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

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

Healthcare Provider Update: Healthcare Provider for Fastenal Fastenal, a leading distributor of industrial and construction supplies, typically offers employee healthcare benefits through a self-funded plan, managed by a third-party administrator. This allows them to customize their health benefits while controlling costs, with the objective of improving employee health and productivity. Potential Healthcare Cost Increases in 2026 As we approach 2026, Fastenal and its employees may face significant healthcare cost increases. Premiums in the Affordable Care Act (ACA) marketplace are projected to rise sharply-by as much as 66% in some states-due to various factors such as rising medical costs and the potential expiration of enhanced federal subsidies. This situation could result in many employees seeing out-of-pocket premium payments increase by over 75%, impacting their overall financial well-being and suggesting that Fastenal might need to adapt its healthcare strategies to mitigate employee healthcare expenses in the coming year. Click here to learn more

'Fastenal 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.

'Fastenal 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 Fastenal 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 Fastenal Professionals

For Fastenal 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 plan does Fastenal offer to its employees?

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

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

Employees can enroll in Fastenal's 401(k) plan through the company's benefits portal or by contacting the HR department for assistance.

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

Yes, Fastenal provides a matching contribution to employee 401(k) contributions, subject to certain limits.

What is the maximum contribution limit for Fastenal's 401(k) plan?

The maximum contribution limit for Fastenal's 401(k) plan is in line with IRS guidelines, which may change annually.

When can Fastenal employees start contributing to their 401(k) plan?

Fastenal employees can start contributing to the 401(k) plan after completing their eligibility period, typically within their first year of employment.

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

Yes, Fastenal's 401(k) plan may have certain fees, which are disclosed in the plan documents provided to employees.

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

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

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

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

How often can Fastenal employees change their 401(k) contribution amount?

Fastenal employees can change their 401(k) contribution amount at any time, subject to the plan's guidelines.

What happens to Fastenal employees' 401(k) savings if they leave the company?

If Fastenal employees leave the company, they can roll over their 401(k) savings to another retirement account or withdraw the funds, subject to tax implications.

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

Fastenal offers a robust retirement plan for its employees, including the Fastenal Company & Subsidiaries 401(k) and Employee Stock Ownership Plan. This plan allows employees to save for retirement through salary deferrals and includes discretionary matching contributions from the company. Employees can contribute both pre-tax and Roth 401(k) deferrals. Fastenal offers an automatic enrollment feature, enrolling employees with a 5% pre-tax deferral unless they opt out (SEC.gov). Fastenal's 401(k) plan includes various investment options, including mutual funds and company stock. Employees are permitted to invest up to 25% of their incoming contributions in Fastenal common stock, although subsequent transfers are restricted (SEC.gov). The plan also allows participants to make catch-up contributions if they are over 50 years old. Fastenal also has an Employee Stock Ownership Plan (ESOP) incorporated into its 401(k) plan, which enhances employees' retirement savings. Upon retirement or termination, participants can choose to receive distributions in lump sums, partial payments, or installments

Restructuring and Layoffs: Fastenal announced a restructuring plan in early 2024 aimed at streamlining its operations and reducing overhead costs. The company will be consolidating some of its distribution centers and implementing workforce reductions. This move is part of a broader strategy to enhance operational efficiency and adapt to evolving market conditions. The decision to reduce headcount and close certain facilities reflects Fastenal's response to the pressures of a changing economic landscape, highlighting the need for companies to remain agile amidst economic uncertainties. Company Benefits and 401k Changes: Fastenal has made adjustments to its employee benefits and 401k plans in response to the shifting economic environment. The company has modified its 401k matching contributions and adjusted health benefits to better align with its financial goals. These changes are significant as they impact employees' long-term financial planning and retirement readiness. Given the current investment climate and tax considerations, it is crucial for employees to stay informed about these changes to effectively manage their retirement savings and benefits.

Fastenal provides stock options and RSUs to eligible employees as part of their compensation and benefits package. Stock options are granted based on performance and tenure. RSUs are typically awarded to senior management and key employees.

Company's Official Website: Check Fastenal’s official website for their health benefits section, which often includes details about plans, coverage options, and recent updates. Reliable News Sources: Look for news articles, press releases, and reports from reputable sources that mention Fastenal’s health benefits. HR and Benefits Sites: Explore sites that specialize in employee benefits information or HR industry insights, which might have detailed information about Fastenal's health plans. Employee Reviews: Check platforms like Glassdoor or Indeed for employee reviews that might mention specifics about health benefits. Industry Publications: Find articles in industry-specific publications or websites that discuss trends and changes in employee benefits at Fastenal.