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

Adobe Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Adobe Adobe partners with UnitedHealthcare as their primary health insurance provider, offering a range of healthcare plans and options to support employee wellness and healthcare needs. Potential Healthcare Cost Increases in 2026 As we look toward 2026, Adobe, like many companies, may face significant increases in healthcare costs driven by anticipated record hikes in Affordable Care Act (ACA) premiums. Premiums for ACA marketplace plans are projected to rise steeply, with some states experiencing increases above 60%. This surge is attributed to escalating medical costs and the potential expiration of enhanced federal premium subsidies, with reports indicating that nearly 92% of marketplace enrollees might see their out-of-pocket premiums soar by over 75%. Companies, including Adobe, will need to navigate these challenges to ensure that they can continue providing affordable healthcare options for their employees. Click here to learn more

'Adobe employees approaching retirement should recognize that proactive income and health care planning can make the difference between preserving subsidy eligibility and facing sharply higher ACA premiums.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'Adobe employees planning their retirement should consider how income levels influence ACA subsidies, as even small adjustments in taxable withdrawals can affect future health care affordability.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
Practical steps Adobe professionals can take before enrolling in 2026 Marketplace plans.

by Brent Wolf, CFP®, Wealth Enhancement

As open enrollment for 2026 Marketplace plans begins, many households are seeing dramatic shifts in their renewal letters. Rising base premiums and the possible end of enhanced subsidies after 2025 could mean significantly higher out-of-pocket costs for anyone purchasing coverage through the Affordable Care Act (ACA) exchange.

The Kaiser Family Foundation (KFF) estimates that if Congress does not extend enhanced premium tax credits, average net premium payments could more than double in 2026. ¹

“It feels like a second mortgage to pay this premium.”

Profile: A couple in their early 60s who retired a few years before becoming Medicare-eligible.

What changed: Their ACA premium had been manageable due to increased subsidies. Their renewal now indicates a rise of about $1,000 to $1,200 monthly if enhanced credits expire.

Decision pressure: They faced hard choices—drawing more taxable income from IRAs, going without coverage, or returning to the workforce for employer-based insurance.

Our response: We reworked their income plan to align with the ACA’s income-based subsidy structure. By controlling their Modified Adjusted Gross Income (MAGI) through smaller IRA withdrawals, use of cash reserves, and partial Roth conversions, we kept them eligible for key subsidies. Comparing a Bronze high-deductible plan with a health savings account (HSA) to a Silver plan revealed the Silver plan—thanks to cost-sharing reductions—was more economical given their expected medical treatments.

“I can’t risk losing coverage while battling an illness.”

Profile: A single client in her early 60s undergoing ongoing medical treatment.

What changed: Without enhanced subsidies, her premiums nearly tripled.

Decision pressure: Balancing affordability with the need to keep her care team and prescriptions consistent.

Our response: We prioritized staying with her provider network and controlling her out-of-pocket costs. A dedicated “medical reserve” fund—equal to one year’s maximum out-of-pocket limit—gave her a cushion without liquidating investments during market declines. We also worked with her physicians to identify lower-cost prescriptions through her plan’s formulary.

“The new premiums are hurting our business margins.”

Profile: A self-employed couple—one partner managing asthma and the other a cardiac rhythm condition.

What changed: Without subsidies, their net premiums are expected to rise sharply.

Decision pressure: Continue paying high premiums, choose a plan with a very high deductible, or seek W-2 employment for benefits.

Our response: We compared total annual costs for a Silver plan versus a Bronze option, factoring in frequent specialist visits and prescriptions. Once total medical costs were considered, the Silver plan proved more cost-effective. We also aligned their life and disability coverage and tailored their tax approach to reflect potential changes in premium tax credits.

“I’m young and healthy—do I even need full coverage?”

Profile: An independent contractor in their 20s with minimal expected medical use.

What changed: Premiums for mid- and high-tier plans nearly quadrupled.

Decision pressure: Choosing between a high-deductible Bronze HSA plan and catastrophic coverage.

Our response: We modeled three options—a Bronze HSA-eligible plan, a mid-tier plan, and catastrophic coverage. The Bronze HSA option offered the best mix of lower premiums and long-term tax benefits. Monthly automated HSA contributions build a future medical fund that can later be used for qualified health care expenses or Medicare premiums (excluding Medigap) after age 65.

Five Steps to Take Before You Enroll

1. Evaluate your total annual cost, not just the premium. Factor in deductibles, copays, and the possibility of reaching your out-of-pocket maximum.

2. Manage your MAGI carefully. ACA subsidies depend on income. Coordinate Roth conversions, capital gains, and IRA withdrawals strategically.

3. Verify your doctor and prescription coverage. Always confirm your plan’s provider network and formulary before enrolling.

4. Maintain a medical reserve fund. Hold six to 12 months of premiums plus a portion of your maximum out-of-pocket in cash or short-term Treasuries.

5. Finalize your plan by December 15. Open Enrollment for 2026 coverage ends on December 15, with plans effective January 1.

If Affordability Is a Concern

Choosing to go without insurance can expose you to serious financial strain in case of illness or accident. Consider the most affordable Bronze plan that still meets ACA minimum coverage requirements. If your income decreases during the year, you may become eligible for Medicaid or CHIP and qualify for a Special Enrollment Period. ²

How The Retirement Group Supports Adobe Professionals

For Adobe employees approaching or already in retirement, the intersection of rising health care costs and income planning can be complex. The Retirement Group focuses on helping clients navigate ACA subsidy rules, tax-efficient withdrawal strategies, and health care cost planning during retirement transitions.

To speak with an advisor about aligning your retirement income and health care planning, call (800) 900-5867 today.

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Sources:

1. Cox, Cynthia, et al. “ACA Marketplace Premium Payments Would More Than Double on Average Next Year if Enhanced Premium Tax Credits Expire.” Kaiser Family Foundation (KFF) , 2025, pp. n.p., https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/ .
2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
Other resources:
1. “When Can You Get Health Insurance? | Dates & Deadlines.” HealthCare.gov , U.S. Centers for Medicare & Medicaid Services, n.d., https://www.healthcare.gov/quick-guide/dates-and-deadlines/ .
2. Publication 969: Health Savings Accounts and Other Tax-Favoured Health Plans. Internal Revenue Service, 2024, pp. 8–9, https://www.irs.gov/pub/irs-pdf/p969.pdf .
3. “Silver vs. Bronze Plan Selection: Cost-Comparison Scenarios.” Centers for Medicare & Medicaid Services (CMS) , 23 Dec. 2024, pp. 1–3, https://www.cms.gov/files/document/silver-vs-bronze-cost-comparison-scenario-resource.pdf .
4. Murphy, Tom. “Expect Health Insurance Prices to Rise Next Year, Brokers Say.” AP News , Associated Press, 24 Aug. 2025, https://apnews.com/article/health-insurance-drug-costs-2026-rates-c4d865ec09c7088ecc6b55dc520f3566 .

How does Adobe Systems Software Ireland Limited manage employees' contributions to their retirement plans and what impact does this have on their Retirement Accounts? Furthermore, how are these contributions structured in relation to the company's contributions and what variations exist based on employee tenure and participation levels?

Employee and Company Contributions: Adobe's pension plan for employees involves regular contributions from both the employee and the company, which are directed into a Retirement Account. Employees choose the contribution rate, and the company matches this rate up to a maximum of 7%. The greater the contributions and the better the investment returns, the higher the benefits upon retirement.

What options are available to employees of Adobe Systems Software Ireland Limited regarding the retirement benefits they may receive based on their length of service? How does this affect their decision-making process as they approach retirement age, particularly in terms of transferring benefits or opting for lump-sum payments?

Retirement Benefits Options: Employees have multiple options for their retirement benefits, which can influence decision-making as they approach retirement. Options include a pension (regular income for life), income for dependents, a lump sum retirement benefit, continued investment through funds like ARF/AMRF, and taxable cash withdrawals. These choices allow employees to plan based on their expected needs and financial goals at retirement.

In what ways does Adobe Systems Software Ireland Limited ensure compliance with current pension regulations and tax relief limits when managing its pension scheme? Additionally, what specific provisions exist within the plan to protect employeesâ€™ benefits in the event of changes in legislation or economic downturns?

Compliance with Regulations: The pension plan adheres to current pension regulations and tax relief limits to ensure compliance and efficiency. Specific provisions within the plan protect employees' benefits against legislative or economic changes, ensuring stability and predictability for retirement planning.

What steps should employees of Adobe Systems Software Ireland Limited take to update their nominated beneficiaries in the event of life changes, such as marriage or divorce? How does the companyâ€™s process for beneficiary nomination influence the distribution of benefits upon the employee's death?

Beneficiary Update Process: Employees can update their nominated beneficiaries via the online platform Mercer OneView, which is essential after life changes such as marriage or divorce. This process affects the distribution of benefits in the event of the employee's death, ensuring that the benefits are directed according to the employee's current wishes.

How does Adobe Systems Software Ireland Limited provide assistance to employees in understanding their retirement options, particularly as they approach their Normal Retirement Date? What resources and one-on-one advice options are available to help employees make informed decisions about their retirement benefits?

Assistance and Resources for Retirement Planning: Adobe provides resources and one-on-one advice as employees approach their Normal Retirement Date. This includes access to online tools via Mercer OneView where employees can manage their investments, estimate benefits, and make informed decisions about their retirement options.

How can employees at Adobe Systems Software Ireland Limited learn about maximizing their employer's contributions to their retirement savings plans? What strategies should employees employ to ensure they leverage the full potential of the companyâ€™s matching contribution policy?

Maximizing Employer Contributions: To maximize the company’s matching contributions, employees are encouraged to contribute the maximum allowable that benefits from matching. Understanding and leveraging this aspect of the pension scheme can significantly enhance the value of an employee's Retirement Account.

In what ways does the structure of the pension plan at Adobe Systems Software Ireland Limited incentivize employees to remain with the company until retirement? Additionally, how do retirement benefits compare for employees with different lengths of service, and what does this mean for newer employees versus long-term employees?

Incentives for Long-Term Employment: The structure of Adobe’s pension plan encourages long-term employment by tying the scale of benefits to the length of service and contribution levels. This progressive structure benefits long-standing employees with potentially higher retirement benefits compared to newer employees.

What are the key risks associated with the Adobe Systems Software Ireland Limited pension scheme, and how are these managed to protect the interests of employees? Furthermore, what kind of investment options does the company offer to mitigate these risks for its employees nearing retirement?

Management of Pension Scheme Risks: Adobe actively manages financial risks related to pension investments and ensures compliance with regulatory requirements. Investment options are offered with varying levels of risk and involvement, allowing employees to choose based on their comfort with investment risks.

How does Adobe Systems Software Ireland Limited assist employees who have opted out of the retirement benefits plan to understand the implications on their future retirement income? What resources does the company provide to help these employees make educated choices about their financial future?

Options for Non-Participants: Employees who opt out of the retirement benefits plan miss out on company contributions and tax benefits. Adobe offers resources to educate these employees on the implications of not participating in the pension plan, helping them make informed decisions about their financial futures.

How can current employees of Adobe Systems Software Ireland Limited reach out to the HR or benefits team for more detailed information regarding their retirement plans? What contact methods are available, and how can employees ensure they are receiving support tailored to their specific retirement planning needs?

Contacting HR for Retirement Plan Information: Employees can reach out to the HR or benefits team for more detailed information regarding their retirement plans through various methods including the online platform, email, or direct phone calls to ensure they receive support tailored to their specific needs.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

Restructuring and Layoffs: Adobe has undergone several restructurings in the past year, focusing on streamlining operations and optimizing workforce allocation. The company announced significant layoffs to reduce operational costs and reallocate resources towards strategic growth areas. These layoffs are part of Adobe's broader initiative to maintain competitive edge in the rapidly evolving digital media and marketing software sectors.
Benefit, Pension, and 401(k) Changes: Adobe has made updates to its 401(k) plan in alignment with the SECURE 2.0 Act, including increased contribution limits and emergency withdrawal options. The company continues to offer competitive benefits, with a focus on employee well-being and retirement planning. These changes are crucial to address given the current economic uncertainties and the need for employees to secure their financial future amidst fluctuating market conditions.