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

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MetLife Employees: Expect Rising Health Insurance Costs in 2026

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Healthcare Provider Update: Healthcare Provider for MetLife: MetLife partners with a variety of healthcare providers and networks to deliver its health insurance products. These generally include extensive networks of hospitals, physicians, and specialists under the MetLife brand, often incorporating regional healthcare systems to ensure members have access to a broad range of services. Specific providers may vary based on the plan and location chosen by the member. Potential Healthcare Cost Increases for 2026: As healthcare costs continue to rise, projections indicate that premiums for Affordable Care Act (ACA) plans could increase sharply in 2026, with the median hike estimated at 18%-the largest seen since 2018. This surge is fueled by factors such as escalating medical expenses, the looming expiration of enhanced federal premium subsidies, and recent aggressive rate hikes from major insurers like MetLife. Without these subsidies, many enrollees could face even steeper out-of-pocket costs, potentially exceeding 75%, underscoring the urgent need for consumers to prepare financially for the upcoming changes. Click here to learn more

'Rising health care costs underscore the importance for MetLife 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, MetLife 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 MetLife 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 MetLife. 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 MetLife 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 MetLife 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 MetLife 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.

How does the MetLife Retirement Plan structure benefits differently for salaried versus commissioned employees, and what specific factors go into calculating the retirement benefits for each type of employee as detailed in the MetLife plan documents?

Salaried vs. Commissioned Employees: MetLife structures benefits for salaried employees based on their base salary and Annual Variable Incentive Plan, while commissioned employees' benefits are calculated using 42% of commissions from Company proprietary products and services. The benefit formula takes into account eligible pay, Social Security Wage Base, and credited service​(MetLife_Retirement_Plan…).

For employees considering early retirement from MetLife, what factors should they weigh in terms of financial security and expected benefits, and how does the MetLife plan accommodate early retirement for participants who may be eligible?

Early Retirement Considerations: Employees considering early retirement should weigh the reduction in benefits due to early retirement factors. Eligibility requires at least 15 years of service and being at least 55 years old. Early retirement benefits are reduced according to specific factors based on age and service​(MetLife_Retirement_Plan…)​(MetLife_Retirement_Plan…).

What are the implications of the recent changes to the MetLife Retirement Plan regarding the freeze on the Traditional Formula benefits, and how does this impact employees who have been accruing benefits under this system?

Changes to Traditional Formula Benefits: The Traditional Formula was frozen as of December 31, 2022. All future benefit accruals are under the Personal Retirement Account (PRA) formula, which impacts those who were accruing under the Traditional Formula by transitioning them to the PRA​(MetLife_Retirement_Plan…).

How does MetLife ensure that employees are fully informed of their rights under the Employee Retirement Income Security Act (ERISA), and what resources does the company provide for employees to understand their pension benefits?

ERISA Rights and Resources: MetLife ensures employees are informed of their ERISA rights through plan documents, the MetLife HR Global Compensation and Benefits Department, and the Retirement Benefits Service Center. Participants can access detailed plan information, their benefits, and contact the plan administrator for legal issues​(MetLife_Retirement_Plan…).

In the event of resignation or transitioning to another role within MetLife, what provisions does the retirement plan offer regarding preserved benefits, and how can employees navigate this process to secure their retirement funds?

Preserved Benefits after Resignation: Employees leaving MetLife retain preserved benefits if vested. These benefits can be claimed at retirement age, and employees can opt for different forms of payment, including lump sums or annuities, depending on the value of their preserved benefits​(MetLife_Retirement_Plan…).

What measures are in place for employees at MetLife to reach out for support and clarification about their retirement benefits, and how can they utilize those resources effectively to address any concerns they might have?

Support for Retirement Benefit Queries: Employees can seek support through the Retirement Benefits Service Center or the online portal. These resources provide answers to any queries about benefits and can be used to resolve discrepancies in benefit calculations or account information​(MetLife_Retirement_Plan…).

As MetLife employees, what strategies can individuals implement to maximize their pension benefits throughout their careers, including understanding the impact of factors like final average pay and years of credited service?

Maximizing Pension Benefits: Employees can maximize pension benefits by understanding the impact of final average pay, credited service, and the Social Security Wage Base. Maintaining consistent employment and maximizing eligible pay are key strategies for increasing retirement benefits​(MetLife_Retirement_Plan…).

Can you explain the eligibility criteria for participation in the MetLife Retirement Plan and how an employee can determine their eligible pay throughout the duration of their employment with the company?

Eligibility for MetLife Retirement Plan: To participate in the plan, employees must complete at least one year of service with 1,000 hours and be 21 years old. Eligible pay is determined by the employee's base salary or a percentage of commissions for commissioned employees​(MetLife_Retirement_Plan…).

What steps should MetLife employees take if they notice discrepancies or unusual activity in their retirement accounts, and what resources are available to assist them in resolving these issues?

Addressing Discrepancies in Accounts: If employees notice discrepancies, they should contact the Retirement Benefits Service Center immediately. There are procedures in place for filing claims, and employees must report errors within a reasonable timeframe​(MetLife_Retirement_Plan…).

How can MetLife employees obtain further information about their pension rights and benefits, and what specific documentation or communication channels should they utilize to ensure they have accurate and comprehensive information? These questions are designed to assist employees in navigating their retirement benefits with MetLife.

Obtaining Further Information: Employees can access comprehensive information on their pension rights and benefits through the online portal or by contacting the plan administrator. The portal provides personalized benefit details, and written requests can be submitted for official plan documents​(MetLife_Retirement_Plan…).

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
MetLife is a leading global provider of insurance, annuities, and employee benefit programs, serving millions of customers worldwide.
MetLife offers RSUs and stock options to eligible employees. These incentives vest over time, aligning employee interests with company performance.
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