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Elanco Animal Health Retirees Face ACA Premium Shock—Here’s How Others Are Responding

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Healthcare Provider Update: Offers medical, dental, vision, disability, and pet insurance 8. ACA marketplace comparisons are encouraged for employees planning retirement or coverage changes. Click here to learn more

'Elanco Animal Health 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.

'Elanco Animal Health 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:

  1. How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.

  2. Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.

  3. Practical steps Elanco Animal Health 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 Elanco Animal Health Professionals

For Elanco Animal Health 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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What is the 401(k) plan offered by Elanco Animal Health?

The 401(k) plan at Elanco Animal Health is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.

Does Elanco Animal Health offer matching contributions to the 401(k) plan?

Yes, Elanco Animal Health offers matching contributions to the 401(k) plan, which helps employees maximize their retirement savings.

How can employees enroll in the 401(k) plan at Elanco Animal Health?

Employees can enroll in the 401(k) plan at Elanco Animal Health through the company’s benefits portal during the enrollment period or after a qualifying event.

What are the eligibility requirements for the 401(k) plan at Elanco Animal Health?

To be eligible for the 401(k) plan at Elanco Animal Health, employees typically need to meet certain criteria, such as age and length of service.

Can employees take loans against their 401(k) at Elanco Animal Health?

Yes, Elanco Animal Health allows employees to take loans against their 401(k) balance under certain conditions.

What investment options are available in the Elanco Animal Health 401(k) plan?

The 401(k) plan at Elanco Animal Health offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to customize their investment strategy.

How often can employees change their contribution percentage to the Elanco Animal Health 401(k) plan?

Employees at Elanco Animal Health can change their contribution percentage to the 401(k) plan at any time, subject to company policies.

Is there a vesting schedule for the matching contributions at Elanco Animal Health?

Yes, Elanco Animal Health has a vesting schedule for matching contributions, which means employees must work for the company for a certain period before they fully own the matching funds.

What happens to an employee's 401(k) account if they leave Elanco Animal Health?

If an employee leaves Elanco Animal Health, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave it in the Elanco plan if eligible.

Are there any fees associated with the Elanco Animal Health 401(k) plan?

Yes, there may be administrative fees associated with the Elanco Animal Health 401(k) plan, which are disclosed in the plan documents.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Pension Plan: Elanco's pension plan is structured as a defined benefit plan, meaning that employees receive a guaranteed payout upon retirement. The exact benefits are calculated based on years of service, age at retirement, and the average of the highest earnings during a specific period. Employees need to meet certain years of service and age qualifications to be eligible for this pension plan. The plan is aimed at long-term employees, ensuring that those who dedicate a significant portion of their career to Elanco are rewarded with secure retirement income. 401(k) Plan: Elanco offers a 401(k) plan to its employees, which is part of their broader retirement savings offerings. The plan allows employees to contribute a portion of their salary on a pre-tax basis, which Elanco matches up to a certain percentage, though the exact match percentage may vary each year. The plan is designed to provide flexibility and financial security, enabling employees to manage their retirement savings effectively. The company’s 401(k) plan is part of their commitment to employee well-being, emphasizing financial benefits as a key component of their compensation package.
Restructuring and Layoffs: In August 2023, Elanco Animal Health announced a restructuring plan aimed at improving operational efficiency. The company planned to lay off approximately 200 employees globally as part of this restructuring. This move is part of a broader effort to streamline operations and focus on core business areas. It's crucial to stay updated on this news due to the current economic environment, which impacts job security and corporate strategies. Understanding these changes helps employees and investors navigate the shifting landscape effectively.
Elanco Animal Health offers stock options and RSUs to its employees as part of its compensation and incentive programs. In 2022, the company provided stock options and RSUs to its senior executives and key employees. For 2023 and 2024, Elanco Animal Health has continued this practice, with a focus on aligning incentives with the company's performance.
Review Elanco Animal Health's official website for their health benefits information, including any recent updates or changes for 2022, 2023, or 2024. Reliable Sources: Look for specific terms and acronyms used by Elanco in their health benefits information, such as types of health plans, coverage details, and any new initiatives.
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For more information you can reach the plan administrator for Elanco Animal Health at 2500 Innovation Way Greenfield, IN 46140; or by calling them at (877) 352-6261.

https://www.thelayoff.com/ https://benefitslink.com/ https://www.federalregister.gov/ https://www.benefitspro.com/?slreturn=2024081195633 https://www.businessinsider.com/ https://www.elanco.com/en-us https://www.sec.gov/ https://pensionrights.org/ https://www.fidelity.com/ https://www.microsoft.com/en-us/benefits

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