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

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

Healthcare Provider Update: Healthcare Provider for Dollar Tree Dollar Tree, a prominent discount retail chain, offers health insurance benefits to its employees through a partnership with a healthcare provider. This provider typically includes a variety of plan options, which often encompass major medical insurance, dental, and vision coverage, specifically designed to cater to the diverse needs of its workforce. Potential Healthcare Cost Increases in 2026 As Dollar Tree prepares for 2026, it faces the risk of significant healthcare cost increases primarily driven by unfavorable external factors. A recent analysis indicates that without the continuation of enhanced federal premium subsidies, many employees may confront premium hikes of over 75%, significantly impacting out-of-pocket expenses. Coupled with rising medical inflation, expected to remain between 7.5% and 8.5%, employees might struggle with increased healthcare costs while also experiencing pressure from higher wage demands and adjustments in pricing models across the retail sector. These challenges may compel Dollar Tree to reevaluate its healthcare offerings and strategies to support its workforce. Click here to learn more

'Dollar Tree 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.

'Dollar Tree 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 Dollar Tree 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 Dollar Tree Professionals

For Dollar Tree 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 is the 401(k) plan offered by Dollar Tree?

The 401(k) plan offered by Dollar Tree is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.

How can Dollar Tree employees enroll in the 401(k) plan?

Dollar Tree employees can enroll in the 401(k) plan by completing the enrollment process through the company’s benefits portal or by contacting the HR department for assistance.

Does Dollar Tree match contributions to the 401(k) plan?

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

What is the maximum contribution limit for Dollar Tree's 401(k) plan?

The maximum contribution limit for Dollar Tree's 401(k) plan is in accordance with IRS guidelines, which may change annually.

When can Dollar Tree employees start contributing to the 401(k) plan?

Dollar Tree employees can start contributing to the 401(k) plan after they have completed their eligibility period, which is typically outlined in the employee handbook.

Are there any fees associated with Dollar Tree's 401(k) plan?

Yes, there may be administrative fees associated with Dollar Tree's 401(k) plan, which are disclosed in the plan documents provided to employees.

Can Dollar Tree employees take loans against their 401(k) savings?

Yes, Dollar Tree employees may have the option to take loans against their 401(k) savings, subject to the terms and conditions of the plan.

What investment options are available in Dollar Tree's 401(k) plan?

Dollar Tree's 401(k) plan typically offers a variety of investment options, including mutual funds and target-date funds, allowing employees to choose based on their risk tolerance.

How often can Dollar Tree employees change their 401(k) contributions?

Dollar Tree employees can change their 401(k) contribution amounts at designated times throughout the year, as specified in the plan guidelines.

What happens to a Dollar Tree employee's 401(k) if they leave the company?

If a Dollar Tree employee leaves the company, they have several options for their 401(k), including rolling it over to another retirement account or cashing it out, subject to tax implications.

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

Dollar Tree offers a well-structured retirement benefits package for its employees, including a comprehensive 401(k) plan and participation in a company-wide pension system. Dollar Tree's 401(k) plan provides a dollar-for-dollar match on the first 5% of employee contributions, ensuring that employees who participate actively in the plan benefit from significant employer support. In addition to the 401(k), employees can partake in the Employee Stock Purchase Plan, allowing them to buy company stock through automatic payroll deductions. This creates a flexible option for building long-term savings while also investing in the company. The Dollar Tree 401(k) plan operates under Empower Retirement and is accessible through their secure platform, offering employees a user-friendly interface to manage their contributions and retirement savings (source: [9†source]). Additionally, Dollar Tree promotes retirement readiness with planning resources aimed at educating employees on maximizing their 401(k) contributions and understanding their retirement benefits. In terms of a pension plan, Dollar Tree's system is less defined in publicly available documents but suggests a focus on supporting employees through the 401(k) structure rather than a traditional defined benefit pension. Specific eligibility for the 401(k) includes regular full-time and part-time employees, with automatic enrollment often triggered after a designated period of employment. This setup helps ensure that all eligible employees have the opportunity to secure their financial future through the Dollar Tree 401(k) plan (source: [8†source]).

Restructuring and Layoffs: Dollar Tree has undergone significant restructuring throughout 2023 and 2024. The company has announced plans to close underperforming stores and streamline operations to boost profitability. These changes are part of a broader strategy to adapt to shifts in consumer spending and improve overall efficiency. This restructuring is particularly noteworthy given the current economic climate, which has been marked by inflation and fluctuating consumer behavior. Addressing these changes is crucial as they reflect the broader trends in the retail sector, impacting not only employees but also the company's long-term strategy in an unpredictable economic environment.

Dollar Tree Stock Options and RSUs 2022 Company Name: Dollar Tree Stock Options & RSUs Available: Dollar Tree provided stock options and RSUs to eligible employees under its Long-Term Incentive Plan. Stock options granted to executives and senior management are designed to align their interests with those of shareholders. Source & Page Number: Annual Report 2022, page 49. Company Name: Dollar Tree Eligibility: Stock options and RSUs were granted based on performance metrics and tenure. Key executives and high-performing employees were prioritized. Source & Page Number: Proxy Statement 2022, page 18. 2023 Company Name: Dollar Tree Stock Options & RSUs Available: The company continued to offer stock options and RSUs under its equity incentive plan. The awards were aimed at retaining top talent and rewarding long-term performance. Source & Page Number: Annual Report 2023, page 53. Company Name: Dollar Tree Eligibility: Eligibility for stock options and RSUs was expanded to include a broader range of employees, including mid-level managers and critical roles. 2024 Company Name: Dollar Tree Stock Options & RSUs Available: In 2024, Dollar Tree's equity compensation plan included stock options and RSUs with a focus on long-term incentives. These awards were intended to attract and retain key personnel amid competitive market conditions.

Dollar Tree Official Website Healthcare Benefits Page: Dollar Tree provides information on health insurance, including medical, dental, and vision coverage, as well as wellness programs. Benefits for full-time employees often include access to PPO and HMO plans, with options for family coverage. Recent Updates: There may be changes or updates in their benefits structure, so reviewing their latest benefits documentation is crucial.

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For more information you can reach the plan administrator for Dollar Tree at 500 Volvo Pkwy Chesapeake, VA 23320; or by calling them at (757) 321-5000.