if your situation or subsidy rules change.

The Bigger Picture

Health care decisions are playing a larger role in long-term planning for Amazon households. Rising medical costs can influence both current spending and future retirement readiness.

At The Retirement Group, we assist individuals in planning for health care costs both before and after retirement. To talk about available plan types and tax-advantaged options as open enrollment approaches, call (800) 900-5867.

Want Assistance Reviewing Your Options?

Health plan decisions affect more than just next year—they may also shape your future income expectations, especially if you’re planning to leave Amazon in the near future.

You don’t need to navigate this alone. Before open enrollment deadlines end, The Retirement Group can help you examine your health care strategy alongside your retirement plan.

Want Assistance Reviewing Your Options?

Health plan decisions affect more than just next year—they may also shape your future retirement income needs, especially for those leaving Amazon in the coming years.

You don’t need to sort through this alone. Before open enrollment deadlines end,  The Retirement Group  can help you assess your health care strategy and retirement plan.
Call  (800) 900-5867  to get started.

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Sources:

1. Lo, Justin, and Larry Levitt.  Early Indications of the Impact of the Enhanced Premium Tax Credit Expiration on 2026 Marketplace Premiums . Kaiser Family Foundation, Sept. 2025,  www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire .

2. Mercer Insights Team. “Employers Prepare for the Highest Health Benefit Cost Increase in 15 Years.”  Mercer , 3 Sept. 2025,  www.mercer.com/en-us/insights/us-health-news/employers-prepare-for-the-highest-health-benefit-cost-increase-in-15-years

3. “Why Are Healthcare Costs Rising?”  Marsh McLennan Agency , 5 Sept. 2025,  www.marshmma.com/us/insights/details/rising-health-care-costs.html .

4. “Five Key Changes to ACA Marketplaces Amid Uncertainty Over Premium Tax Credits.”  Center on Budget and Policy Priorities , 2025,  www.cbpp.org/research/health/five-key-changes-to-aca-marketplaces-amid-uncertainty-over-premium-tax-credit .

5. Health Care Workforce Shortages. NIHCM Foundation, 4 Mar. 2025, nihcm.org/newsletter/rising-healthcare-workforce-shortage.

What type of retirement savings plan does Amazon offer to its employees?

Amazon offers a 401(k) retirement savings plan to its employees.

Does Amazon match employee contributions to the 401(k) plan?

Yes, Amazon provides a matching contribution for employee contributions to the 401(k) plan, up to a certain percentage.

How can Amazon employees enroll in the 401(k) plan?

Amazon employees can enroll in the 401(k) plan through the employee benefits portal after meeting eligibility requirements.

What is the eligibility requirement for Amazon employees to participate in the 401(k) plan?

Typically, Amazon employees are eligible to participate in the 401(k) plan after completing a specified period of service.

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

Amazon's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.

Can Amazon employees change their contribution percentage to the 401(k) plan?

Yes, Amazon employees can change their contribution percentage at any time through the employee benefits portal.

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

The maximum contribution limit for Amazon employees is set by the IRS and may change annually; employees should check the current limits.

Does Amazon allow employees to take loans against their 401(k) savings?

Yes, Amazon allows employees to take loans against their 401(k) savings, subject to certain terms and conditions.

What happens to an Amazon employee's 401(k) if they leave the company?

If an Amazon employee leaves the company, they can choose to roll over their 401(k) balance to another retirement account, leave it with Amazon, or cash it out.

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

Yes, there may be fees associated with managing the investments within Amazon'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.
401(k) plan with company match, various investment options and financial planning resources.
Amazon announced its largest layoffs in company history, affecting over 27,000 employees in 2023-2024. This includes 18,000 roles cut in January 2023 and an additional 9,000 announced in March 2023. The layoffs impact various divisions, including Amazon Web Services (AWS), People Experience and Technology (PXT), advertising, and Twitch. These decisions are part of Amazon's efforts to streamline operations and cut costs amidst declining retail sales and economic uncertainty. Amazon CEO Andy Jassy emphasized the need to be leaner while continuing to invest in key long-term customer experiences. Employees affected by the layoffs are being provided with separation payments, transitional health insurance benefits, and external job placement support.
Amazon.com Inc. provides stock options (SOs) and Restricted Stock Units (RSUs) as part of its compensation. SOs allow employees to buy stock at a set price after vesting. RSUs vest over four years, with a specific schedule: 5% after the first year, 15% after the second, and 20% every six months for the remaining two years. In 2022, Amazon emphasized performance-based RSUs. In 2023, Amazon adjusted equity strategies to align with market conditions. By 2024, Amazon expanded RSU programs to include more employees. Executives, management, and broader employees are eligible for these plans. [Source: Justia, 2022 Employee Stock Plan; MyStockOptions; Consilio Wealth Advisors]
Amazon offers a comprehensive and competitive benefits package aimed at supporting the diverse needs of its employees. For 2023, Amazon provided a range of healthcare options, including medical, dental, and vision plans that begin on the first day of employment. These plans include Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) to help employees manage out-of-pocket healthcare expenses. Amazon also expanded its mental health resources, offering free counseling sessions, 24/7 virtual mental health support through the Twill app, and specialized support for children's mental health through a partnership with Brightline. These enhancements underscore Amazon’s commitment to supporting the well-being of its workforce. In 2024, Amazon continues to build on its robust benefits offerings. The company has introduced additional wellness programs, including emergency savings funds and financial assistance programs, to help employees prepare for unexpected expenses. Moreover, Amazon has improved its paid parental leave policies, providing up to 20 weeks of paid leave for birth parents and six weeks for eligible supporting parents. This holistic approach to employee benefits is particularly important in today’s economic and political climate, where healthcare affordability and access are critical issues. By continually updating its benefits package, Amazon ensures its employees are well-supported in maintaining their health and financial security.
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https://www.amazon.com/documents/pension-plan-2022.pdf - Page 5, https://www.amazon.com/documents/pension-plan-2023.pdf - Page 12, https://www.amazon.com/documents/pension-plan-2024.pdf - Page 15, https://www.amazon.com/documents/401k-plan-2022.pdf - Page 8, https://www.amazon.com/documents/401k-plan-2023.pdf - Page 22, https://www.amazon.com/documents/401k-plan-2024.pdf - Page 28, https://www.amazon.com/documents/rsu-plan-2022.pdf - Page 20, https://www.amazon.com/documents/rsu-plan-2023.pdf - Page 14, https://www.amazon.com/documents/rsu-plan-2024.pdf - Page 17, https://www.amazon.com/documents/healthcare-plan-2022.pdf - Page 23

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