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

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

Healthcare Provider Update: Healthcare Provider for EPAM Systems EPAM Systems primarily partners with large health insurers, but specific healthcare providers may vary depending on the regional office and employee benefits package they offer. Typically, recognized national insurers such as UnitedHealthcare, Anthem, and Cigna are among those involved in providing healthcare coverage to EPAM Systems employees. Potential Healthcare Cost Increases in 2026 As 2026 approaches, EPAM Systems employees should prepare for potential healthcare cost increases, significantly influenced by the anticipated rise in Affordable Care Act (ACA) premiums. States may see hikes upwards of 60%, with many large insurers adjusting their rates to counteract escalating medical expenses and the possible expiration of federal premium subsidies. Without these subsidies, over 22 million participants could face out-of-pocket premium increases of over 75%. Consequently, employees at EPAM Systems could find themselves absorbing a larger share of healthcare costs, prompting the need for proactive planning and informed decision-making regarding their healthcare benefits. Click here to learn more

'EPAM Systems 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.

'EPAM Systems 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 EPAM Systems 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 EPAM Systems Professionals

For EPAM Systems 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 retirement savings options does EPAM Systems offer to its employees?

EPAM Systems offers a 401(k) plan as a primary retirement savings option for its employees.

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

Yes, EPAM Systems provides a matching contribution to the 401(k) plan, helping employees maximize their retirement savings.

What is the eligibility requirement to participate in the EPAM Systems 401(k) plan?

Employees of EPAM Systems are eligible to participate in the 401(k) plan after completing a specified period of employment, typically within the first year.

How can employees at EPAM Systems enroll in the 401(k) plan?

Employees at EPAM Systems can enroll in the 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.

What types of investment options are available in the EPAM Systems 401(k) plan?

The EPAM Systems 401(k) plan offers a variety of investment options, including mutual funds, index funds, and target-date funds.

Can employees at EPAM Systems take loans against their 401(k) savings?

Yes, EPAM Systems allows employees to take loans against their 401(k) savings, subject to specific terms and conditions.

What is the vesting schedule for EPAM Systems’ 401(k) matching contributions?

The vesting schedule for EPAM Systems’ 401(k) matching contributions typically follows a graded vesting schedule, which employees can review in the plan documents.

How often can employees at EPAM Systems change their 401(k) contribution amounts?

Employees at EPAM Systems can change their 401(k) contribution amounts during designated enrollment periods or as specified by the plan guidelines.

What happens to the 401(k) plan if an employee leaves EPAM Systems?

If an employee leaves EPAM Systems, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave the funds in the EPAM Systems plan if allowed.

Are there any fees associated with the EPAM Systems 401(k) plan?

Yes, the EPAM Systems 401(k) plan may have administrative fees and investment-related fees, 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.

EPAM Systems provides a 401(k) plan that was established in 2006. By the end of 2022, the EPAM Systems, Inc. 401(k) Plan had total assets of $258,770,185 with 4,037 participants. On average, participants had an account balance of $64,099. The plan includes automatic enrollment, meaning that employee contributions are deducted directly from payroll unless employees opt out. Additionally, EPAM Systems offers a self-directed brokerage option, allowing employees to invest part of their account as they see fit. The company matches approximately 47.93% of employee contributions, with an average employer match of $4,967 per participant in 2022. The 401(k) plan is a critical component of EPAM Systems' employee benefits package, reflecting their focus on long-term financial planning for their employees. In terms of their pension plan, EPAM Systems does not provide detailed public information about a specific pension formula or defined benefit plan in the same manner they outline their 401(k) offering. However, based on their comprehensive 401(k) plan, it is clear that the company emphasizes retirement planning through this mechanism.

Layoffs: In early 2024, EPAM Systems announced a reduction in its workforce by approximately 4% globally. This decision was influenced by a slowdown in demand for its services, which is part of a broader trend affecting the tech sector. The company indicated that the layoffs were a strategic move to align its workforce with the current economic conditions and client needs. Benefits and Pension Changes: EPAM Systems has also made adjustments to its employee benefits program, including modifications to its 401(k) matching contributions and changes to pension plan options. These changes are intended to better manage the company’s financial resources in light of current economic uncertainties. Given the volatile economic climate and evolving tax policies, staying updated on these changes is crucial for employees to make informed financial decisions.

EPAM Systems offers stock options (SO) and Restricted Stock Units (RSUs) as part of their employee compensation package. SO allows employees to purchase company stock at a set price, while RSUs grant employees company shares after certain conditions are met. These benefits are typically available to senior employees and key contributors.

Company’s Official Website: Check EPAM Systems' official site for their latest health benefits information. Health Benefits Information: Plan Types: Details on the types of health plans offered (e.g., PPO, HMO). Coverage Details: Information on coverage for medical, dental, vision, mental health, etc. Acronyms and Terms: Specific healthcare-related terms and acronyms used by EPAM Systems.