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

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

Healthcare Provider Update: Healthcare Provider for Equifax: Equifax collaborates with various healthcare providers and partners, primarily offering solutions that utilize their comprehensive data and analytics services to enhance healthcare delivery and patient experiences. They focus on improving patient outcomes by leveraging insights gathered from their expansive databases, facilitating better decision-making for healthcare organizations. Potential Healthcare Cost Increases in 2026: As we approach 2026, significant increases in healthcare costs are anticipated, primarily driven by the looming expiration of enhanced ACA premium subsidies. Without these critical financial supports, patients could face out-of-pocket premium increases exceeding 75%, effectively pricing many out of necessary coverage. Coupled with escalating medical service costs and a sharp rise in insurer demand for rate adjustments, particularly in states like New York where proposed hikes reach as high as 66.4%, the burden on consumers will intensify, prompting an urgent need for strategic healthcare planning. Click here to learn more

'Equifax 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.

'Equifax 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 Equifax 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 Equifax Professionals

For Equifax 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 type of retirement savings plan does Equifax offer to its employees?

Equifax offers a 401(k) retirement savings plan to help employees save for retirement.

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

Employees at Equifax can enroll in the 401(k) plan through the company's benefits portal during the enrollment period or after they meet eligibility requirements.

Does Equifax provide any matching contributions to the 401(k) plan?

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

What is the vesting schedule for matching contributions at Equifax?

The vesting schedule for matching contributions at Equifax typically follows a graded vesting formula, allowing employees to gradually gain ownership of the contributions over time.

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

Yes, Equifax allows employees to take loans against their 401(k) savings, subject to certain conditions and limits.

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

Equifax's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

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

Employees at Equifax can change their 401(k) contribution amounts at any time, subject to the plan's guidelines.

Is there an automatic enrollment feature in Equifax's 401(k) plan?

Yes, Equifax has an automatic enrollment feature that enrolls eligible employees in the 401(k) plan unless they choose to opt out.

What is the minimum contribution percentage for Equifax's 401(k) plan?

The minimum contribution percentage for Equifax's 401(k) plan may vary, but typically it starts at 1% of the employee's eligible pay.

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

Yes, there may be fees associated with Equifax's 401(k) plan, such as administrative fees or investment 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.

Equifax, as part of its employee benefits structure, offers both a pension plan and a 401(k) plan. In 2009, Equifax froze its defined benefit pension plan for many of its employees. This freeze impacted approximately 4,000 U.S. employees, though about 300 employees who met certain grandfathering criteria continued to participate in the pension plan. The defined benefit pension plan remains active for these grandfathered employees, while the remainder of the workforce transitioned to an enhanced 401(k) plan. Equifax's pension plan had over $606 million in assets as of 2007 (Workforce.com) (Equifax Inc.). For the employees transitioned to the enhanced 401(k) plan, Equifax introduced automatic contributions ranging from 1.5% to 4% of salary based on years of service. This contribution is made regardless of employee participation. Additionally, Equifax provides a 100% match on employee contributions up to 4% of pay. The company also offers investment options to maximize retirement benefits through its 401(k) plan

Restructuring and Layoffs: In early 2024, Equifax announced a strategic restructuring plan aimed at streamlining operations and improving efficiency. This move included a reduction in the workforce, affecting approximately 10% of its employees globally. The restructuring is part of a broader initiative to focus on core areas and reduce operational costs. Importance: It is crucial to monitor these developments due to the current economic climate, which is characterized by increased volatility and changing investment conditions. Companies are adjusting their strategies to stay competitive, and understanding these changes can provide insights into broader market trends and potential impacts on investment and tax strategies.

Equifax (EFX) offers stock options as part of its employee compensation packages. Employees at Equifax are granted stock options to align their interests with those of the company's shareholders. Stock options at Equifax generally vest over a period of time, encouraging long-term employment. Specific details on the vesting schedule and eligibility can be found in Equifax’s employee handbook or compensation plan documents. As of 2022-2024, Equifax has periodically updated its stock option plans to stay competitive and reward high-performing employees. Restricted Stock Units (RSUs): Equifax (EFX) provides Restricted Stock Units (RSUs) to employees, which are typically used to retain talent and incentivize performance. RSUs at Equifax vest based on time or performance metrics. RSUs at Equifax are usually granted to senior executives and high-performing employees. The vesting schedule for RSUs is detailed in Equifax's equity compensation plan. For the years 2022, 2023, and 2024, Equifax has adjusted its RSU grants to align with market trends and company performance goals.

Health Benefits Overview (2023): Equifax provides a range of health benefits including medical, dental, and vision coverage. They offer both HMO and PPO plans, with some plans featuring Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs). Acronyms: HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), HSA (Health Savings Account), FSA (Flexible Spending Account). Recent Updates: As of 2023, Equifax has continued to enhance its health benefits offerings, focusing on mental health support and expanding telemedicine services. They also introduced new wellness programs aimed at improving overall employee health and well-being.