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

Healthcare Provider Update: Provides medical, dental, and vision insurance, wellness programs, and retirement planning resources 6. With ACA subsidies set to expire, Crocs holistic benefits approach helps employees maintain affordability and access to care. Click here to learn more

'Crocs 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.

'Crocs 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 Crocs 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 Crocs Professionals

For Crocs 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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Articles you may find interesting:

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 is the 401(k) plan offered by Crocs?

The 401(k) plan at Crocs is a retirement savings plan that allows employees to save for their future with pre-tax contributions.

How can I enroll in the Crocs 401(k) plan?

Employees can enroll in the Crocs 401(k) plan by accessing the company’s benefits portal and following the enrollment instructions provided.

Does Crocs match employee contributions to the 401(k) plan?

Yes, Crocs offers a matching contribution to the 401(k) plan, which helps employees maximize their retirement savings.

What is the vesting schedule for Crocs' 401(k) matching contributions?

The vesting schedule for Crocs' matching contributions typically follows a standard timeline, which employees can review in the benefits documentation.

Can I change my contribution percentage to the Crocs 401(k) plan?

Yes, employees at Crocs can change their contribution percentage at any time through the benefits portal.

What investment options are available in the Crocs 401(k) plan?

The Crocs 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

Is there a minimum contribution requirement for the Crocs 401(k) plan?

Yes, Crocs may have a minimum contribution requirement, which employees should check in the plan details.

Can I take a loan from my Crocs 401(k) plan?

Yes, Crocs allows employees to take loans from their 401(k) accounts under certain conditions as outlined in the plan documents.

What happens to my Crocs 401(k) if I leave the company?

If you leave Crocs, you will have options regarding your 401(k) account, including rolling it over to another retirement account or cashing it out.

How often can I review my Crocs 401(k) account statements?

Crocs provides regular account statements, typically quarterly, allowing employees to review their 401(k) account performance.

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

As of early 2024, Crocs has made adjustments to its 401(k) plan to enhance employee benefits. The company increased its matching contributions, now offering up to 6% match on employee contributions. Additionally, Crocs introduced a new option for employees to allocate a portion of their 401(k) into a Roth 401(k) account, providing greater flexibility in retirement savings.

Restructuring and Layoffs: In early 2023, Crocs announced a restructuring plan aimed at streamlining operations to focus on core markets and digital expansion. This restructuring included the reduction of certain positions within the company, impacting various departments globally. The move was part of Crocs' strategy to adapt to shifting market demands and enhance efficiency. Benefit Changes and Pension/401(k) Updates: There were no significant updates regarding company benefits, pension, or 401(k) changes reported for Crocs in 2023-2024. However, the restructuring may indirectly affect employee benefits due to potential changes in company policies or resources.

In 2022, Crocs offered stock options and RSUs to its executive team and key employees. These grants were designed to incentivize performance and align interests with shareholders. The RSUs generally vested over a three-year period, contingent on both continued employment and company performance targets.

Here’s the summary of Crocs' health benefits information and recent healthcare news: Crocs Health Benefits Overview (2022-2024) Benefits Information: Crocs offers a range of health benefits, including medical, dental, and vision coverage. They typically provide multiple plan options to accommodate different needs. Glassdoor: Benefits Information: According to employee reviews, Crocs provides competitive health insurance, wellness programs, and flexible spending accounts. Coverage options often include preventative care, hospital care, and prescription drug plans. Indeed: Benefits Information: Crocs employees have reported comprehensive health benefits, including health insurance plans, dental and vision coverage, and access to wellness programs. There are also reports of employer contributions to Health Savings Accounts (HSAs).

Additional Articles

Check Out Articles for Crocs employees

For more information you can reach the plan administrator for Crocs at 7477 E. Dry Creek Pkwy. Niwot, CO 80503; or by calling them at 303-848-7000.

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