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

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

Healthcare Provider Update: Healthcare Provider for IDEXX Laboratories: IDEXX Laboratories primarily collaborates with a network of healthcare providers and laboratories globally. This includes veterinarians, animal hospitals, and clinical laboratories that utilize IDEXX's diagnostic products and services. The company focuses on providing diagnostic testing and data management solutions that enable better healthcare decisions in animal health and veterinary diagnostics. Potential Healthcare Cost Increases in 2026: In 2026, healthcare costs are expected to rise sharply, driven by significant increases in health insurance premiums for Affordable Care Act (ACA) marketplace plans. Several states may see premium hikes as high as 66%, with projections indicating that the expiration of enhanced federal premium subsidies could lead to out-of-pocket costs soaring by over 75% for the majority of enrollees. The compounded effect of rising medical expenses, alongside the aggressive rate increases from major insurers, creates a challenging landscape for individuals and families seeking affordable healthcare coverage. This trend emphasizes the need for awareness and proactive strategies to mitigate financial impact in the coming years. Click here to learn more

'IDEXX Laboratories 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.

'IDEXX Laboratories 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 IDEXX Laboratories 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 IDEXX Laboratories Professionals

For IDEXX Laboratories 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 is the 401(k) plan offered by IDEXX Laboratories?

The 401(k) plan at IDEXX Laboratories is a retirement savings plan that allows employees to save a portion of their salary on a tax-deferred basis.

Does IDEXX Laboratories offer a company match for the 401(k) contributions?

Yes, IDEXX Laboratories offers a company match for employee contributions to the 401(k) plan, which helps employees grow their retirement savings.

How can employees enroll in the 401(k) plan at IDEXX Laboratories?

Employees can enroll in the 401(k) plan at IDEXX Laboratories through the company’s HR portal or by contacting the HR department for assistance.

What is the minimum age requirement to participate in the 401(k) plan at IDEXX Laboratories?

The minimum age requirement to participate in the 401(k) plan at IDEXX Laboratories is 21 years old.

Can employees of IDEXX Laboratories change their contribution percentage to the 401(k) plan?

Yes, employees at IDEXX Laboratories can change their contribution percentage to the 401(k) plan at any time, subject to the plan's guidelines.

What types of investment options are available in the IDEXX Laboratories 401(k) plan?

The IDEXX Laboratories 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

Is there a vesting schedule for the company match in the IDEXX Laboratories 401(k) plan?

Yes, IDEXX Laboratories has a vesting schedule for the company match, which means employees must work for a certain period to fully own the matched contributions.

How often can employees at IDEXX Laboratories review their 401(k) account statements?

Employees at IDEXX Laboratories can review their 401(k) account statements quarterly, and they can also access their accounts online at any time.

What happens to the 401(k) plan if an employee leaves IDEXX Laboratories?

If an employee leaves IDEXX Laboratories, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave the funds in the IDEXX plan if eligible.

Are there any fees associated with the 401(k) plan at IDEXX Laboratories?

Yes, there may be administrative fees and investment-related fees associated with the 401(k) plan at IDEXX Laboratories, which are disclosed in the plan documents.

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

Name of Pension Plan: IDEXX Laboratories Pension Plan Pension Formula: The pension formula is typically a defined benefit plan formula, which might include years of service and final average salary components. Specific details are generally outlined in the plan document or summary plan description (SPD). Years of Service and Age Qualification: Employees generally need a minimum of 5 years of service to qualify for pension benefits. The normal retirement age is 65, though there might be provisions for early retirement .401(k) Plan:Name of 401(k) Plan: IDEXX Laboratories 401(k) Plan Qualifications: Employees are eligible to participate in the 401(k) plan upon hire. The plan typically includes features such as employer matching contributions, which might require a certain period of service or contribution.

Restructuring and Layoffs: In early 2024, IDEXX Laboratories announced a restructuring plan to streamline operations, which included a reduction of approximately 5% of its workforce. This decision was driven by the need to adapt to changing market conditions and to increase operational efficiency.

IDEXX Laboratories provided stock options and RSUs to employees as part of their compensation package. Employees eligible for these benefits included key executives, senior management, and other employees based on performance and role. Stock options typically vest over a period, encouraging long-term commitment to the company.

Benefits Overview: IDEXX provides a comprehensive benefits package that includes medical, dental, and vision insurance. They offer several plan options, including high-deductible health plans (HDHPs) and traditional PPO plans. Employees also have access to health savings accounts (HSAs) and flexible spending accounts (FSAs). Wellness Programs: IDEXX emphasizes wellness with programs such as on-site fitness centers, mental health resources, and wellness coaching.