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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 May Face Rising Health Care Premiums in 2026

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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

'Rising health care premiums and the potential loss of ACA subsidies highlight the importance for Cognizant Technology Solutions employees to begin reviewing budgets and planning ahead for how these costs may affect both household expenses and long-term retirement goals.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'With ACA subsidies set to expire and premiums projected to climb, Cognizant Technology Solutions employees should proactively evaluate their health care costs so they can adapt their household budgets without compromising long-term retirement planning.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. Why health care premiums are expected to rise sharply in 2026.

  2. How the expiration of ACA subsidies will affect families and employees.

  3. Ways households can get ready for these cost changes.

By Wealth Enhancement's Michael Corgiat

In recent weeks, many Cognizant Technology Solutions employees have begun preparing for potential changes in 2026 health insurance premiums. The Affordable Care Act’s (ACA) expanded subsidies have played a key role in helping households keep monthly costs manageable. These subsidies are set to lapse at the end of this year, creating the possibility of serious budget strains.

Currently, many families pay only a few hundred dollars a month for full coverage. Beginning January 1, those same households may see premiums jump to $1,800 or more per month. 1  Premiums would rise even higher for families whose incomes exceed 250% of the federal poverty level (FPL). 1  For Cognizant Technology Solutions households, this shift could bring new difficulties in balancing income, health coverage, and retirement contributions.

Why Premiums Are Increasing

The enhanced ACA subsidies were first introduced in 2021 through the American Rescue Plan, then extended by the Inflation Reduction Act through 2025. These provisions were aimed at middle-class families earning too much to qualify for traditional subsidies but still facing rising health care costs. Unless new law is passed, these benefits will end this year.

At the same time, insurers are preparing to raise their base rates for 2026. A report from the Kaiser Family Foundation (KFF) shows the median proposed increase is 18% nationwide. 2  For Cognizant Technology Solutions employees, losing subsidy support while also seeing higher base rates may impose extra strain in planning out their budgets.

Effect on Individuals

For households, the issue is deeply personal. One couple reported their premium will rise from under $300 to nearly $1,800 next year, 3  forcing hard decisions like cutting back on food, dental care, or other essentials. Cognizant Technology Solutions families may face comparable trade-offs as premiums climb.

Parents have voiced concern about their children’s coverage, especially as recent policy changes roll back Medicaid expansions. Choices made assuming children remain healthy would need to shift in the event of unexpected illness. This uncertainty makes it hard for families—including those in Cognizant Technology Solutions households—to plan for the future.

The Broader Picture

This issue is large in scale. In 2025, over 90% of ACA participants made use of enhanced subsidies, with more than 24 million Americans covered through the ACA marketplace. 4  Many in states with high enrollment depended heavily on the extra assistance.

Analysts estimate that if subsidies expire, about 4.8 million Americans could lose coverage in 2026. 1  In some states, for Cognizant Technology Solutions employees earning around $113,000 per year, a plan that now costs about $112/month with subsidies could cost about $1,600/month without them—nearly $18,000/year. 5

Ways to Get Ready

While what happens in Washington is still uncertain, Cognizant Technology Solutions employees might consider taking steps now:

  • 1. Consider High-Deductible Health Plans (HDHPs): Some of these have lower base premiums and, when paired with a Health Savings Account (HSA), provide tax benefits and a way to put aside funds for medical costs.

  • 2. Revisit Emergency Funds: A robust cash reserve can help cover unexpected medical bills without derailing retirement saving.

  • 3. Emphasize Preventive Care in 2025: Getting dental work, screenings, and exams done now while subsidies remain in force could reduce costs later.

  • 4. Adjust Household Budgets: Rising premiums may mean reallocating expenses or finding ways to bring in more income.

  • 5. Stay Alert When Enrollment Opens: Notices arrive in October, with open enrollment starting November 1. Careful comparison of health plan choices is very important for Cognizant Technology Solutions households.

Ripples in Other Areas

Higher premiums don’t just affect health coverage—they also ripple into retirement contributions, lifestyle decisions, and overall household resilience. For many Cognizant Technology Solutions families, higher health care costs may mean cutting back on retirement contributions, changing saving habits, or limiting discretionary spending.

The possible end of enhanced subsidies highlights how fragile the balance is between health care costs and longer-term plans. For many, this is not just about insurance but about preparing for a stable retirement.

Looking Ahead

There is still a chance Congress could extend subsidies and provide relief for millions. Until then, the best path is to plan for increased expenses. As one client said: “It feels like we’re going backward. The ACA made insurance affordable for years, but now we risk losing that progress.” Cognizant Technology Solutions employees, along with millions of others, are watching as decisions in Washington may heavily impact their household budgets.

Conclusion

The expected 18% increase in base premiums, combined with the end of ACA subsidies, underscores the strong link between health care costs and household budgeting. With over 24 million Americans enrolled in ACA coverage, many—including Cognizant Technology Solutions families—may face substantial pressure on their finances.

Taking action now through preventive care, comparing plan options, and adjusting budgets may soften the blow. Studies show that adults aged 50 to 64 will be among those hardest hit: close to 5 million people in that age group may see average annual health insurance cost increases of more than $4,000 if premium tax credits lapse. 6  

The end of enhanced tax credits feels much like reaching the final stretch of a long journey just as gas prices double. The health plan is still the same vehicle, but every mile now costs more. Cognizant Technology Solutions households, like millions across the country, may need to rethink how they move forward under these new cost pressures.

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Sources:

1. Urban Institute. ' 4.8 Million People Will Lose Coverage in 2026 If Enhanced Premium Tax Credits Expire ,' by Buettgens, Matthew, Michael Simpson, Jason Levitis, Fernando Hernandez-Lepe, and Jessica Banthin. September 17, 2025.

2. Kaiser Family Foundation (KFF). ' How Much and Why ACA Marketplace Premiums Are Going Up in 2026 ,' by Jared Ortaliza, Matt McGough, Kaitlyn Vu, Imani Telesford, Shameek Rakshit, Emma Wager, Lynne Cotter, and Cynthia Cox. 6 Aug. 2025.

3. KFF Health News. ' Considering a Life Change? Brace for Higher ACA Costs ,' by Julie Appleby. August 12, 2025. 

4. KFF Quick Takes. ' More Than 3 in 4 Marketplace Enrollees Live in States Won by President Trump in 2024 ,' by Emma Wager. October 3, 2025. 

5. NBC News. ' Families on Obamacare brace for higher health care premiums next year ,' by Berkeley Lovelace Jr.. September 13, 2025.

6. AARP. ' Enhanced Premium Tax Credit Expiration Threatens Affordable Health Coverage for Nearly 5 Million Midlife Adults Ages 50 to 64 ,' by Jane Sung and Ollivia Dean. April 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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