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'Cognizant Technology Solutions 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.
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
'Cognizant Technology Solutions 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.
In this article, we will discuss:
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How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
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Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
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Practical steps Cognizant Technology Solutions 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 Cognizant Technology Solutions Professionals
For Cognizant Technology Solutions 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:
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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/ .
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2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
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Other resources:
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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/ .
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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 .
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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 .
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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 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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