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

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

Healthcare Provider Update: Healthcare Provider for IBM: IBM primarily partners with Aon and Anthem Blue Cross for its employee healthcare plans, providing a range of medical coverage options to its employees including retirees. Projected Healthcare Cost Increases in 2026: In 2026, IBM and many other companies are expected to face significant healthcare cost increases, largely driven by the looming expiration of enhanced subsidies under the Affordable Care Act (ACA). As these subsidies potentially vanish, reports indicate that out-of-pocket premiums could surge by over 75% for the majority of enrollees, creating an affordability crisis. With combined factors of escalating medical costs, aggressive premium hikes by major insurers, and the uncertainty surrounding federal assistance, businesses like IBM must brace for rising healthcare expenses that may impact their overall compensation strategies and employee benefits offerings. Click here to learn more

'IBM 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.

'IBM 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 IBM 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 IBM Professionals

For IBM 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 .

How does the International Business Machines Corporation (IBM) Personal Pension Plan benefit employees in terms of retirement savings, and what specific features does this plan offer to ensure financial security for its participants during retirement? Additionally, how does IBM's pension plan compare to industry standards, and what unique advantages does IBM provide to its employees through this retirement plan?

Retirement Savings Benefits of IBM’s Personal Pension Plan: IBM’s Personal Pension Plan benefits employees by offering a secure pathway to accumulate retirement savings. The plan primarily operates as a defined benefit cash balance plan, providing employees with a predictable retirement benefit based on a formula. This structure allows for easier financial planning as employees can foresee their benefits at retirement, contrasting favorably with plans where payouts depend on investment returns. IBM's pension plan typically includes features such as early retirement options and survivor benefits, enhancing financial security for participants and their families.

In what ways can employees of International Business Machines Corporation (IBM) maximize their benefits from the company-sponsored Personal Pension Plan? Discuss both the contribution limits and enrollment processes that IBM has in place and how employees can effectively navigate these policies to enhance their future retirement income.

Maximizing Benefits from IBM’s Pension Plan: IBM employees can maximize their benefits from the company-sponsored Personal Pension Plan by actively participating and understanding the plan’s contribution limits and enrollment processes. Employees are encouraged to join the plan as soon as they are eligible and to contribute consistently throughout their tenure at IBM. Navigating these policies effectively involves utilizing IBM's resources for financial planning and advice, which can help employees optimize their contributions in alignment with their retirement goals.

What measures does the International Business Machines Corporation (IBM) take to educate employees about their options under the pension plan, and how can IBM better improve communication regarding retirement benefits? Analyze the resources available to employees and how these resources facilitate a more informed decision-making process concerning their retirement planning.

Employee Education on Pension Options: IBM takes several measures to educate its employees about pension options. This includes providing detailed plan documentation, access to financial advisors, and online resources that explain various aspects of the pension plan. To improve communication, IBM could further enhance these efforts by offering more frequent informational workshops and personalized counseling sessions, which would help employees make informed decisions about their retirement planning.

What are the tax implications for employees participating in the International Business Machines Corporation (IBM) Personal Pension Plan, particularly in reference to the latest IRS limits for 2024? Discuss how IBM aligns its pension contributions with IRS regulations and what employees should know about the potential tax benefits linked to their retirement savings.

Tax Implications for Plan Participants: The tax implications for employees participating in IBM’s Personal Pension Plan are significant, especially with respect to the latest IRS limits for 2024. IBM aligns its pension contributions with these regulations, offering tax benefits such as deferred taxation on contributions and earnings until withdrawal. Employees should be aware of the annual contribution limits set by the IRS and understand how these affect their taxable income and retirement savings.

Can you detail how the defined benefit cash balance structure of the International Business Machines Corporation (IBM) pension plan works? Explain how this structure provides certainty and predictability for employees nearing retirement and compare it to traditional defined contribution plans available in the industry.

Defined Benefit Cash Balance Structure: IBM's defined benefit cash balance plan provides certainty and predictability by crediting participants' accounts with a set percentage of their annual earnings plus interest credits, which are independent of the plan’s investment performance. This structure benefits employees by providing a stable accumulation of retirement benefits, contrasting with defined contribution plans where retirement savings are subject to market fluctuations. This predictability is especially valuable for employees nearing retirement, who might be concerned about market volatility.

How does the International Business Machines Corporation (IBM) approach the issue of pension plan sustainability and funding? Discuss how management of IBM ensures the financial stability of the pension plan and what strategies are employed to maintain adequate funding levels for future payouts.

Pension Plan Sustainability and Funding: To ensure the financial stability and sustainability of its pension plan, IBM employs strategic management practices, including regular funding contributions and conservative investment strategies. Additionally, IBM regularly reviews its plan's funding status and makes adjustments to ensure it meets future obligations. This proactive management helps maintain the plan’s health, ensuring its ability to meet the promised benefits to retirees.

In what ways can the International Business Machines Corporation (IBM) improve its pension plan offerings to attract and retain top talent? Evaluate the current competitive landscape and discuss how enhancing the pension plan could provide IBM with a strategic advantage in the recruitment of skilled professionals.

Improving Pension Offerings: To attract and retain top talent, IBM could enhance its pension offerings by increasing the benefits or flexibility of the plan. For instance, offering higher accrual rates or more diverse investment options could make the plan more attractive. Analyzing competitive trends and employee preferences could guide IBM in refining its pension benefits to offer a more compelling value proposition in the competitive tech industry landscape.

How does the retirement counseling process work for employees of International Business Machines Corporation (IBM) when preparing for retirement? Provide an overview of the resources and tools available to employees and how IBM can better support its workforce in achieving their retirement goals.

Retirement Counseling Process at IBM: IBM provides a comprehensive retirement counseling process that includes access to personal financial advisors, detailed plan documentation, and online planning tools. To better support its workforce in achieving retirement goals, IBM could expand its counseling services to offer more customized advice and increase the frequency of one-on-one sessions to address individual employee needs and concerns more effectively.

What steps does the International Business Machines Corporation (IBM) take to ensure compliance with federal regulations regarding pension plans, and how does this compliance affect employees' benefits? Discuss the importance of regulatory compliance in the administration of the pension plan and how it impacts employees' trust in IBM's commitment to their financial well-being.

Compliance with Federal Regulations: IBM ensures compliance with all federal regulations concerning pension plans, which is crucial for maintaining the integrity and trustworthiness of its retirement benefits. Compliance involves regular audits, adherence to funding requirements, and transparent communication with plan participants about any changes. This strict adherence helps protect the benefits of employees and fosters trust in IBM’s commitment to their financial well-being.

How can employees of the International Business Machines Corporation (IBM) contact the human resources department to learn more about their retirement benefits, specifically regarding the Personal Pension Plan? Discuss the available channels for communication and the types of information employees can expect to receive when reaching out to IBM for retirement-related inquiries.

Contacting IBM for Retirement Benefits Information: Employees of IBM can contact the human resources department to learn more about their retirement benefits through multiple channels, including dedicated support lines, email, and internal web portals. These channels provide access to comprehensive information on the Personal Pension Plan, and employees can expect to receive guidance on enrollment, benefit calculations, and plan options when reaching out for assistance.

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

IBM offers a Retirement Benefit Account as part of its defined benefit plan. The plan provides a fixed contribution and guaranteed interest rate, ensuring stable growth of retirement benefits. Employees can choose between lump-sum payments or monthly annuities upon retirement. The plan provides retirement income based on years of service and final average pay, with a cash balance component that grows annually with interest credits.

IBM is implementing layoffs and restructuring efforts in 2024 to focus on high-growth areas like AI and cloud computing. The company is also adjusting its pension and 401(k) plans to align with these strategic priorities. Understanding these changes is crucial in the current economic and technological environment, as they reflect IBM's strategic direction and workforce management.

IBM offers both RSUs and stock options to its employees. RSUs vest over time, providing employees with shares upon vesting. Stock options allow employees to purchase shares at a set price, potentially benefiting from stock price increases.