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

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

Healthcare Provider Update: Healthcare Provider for FirstEnergy FirstEnergy Corporation primarily utilizes the services of UnitedHealthcare as its healthcare provider for employee benefits. This partnership helps ensure that FirstEnergy employees have access to a comprehensive suite of health benefits. Potential Healthcare Cost Increases in 2026 As we look towards 2026, FirstEnergy employees may face significant healthcare cost increases, primarily driven by the anticipated expiration of enhanced premium subsidies under the Affordable Care Act (ACA). Without these subsidies, many enrollees could see their premiums rise by over 75%, creating substantial out-of-pocket expenses. Coupled with a rising medical cost trend of around 8%, employers are likely to shift a greater share of these costs onto employees, potentially raising premiums by an average of 8.5% as reported in various industry surveys. This confluence of factors illustrates a challenging landscape for healthcare affordability in the upcoming year. Click here to learn more

'FirstEnergy 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.

'FirstEnergy 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 FirstEnergy 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 FirstEnergy Professionals

For FirstEnergy 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.

Featured Video

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 .

How does FirstEnergy ensure that employees understand their pension payment options after retirement, and what resources does FirstEnergy provide to help them navigate these options effectively? Discuss the various types of pension plans available and how they cater to different employee needs at FirstEnergy.

Pension Payment Options: FirstEnergy ensures that employees understand their pension payment options by providing an online pension pay statement system, which allows them to view their payments and tax information. This online platform also offers access to various pension plans like qualified and non-qualified pensions, catering to different employee needs, such as federal and state tax withholding options for qualified pensions(FirstEnergy_Online_Pens…).

What are the steps that FirstEnergy employees must follow when changing their direct deposit information for pension benefits, and how does FirstEnergy facilitate this process? Explore the importance of keeping direct deposit information updated, especially for retired employees who rely on timely monthly payments.

Direct Deposit Changes: To update direct deposit information for pension benefits, FirstEnergy employees need to complete Form X-901, available on their website. FirstEnergy simplifies the process by providing clear steps on how to obtain and submit the form, ensuring that retirees receive their monthly payments without interruption(FirstEnergy_Online_Pens…).

In what ways does FirstEnergy support employees in understanding the tax implications associated with their pension plans, and what specific IRS forms should they be aware of? Discuss how FirstEnergy employees can proactively manage their tax withholding choices and the potential consequences of inadequate planning.

Tax Implications: FirstEnergy helps employees manage tax implications of their pension plans by directing them to the correct IRS forms, such as Form W-4P for federal taxes. They also provide assistance through their online platform to help employees adjust their tax withholding to avoid potential underpayment issues(FirstEnergy_Online_Pens…).

FirstEnergy has a unique approach to online pension statements. How does this change from traditional paper statements impact the way employees access and manage their pension information? Evaluate the benefits and possible challenges faced by employees in transitioning to this digital format.

Online Pension Statements: FirstEnergy’s transition to online pension statements, effective March 2020, eliminates mailed statements. This change enables employees to conveniently access their pension details through any web browser, although some may find it challenging to switch from paper to digital(FirstEnergy_Online_Pens…).

What procedures should FirstEnergy employees follow if they encounter discrepancies in their pension payment amounts, and how does the company assist them in resolving these issues? Examine the importance of clear communication channels between employees and FirstEnergyâ€™s HR service center for addressing payment concerns.

Resolving Payment Discrepancies: If there is a discrepancy in a pension payment, FirstEnergy advises employees to contact their HR Service Center for resolution. Clear communication channels, such as dedicated phone numbers, are provided to facilitate prompt handling of these issues(FirstEnergy_Online_Pens…).

Describe how FirstEnergyâ€™s pension plan aligns with the companyâ€™s overall commitment to employee benefits and welfare. What role does the pension plan play in attracting and retaining talent within FirstEnergy, and how does it compare to industry standards?

Pension Plan and Employee Benefits: FirstEnergy’s pension plan aligns with the company’s broader commitment to employee welfare by offering structured retirement benefits. This plan is instrumental in attracting and retaining talent by offering competitive benefits comparable to industry standards(FirstEnergy_Online_Pens…).

How can employees at FirstEnergy effectively contact the company for further information about their pension benefits? Elaborate on the various communication methods available, including phone numbers, email, and online resources, ensuring they know how to reach out for specific inquiries.

Contacting FirstEnergy: Employees can contact FirstEnergy for pension-related inquiries through multiple channels, including a dedicated HR Service Center phone number, email options, and an online pension portal. These methods provide flexibility for addressing specific pension concerns(FirstEnergy_Online_Pens…).

With the introduction of new IRS limits for retirement plans in 2024, what changes should FirstEnergy employees be aware of regarding their pension contributions? Discuss how these changes could affect their retirement savings strategies and overall financial wellness.

2024 IRS Limits: FirstEnergy employees should be aware of new IRS limits for retirement plans that may affect their pension contributions. These changes could influence their retirement savings strategies, requiring them to review and adjust contributions to optimize their financial wellness(FirstEnergy_Online_Pens…).

What resources does FirstEnergy provide to help employees better understand the differences between qualified and non-qualified retirement plans, and how do these distinctions affect their retirement benefits? Look into how employee education plays a pivotal role in helping them make informed decisions.

Qualified vs. Non-Qualified Plans: FirstEnergy offers resources to help employees distinguish between qualified and non-qualified retirement plans, such as detailed forms and guidelines. Understanding these distinctions helps employees make informed decisions about their retirement benefits(FirstEnergy_Online_Pens…).

In the context of FirstEnergyâ€™s commitment to environmental stewardship, how has the companyâ€™s shift to online pension statements reflected its sustainability efforts, and what additional measures could be implemented to enhance this initiative? Consider the long-term benefits of such practices for both the company and its retirees.

Sustainability Efforts: FirstEnergy’s shift to online pension statements supports their environmental stewardship goals by reducing paper use. While this initiative reflects their sustainability efforts, additional measures like expanding digital tools and resources could further enhance these practices(FirstEnergy_Online_Pens…).

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

401(k) Savings Plan: FirstEnergy allows employees to participate in the 401(k) Savings Plan starting from their date of hire. Employees may contribute between 1% and 75% of their base pay on either a before-tax, Roth 401(k), or after-tax basis, or a combination of these. FirstEnergy matches the first 6% of the employee's contributions with 50 cents per dollar, using company stock for this match (FirstEnergy Corp.). This 401(k) plan provides flexibility for employees to tailor their retirement savings strategy and includes the benefit of company matching, which helps enhance retirement savings potential over time. Pension Plan: The FirstEnergy Pension Plan is entirely company-funded. Employees become eligible to participate in the plan on the first day of the month following their hire date. Vesting occurs after three years of service, during which the employee must have worked at least 1,000 hours annually (FirstEnergy Corp.). The pension benefits are calculated based on an annual pay credit and an interest credit. The pension formula and the years of service required for eligibility reinforce the company's commitment to providing long-term financial security for its employees during retirement.

Restructuring and Layoffs: In 2023, FirstEnergy announced a significant restructuring plan aimed at reducing operational costs. This included layoffs across various departments as part of an effort to streamline operations and improve efficiency. The company stated that these changes were necessary due to the increasing pressure from regulatory changes and fluctuating energy markets. It is important to address this news because the current economic and political environment is highly volatile, affecting operational costs and regulatory compliance. Keeping updated on such changes can help employees and investors navigate potential impacts on their jobs and investments.

FirstEnergy offers stock options and RSUs as part of their employee compensation packages. The RSUs generally vest over a period of time and are awarded based on performance and tenure. Stock options provide employees with the right to purchase company stock at a set price, potentially benefiting from future stock price increases.

Company Website: Start by checking FirstEnergy’s official website for the most accurate and current information about their health benefits. Look for their HR or Benefits section. Reliable Sources: Search on trusted sources such as: Industry news websites (e.g., Business Insider, Forbes) Financial and employment review sites (e.g., Glassdoor, Indeed) Health benefits and insurance-related sites (e.g., Health Affairs, SHRM) Healthcare-Related Terms and Acronyms: Identify and summarize any specific terms and acronyms used in their benefits descriptions. Recent Employee Healthcare News: Look for any recent news related to changes or updates in FirstEnergy's healthcare benefits.

Additional Articles

Check Out Articles for FirstEnergy employees

For more information you can reach the plan administrator for FirstEnergy at , ; or by calling them at .

https://www.firstenergycorp.com/fehome.html https://www.glassdoor.com/index.htm https://www.shrm.org/home https://www.firstenergycorp.com/fehome.html https://www.healthaffairs.org/ https://www.indeed.com/ https://www.thelayoff.com/#google_vignette https://www.businessinsider.com/ https://www.reuters.com/ https://www.forbes.com/