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

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

Healthcare Provider Update: Healthcare Provider for Franklin Resources Franklin Resources, Inc., commonly known as Franklin Templeton, typically collaborates with various healthcare providers depending on the specific needs of its employees and plans. While they do not publicly list a single healthcare provider, companies like Aetna, Cigna, and UnitedHealthcare often serve large corporations like Franklin Resources for group health insurance and benefits. Predicted Healthcare Cost Increases in 2026 for Franklin Resources As 2026 approaches, Franklin Resources faces significant challenges regarding healthcare costs. A perfect storm of factors is contributing to anticipated sharp increases in premiums, with some states expecting hikes over 60%. The looming expiration of enhanced federal premium subsidies will leave many policyholders exposing them to potential out-of-pocket cost increases of more than 75%. Meanwhile, coupled with a general uptick in medical costs-primarily due to inflation and rising demand for care-the financial burden on employees could become substantial moving forward. Organizations like Franklin must prepare both strategically and financially for this impending shift in the healthcare landscape. Click here to learn more

'Franklin Resources 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.

'Franklin Resources 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 Franklin Resources 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 Franklin Resources Professionals

For Franklin Resources 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 retirement savings options does Franklin Resources offer to its employees?

Franklin Resources offers a 401(k) plan as part of its employee benefits package, allowing employees to save for retirement.

How does Franklin Resources match employee contributions to the 401(k) plan?

Franklin Resources provides a matching contribution to the 401(k) plan, typically matching a percentage of the employee's contributions up to a certain limit.

Can employees of Franklin Resources choose how to invest their 401(k) contributions?

Yes, employees at Franklin Resources can select from a variety of investment options within the 401(k) plan to tailor their retirement savings according to their risk tolerance and financial goals.

What is the eligibility requirement for Franklin Resources employees to participate in the 401(k) plan?

Employees of Franklin Resources are generally eligible to participate in the 401(k) plan after completing a specified period of service, typically within their first year of employment.

Does Franklin Resources offer any educational resources for employees to learn about their 401(k) options?

Yes, Franklin Resources provides educational resources, including workshops and online tools, to help employees understand their 401(k) options and make informed investment decisions.

How can employees of Franklin Resources access their 401(k) account information?

Employees can access their 401(k) account information through the Franklin Resources employee portal or by contacting the plan administrator directly.

What types of contributions can employees make to the 401(k) plan at Franklin Resources?

Employees at Franklin Resources can make pre-tax contributions, Roth contributions, and possibly after-tax contributions, depending on the plan's provisions.

Is there a vesting schedule for the matching contributions made by Franklin Resources?

Yes, Franklin Resources typically has a vesting schedule for matching contributions, meaning employees must work for a certain period before they fully own those contributions.

Can employees take loans against their 401(k) balance at Franklin Resources?

Yes, Franklin Resources allows employees to take loans against their 401(k) balance, subject to the plan's rules and limits.

What happens to an employee's 401(k) plan if they leave Franklin Resources?

If an employee leaves Franklin Resources, they can choose to roll over their 401(k) balance into an IRA or a new employer's retirement plan, or they can cash out, subject to taxes and penalties.

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

In 2024, Franklin Resources announced a major restructuring plan that includes significant layoffs across various departments. The company is also revising its pension plan, which will impact future retirees. Furthermore, changes to the 401(k) matching contributions are expected.