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

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

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Healthcare Provider Update: Healthcare Provider for EQT EQT's latest acquisition of CareNet, Japan's leading digital healthcare platform, illustrates its strategic interest in the healthcare sector. CareNet enhances EQT's presence within the Asia-Pacific healthcare technology landscape, focusing on integrating advanced data analytics and AI-driven solutions. Healthcare Cost Increases Expected in 2026 As the healthcare landscape evolves, significant cost increases loom for 2026. Record hikes in Affordable Care Act (ACA) premiums are anticipated, with some states seeing increases surpassing 60%. This surge is spurred by factors such as rising medical expenses and the potential expiration of federal premium subsidies, resulting in drastic out-of-pocket costs for many consumers-potentially up to 75%. With major insurers reporting substantial revenues, the pressure on enrollees intensifies, highlighting a critical juncture for managing healthcare finances. Click here to learn more

'EQT 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.

'EQT 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 EQT 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 EQT Professionals

For EQT 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 purpose of EQT's 401(k) Savings Plan?

The purpose of EQT's 401(k) Savings Plan is to help employees save for retirement by allowing them to contribute a portion of their salary on a pre-tax or after-tax basis.

How can EQT employees enroll in the 401(k) Savings Plan?

EQT employees can enroll in the 401(k) Savings Plan by accessing the enrollment portal through the employee benefits website or by contacting the HR department for assistance.

What types of contributions can EQT employees make to their 401(k) account?

EQT employees can make pre-tax contributions, Roth (after-tax) contributions, and possibly catch-up contributions if they are age 50 or older.

Does EQT offer a company match on 401(k) contributions?

Yes, EQT offers a company match on employee contributions to the 401(k) Savings Plan, which helps employees grow their retirement savings.

What is the maximum contribution limit for EQT employees in the 401(k) Savings Plan?

The maximum contribution limit for EQT employees is determined by IRS guidelines, which may change annually. Employees should check the latest limits for the current year.

When can EQT employees start withdrawing funds from their 401(k) Savings Plan?

EQT employees can start withdrawing funds from their 401(k) Savings Plan without penalties at age 59½, though they may have options for loans or hardship withdrawals before that age.

Are there any fees associated with EQT's 401(k) Savings Plan?

Yes, EQT's 401(k) Savings Plan may have administrative fees and investment-related fees, which are disclosed in the plan documents provided to employees.

How often can EQT employees change their contribution amounts to the 401(k) Savings Plan?

EQT employees can change their contribution amounts to the 401(k) Savings Plan at any time, subject to the plan's rules and procedures.

Can EQT employees take loans against their 401(k) Savings Plan balance?

Yes, EQT allows employees to take loans against their 401(k) Savings Plan balance, subject to certain limits and repayment terms outlined in the plan.

What investment options are available in EQT's 401(k) Savings Plan?

EQT's 401(k) Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and possibly company stock, allowing employees to diversify their portfolios.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
EQT Corporation provides a comprehensive retirement plan for its employees, including a 401(k) plan and a defined benefit pension plan. The 401(k) plan is notable for offering up to a 9% employer contribution, which includes a 6% company contribution regardless of employee contributions, plus an additional 3% company match (50 cents to every dollar contributed by the employee). In 2023, EQT introduced a Roth 401(k) option to offer employees more flexibility and tax advantages in their retirement savings strategies. The defined benefit pension plan at EQT requires employees to meet specific years of service and age qualifications, though detailed specifics such as the pension formula and the exact name of the pension plan were not disclosed in the sources reviewed. However, EQT emphasizes its commitment to providing robust retirement benefits as part of its broader employee engagement and retention strategy. This plan is managed by an independent administrator who offers online resources and personalized advice to help employees navigate their retirement options.
Restructuring Layoffs and Operational Changes: In 2024, EQT Corporation announced significant restructuring efforts, including layoffs primarily resulting from their acquisition of Tug Hill and XcL Midstream. These efforts were part of a broader strategy to streamline operations and reduce costs. The company also adjusted its capital expenditures and production forecasts, emphasizing operational efficiency. Importance: It is crucial to address this news due to the current economic uncertainties, fluctuating investment environments, and evolving tax and political landscapes, which can significantly impact employee job security and financial planning.
Stock Options and RSUs at EQT: EQT Corporation offers its employees stock options under its Long-Term Incentive Plan (LTIP). These stock options are granted with a specific exercise price, typically equivalent to the market price on the grant date. Employees can exercise these options after a vesting period, usually over three years, allowing them to purchase company shares at the predetermined price. RSUs are also a significant component of EQT's compensation strategy. RSUs represent the right to receive shares upon vesting, usually over three years. They are awarded under EQT's equity-for-all program, which began in 2021, ensuring that all permanent employees are eligible for these equity awards. The fair market value of these RSUs is determined on the grant date, and the employees must remain with the company throughout the vesting period to receive the shares.
EQT Corporation offers a comprehensive set of health benefits designed to support its employees’ well-being, particularly through robust safety and wellness programs. The company has emphasized health and safety through extensive employee training and emergency preparedness initiatives, especially in high-risk areas like their field operations. Their training programs include safety protocols, proper use of personal protective equipment, and specific guidance on chemical handling, crucial for their operations in the oil and gas industry. EQT also provides a variety of health management programs that include wellness information and health education sessions conducted by medical professionals. These programs are part of their broader strategy to minimize health risks and enhance employee engagement, especially during the remote working conditions that many employees experienced in 2023. Additionally, EQT’s health benefits include support for employees nearing retirement, helping them transition smoothly by providing resources such as financial planning and retirement options, along with assistance in navigating the digital health insurance marketplace​
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https://opti-prod.asppa-net.org/news/2022/10/irs-announces-2023-benefit-contribution-limits/ https://eqtgroup.com/news/2024/eqt-ab-publ-year-end-report-2023/ https://www.thinkadvisor.com/2024/05/20/understanding-net-unrealized-appreciation/ https://www.thelayoff.com/t/1thBfaM4#google_vignette https://www.principal.com/businesses/trends-insights/2023-pension-lump-sums-dropping-new-years-ball https://media.eqt.com/investor-relations/news/news-release-details/2023/EQT-Reports-Second-Quarter-2023-Results/default.aspx https://www.foxrothschild.com/publications/interest-rate-hikes-present-challenge-for-fully-funded-pension-plans https://fortunefinancialadvisors.com/business-retirement-plans/introduction-to-nua-a-tax-saving-strategy/ https://www.sec.gov/Archives/edgar/data/1047340/000104734024000202/R13.htm https://www.sec.gov/Archives/edgar/data/33213/000003321324000021/eqt-20240331.htm https://www.empower.com/the-currency/work/401k-contribution-limits https://esg.eqt.com/social/talent-attraction-and-retention/ https://www.employeefiduciary.com/blog/401k-annual-administration-checklist-for-2022 https://news.crunchbase.com/startups/tech-layoffs/ https://ir.eqt.com/newsroom/news-releases/news-release-details/2023/EQT-Reports-First-Quarter-2023-Results/default.aspx https://eqtgroup.com/news/2024/eqt-ab-publ-year-end-report-2023/ https://www.pentegra.com/ https://www.dol.gov/ https://www.kiplinger.com/

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