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

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

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Healthcare Provider Update: Healthcare Provider for Iron Mountain: Iron Mountain does not directly provide healthcare services. Instead, it is known for its information management and data storage services. However, Iron Mountain's employee health benefits are generally managed through various insurance providers depending on their employment policies. Healthcare Cost Increases in 2026: As 2026 approaches, healthcare costs are anticipated to rise significantly, creating challenges for employers and employees alike. Record increases in health insurance premiums, particularly within the Affordable Care Act marketplace, could exceed 60% in some states. A recent PwC survey forecasts healthcare costs for businesses to climb by 8.5%, prompting many employers to shift more expenses onto employees. This environment of soaring premiums, coupled with the potential expiration of federal premium subsidies, places added financial strain on millions of insured individuals, as out-of-pocket healthcare costs could rise dramatically. Click here to learn more

'Iron Mountain 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.

'Iron Mountain 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 Iron Mountain 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 Iron Mountain 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 Iron Mountain, 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 Iron Mountain 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 Iron Mountain 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, Iron Mountain 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, Iron Mountain 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 Iron Mountain 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 Iron Mountain 401(k) plan?

The Iron Mountain 401(k) plan is a retirement savings plan that allows employees to save and invest a portion of their paycheck before taxes are taken out.

How can I enroll in Iron Mountain's 401(k) plan?

Employees can enroll in Iron Mountain's 401(k) plan by accessing the benefits portal or contacting the HR department for guidance on the enrollment process.

What is the employer match for Iron Mountain's 401(k) plan?

Iron Mountain offers a competitive employer match for contributions made to the 401(k) plan, which helps employees maximize their retirement savings.

At what age can I start participating in Iron Mountain's 401(k) plan?

Employees at Iron Mountain can typically start participating in the 401(k) plan as soon as they meet eligibility requirements, which usually begins after 30 days of employment.

How much can I contribute to Iron Mountain's 401(k) plan annually?

The contribution limits for Iron Mountain's 401(k) plan align with IRS guidelines, allowing employees to contribute up to the maximum limit set for the year.

Does Iron Mountain offer a Roth 401(k) option?

Yes, Iron Mountain provides a Roth 401(k) option, allowing employees to make after-tax contributions that can grow tax-free.

Can I take a loan from my Iron Mountain 401(k) plan?

Yes, Iron Mountain's 401(k) plan allows eligible employees to take loans against their account balance under certain conditions.

What happens to my Iron Mountain 401(k) if I leave the company?

If you leave Iron Mountain, you have several options for your 401(k), including rolling it over to another retirement account, cashing it out, or leaving it with Iron Mountain.

How often can I change my contribution amount to Iron Mountain's 401(k) plan?

Employees can typically change their contribution amount to Iron Mountain's 401(k) plan at any time, subject to plan rules.

Are there any fees associated with Iron Mountain's 401(k) plan?

Yes, Iron Mountain's 401(k) plan may have administrative fees and investment-related fees, which are disclosed in the plan documents.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Iron Mountain offers a defined contribution plan known as The Iron Mountain Companies 401(k) Plan. This plan, a profit-sharing arrangement, allows participants to direct the investment of their retirement accounts. Employer contributions under this plan are variable and depend on the company's quarterly or annual profits. In 2022, 2023, and 2024, employees of Iron Mountain could elect to defer part of their compensation, contributing to their 401(k) account. This plan includes automatic enrollment for employees and features elective contributions that are deducted directly from payroll​ (Iron Mountain)​ (QDRO.com). The Iron Mountain 401(k) Plan permits employee-directed accounts, meaning that if an employee does not select investment options, their assets are placed in a default investment account. Employee contributions are matched up to 6% by Iron Mountain, encouraging employees to take advantage of this benefit​ (Iron Mountain). The plan is a classic example of a cash or deferred arrangement under Code section 401(k).
In 2023 and 2024, Iron Mountain experienced notable changes that impacted both its workforce and employee benefits. Two significant WARN notices were filed, leading to the layoff of 132 employees across Indiana and Virginia​ (Iron Mountain)​ (Yahoo Finance). This restructuring aligns with the company's broader strategic focus on integrating new acquisitions, such as Regency Technologies. While Iron Mountain remains committed to long-term growth, these layoffs suggest a tactical pivot amid shifting customer demands and the broader economic environment. The layoffs highlight the need for Iron Mountain to adapt to both the evolving information management sector and the external economic pressures. It is crucial to address this news due to the complex economic, investment, tax, and political environment that drives restructuring efforts today.
Iron Mountain provides stock options and Restricted Stock Units (RSUs) to eligible employees as part of its compensation strategy. In 2022, Iron Mountain expanded its use of RSUs to attract and retain key talent, emphasizing its shift toward equity-based compensation. Stock options are generally offered to senior management and top performers, giving them the right to purchase company stock at a predetermined price, while RSUs are granted to employees across various levels as part of their long-term incentive plan. These RSUs typically vest over a period of three to five years, aligning with Iron Mountain’s long-term performance objectives​ (Iron Mountain)​ (Iron Mountain)​ (Iron Mountain). In 2023, Iron Mountain continued to emphasize RSUs, especially for employees involved in strategic growth areas such as data centers and digital transformation. The focus was on retaining talent critical to the company's innovation-driven goals. In 2024, Iron Mountain further increased the scope of RSUs to mid-level employees, broadening participation in equity programs across the organization. Stock options and RSUs are accessible to top-performing employees, senior management, and those in strategic growth roles at Iron Mountain
Iron Mountain offers a range of health benefits for its employees, with specific provisions evolving over the years 2022 to 2024. Their benefits package includes medical, dental, and vision insurance options, along with Health Savings Accounts (HSAs), which are widely used across the company​ (Iron Mountain Daily News). The healthcare-related acronyms and terms commonly referenced by Iron Mountain employees include PPO (Preferred Provider Organization), HSA (Health Savings Account), and EAP (Employee Assistance Program). Telehealth options are also part of their healthcare benefits, providing access to virtual care services
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For more information you can reach the plan administrator for Iron Mountain at , ; or by calling them at .

https://turbotax.intuit.com/tax-tips/retirement/net-unrealized-appreciation-nua-tax-treatment-amp-strategies/c71vBJZ2B https://carlsoncap.com/articles/nua-net-unrealized-appreciation/ https://creativeplanning.com/insights/financial-planning/how-to-use-the-net-unrealized-appreciation-nua-strategy-in-your-401k/ https://www.ironmountain.com/resources/solution-guides/p/powering-precision-in-retirement-and-pension-plans https://qdro.com/retirement-qdro/THE-IRON-MOUNTAIN-COMPANIES-401K-PLAN/ https://www.principal.com/businesses/trends-insights/2023-pension-lump-sums-dropping-new-years-ball https://investors.ironmountain.com/news-and-events/press-releases/press-release-details/2024/Iron-Mountain-Reports-Fourth-Quarter-and-Full-Year-2023-Results/default.aspx https://www.foxrothschild.com/publications/interest-rate-hikes-present-challenge-for-fully-funded-pension-plans https://reason.org/data-visualization/2022-investment-results-for-state-pension-plans/ https://investors.ironmountain.com/news-and-events/press-releases/press-release-details/2024/Iron-Mountain-Reports-Fourth-Quarter-and-Full-Year-2023-Results/default.aspx https://stockanalysis.com/stocks/irm/employees/ https://finance.yahoo.com/news/iron-mountain-reports-third-quarter-104500518.html https://www.datacenterdynamics.com/en/news/iron-mountain-to-acquire-itrenew-for-725-million/ https://www.ironmountaindailynews.com/news/local-news/2022/02/im-eyes-savings-in-retiree-health-costs/ https://www.warntracker.com/company/iron-mountain https://intellizence.com/insights/layoff-downsizing/leading-companies-announcing-layoffs-and-hiring-freezes/ https://www.marketbeat.com/stocks/NYSE/IRM/dividend/#google_vignette https://www.milliman.com/en/insight/2023-lump-sums-defined-benefit-plans-much-lower-as-interest-rates-rise https://www.kiplinger.com/retirement/cash-balance-pension-plan-options

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