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

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Cognizant Technology Solutions Employees Face 2026 Health Insurance Premium Surge: Preparing for Rising Costs

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Healthcare Provider Update: Healthcare Provider for Cognizant Technology Solutions Cognizant Technology Solutions offers its healthcare solutions through its TriZetto Healthcare Products division, which provides integrated software and services to improve operational efficiency for payer organizations. This division focuses on a vast range of services, primarily aimed at managing Medicaid programs and enhancing healthcare delivery through automated systems. Potential Healthcare Cost Increases in 2026 As 2026 approaches, healthcare costs are predicted to experience significant increases, largely driven by the loss of enhanced federal premium subsidies and rising medical expenses. Insurers are requesting steep rate hikes, with some states seeing premiums soar by over 60%. This confluence of factors could result in out-of-pocket costs for many consumers spiking by up to 75%. The healthcare landscape is evolving, and without proactive measures, families may face more financial strain amid these projected challenges. Click here to learn more

'Cognizant Technology Solutions employees preparing for retirement should account for rising health care premiums as a core expense, and build flexibility into their plans today to help reduce the strain of unexpected costs tomorrow.' – Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.

'Cognizant Technology Solutions employees nearing retirement should stress-test their plans for higher 2026 health care costs, review coverage options each year, and—when eligible—fund HSAs to keep cash flow resilient.' – Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. Why health insurance premiums are expected to rise significantly in 2026.

  2. The unique challenges retirees face before becoming eligible for Medicare.

  3. Practical strategies to help manage increasing health care expenses.

The Increase in Health Insurance Premiums in 2026: Consequences and Solutions

With over 300 Affordable Care Act (ACA) marketplace providers proposing premium rises of about 18% on average, 1  health insurance costs are set to climb sharply in 2026. For those exiting the workforce before age 65, including Cognizant Technology Solutions employees, this change creates a fiscal gap that calls for thoughtful preparation.

'Health care costs are often the single biggest surprise in retirement,' says Brent Wolf, CFP of Wealth Enhancement. Even the most carefully built retirement plan may be disrupted when premiums go up faster than expected. This highlights the need for Cognizant Technology Solutions retirees to factor in health care expenses when creating retirement scenarios.

Why the Years Before Medicare Are Particularly Difficult

At age 65, most people become eligible for Medicare. People who leave work earlier must find coverage to bridge the gap. Options include:

  • - Purchasing ACA marketplace policies

  • - Continuing with COBRA payments after leaving employment

  • - Using a spouse’s employer-sponsored plan

  • - In rare cases, accessing a former employer’s retiree plan

For those who have spent years with Cognizant Technology Solutions, cost becomes the main issue. Premiums tend to rise sharply in the late 50s and early 60s, with ACA rates often based on age. A couple in their early 60s might pay several thousand dollars per month, before deductibles or prescriptions. 2  Rising premiums can put real strain on those planning to retire before Medicare begins.

Important Factors Affecting the 2026 Increases

Several policy and systemic drivers are fueling the expected ~18% jump:

  • Ending subsidies: After 2025, the enhanced ACA tax credits that cap premiums at 8.5% of income are due to expire. 2

  • Medical inflation: The cost of hospital stays, outpatient care, and doctor visits continue rising faster than general inflation. 3

  • Labor shortages: Health care providers are raising pay and benefits to retain staff, increasing the cost of care.

  • Drug costs: High-demand prescription drugs increase insurer costs.

  • Tariffs and supply costs: Anticipated import taxes on medical supplies may add pressure.

  • Reduced risk pool: If subsidies end, healthier people may drop out of the market, leaving higher-cost individuals behind.

As Wolf remarks, “Healthier participants leave the system when subsidies disappear.” For Cognizant Technology Solutions workers nearing retirement, this cycle may mean even steeper rates in the years before Medicare.

The Effect in the Real World

Premium hikes will affect families quickly. By 2026, some who stretched budgets for coverage in 2025 may find it unaffordable altogether. Others may need to draw more from retirement savings, weakening long-run sustainability.

“I’ve seen families who were comfortable in retirement suddenly needing to take on part-time work just to cover insurance,” Wolf explains. For Cognizant Technology Solutions retirees, that reality could require adjusting their retirement lifestyle or rethinking sources of income.

Unexpected medical bills may also force individuals with fixed incomes to cut back on other retirement goals.

Practical Techniques to Control Rising Medical Expenses

While large market forces are beyond individual control, Cognizant Technology Solutions employees approaching retirement can take steps to ease the burden:

  • Review coverage annually: Subsidies and plan options change each year. Automatic renewals may lead to paying too much.

  • Consider HDHPs: High-deductible health plans tend to have lower premiums and make participants eligible for health savings accounts (HSAs).

  • Leverage HSAs: Contributions grow tax-free and can be used to pay medical costs later.

  • Stay in-network: Using approved providers helps reduce out-of-pocket costs.

  • Prioritize preventive care: Routine screenings and healthy habits may reduce the chance of large medical bills in future.

The Need to Plan in Advance

Health care costs must now be assumed higher than in many past retirement plans. With subsidies expiring and inflation pressure rising, Cognizant Technology Solutions retirees should expect bigger expenses.

“My advice is to assume higher health care costs in every scenario,” suggests Wolf. If subsidies continue, that will help, but conservative planning can help avoid surprises.

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Health care planning has become a central pillar of retirement preparation. The 2026 premium jump highlights the importance of adaptability, careful cost estimation, and taking action early.

According to recent data, a record 24.2 million consumers selected or were auto-re-enrolled in ACA marketplace plans in 2025, 4  with fewer older registrants than in prior years. This shift means Cognizant Technology Solutions employees who are not yet Medicare-eligible could grapple with harder budget choices as premiums climb.

In 2026, higher insurance costs will feel like unmarked tolls on the path to Medicare at 65. The road still exists, but detours—expiring subsidies, inflation, costly new drugs—may drain retirement funds faster than many expect. By using tools like health savings accounts and reviewing plan options each year, retirees can get a better handle on their medical expenses to avoid depleting their resources.

Sources:

1. KFF. “ How Much and Why ACA Marketplace Premiums Are Going Up in 2026 ,” by J. Ortaliza et al, 6 Aug. 2025 .

2. KFF. ' ACA Marketplace Premium Payments Would More Than Double on Average Next Year if Enhanced Premium Tax Credits Explire ,' by Justin Lo et al, September 30, 2025. 

3. American Hospital Association, ' The Cost of Caring: Challenges Facing America’s Hospitals in 2025 ,' Apr. 2025.

4. CMS.gov, ' Over 24 Million Consumers Selected Affordable Health Coverage in ACA Marketplace for 2025 ,' Jan. 17, 2025. 

What is the 401(k) plan offered by Cognizant Technology Solutions?

The 401(k) plan at Cognizant Technology Solutions is a retirement savings plan that allows employees to save a portion of their earnings on a tax-deferred basis.

How does Cognizant Technology Solutions match employee contributions to the 401(k) plan?

Cognizant Technology Solutions offers a company match on employee contributions, typically matching a percentage of the employee's contributions up to a certain limit.

Can employees of Cognizant Technology Solutions choose their investment options within the 401(k) plan?

Yes, employees of Cognizant Technology Solutions can select from a variety of investment options within the 401(k) plan to tailor their retirement savings according to their risk tolerance and investment goals.

What is the eligibility requirement for the 401(k) plan at Cognizant Technology Solutions?

Employees of Cognizant Technology Solutions are generally eligible to participate in the 401(k) plan after completing a specified period of service, often within the first year of employment.

How can employees of Cognizant Technology Solutions enroll in the 401(k) plan?

Employees can enroll in the 401(k) plan through the company’s HR portal or by contacting the HR department for assistance with the enrollment process.

What is the contribution limit for the 401(k) plan at Cognizant Technology Solutions?

The contribution limit for the 401(k) plan at Cognizant Technology Solutions is aligned with IRS guidelines, which may change annually. Employees should check the latest limits each year.

Does Cognizant Technology Solutions offer a Roth 401(k) option?

Yes, Cognizant Technology Solutions may offer a Roth 401(k) option, allowing employees to make after-tax contributions for tax-free withdrawals in retirement.

What happens to my 401(k) plan if I leave Cognizant Technology Solutions?

If you leave Cognizant Technology Solutions, you can choose to roll over your 401(k) balance to another retirement account, cash out, or leave it in the plan, subject to the plan's rules.

Are there any fees associated with the 401(k) plan at Cognizant Technology Solutions?

Yes, there may be administrative fees and investment-related fees associated with the 401(k) plan at Cognizant Technology Solutions, which are disclosed in the plan documents.

Can I take a loan against my 401(k) plan at Cognizant Technology Solutions?

Yes, Cognizant Technology Solutions may allow employees to take loans against their 401(k) balance, subject to specific terms and conditions outlined in the plan.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Cognizant Technology Solutions offers a 401(k) plan with a company match, generally providing a 50% match on the first 6% of an employee's base salary. Employees become eligible for this plan after one year of service. The company's pension plan, referred to internally as the "Cognizant Retirement Savings Plan," is more traditional and generally available to long-term employees who meet specific years of service and age requirements. The formula for the pension plan is based on final average pay and years of service. Information can be found in Cognizant's internal documentation and employee benefits guides​
Restructuring Layoffs: In 2023, Cognizant announced plans to lay off 3,500 employees as part of its "NextGen" cost reduction program. This move is aimed at reducing operational costs and optimizing its office space to adapt to a post-pandemic hybrid work environment. The layoffs are expected to save the company $100 million annually, although it will incur costs of around $400 million spread across 2023 and 2024. It is crucial to address this news due to the current economic, investment, and political environment affecting IT services companies, which are struggling to maintain profit margins while facing muted revenue growth.
Cognizant's Stock Options and RSUs Cognizant offers RSUs (Restricted Stock Units), which are typically granted to eligible employees, including executives and other key contributors. These RSUs vest over time, usually based on a pre-determined schedule, and convert into actual shares of stock once they are fully vested. In contrast to stock options, employees receiving RSUs do not need to purchase the shares; instead, they receive the shares directly once the RSUs vest. In 2022, 2023, and 2024, Cognizant continued to provide these RSUs as part of their incentive programs, with eligibility typically extending to director-level positions and above. Employees at Cognizant who meet specific performance or tenure criteria are also considered for stock option grants, allowing them to purchase company shares at a set price after a specific period. These grants are usually awarded as part of annual performance reviews or as part of a signing bonus for new hires.
For Cognizant Technology Solutions, their health benefits in 2022, 2023, and 2024 focus on providing comprehensive healthcare packages. These benefits include Health Savings Accounts (HSA), Flexible Spending Accounts (FSA), and high-deductible health plans (HDHP), reflecting industry standards. The company also offers mental health resources and telemedicine options, highlighting their commitment to employee well-being. Recent news indicates that Cognizant is actively involved in healthcare IT, managing critical services for Horizon Healthcare Services, which underscores their ongoing investments in the healthcare sector.
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For more information you can reach the plan administrator for Cognizant Technology Solutions at 500 Frank W. Burr Blvd. Teaneck, NJ 7666; or by calling them at (201) 801-0233.

https://www.cognizant.com/en_us/about/documents/q4-2023-corporate-factsheet.pdf https://yourstory.com/enterprise-story/2023/05/cognizant-muted-q1-layoff-3500-employees https://www.cognizant.com/us/en/industries/insurance-digital-transformation/digital-retirement-operations-solutions https://www.cognizant.com/us/en/about-cognizant/2022-annual-report https://craft.co/cognizant-technology-solutions https://www.cognizant.com/us/en/about-cognizant/2023-annual-report https://investors.cognizant.com/news-and-events/news/news-details/2024/COGNIZANT-REPORTS-FOURTH-QUARTER-AND-FULL-YEAR-2023-RESULTS/ https://turbotax.intuit.com/tax-tips/retirement/net-unrealized-appreciation-nua-tax-treatment-amp-strategies/c71vBJZ2B https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://www.stordahlcap.com/insights/understanding-net-unrealized-appreciation-nua-and-its-tax-benefits https://www.cognizant.com/ https://news.cognizant.com/2022-11-29-Cognizant-to-Acquire-AustinCSI,-a-Premier-Digital-Transformation-Consultancy https://www.thelayoff.com/t/MqHEe7t https://www.cognizant.com/us/en

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