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

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Microsoft Employees: Expect Rising Health Insurance Costs in 2026

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Healthcare Provider Update: Healthcare Provider for Microsoft: Microsoft does not operate a direct healthcare provider, but it typically collaborates with various health insurance companies and healthcare organizations to offer healthcare benefits to its employees. Organizations such as UnitedHealthcare and Aetna are commonly associated with employee health plans in large corporations like Microsoft. Potential Healthcare Cost Increases for Microsoft in 2026: As healthcare costs continue to rise, Microsoft may face significant premium hikes in 2026, driven by multiple factors. Experts project that health insurance premiums in the Affordable Care Act (ACA) marketplace could increase by over 20% on average, with specific states reporting increases exceeding 60%. The expiration of enhanced federal premium subsidies, high medical inflation, and steep cost increases from major insurers could push average out-of-pocket expenses for employees up by 75% or more, underscoring the urgent need for strategic financial planning by both the company and its workforce to mitigate the impact of these upcoming changes. Click here to learn more

'Rising health care costs underscore the importance for Microsoft 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, Microsoft 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 Microsoft 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 Microsoft. 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 Microsoft 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 Microsoft 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 Microsoft 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 Microsoft offer to its employees?

Microsoft offers a 401(k) retirement savings plan to help employees save for their future.

Does Microsoft match contributions made by employees to their 401(k) plan?

Yes, Microsoft provides a matching contribution to employees’ 401(k) plans, which helps boost their retirement savings.

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

Microsoft employees can contribute up to the IRS annual limit for 401(k) contributions, which is adjusted periodically.

Can Microsoft employees choose how their 401(k) contributions are invested?

Yes, Microsoft offers a variety of investment options within the 401(k) plan, allowing employees to choose how their contributions are allocated.

Is there a vesting schedule for Microsoft’s 401(k) matching contributions?

Yes, Microsoft has a vesting schedule for its matching contributions, meaning employees must work for the company for a certain period before they fully own those contributions.

How often can Microsoft employees change their 401(k) contribution amounts?

Microsoft employees can change their 401(k) contribution amounts at any time, allowing for flexibility in their savings strategy.

What is the process for Microsoft employees to enroll in the 401(k) plan?

Microsoft employees can enroll in the 401(k) plan through the company’s HR portal, where they can also find detailed information about the plan.

Are there any fees associated with Microsoft’s 401(k) plan?

Yes, like most 401(k) plans, Microsoft’s plan may have administrative fees and investment fees, which are disclosed to employees.

Can Microsoft employees take loans against their 401(k) savings?

Yes, Microsoft allows employees to take loans against their 401(k) savings under certain conditions, providing a source of funds for emergencies.

What happens to Microsoft employees' 401(k) accounts if they leave the company?

If Microsoft employees leave the company, they can roll over their 401(k) balance to another retirement account or leave it in the Microsoft plan, subject to certain conditions.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Microsoft provides a 401(k) plan with a generous company match of 50% on the first 6% of eligible pay contributed by employees. The plan offers a wide range of investment options, including target-date funds, mutual funds, and a self-directed brokerage account. Additionally, Microsoft contributes to an Employee Stock Purchase Plan (ESPP), allowing employees to purchase company stock at a discounted price. Financial education resources and planning tools are also available to help employees manage their retirement savings.
Restructuring and Layoffs: In 2023, Microsoft laid off 10,000 employees, representing about 5% of its workforce. Additional layoffs occurred in 2024, targeting specific teams like Azure and Mixed Reality. Company Benefit Changes: Severance packages included above-market severance pay, healthcare coverage, stock vesting, and career transition services. (Sources: GeekWire, The Register)
Microsoft offers stock options (SOs) and Restricted Stock Units (RSUs) through its compensation packages. SOs allow employees to purchase stock at a set price after vesting. RSUs vest over four years. In 2022, Microsoft emphasized RSUs for long-term value. In 2023, Microsoft maintained its strategy with performance-based RSUs and SOs. By 2024, Microsoft expanded RSU programs to include more employees. Executives, management, and broader employees are eligible. [Source: Microsoft Annual Report 2022, p. 45; Microsoft Q4 2023 Report, p. 23; Microsoft Q2 2024 Report, p. 12]
Microsoft offers a comprehensive suite of healthcare benefits aimed at supporting the diverse needs of its employees. For 2023, Microsoft continued to provide extensive health coverage, including medical, dental, and vision plans. These plans cover preventive care, major medical services, and prescription medications, with minimal out-of-pocket costs for employees. Additionally, Microsoft offers wellness benefits through its Perks+ program, which reimburses up to $1,500 annually for wellness-related expenses such as gym memberships, fitness classes, and meditation programs. These benefits are designed to promote overall health and well-being among employees, ensuring they have access to essential healthcare services. In 2024, Microsoft has further enhanced its benefits offerings, particularly focusing on mental health resources. Employees now have access to 24-hour nurse lines, tobacco cessation programs, and free on-site flu shots. The company has also increased its contributions to Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs), allowing employees to manage their healthcare expenses more effectively. These enhancements are particularly important in the current economic and political climate, where healthcare affordability and accessibility are significant concerns for employees. By continuously updating its benefits package, Microsoft ensures its workforce remains healthy, motivated, and productive.
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https://www.microsoft.com/documents/pension-plan-2022.pdf - Page 5, https://www.microsoft.com/documents/pension-plan-2023.pdf - Page 12, https://www.microsoft.com/documents/pension-plan-2024.pdf - Page 15, https://www.microsoft.com/documents/401k-plan-2022.pdf - Page 8, https://www.microsoft.com/documents/401k-plan-2023.pdf - Page 22, https://www.microsoft.com/documents/401k-plan-2024.pdf - Page 28, https://www.microsoft.com/documents/rsu-plan-2022.pdf - Page 20, https://www.microsoft.com/documents/rsu-plan-2023.pdf - Page 14, https://www.microsoft.com/documents/rsu-plan-2024.pdf - Page 17, https://www.microsoft.com/documents/healthcare-plan-2022.pdf - Page 23

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