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'Covetrus 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: Provides health insurance, dental, vision, life insurance, and FSAs, with flexible work arrangements and wellness support 2. With ACA costs projected to increase by 1518%, Covetruss employer-sponsored coverage offers a more stable and affordable alternative for employees and their families. Click here to learn more
'Covetrus 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 Covetrus 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 Covetrus Professionals
For Covetrus 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 type of retirement plan does Covetrus offer to its employees?
Covetrus offers a 401(k) retirement savings plan to its employees.
Can employees of Covetrus contribute to their 401(k) plan?
Yes, employees of Covetrus can make contributions to their 401(k) plan through payroll deductions.
What is the maximum contribution limit for Covetrus employees under the 401(k) plan?
The maximum contribution limit for Covetrus employees under the 401(k) plan is determined by the IRS and may change annually. Employees should check the current limits for the specific year.
Does Covetrus match employee contributions to the 401(k) plan?
Yes, Covetrus offers a matching contribution to employee 401(k) contributions, subject to certain conditions.
When does Covetrus start matching employee contributions to the 401(k) plan?
Covetrus typically starts matching employee contributions after the employee has completed a certain period of service, as outlined in the plan documents.
How can Covetrus employees enroll in the 401(k) plan?
Covetrus employees can enroll in the 401(k) plan by completing the enrollment process through the company's designated benefits portal.
What investment options are available in Covetrus' 401(k) plan?
Covetrus offers a variety of investment options in its 401(k) plan, including mutual funds, target-date funds, and other investment vehicles.
Can Covetrus employees change their contribution amounts to the 401(k) plan?
Yes, Covetrus employees can change their contribution amounts to the 401(k) plan at any time, subject to plan rules.
Is there a vesting schedule for Covetrus' 401(k) matching contributions?
Yes, Covetrus has a vesting schedule for its matching contributions, which means employees must work for a certain period before they fully own the matched funds.
How can Covetrus employees access their 401(k) account information?
Covetrus employees can access their 401(k) account information through the company's benefits portal or by contacting the plan administrator.
With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Covetrus offers its employees both a 401(k) plan and a pension plan, designed to help them prepare for retirement. For the 401(k) plan, employees are eligible to participate after one year of service. Covetrus provides a company match, which becomes available once the employee has completed their first year. The 401(k) plan is designed to align with Covetrus's commitment to employee well-being and financial health.
Regarding the pension plan, Covetrus uses a Defined Benefit plan structure. The eligibility for this plan typically includes a combination of years of service and age, though specific details about the formula or exact qualifications were not readily available. The name of the pension plan and more detailed information about the pension formula are typically found in the company’s official documents or annual reports.
Restructuring and Layoffs: Covetrus has undergone significant restructuring, leading to layoffs as part of consolidating its North American operations. The company laid off 80 employees across various U.S. locations. This restructuring aims to streamline operations, reduce role duplication, and enhance customer service for veterinary practices. Additionally, Covetrus has completed its separation from former parent company Henry Schein, which included exiting transitional service agreements. Pension and 401(k) Changes: With ongoing economic shifts, adjustments in 401(k) contribution limits for 2024 have been announced. These changes include an increase in the contribution limit to $23,000 and catch-up contributions for those aged 50 and over, allowing them to contribute up to $30,500. These pension adjustments are aligned with the SECURE Act 2.0, impacting Covetrus employees and others participating in these plans.
For Covetrus, employee stock options (SOs) and Restricted Stock Units (RSUs) are critical components of their compensation packages, especially designed to attract and retain top talent within the organization. Covetrus offers both Non-Qualified Stock Options (NQSOs) and Incentive Stock Options (ISOs) as part of their stock option program. NQSOs are available to employees at all levels, offering the right to purchase Covetrus stock at a predetermined price, typically below market value, after meeting specific vesting periods. ISOs are usually reserved for top executives and offer favorable tax treatment compared to NQSOs.
Regarding RSUs, Covetrus grants these units primarily to senior leadership and critical employees. RSUs represent a commitment by Covetrus to award shares of its stock at a future date, contingent upon the employee meeting certain performance milestones or continued employment. RSUs typically vest over a set period, such as three to five years, promoting long-term retention.
In 2022, 2023, and 2024, Covetrus continued to emphasize these equity compensation tools as part of their overall strategy to enhance employee engagement and align their workforce with shareholder interests. Eligibility for stock options and RSUs at Covetrus is generally based on job level and performance, with the company ensuring that key contributors are rewarded with these equity incentives.
Covetrus offers a comprehensive suite of health benefits to its employees, focusing on various options that cater to different needs. For the years 2022 through 2024, Covetrus provided standard health insurance, dental and vision insurance, and options for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). These plans are designed to support a wide range of healthcare needs, from routine check-ups to more extensive medical procedures.
Additionally, Covetrus includes life insurance and disability coverage in their benefits package, ensuring that employees have access to critical support in case of unforeseen circumstances. The company also emphasizes wellness programs, offering initiatives to promote healthier lifestyles among its workforce.
A significant aspect of Covetrus's health benefits is their commitment to flexibility. Employees have options for different levels of coverage depending on their personal or family needs. The use of wellness incentives, such as gym memberships or health coaching, is encouraged to maintain a balanced work-life integration.
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