'Rising health care costs underscore the importance for University of Missouri 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, University of Missouri 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:
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Why health insurance costs may rise in 2026.
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What changes could impact Affordable Care Act and employer plans.
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How to review your options during open enrollment.
Health insurance expenses may soon climb even higher for millions of households, including those of University of Missouri 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 University of Missouri. 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:
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- A surge in medical visits delayed during the pandemic
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- The growing number of older Americans requiring ongoing care
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- Continued high incidence of chronic illnesses such as diabetes and heart disease
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- Shortages and rising labor costs in the health care workforce
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- Higher demand for services combined with fewer workers
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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
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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.
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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.
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Explore additional coverage options. Depending on eligibility, Medicaid, CHIP, or catastrophic plans may help if employer or marketplace premiums increase sharply.
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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 University of Missouri 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 University of Missouri 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 University of Missouri 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 eligibility criteria for the Defined Benefit Retirement Plan at the University of Missouri System differ for Level One and Level Two members, particularly in regard to their hire or rehire dates?
Eligibility Criteria for Level One and Level Two Members: Level One members are employees hired before October 1, 2012, or those rehired before October 1, 2019, who had earned a vested benefit but did not receive a lump sum. Level Two members are those hired or rehired between October 1, 2012, and October 1, 2019, without eligibility for Level One benefits. Employees hired after October 1, 2019, do not accrue service credit under the DB Plan(University of Missouri …).
In what ways do service credits accumulated at the University of Missouri System impact an employee's retirement benefits, and how can employees ensure that they effectively maximize their service credit over the years?
Impact of Service Credits on Retirement Benefits: Service credits are critical in calculating retirement benefits at the University of Missouri System. Employees accumulate service credits based on their years of service, which directly affect their pension calculations. Maximizing service credits involves consistent full-time employment without breaks, as any leave of absence or part-time status may impact the total service credits earned(University of Missouri …)(University of Missouri …).
What are the various options available to employees at the University of Missouri System for receiving their retirement benefits upon reaching normal retirement age, and how do these options influence long-term financial planning for retirement?
Retirement Benefit Options: Upon reaching normal retirement age, employees can choose between a Single Life Annuity or a Joint and Survivor Annuity, both with options for lump-sum payments of 10%, 20%, or 30% of the actuarial present value. These choices influence monthly payout amounts, and selecting a lump sum reduces future monthly benefits proportionally(University of Missouri …).
With respect to the University of Missouri System's Defined Benefit Plan, how are employees' contributions structured, and what implications does this have for their overall retirement savings strategy?
Employee Contributions: Employees contribute 1% of their salary up to $50,000 and 2% for earnings beyond that threshold. This structure helps fund the DB Plan, with the University covering the majority of the cost. Employees need to factor in these contributions as part of their overall retirement savings strategy(University of Missouri …).
How can employees at the University of Missouri System assess their eligibility for early retirement benefits, and what considerations should be taken into account when planning for an early retirement?
Early Retirement Eligibility: Employees may retire early if they meet specific criteria: at least 10 years of service credit for ages 55–60 or at least 5 years of service credit for ages 60–65. Early retirees will receive a reduced benefit to account for the longer payout period(University of Missouri …).
What tax implications should employees of the University of Missouri System be aware of when it comes to distributions from their retirement plans, and how can they effectively navigate these implications?
Tax Implications of Retirement Plan Distributions: Distributions from the University of Missouri System’s DB Plan are subject to federal taxes. Employees can mitigate tax burdens by electing to roll over lump-sum distributions to a qualified retirement account, such as an IRA, to avoid immediate tax liability(University of Missouri …).
What are the policies regarding the continuation of benefits for employees who leave the University of Missouri System, particularly for those who are not vested or are classified as non-vested members?
Non-Vested Employee Policies: Employees who leave the University before vesting in the DB Plan (fewer than 5 years of service) are not eligible for retirement benefits but can receive a refund of their contributions. These non-vested employees must decide whether to receive their refunded contributions as a lump sum or through a rollover to another retirement account(University of Missouri …).
How might changes in employment status, such as taking a leave of absence or returning to work after a break, affect the service credit calculation for an employee at the University of Missouri System?
Impact of Employment Status Changes on Service Credit: Employees who take leaves of absence or return after breaks in employment may experience reductions in service credit. However, certain types of leave, such as military service or medical leave, may allow employees to continue earning service credit(University of Missouri …)(University of Missouri …).
In the event of an employee's death prior to retirement, what benefits are available to their survivors under the University of Missouri System's Defined Benefit Plan, and how can members ensure their wishes are respected?
Survivor Benefits: In the event of an employee’s death before retirement, survivors may be eligible for either a lump sum or monthly payments. Employees can designate beneficiaries to ensure that their wishes are honored, providing financial protection for dependents(University of Missouri …).
How can an employee at the University of Missouri System contact the Human Resources Service Center to obtain personalized assistance regarding their retirement options and any inquiries related to their retirement plan details? These questions require detailed answers and are designed to facilitate a comprehensive understanding of retirement processes and options for employees of the University of Missouri System.
Contacting HR for Assistance: Employees can contact the Human Resources Service Center for personalized assistance regarding their retirement options by emailing hrservicecenter@umsystem.edu or visiting the myHR portal for further details(University of Missouri …).



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