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

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

Healthcare Provider Update: Healthcare Provider for Equinix: Equinix, a global leader in data center and interconnection services, has implemented health initiatives designed to enhance employee well-being. While specific healthcare providers can vary by location and plan offerings, Equinix collaborates with major insurance carriers such as UnitedHealthcare to deliver comprehensive health benefits to its employees across various regions. Potential Healthcare Cost Increases in 2026: As we look towards 2026, significant healthcare cost increases are anticipated, exacerbated by various factors affecting the Affordable Care Act (ACA) marketplace. Projections indicate that health insurance premiums could soar, with some states facing increases of over 60%, impacting millions of enrollees. The expiration of enhanced federal premium subsidies, coupled with escalating medical costs, could drive out-of-pocket expenses up by more than 75% for a vast majority of policyholders. Consequently, consumers are urged to proactively plan and strategize for these impending financial shifts to mitigate the potential impact on their healthcare budgets. Click here to learn more

'Equinix 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.

'Equinix 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 Equinix 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 Equinix Professionals

For Equinix 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:

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 plan does Equinix offer to its employees?

Equinix offers a 401(k) retirement savings plan to its employees.

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

Yes, Equinix provides employer matching contributions to help employees maximize their retirement savings.

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

Equinix employees can enroll in the 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.

What is the vesting schedule for employer contributions at Equinix?

The vesting schedule for employer contributions at Equinix typically follows a graded vesting schedule, which employees can review in the plan documents.

Can Equinix employees change their contribution rate to the 401(k) plan?

Yes, Equinix employees can change their contribution rate at any time during the year, subject to the plan’s guidelines.

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

Equinix offers a variety of investment options in its 401(k) plan, including mutual funds, target-date funds, and other investment vehicles.

Is there a loan provision in Equinix's 401(k) plan?

Yes, Equinix allows employees to take loans against their 401(k) balance, subject to the plan's terms and conditions.

What is the minimum age requirement for Equinix employees to participate in the 401(k) plan?

Equinix employees must be at least 21 years old to participate in the 401(k) plan.

Does Equinix allow for hardship withdrawals from the 401(k) plan?

Yes, Equinix permits hardship withdrawals under certain circumstances as defined by the plan.

How often can Equinix employees review their 401(k) account statements?

Equinix employees can review their 401(k) account statements quarterly through the plan's online portal.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

Equinix provides employees with a 401(k) retirement plan, which includes both a traditional pre-tax option and a Roth option. Employees can contribute to the 401(k) plan, and Equinix will match 50% of contributions on the first 6% of eligible earnings, both pre-tax and Roth contributions. The employer matching contributions vest over four years, with 25% vested each year. The Equinix 401(k) plan is available to all full-time employees, with eligibility to participate starting on the first day of employment (Equinix). In addition to the 401(k), Equinix does not offer a traditional defined benefit pension plan. However, the company emphasizes its 401(k) plan as the primary retirement savings vehicle, and encourages employees to contribute towards it to take advantage of the matching contributions

Restructuring and Layoffs: In early 2024, Equinix announced a significant restructuring plan aimed at streamlining operations and enhancing efficiency. This plan included the reduction of approximately 5% of its global workforce, primarily impacting administrative and support roles. This move is seen as a response to the shifting demands in the data center industry and aims to optimize Equinix's operational structure. Importance: It is crucial to monitor these changes due to the current economic climate, which includes inflationary pressures and shifts in data consumption trends. This restructuring is part of a broader trend among tech companies adjusting to new economic realities.

For employees of Equinix, RSUs are a prevalent form of compensation, especially in 2022, 2023, and 2024. These RSUs are typically single-trigger, meaning they vest based on tenure alone. However, in certain cases, Equinix may offer double-trigger RSUs that vest upon both tenure and a significant company event, such as a merger or acquisition (Amplify Partners) (Vested Finance). RSUs are granted in alignment with the company's performance, offering employees ownership incentives. Equinix provides clear guidelines regarding the forfeiture of unvested RSUs if an employee leaves the company before the vesting date (Equinix, Inc.). Equinix has consistently refreshed its stock option and RSU pools, especially following financing rounds or strategic acquisitions. The goal is to maintain a sufficient number of equity grants available for current and future employees. Both stock options and RSUs are awarded to key contributors across all levels, but executives and senior leadership often receive larger allocations. RSUs retain value regardless of stock price fluctuations, unlike stock options which may lose value if the stock price falls below the strike price

2022 Benefits Overview: The Equinix benefits program for 2022 included comprehensive health insurance options, wellness programs, and employee assistance programs. They provided multiple health plans including PPO (Preferred Provider Organization), HMO (Health Maintenance Organization), and HDHP (High Deductible Health Plan) options. 2023 Updates: The benefits plan for 2023 saw enhancements in mental health support, including expanded telehealth services and a focus on holistic wellness. 2024 Changes: For 2024, Equinix continued to emphasize mental health and wellness, integrating new digital health tools and resources. They also introduced a new benefit for fertility and family planning support.