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

Illinois Tool Works Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Illinois Tool Works: Illinois Tool Works (ITW) primarily partners with Blue Cross Blue Shield (BCBS) of Illinois as their healthcare provider. This choice reflects a focus on comprehensive coverage options for their employees, aligning with the company's commitment to employee health and well-being. Potential Healthcare Cost Increases in 2026: In 2026, healthcare costs are expected to surge, with Blue Cross Blue Shield in Illinois anticipating an overall premium increase of approximately 27%. This spike is driven by a confluence of factors, including escalating medical expenses, diminishing federal premium subsidy support, and substantial hikes from major insurers. As the Affordable Care Act premiums rise sharply-potentially impacting 22 million enrollees-ITW's employees may face considerable out-of-pocket costs if no congressional action is taken to extend the enhanced subsidies. This underscores the necessity for proactive strategies in managing healthcare expenses amidst rapidly changing market dynamics. Click here to learn more

'Illinois Tool Works 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.

'Illinois Tool Works 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 Illinois Tool Works 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 Illinois Tool Works Professionals

For Illinois Tool Works 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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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 .

What retirement savings options does Illinois Tool Works offer to its employees?

Illinois Tool Works offers a 401(k) plan as part of its retirement savings options for employees.

How can employees of Illinois Tool Works enroll in the 401(k) plan?

Employees of Illinois Tool Works can enroll in the 401(k) plan by completing the enrollment process through the company’s benefits portal or by contacting the HR department for assistance.

Does Illinois Tool Works provide a company match for the 401(k) contributions?

Yes, Illinois Tool Works provides a company match for employee contributions to the 401(k) plan, subject to specific terms and conditions.

What is the maximum contribution limit for the 401(k) plan at Illinois Tool Works?

The maximum contribution limit for the 401(k) plan at Illinois Tool Works is determined by the IRS guidelines, which can change annually.

Can employees of Illinois Tool Works take loans against their 401(k) savings?

Yes, employees of Illinois Tool Works may have the option to take loans against their 401(k) savings, subject to the plan's rules.

What investment options are available in the Illinois Tool Works 401(k) plan?

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

How often can employees change their contribution amount to the Illinois Tool Works 401(k) plan?

Employees of Illinois Tool Works can typically change their contribution amount on a quarterly basis or as specified in the plan details.

What happens to my Illinois Tool Works 401(k) if I leave the company?

If you leave Illinois Tool Works, you can choose to roll over your 401(k) balance to another retirement account, keep it in the Illinois Tool Works plan (if eligible), or withdraw the funds, subject to taxes and penalties.

Is there a vesting schedule for the company match in the Illinois Tool Works 401(k) plan?

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

Can part-time employees participate in the Illinois Tool Works 401(k) plan?

Yes, part-time employees at Illinois Tool Works may be eligible to participate in the 401(k) plan, depending on specific criteria set by the company.

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: Illinois Tool Works Pension Plan Years of Service and Age Qualification: Employees typically need to have a minimum of 5 years of service to qualify for the pension plan. Full benefits may be available to employees who are at least 65 years old or have reached a combination of age and service requirements totaling at least 85 years. Pension Formula: The pension is calculated based on years of service and the average of the highest-paid years of salary. For example, it may be calculated as 1.5% of the average of the highest 5 years of salary multiplied by years of service. Name of 401(k) Plan: Illinois Tool Works 401(k) Plan Who Qualifies: All full-time employees who are at least 21 years old and have completed 90 days of service are eligible to participate in the 401(k) plan. 401(k) Plan Features: Employees can contribute a percentage of their salary up to the annual limit set by the IRS. The company may provide matching contributions up to a certain percentage of the employee's contributions. Document: Illinois Tool Works 2024 Benefits Summary

Restructuring and Layoffs: In 2023, Illinois Tool Works announced a restructuring plan aimed at streamlining operations and improving efficiency. This plan included workforce reductions in certain sectors to adapt to shifting market demands and economic pressures. The company stated that these changes are intended to bolster its competitive position in a challenging economic environment. The importance of addressing this news is heightened due to the current economic landscape, where companies are adjusting their structures to maintain profitability amid fluctuating economic conditions. Understanding these changes is crucial for employees and stakeholders to navigate the evolving business environment and its impact on their roles and benefits.

ITW offers stock options and RSUs as part of their employee compensation packages. Stock options at ITW allow employees to purchase company stock at a set price, usually granted to senior executives and key employees. ITW provides RSUs, which are granted to employees as a form of equity compensation, usually vesting over several years. The company typically awards these to employees based on performance and seniority.

Health Insurance: ITW offers comprehensive health insurance plans, including medical, dental, and vision coverage. Employees can choose from multiple plan options to fit their needs. Wellness Programs: The company provides wellness programs that include resources for mental health, fitness, and preventive care. Retirement Savings: ITW offers 401(k) plans with company matching contributions and other financial wellness programs.