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

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

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Healthcare Provider Update: Healthcare Provider for Graham Holdings Graham Holdings does not operate a direct healthcare provider but has significant involvement in the healthcare sector primarily through Graham Healthcare Group, which provides home health and hospice services. This segment has seen substantial growth, contributing to the company's overall revenue. Potential Healthcare Cost Increases in 2026 As 2026 approaches, notable increases in healthcare costs, particularly for those enrolled in Affordable Care Act (ACA) plans, are projected. Premiums could rise sharply, with some states experiencing hikes over 60%. The combination of increased medical costs, the expiration of enhanced premium subsidies, and substantial rate requests from major insurers may lead to out-of-pocket premiums surging by up to 75% for many Americans. These shifts underscore the importance of preparatory measures in 2025 to mitigate financial impacts, particularly for consumers facing high deductibles and limited coverage choices. Click here to learn more

'Graham Holdings 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.

'Graham Holdings 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 Graham Holdings 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 Graham Holdings Professionals

For Graham Holdings 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 types of retirement plans does Graham Holdings offer to its employees?

Graham Holdings offers a 401(k) Savings Plan as part of its retirement benefits for employees.

How can I enroll in the 401(k) Savings Plan at Graham Holdings?

Employees can enroll in the Graham Holdings 401(k) Savings Plan by completing the enrollment process through the company’s HR portal or by contacting the HR department for assistance.

Does Graham Holdings match employee contributions to the 401(k) Savings Plan?

Yes, Graham Holdings provides a matching contribution to the 401(k) Savings Plan, which enhances the savings potential for employees.

What is the maximum contribution limit for the 401(k) Savings Plan at Graham Holdings?

The maximum contribution limit for the Graham Holdings 401(k) Savings Plan aligns with IRS regulations, which may change annually.

When can I start contributing to the Graham Holdings 401(k) Savings Plan?

Employees can typically start contributing to the Graham Holdings 401(k) Savings Plan after completing their initial onboarding period.

Can I change my contribution percentage to the 401(k) Savings Plan at Graham Holdings?

Yes, employees at Graham Holdings can change their contribution percentage at any time, subject to the plan’s guidelines.

What investment options are available in the Graham Holdings 401(k) Savings Plan?

The Graham Holdings 401(k) Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

Is there a vesting schedule for the matching contributions at Graham Holdings?

Yes, Graham Holdings has a vesting schedule for matching contributions, which means employees must work for the company for a certain period to fully own those contributions.

How can I access my account information for the Graham Holdings 401(k) Savings Plan?

Employees can access their account information for the Graham Holdings 401(k) Savings Plan through the plan’s online portal or by contacting the plan administrator.

What happens to my 401(k) Savings Plan if I leave Graham Holdings?

If you leave Graham Holdings, you will have several options regarding your 401(k) Savings Plan, including rolling it over to another retirement account or leaving it in the plan, depending on the balance.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Graham Holdings provides both pension plans and 401(k) plans for its employees. In terms of their pension plan, Graham Holdings offers a defined benefit pension plan, which provides monthly retirement income based on a formula that considers factors such as the employee's years of service and final average pay. Employees are typically eligible for this pension plan after completing a certain number of years of service, with full benefits generally available at retirement age. The pension plan also includes specific spousal and survivor benefits, ensuring that a portion of the pension may continue to be paid to the surviving spouse. The 401(k) plan at Graham Holdings allows employees to contribute a portion of their salary on a pre-tax basis, with the company often providing matching contributions up to a certain percentage. The plan has annual contribution limits set by the IRS, with additional catch-up contributions allowed for employees aged 50 and above. The company's 401(k) plan is designed to complement the pension plan, providing a defined contribution savings option that employees can invest in various funds offered by the plan.
News: In 2023, Graham Holdings continued to restructure its workforce, affecting various divisions. Alongside this, the company implemented changes in its employee benefit plans, including adjustments to pension offerings and 401(k) contributions. A notable development was the purchase of a group annuity to transfer some pension liabilities, reflecting the company’s effort to manage its long-term financial obligations. Importance: This news is crucial to monitor because of the current economic uncertainties, rising interest rates, and potential tax implications. Addressing these changes is essential for employees to make informed financial decisions amidst a volatile political environment.
Graham Holdings Company (GHC) offers a variety of stock options and Restricted Stock Units (RSUs) to its employees as part of its compensation and incentive programs. These equity compensation tools are designed to align employee interests with those of shareholders, providing long-term incentives tied to company performance. For stock options, Graham Holdings uses Incentive Stock Options (ISOs), which allow employees to purchase shares at a set price, often the market value at the time the option is granted, after a specific vesting period. These options are typically available to full-time employees and senior executives, and the vesting schedule often spans several years. The ISOs are subject to specific tax treatment under the Internal Revenue Code, which can provide tax benefits if the options are held for a certain period before being sold. Regarding RSUs, Graham Holdings grants these units as a form of deferred compensation. RSUs represent a promise to deliver shares of the company's stock at a future date, contingent on vesting criteria such as continued employment or the achievement of performance targets. RSUs at Graham Holdings are generally awarded to executives and key employees, with vesting schedules that typically range from three to five years. Once vested, the RSUs convert into actual shares, which can then be sold or held by the employee. In 2022, 2023, and 2024, Graham Holdings continued to offer these stock options and RSUs as part of its compensation package, with the specifics of each grant detailed in the company's annual reports and proxy statements. The availability of these equity incentives is typically tied to the employee's role within the company, with higher-ranking positions generally receiving more substantial grants.
Graham Holdings offers a range of health benefits designed to support its employees, including comprehensive medical, dental, and vision plans. The company uses specific healthcare-related terms and acronyms such as Health Savings Account (HSA), Flexible Spending Account (FSA), and Employee Assistance Program (EAP). Employees have access to various health plans, including those with high deductibles coupled with HSA options, which allow pre-tax contributions to cover medical expenses. The company's benefits site provides detailed annual reports on its health plans, highlighting key financial aspects and changes over the years. For example, the 2022 Summary Annual Report outlines the coverage for medical expenses and the associated financial performance of these plans. Graham Holdings also complies with the Transparency in Coverage rule, making it easier for employees to compare in-network and out-of-network costs for medical services.
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For more information you can reach the plan administrator for Graham Holdings at , ; or by calling them at .

https://contracts.justia.com/companies/graham-holdings-company-591/contract/394651/ https://benefits.ghco.com/ https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://www.retirementwatch.com/the-net-unrealized-appreciation-nua-tax-strategy https://www.investopedia.com/terms/n/netunrealizedappreciation.asp https://pensionrights.org/resource/retirement-plan-contribution-and-benefit-limits/ https://www.shrm.org/topics-tools/news/benefits-compensation/2022-benefit-plan-limits-thresholds-chart https://www.tiaa.org/public https://pitchbook.com/profiles/company/10744-03 https://stockanalysis.com/stocks/ghc/company/ https://www.annualreports.com/Company/graham-holdings-company https://www.hicapitalize.com/find-my-401k/graham-holdings-co/ https://www.ghco.com/ https://www.foxrothschild.com/publications/interest-rate-hikes-present-challenge-for-fully-funded-pension-plans https://www.ghco.com/news-releases/news-release-details/graham-holdings-company-reports-first-quarter-earnings-9 https://www.irs.gov/ https://www.inquirer.com/ https://qdro.com/retirement-qdro/THE-RETIREMENT-PLAN-FOR-GRAHAM-HOLDINGS-COMPANY/ https://www.thelayoff.com/washington-post#google_vignette https://ycharts.com/companies/GHC/pension_and_employee_benefit_expense https://www.daypitney.com/insights/publications/2021/11/08-irs-publishes-2022-pension-plan-limitations/

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