'DTE Energy 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 DTE Energy DTE Energy partners with several healthcare providers for employee health benefits, with one of the primary providers being Blue Cross Blue Shield of Michigan. This partnership offers a range of health plans, ensuring comprehensive medical coverage for employees. Healthcare Cost Increases in 2026 for DTE Energy As 2026 approaches, DTE Energy and its employees may face significant healthcare cost increases due to anticipated record hikes in Affordable Care Act (ACA) premiums. Reports indicate that insurance premiums could increase by over 60% in some states, driven by heightened medical costs and the potential expiration of enhanced federal subsidies. With projections suggesting that 92% of marketplace enrollees could see their out-of-pocket premiums rise by more than 75%, DTE Energy must prepare for the financial implications as both its employees and the company navigate a challenging healthcare landscape. Click here to learn more
'DTE Energy 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 DTE Energy 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 DTE Energy Professionals
For DTE Energy 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 .
How does the DTE Energy Company define "Final Average Annual Earnings," and what factors should an employee consider to maximize this figure when planning for retirement with DTE Energy Company?
Final Average Annual Earnings: DTE Energy defines "Final Average Annual Earnings" as the highest five consecutive years of eligible earnings over the last 10 years of service. Employees planning for retirement should focus on maximizing their base salary, as bonuses, overtime, and other special payments are excluded. It is essential to understand that pay increases and consistent earnings over these years will help boost retirement benefits(DTE Energy Company Reti…).
In the context of the DTE Energy Company Retirement Plan, what special provisions might influence an employee's decision to retire early? How do different components of the DTE Energy Plan factor into this decision-making process?
Early Retirement Provisions: The DTE Energy Retirement Plan allows employees to retire as early as age 45 with at least 15 years of eligibility service. Early retirement benefits may be reduced depending on the employee’s age and years of service. The plan also includes provisions for an early retirement supplement for employees who meet specific criteria. These provisions should be factored in when deciding to retire early, as benefits will be adjusted based on the early commencement(DTE Energy Company Reti…).
Considering the various pension plans offered by DTE Energy Company, how does an employee select the optimal payment method for their retirement benefits, and what are the implications of these choices on their tax situation upon retirement?
Selecting Payment Methods and Tax Implications: Employees can select from various payment methods such as a lump sum or monthly annuities under DTE Energy’s pension plans. Each option has different tax implications. Lump-sum payments may have immediate tax consequences, while monthly annuity payments can be taxed incrementally over time. Consulting a tax advisor or using DTE’s pension calculator can help determine the best option(DTE Energy Company Reti…)(DTE Energy Company Reti…).
Can you explain the vesting process under the DTE Energy Company Retirement Plan? What are the critical milestones and conditions employees must meet to ensure they receive full benefits upon retirement with DTE Energy Company?
Vesting Process: The vesting process under the DTE Energy Retirement Plan requires employees to have at least five years of vesting service to be eligible for pension benefits. Employees should be aware of the milestones they need to meet, as terminating employment before achieving vesting status would forfeit pension benefits. Ensuring continuity in service is critical to securing these retirement benefits(DTE Energy Company Reti…).
How can employees of DTE Energy Company stay updated about any changes to their pension benefits or the overall Retirement Plan? What specific communication channels or resources does DTE Energy provide for this purpose?
Staying Updated on Changes: DTE Energy provides employees with access to updates on their pension benefits through resources like Your Benefits Resources™ Center. Regularly reviewing these resources, including web-based tools and notifications, helps employees stay informed about any changes to their retirement plan(DTE Energy Company Reti…).
For employees transitioning from one component of the DTE Energy Retirement Plan to another, what implications does this have for their accrued benefits and eligibility for future retirement payouts?
Impact of Transitioning Between Plans: Employees moving between different components of the DTE Energy Retirement Plan should consider the impact on their accrued benefits. Transitioning may affect the calculation of their Final Average Annual Earnings and credited service, depending on their new role and position within the company(DTE Energy Company Reti…).
Discuss the impact of collective bargaining agreements on the retirement benefits available to employees at DTE Energy Company. How do these agreements influence eligibility and payout structures within different plans?
Collective Bargaining Agreements: Retirement benefits under DTE Energy may vary based on collective bargaining agreements. Employees represented by unions such as Local 17 or Local 223 may have different eligibility criteria and benefit payout structures. These agreements can also influence early retirement options and supplemental benefits(DTE Energy Company Reti…).
What resources, such as tools or calculators, does DTE Energy Company provide to employees to assist them in planning their retirement, and how can they access those tools to better prepare for their post-employment life?
Retirement Planning Tools: DTE Energy offers retirement planning tools such as online calculators via Your Benefits Resources™ Center. These tools allow employees to estimate their pension benefits and assess different retirement scenarios. Employees are encouraged to utilize these resources to plan effectively for retirement(DTE Energy Company Reti…).
What avenues are available for DTE Energy Company employees to appeal or address denied claims related to their retirement benefits? How does the claims process work within the context of the DTE Retirement Plan?
Appealing Denied Claims: Employees whose claims for retirement benefits are denied can appeal through a structured claims process detailed in the plan document. The process involves submitting a written appeal to the Plan Administrator, and if necessary, employees can take legal action if the claim is still unresolved after the appeal(DTE Energy Company Reti…).
If an employee at DTE Energy Company seeks further information or clarification about their retirement options, how should they contact the DTE Energy Company, and what specific resources will they find most useful in this inquiry? These questions aim to help employees navigate the complexities of their retirement planning while ensuring they have access to the relevant information and support from DTE Energy Company.
Contacting DTE Energy for Clarifications: Employees seeking further information about their retirement options can contact DTE Energy through Your Benefits Resources™ Center or by reaching out to the DTE Benefit Plan Administration Committee. These resources provide detailed explanations and personalized assistance(DTE Energy Company Reti…).



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