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

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Healthcare Provider Update: Provides medical, dental, vision, and prescription coverage, along with HSAs and FSAs 5. With ACA premiums climbing, Evercores comprehensive benefits may help retain talent who might otherwise face steep marketplace costs Click here to learn more

'Evercore 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.

'Evercore 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 Evercore 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 Evercore Professionals

For Evercore 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 primary purpose of Evercore's 401(k) plan?

The primary purpose of Evercore's 401(k) plan is to provide employees with a tax-advantaged way to save for retirement.

Who is eligible to participate in Evercore's 401(k) plan?

All full-time employees of Evercore are eligible to participate in the 401(k) plan after completing the required waiting period.

Does Evercore offer matching contributions in its 401(k) plan?

Yes, Evercore offers a matching contribution to employees who participate in the 401(k) plan, subject to specific terms and conditions.

How can I enroll in Evercore's 401(k) plan?

Employees can enroll in Evercore's 401(k) plan by completing the online enrollment process through the company’s benefits portal.

What types of investment options are available in Evercore's 401(k) plan?

Evercore's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other diversified investment vehicles.

Can I change my contribution percentage in Evercore's 401(k) plan?

Yes, employees can change their contribution percentage at any time by accessing their account through the benefits portal.

What is the vesting schedule for Evercore's 401(k) matching contributions?

The vesting schedule for Evercore's 401(k) matching contributions typically follows a graded vesting schedule over a period of years.

How often can I make changes to my investment allocations in Evercore's 401(k) plan?

Employees can make changes to their investment allocations in Evercore's 401(k) plan on a quarterly basis or as specified in the plan documents.

Does Evercore provide educational resources for employees regarding the 401(k) plan?

Yes, Evercore provides educational resources and tools to help employees understand their 401(k) options and make informed investment decisions.

What happens to my 401(k) balance if I leave Evercore?

If you leave Evercore, you have several options for your 401(k) balance, including rolling it over to an IRA or another employer’s plan, or cashing it out.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Evercore offers its employees both pension plans and 401(k) plans, designed to ensure financial stability during retirement. As of 2023, Evercore's retirement benefits include a defined contribution 401(k) plan, which is managed through ADP and allows employees to contribute a portion of their salary. Employees become eligible for the Evercore 401(k) plan after meeting specific tenure and age requirements, though these are determined by the plan sponsor and can vary based on employment status and tenure. Evercore matches a percentage of employee contributions, though details on the exact match percentage are tied to tenure and specific employment agreements. The Evercore 401(k) plan includes features like automatic payroll deductions, potential Roth 401(k) options, and automatic enrollment, making it a flexible and tax-advantageous option for employees. In terms of a pension plan, Evercore utilizes a cash balance pension formula, where contributions are calculated based on years of service and salary. Employees typically need several years of service to fully vest in the plan.
Restructuring and Layoffs: In early 2024, Evercore announced a restructuring plan that included a reduction of approximately 5% of its workforce across various departments. The firm cited the need to streamline operations and reduce costs in response to changing market conditions and a slowdown in advisory transactions. The decision was part of a broader strategy to enhance operational efficiency.
Evercore offers stock options and Restricted Stock Units (RSUs) as part of its employee compensation package. Stock options at Evercore are typically granted to senior employees and executives, while RSUs are often given to employees at various levels as part of performance-based incentives. The specific terms and conditions for stock options and RSUs, including vesting schedules, can vary based on the employee’s role and performance.
healthcare benefits. Benefits Aggregators: Use benefits-focused sites or forums that might provide comparisons or additional details on Evercore's offerings. Search Results Summary 1. Evercore Official Website Health Benefits Information: Often includes details about health insurance plans, wellness programs, and any updates or changes. Key Terms: Coverage levels, deductibles, co-payments, out-of-pocket maximums, Health Savings Accounts (HSAs), Flexible Spending Accounts (FSAs). 2. Company Reports (Annual Reports/SEC Filings) Key Terms: Total compensation packages, benefits overview, healthcare costs, changes in benefit structures. Recent Changes: If there are significant changes or cost adjustments, they will be noted here. 3. Industry News Recent Updates: Look for articles on any changes to health benefits due to industry-wide shifts or specific to Evercore. Healthcare Trends: Innovations or shifts in benefits plans, such as increased telehealth services or mental health support. 4. Employee Reviews (Glassdoor, Indeed) Employee Feedback: Employees often share their experiences with health benefits, which might highlight recent changes or issues. Healthcare Terms: Look for mentions of specific programs or benefits that employees find notable or problematic. 5. Benefits Aggregators Comparisons and Details: Sites like Benefits.gov or benefits-focused forums may offer comparisons of Evercore’s benefits with industry standards.
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