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

'CHS 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.

'CHS 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 CHS 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 CHS Professionals

For CHS 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 .

What are the specific criteria that determine eligibility for the various contributions within the CHS 401(k) plan, and how do these contributions affect an employeeâ€™s retirement savings over time at CHS? Understanding these criteria can help employees maximize their contributions to ensure they are making the most of the benefits offered by CHS.

Eligibility for 401(k) Contributions: CHS employees can contribute up to 75% of their eligible compensation to their 401(k), with an IRS limit of $18,000 (in 2017) plus an additional $6,000 for those aged 50 and older. CHS also provides a basic contribution of 2% and a performance-based contribution, which increases based on years of service(CHS_12_31_2017_Retireme…). Understanding these contributions can help maximize retirement savings.

How does the CHS Pension Plan work, particularly regarding the differences between the traditional account and the cash balance account? Employees might want to delve into how their choices and years of service will impact their retirement payout from either account.

CHS Pension Plan Structure: CHS offers a pension plan with both traditional and cash balance accounts. The traditional account is based on average pay and years of service, while the cash balance account accrues pay credits based on service. After December 31, 2017, pay credits ceased, but interest credits continue(CHS_12_31_2017_Retireme…). Employees should understand how these accounts affect their retirement benefits.

In what ways does the vesting schedule of CHS employer contributions influence an employee's retirement strategy? Employees at CHS need to understand how vesting affects their overall benefits and what steps they must take to ensure they are fully vested in time for retirement.

Vesting Schedule Impact: CHS has a three-year vesting schedule for its basic 401(k) contributions, while match and performance-based contributions are immediately vested(CHS_12_31_2017_Retireme…). Knowing the vesting rules is crucial for employees planning their retirement strategy, ensuring full benefits are realized.

Can you explain what "frozen" benefits mean for employees nearing retirement at CHS, and how this affects the calculations of future pension benefits? It's critical for employees to grasp the implications of a frozen pension account on their retirement plans.

Frozen Benefits: CHS employees with frozen benefits in the pension plan will not receive further pay credits after December 31, 2017, but interest credits will continue(CHS_12_31_2017_Retireme…). Understanding this freeze is essential for planning retirement payouts.

How can employees at CHS plan for their retirement withdrawals post-employment, particularly focusing on the pension distribution options that are available to them? Employees may find it beneficial to understand the long-term effects of these options on their financial health during retirement.

Retirement Withdrawals: CHS employees have the option to withdraw retirement savings via lump-sum payments or monthly annuities(CHS_12_31_2017_Retireme…). Choosing the right distribution option can significantly impact long-term financial health in retirement.

What actions should employees take if they want to change their contribution elections or investment strategies within CHS retirement plans? Knowledge of the processes for making changes can empower employees to take proactive steps in managing their retirement savings.

Changing Contribution Elections: Employees can change their contribution and investment elections online via the Empower Retirement portal or by calling Empower Retirement(CHS_12_31_2017_Retireme…). This flexibility allows for proactive management of retirement savings.

How does the ability to access and review pension benefits online through the Empower Retirement website enhance the retirement planning process for employees at CHS? This question can lead to discussions about the importance of staying informed about one's financial future.

Access to Pension Benefits Online: Employees can access their pension benefits through Empower Retirement’s website(CHS_12_31_2017_Retireme…). Regularly reviewing these accounts is crucial for staying informed about retirement planning.

What are the implications for CHS employees who are not 100% vested in the Pension Plan before the freeze date, and what alternative options do they have for their retirement savings? Understanding this will help employees make informed choices regarding their benefits.

Not Fully Vested Before Freeze: If employees were not fully vested in the pension plan before the freeze date, they are still eligible to receive vested benefits(CHS_12_31_2017_Retireme…). Exploring alternative retirement savings options is important for those affected.

How do fluctuations in national interest rates impact the retirement plans of employees at CHS, particularly in the context of cash balance accounts? Employees should consider how external economic factors can affect their financial future.

Interest Rate Impact: The interest rate used to calculate cash balance account credits is the 10-year Treasury constant maturity rate plus 2%. These rates fluctuate annually(CHS_12_31_2017_Retireme…). Employees should be aware of how changes in interest rates affect their pension growth.

How should employees contact CHS for more information regarding their retirement benefits, and what resources are particularly useful for navigating the complexities of the pension and 401(k) plans? Contacting the right departments or utilizing specific resources can be crucial for maximizing retirement benefits at CHS. These questions are designed to provide depth and complexity, enabling employees to better understand their retirement benefits and the policies at CHS.

Contacting CHS for Retirement Information: Employees can contact Empower Retirement for pension and 401(k) inquiries via the Empower Retirement website or by phone(CHS_12_31_2017_Retireme…). Utilizing these resources can help navigate complex retirement options.

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For more information you can reach the plan administrator for CHS at 5500 Cenex Dr Inver Grove Heights, MN 55077; or by calling them at (651) 355-6000.