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

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Equinix Employees Face 2026 Health Insurance Premium Surge: Preparing for Rising Costs

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Healthcare Provider Update: Healthcare Provider for Equinix: Equinix, a global leader in data center and interconnection services, has implemented health initiatives designed to enhance employee well-being. While specific healthcare providers can vary by location and plan offerings, Equinix collaborates with major insurance carriers such as UnitedHealthcare to deliver comprehensive health benefits to its employees across various regions. Potential Healthcare Cost Increases in 2026: As we look towards 2026, significant healthcare cost increases are anticipated, exacerbated by various factors affecting the Affordable Care Act (ACA) marketplace. Projections indicate that health insurance premiums could soar, with some states facing increases of over 60%, impacting millions of enrollees. The expiration of enhanced federal premium subsidies, coupled with escalating medical costs, could drive out-of-pocket expenses up by more than 75% for a vast majority of policyholders. Consequently, consumers are urged to proactively plan and strategize for these impending financial shifts to mitigate the potential impact on their healthcare budgets. Click here to learn more

'Equinix 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.

'Equinix 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 Equinix 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 Equinix 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 Equinix, 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 Equinix 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 Equinix 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, Equinix 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, Equinix 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 Equinix 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 type of retirement plan does Equinix offer to its employees?

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

Does Equinix provide any employer matching contributions to the 401(k) plan?

Yes, Equinix provides employer matching contributions to help employees maximize their retirement savings.

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

Equinix employees can enroll in the 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.

What is the vesting schedule for employer contributions at Equinix?

The vesting schedule for employer contributions at Equinix typically follows a graded vesting schedule, which employees can review in the plan documents.

Can Equinix employees change their contribution rate to the 401(k) plan?

Yes, Equinix employees can change their contribution rate at any time during the year, subject to the plan’s guidelines.

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

Equinix offers a variety of investment options in its 401(k) plan, including mutual funds, target-date funds, and other investment vehicles.

Is there a loan provision in Equinix's 401(k) plan?

Yes, Equinix allows employees to take loans against their 401(k) balance, subject to the plan's terms and conditions.

What is the minimum age requirement for Equinix employees to participate in the 401(k) plan?

Equinix employees must be at least 21 years old to participate in the 401(k) plan.

Does Equinix allow for hardship withdrawals from the 401(k) plan?

Yes, Equinix permits hardship withdrawals under certain circumstances as defined by the plan.

How often can Equinix employees review their 401(k) account statements?

Equinix employees can review their 401(k) account statements quarterly through the plan's online portal.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Equinix provides employees with a 401(k) retirement plan, which includes both a traditional pre-tax option and a Roth option. Employees can contribute to the 401(k) plan, and Equinix will match 50% of contributions on the first 6% of eligible earnings, both pre-tax and Roth contributions. The employer matching contributions vest over four years, with 25% vested each year. The Equinix 401(k) plan is available to all full-time employees, with eligibility to participate starting on the first day of employment​ (Equinix). In addition to the 401(k), Equinix does not offer a traditional defined benefit pension plan. However, the company emphasizes its 401(k) plan as the primary retirement savings vehicle, and encourages employees to contribute towards it to take advantage of the matching contributions​
Restructuring and Layoffs: In early 2024, Equinix announced a significant restructuring plan aimed at streamlining operations and enhancing efficiency. This plan included the reduction of approximately 5% of its global workforce, primarily impacting administrative and support roles. This move is seen as a response to the shifting demands in the data center industry and aims to optimize Equinix's operational structure. Importance: It is crucial to monitor these changes due to the current economic climate, which includes inflationary pressures and shifts in data consumption trends. This restructuring is part of a broader trend among tech companies adjusting to new economic realities.
For employees of Equinix, RSUs are a prevalent form of compensation, especially in 2022, 2023, and 2024. These RSUs are typically single-trigger, meaning they vest based on tenure alone. However, in certain cases, Equinix may offer double-trigger RSUs that vest upon both tenure and a significant company event, such as a merger or acquisition​ (Amplify Partners)​ (Vested Finance). RSUs are granted in alignment with the company's performance, offering employees ownership incentives. Equinix provides clear guidelines regarding the forfeiture of unvested RSUs if an employee leaves the company before the vesting date​ (Equinix, Inc.). Equinix has consistently refreshed its stock option and RSU pools, especially following financing rounds or strategic acquisitions. The goal is to maintain a sufficient number of equity grants available for current and future employees. Both stock options and RSUs are awarded to key contributors across all levels, but executives and senior leadership often receive larger allocations. RSUs retain value regardless of stock price fluctuations, unlike stock options which may lose value if the stock price falls below the strike price
2022 Benefits Overview: The Equinix benefits program for 2022 included comprehensive health insurance options, wellness programs, and employee assistance programs. They provided multiple health plans including PPO (Preferred Provider Organization), HMO (Health Maintenance Organization), and HDHP (High Deductible Health Plan) options. 2023 Updates: The benefits plan for 2023 saw enhancements in mental health support, including expanded telehealth services and a focus on holistic wellness. 2024 Changes: For 2024, Equinix continued to emphasize mental health and wellness, integrating new digital health tools and resources. They also introduced a new benefit for fertility and family planning support.
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