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

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

Healthcare Provider Update: Healthcare Provider for Altria Group Altria Group primarily relies on Carefirst BlueCross BlueShield as a healthcare provider. This partnership offers benefits to Altria's employees, ensuring access to a range of healthcare services. Brief on Potential Healthcare Cost Increases in 2026 As 2026 approaches, Altria Group is bracing for significant increases in healthcare costs driven by broader trends affecting the Affordable Care Act (ACA) marketplace. With insurers expected to implement average premium hikes of around 18%, many states may see increases upwards of 60%. The expiration of enhanced federal premium subsidies is projected to exacerbate these challenges, potentially leading to a staggering 75% rise in out-of-pocket costs for the majority of marketplace enrollees, including many of Altria's workforce. Such financial pressures could directly impact employee healthcare access and overall company wellness programs, emphasizing the need for proactive management of employee health benefits. Click here to learn more

'Altria Group 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.

'Altria Group 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 Altria Group 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 Altria Group Professionals

For Altria Group 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 the retirement plan at Brown & Williamson Tobacco Corporation ensure the financial security of its employees in retirement? What are the specific features and benefits incorporated into the plan that aim to provide a reliable income source for employees after they retire?

Financial Security in Retirement: The retirement plan at Brown & Williamson Tobacco Corporation (B&W) provides financial security through its defined benefit structure, which ensures a steady stream of income post-retirement. The plan integrates with the RAI 401(k) Savings Plan, Social Security, and personal savings to offer a comprehensive retirement package, helping employees secure a reliable income after they retire.

In what ways does the Broward Health Cash Balance Pension Plan accommodate employees who wish to retire early? Explain the eligibility requirements, benefits available upon early retirement, and how these may differ from benefits received at normal retirement age.

Integration with Social Security: B&W's retirement plan works in conjunction with Social Security benefits and individual savings to create a well-rounded retirement strategy. The retirement income calculation incorporates a Social Security Adjustment, which reduces the pension benefit by a portion of Social Security payments. Employees should consider the combined effect of these sources when planning their retirement income to ensure they meet their financial needs.

How does the vesting schedule work within the Broward Health Cash Balance Pension Plan, and what does it mean for employees in terms of their rights to benefits? Elaborate on how years of service impact vesting percentages and detail the consequences for employees who leave before becoming fully vested.

Eligibility for Early Retirement Pension: Eligibility for early retirement at B&W depends on the employee being at least 55 years old with a minimum of 10 years of Qualifying Service. The calculation of early retirement benefits considers factors like years of service and age, with reductions applied for retirement before age 60. Those with 30 years of service can avoid reductions even if they retire early.

What role does the Broward Health Pension Plan Committee play in the administration of the Cash Balance Pension Plan, and how does this committee ensure compliance with applicable laws and the financial soundness of the plan? Discuss the responsibilities of overseeing plan implementation and benefits management.

Payment Forms and Impact: B&W offers various forms of retirement payments, including single life annuities and joint and survivor annuities. Each option has different financial implications, with single life annuities offering higher payments but ending upon the retiree’s death, while joint annuities provide for a surviving spouse at a reduced rate. Employees must weigh these options to choose the one that best suits their financial goals.

How does the Broward Health Cash Balance Pension Plan address potential changes or amendments to its terms, and what protections are in place for employees' vested rights? Discuss the process for plan amendments and any circumstances under which the plan could be terminated.

Disability and Death Benefits: B&W’s retirement plan provides disability and pre-retirement death benefits, offering financial protection for employees and their families in unexpected circumstances. For example, a surviving spouse may receive a Pre-Retirement Surviving Spouse Annuity if the employee dies before retirement, ensuring continued financial support.

For employees with prior service history seeking to return to Broward Health, how does the Cash Balance Pension Plan facilitate the recognition of their past contributions and service? Discuss re-employment rules and how they affect benefit calculations for those returning after a break in service.

Steps to Initiate Retirement: To initiate the retirement process, employees must contact the Alight Benefits Center 60 to 90 days before their desired retirement date. The process includes understanding accrued benefits, selecting a payment form, and completing the required paperwork to ensure a smooth transition into retirement.

What options are available to employees of Broward Health regarding beneficiary designations, and how does this affect benefit distributions upon an employee's death? Detail the procedures for appointing a beneficiary and the implications of not having a designated beneficiary in place.

Accessing Benefits after Termination: Former employees who leave B&W before meeting the vesting requirements may not be eligible for full retirement benefits. However, those who complete at least five years of Qualifying Service before leaving are fully vested and can receive benefits when they reach the appropriate retirement age.

How does the Broward Health Cash Balance Pension Plan manage and calculate interest credits on cash balance accounts? Discuss the methodology for determining interest rates and the impact these credits have on overall retirement savings.

ERISA Rights: Employees participating in the B&W retirement plan are entitled to rights under ERISA, such as the right to receive information about the plan, review plan documents, and appeal denied benefit claims. These rights ensure that participants are well-informed and protected under federal law.

What challenges might Broward Health employees face when navigating the claim filing process for retirement benefits? Describe the steps involved in requesting benefits, what to do in case of a denied claim, and the importance of timely communications with the Plan Administrator.

Handling Unlocatable Participants: If participants cannot be located for benefit distribution, their payments are temporarily forfeited. However, B&W has a process to restore these benefits if the participant is later found, without the addition of interest. Employees should keep their contact information updated to avoid such issues.

How can employees contact Broward Health to learn more about the Cash Balance Pension Plan and its provisions? Provide details on the available resources, including contact information for the Employee Benefits department, and explain how these resources can assist employees in understanding their retirement options.

Contact Information for Resources: Employees can contact the RAI Benefits Administration Committee for plan-related questions or the Alight Benefits Center for administrative assistance. The Alight Benefits Center can be reached at 1-866-342-6986 or through the website www.RAIbenefits.com for help with retirement processes and questions(Brown_and_Williamson_To…).

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

Name of Pension Plan: Identify the official name of Altria Group's pension plan. Eligibility: Determine the years of service and age qualifications required to qualify for the pension plan. Pension Formula: Find details on the pension formula used to calculate benefits. Name of 401(k) Plan: Identify the official name of Altria Group's 401(k) plan. Eligibility: Determine who qualifies for the 401(k) plan.

Restructuring and Layoffs: In 2023, Altria Group announced a significant restructuring effort aimed at streamlining operations and reducing costs. This included a reduction in workforce across various departments, impacting hundreds of employees. The decision to restructure is partly in response to declining cigarette sales and shifts in consumer preferences towards reduced-risk products. It’s crucial to monitor these changes given the broader economic challenges and evolving regulatory environment impacting the tobacco industry.

Stock Options: Altria Group offers stock options as part of its compensation packages. Employees eligible for stock options typically include executives and senior management. Stock options give employees the right to purchase company stock at a predetermined price. RSUs: Restricted Stock Units (RSUs) are granted to employees as a form of compensation. These units vest over time, meaning employees receive the actual stock only after meeting certain conditions, such as continuing employment with the company. RSUs are commonly used to retain key employees. Eligibility: Generally, stock options and RSUs are provided to higher-level employees and executives within Altria Group. They are often part of long-term incentive plans designed to align employees' interests with the company's performance.

2024: Altria announced enhancements to its health benefits package, including increased contributions to HSAs and expanded coverage for mental health services. The company has also introduced new wellness programs aimed at improving overall employee well-being. 2023: Altria made changes to its medical plan options, introducing a new PPO plan and offering additional resources for managing chronic conditions. The company has been actively promoting its wellness initiatives, including mental health support and fitness programs.

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For more information you can reach the plan administrator for Altria Group at 6601 West Broad Street, Richmond, VA 23230; or by calling them at (804) 274-2200.

https://www.actuarialservices.com/ https://www.bloomberg.com/asia https://www.thelayoff.com/ https://pensionrights.org/