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Rising Health Care Costs Pose New Challenges for U.S. Employers Like DoorDash

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'Rising health care costs are no longer a temporary trend but a structural challenge that employers like DoorDash need to face head-on. Proactive planning around benefits and long-term budgeting is essential to maintaining both workforce stability and financial resilience.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'With health care costs on the rise, companies like DoorDash are exploring ways to align benefit strategies with financial objectives to help preserve both employee well-being and organizational strength.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. The rapid rise in employer-sponsored health care costs and its long-term budget implications.

  2. The primary factors driving health care inflation, including labor shortages and prescription drug costs.

  3. The strategic responses employers are adopting to manage expenses while addressing employee well-being.

By Patrick Ray, a financial advisor at Wealth Enhancement

Businesses in the United States, including DoorDash, are bracing for the largest increase in health insurance costs in over 15 years. 1  This trend is spilling over into the operating costs associated with employer-sponsored health care plans, driving companies to revisit how they handle employee benefits, retention, and long-term financial planning.

An Increase in Prices

Industry estimates indicate that employer health care expenditures are set to rise by roughly 9% to 10% in 2026, 2  marking the biggest annual jump since 2011. 3  With average annual premiums for employer-sponsored family coverage reaching $25,572 in 2024, 4  this jump stands to put continued pressure on companies—including DoorDash—to reassess how sustainable their benefit programs remain. The compounding effect of these annual increases has forced firms to rethink benefits in ways that may directly influence workforce stability.

Double-digit annual increases do occur in exceptional circumstances, but the fact that this surge is happening in a stable economy underscores how health care inflation has shifted from a temporary market disruption to a structural challenge for employers.

The Reasons Behind Rising Prices

Several systemic factors are fueling this upward trend for employers like DoorDash:

  • Health Care Labor Costs:  Hospitals and providers are facing heightened labor expenses, especially for specialized roles such as nurses and clinicians. 5

  • Pharmaceutical Expenses:  The introduction of new and specialty treatments—often expensive—adds strain to budgets.

  • Insurer Pass-Throughs:  Increases in insurer rates are often passed directly on to employer-sponsored plans. 6

  • Increased Utilization:  Following the pandemic, many employees deferred screenings and elective procedures, leading to a surge in catch-up care that elevates overall spending. 1

While these developments may lead to better health outcomes over time, they also impose immediate budget pressures.

The Employer’s Dilemma

Spending trends are approaching a tipping point for many organizations such as DoorDash. One Wealth Enhancement client with over 2,000 employees projected employer-sponsored health care costs could exceed $50 million within three years, a scenario the CFO described as “unsustainable.” Employers now face the choice of absorbing greater expenses, scaling back benefits, or shifting more costs onto employees. Each route carries risks, particularly if health care cost growth continues outpacing revenue and wage increases.

Effects on Employees

At large corporations like DoorDash, employees may experience higher deductibles, copays, or out-of-pocket maximums—even when employers cover most premium increases. For many families, coverage costs now rival second mortgages or car payments, fueling dissatisfaction and turnover. As benefits grow more costly and are viewed as less generous, workforce morale and retention suffer, impacting engagement and company performance.

Employers’ Strategic Responses

To address rising costs, companies—including DoorDash—are turning to tactics such as:

  • Health Savings Accounts (HSAs) and High-Deductible Plans:  To mitigate costs for employees enrolled in high-deductible health plans, some employers are including HSAs in their benefits programs. These accounts offer a triple tax advantage: contributions to the account are tax-free and exempt from Social Security or Medicare taxes if they're made through payroll deductions; the money invested grows tax-free; and withdrawals for qualified health expenses are tax-free.

  • Direct Provider Negotiations:  Some employers aim to leverage their market power by negotiating health care costs directly with providers, bypassing traditional insurance networks and optimally reducing both employer and employee health care coverage costs.

  • Virtual Care and Digital Solutions:  By expanding access to telemedicine and wellness technology, some employers hope to reduce reliance on costly in-person services.

These measures reflect innovation but deliver incremental relief—not full-scale solutions.

The Long-Term Financial Landscape

For DoorDash and other large employers, the question isn't whether health care costs will rise—it's how to prepare for the continuing upward trend. Some firms have created dedicated reserve funds to buffer volatility; others link executive incentives to cost containment efforts. These strategies favor proactive planning, aligning financial discipline with long-term performance.

The Human Factor

Health care spending isn't merely an expense; for companies like DoorDash, maintaining a healthy, engaged workforce is essential to productivity and loyalty. Overly aggressive cost trimming may produce short-term savings but often leads to higher absenteeism and turnover, eroding future competitiveness. Organizations that approach health care as an investment in human capital may be better placed to balance budget priorities with workforce resilience.

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Final Thoughts

Health care costs in the U.S. are forecast to rise at levels not seen in more than a decade, with employer-sponsored coverage poised for the steepest annual increase since 2011. DoorDash and other employers must weigh fiscal responsibility against supporting employee well-being—a balance vital to long-term viability.

Wealth Enhancement advocates crafting strategies that help preserve competitiveness while supporting employees’ health. A 65-year-old retiring in 2025 may need as much as $172,500 to cover health care expenses in retirement—up nearly 4% from the previous year 7 —highlighting how health care inflation deeply affects future financial commitments.

Employers’ rising health care costs resemble a rising tide: gradual increases may go unnoticed at first, but soon every anchored vessel—every business—is impacted. DoorDash and others must consistently adapt benefits design to meet this challenge, maintaining workforce engagement and long-term financial strength.

Sources:

1.  Mercer. ' Employers prepare for the highest health benefit cost increase in 15 years ,' by Beth Umland and Sunit Patel. September 3, 2025. 

2. Aon. ' U.S. Employer Health Care Costs Expected to Rise 9.5 Percent In 2026 ,' September 10, 2025. 

3.  PwC Health Research Institute. ' Medical Cost Trend: Behind the Numbers 2026 ,' 16 July 2025.

4. KFF. ' 2024 E mployer Health Benefits Survey ,' October 9, 2024.

5.  American Hospital Association. ' America’s Hospitals and Health Systems Continue to Face Escalating Operational Costs and Economic Pressures ,' Apr. 2024.

6. Health Services Research. ' Research and policy to strengthen the employer-sponsored health insurance market ,' April 25, 2022.

7.  Fidelity Investments. “ How to Plan for Rising Health Care Costs ,” September 5, 2025.

What is the 401(k) plan offered by DoorDash?

The 401(k) plan at DoorDash is a retirement savings plan that allows employees to save for their future by contributing a portion of their salary before taxes.

Does DoorDash match employee contributions to the 401(k) plan?

Yes, DoorDash offers a matching contribution to the 401(k) plan, which helps employees grow their retirement savings faster.

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

DoorDash employees can enroll in the 401(k) plan through the employee benefits portal during the enrollment period or after they become eligible.

What are the eligibility requirements for DoorDash's 401(k) plan?

To be eligible for DoorDash's 401(k) plan, employees typically need to meet certain criteria, such as being a full-time employee and reaching a specific duration of employment.

Can DoorDash employees change their contribution percentage to the 401(k) plan?

Yes, DoorDash employees can change their contribution percentage to the 401(k) plan at any time through the employee benefits portal.

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

DoorDash's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles tailored to different risk levels.

Is there a vesting schedule for DoorDash's 401(k) matching contributions?

Yes, DoorDash has a vesting schedule for its matching contributions, meaning employees must work for a certain period before they fully own the matched funds.

How can DoorDash employees access their 401(k) account information?

DoorDash employees can access their 401(k) account information online through the designated retirement plan administrator's website.

What happens to a DoorDash employee's 401(k) if they leave the company?

If a DoorDash employee leaves the company, they can choose to roll over their 401(k) balance to a new employer's plan, an IRA, or cash out, subject to tax implications.

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

Yes, there may be administrative fees and investment-related expenses associated with DoorDash's 401(k) plan, 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.
I found information about DoorDash's employee benefits, including details on their 401(k) plan. DoorDash provides a 401(k) plan for its employees, which includes a matching contribution of 2% of the employee's salary. However, DoorDash does not offer a traditional pension plan. The 401(k) plan is the primary retirement savings vehicle, and employees are eligible to participate once they meet specific criteria, typically after one year of service. The sources reviewed did not provide a detailed pension formula or specific company acronyms related to retirement plans, as DoorDash seems to focus more on its 401(k) offerings rather than traditional pension plans. The information was gathered from DoorDash's official resources and employee reviews on benefits websites​
In 2023, DoorDash announced layoffs affecting approximately 1,250 employees as part of cost-cutting measures due to economic challenges. The severance package includes 17 weeks of pay and extended health benefits. Additionally, DoorDash is piloting a portable benefits savings program to help workers manage health insurance and emergency savings, indicating shifts in how the company approaches employee benefits. This restructuring reflects broader economic pressures, highlighting the need for companies to adapt their financial strategies amid changing market conditions.
For DoorDash, the company offers both stock options and Restricted Stock Units (RSUs) to employees as part of their compensation packages. The company's stock options are often granted with a four-year vesting schedule, and the RSUs generally vest over a similar period. Eligibility for these stock options and RSUs is typically limited to full-time employees, including executive-level positions. In 2022, DoorDash continued to offer these benefits, with notable grants to key executives. The same trend persisted in 2023 and 2024, with some adjustments to the vesting schedules and the value of the stock options and RSUs reflecting the company's stock performance during these years.
Health Insurance Stipends: Under California's Proposition 22, DoorDash provides healthcare stipends to qualifying Dashers based on their active hours. For instance, those averaging 15 to 25 active hours per week receive $735 per quarter, while those exceeding 25 hours receive $1,470. This stipend is part of their effort to ensure that Dashers can access health insurance despite being classified as independent contractors. Portable Benefits Program: In 2024, DoorDash launched a pilot program in Pennsylvania, introducing a portable benefits savings plan. This program allows eligible Dashers to allocate a portion of their earnings toward health insurance, retirement savings, and paid time off. The portability of these benefits is designed to cater to the flexible nature of gig work, ensuring that workers can maintain their benefits even as they move between jobs. Merchant Health Benefits Initiative: DoorDash has also expanded its focus on healthcare benefits for employees of its restaurant partners. The "Merchant Benefits & Discounts" program, launched recently, offers discounted healthcare, mental health services, and other resources to small businesses. This initiative is aimed at helping restaurants attract and retain staff by providing access to affordable benefits typically available only to larger companies. Collaboration with Stride Health: DoorDash has partnered with Stride Health to assist Dashers in selecting and managing their health insurance plans. This collaboration ensures that Dashers have access to personalized healthcare options that fit their needs, further supporting their independent contractor workforce with essential benefits.
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For more information you can reach the plan administrator for DoorDash at 303 2nd St, Suite 800 San Francisco, CA 94107; or by calling them at (855) 973-1040.

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