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

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

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Healthcare Provider Update: Healthcare Provider for International Paper International Paper typically utilizes large national insurers for its employee health coverage, primarily opting for options like UnitedHealthcare, Anthem (Elevance Health), or Aetna. These providers are known for offering comprehensive health plans that include medical, dental, and vision coverage for employees across various regions. Potential Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases are anticipated, largely driven by escalating premiums in the Affordable Care Act (ACA) marketplace. States could see premium hikes exceeding 60%, influenced by rising medical costs, the possible expiration of federal premium subsidies, and aggressive rate adjustments by major insurers. Specifically, more than 22 million enrollees may face premium increases of over 75%, a development that poses serious implications for budget-conscious families and employers alike. As the healthcare landscape evolves, proactive strategies will be essential to mitigate the impact of these unsettling financial shifts. Click here to learn more

'International Paper 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.

'International Paper 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 International Paper 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 International Paper Professionals

For International Paper 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 is the primary purpose of the 401(k) plan offered by International Paper?

The primary purpose of the 401(k) plan at International Paper is to help employees save for retirement by allowing them to contribute a portion of their salary on a pre-tax basis.

Who is eligible to participate in the International Paper 401(k) plan?

All eligible employees of International Paper, typically those who meet certain age and service requirements, can participate in the 401(k) plan.

How does International Paper match employee contributions to the 401(k) plan?

International Paper provides a matching contribution to the 401(k) plan, which is a percentage of the employee's contributions, up to a specified limit.

Can employees of International Paper change their contribution percentage to the 401(k) plan?

Yes, employees of International Paper can change their contribution percentage at any time, subject to plan rules.

What investment options are available in the International Paper 401(k) plan?

The International Paper 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 employer match in the International Paper 401(k) plan?

Yes, International Paper has a vesting schedule for the employer match, meaning employees must work for a certain period before they fully own the matched contributions.

How can employees of International Paper access their 401(k) account information?

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

Are loans available from the International Paper 401(k) plan?

Yes, employees may have the option to take loans from their International Paper 401(k) plan, subject to specific terms and conditions.

What happens to an employee's 401(k) account when they leave International Paper?

When an employee leaves International Paper, they can choose to roll over their 401(k) balance to another retirement account, cash out, or leave the funds in the International Paper plan if allowed.

Does International Paper offer financial education resources for employees regarding the 401(k) plan?

Yes, International Paper provides financial education resources and tools to help employees make informed decisions about their 401(k) savings.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Employee Pension Plan: Plan Name: International Paper Company Pension Plan Years of Service and Age Qualification: Employees typically need to have a minimum of 5 years of service and must be at least 55 years old to qualify for early retirement benefits. Pension Formula: The pension benefit is calculated based on a formula that considers years of service and average compensation. For example, the formula might be a percentage of the employee’s average salary multiplied by years of service. Eligibility: Full-time employees who meet the service and age requirements qualify for benefits under the International Paper Company Pension Plan. 401(k) Plan: Plan Name: International Paper Company 401(k) Plan Eligibility: Generally available to all full-time employees who meet the plan’s entry requirements. The plan allows employees to make pre-tax and/or Roth contributions. Contribution Matching: International Paper may offer a company match on employee contributions up to a certain percentage of the employee's salary.
International Paper is undertaking significant restructuring efforts, including the closure of mills and production halts, which will result in an estimated 900 layoffs across locations in Texas, North Carolina, and Florida. The company is optimizing operations as part of its cost-saving measures​ (Home Page).
International Paper (NYSE: IP) offers its employees equity compensation in the form of stock options and Restricted Stock Units (RSUs). These grants are part of a comprehensive compensation package designed to align employees' interests with the company’s long-term performance. International Paper provides both Non-Qualified Stock Options (NSOs) and RSUs as part of its equity program. NSOs allow employees to purchase company stock at a predetermined price over a set period, typically vesting over four years. RSUs, on the other hand, are granted outright but only vest over time or upon meeting performance targets​ (Upstock)​ (International Paper). In 2022, International Paper issued new RSUs to mid- and upper-level management, with vesting schedules based on tenure and company performance​ (Carta). The 2023 offerings maintained a focus on RSUs over stock options, with the company's annual report noting RSUs were more tax-efficient and required fewer equity burns compared to options​ (International Paper). This shift reflects the industry trend towards RSUs as a primary form of compensation.
International Paper offers a comprehensive range of health benefits for its employees, including medical, dental, vision, and prescription drug coverage. The company emphasizes preventive care and provides options for Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). Specific healthcare-related acronyms and terms frequently used by the company include HDHP (High Deductible Health Plan), PPO (Preferred Provider Organization), and HSA (Health Savings Account). Recent employee healthcare news highlights International Paper's efforts to manage rising healthcare costs while maintaining robust coverage options, particularly through wellness programs and preventive care initiatives aimed at reducing long-term healthcare expenses. These benefits are aligned with the company's broader commitment to employee well-being and inclusivity.
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For more information you can reach the plan administrator for International Paper at , ; or by calling them at .

https://www.thelayoff.com/ https://www.upstock.io/post/rsu-explained-for-employees https://www.internationalpaper.com/investors/financial-reports/sec-filings https://carta.com/learn/equity/rsu-vs-stock-options/ https://www.theretirementgroup.com/featured-article/revisiting-the-4-withdrawal-rule-for-international-paper-employees https://www.internationalpaper.com/resources/reports/annual-report https://jobs.internationalpaper.com/content/Benefits/?locale=en_US https://www.eisneramper.com/insights/employee-benefit-plan/retirement-plan-limitations-1123/ https://am.gs.com/en-int/institutions/insights/article/2024/us-corporate-pension-review-and-preview-2024 https://www.investopedia.com/ask/answers/032415/how-does-defined-benefit-pension-plan-differ-defined-contribution-plan.asp https://www.ifebp.org/resources---news/retirement-101/defined-contribution-plans https://www.thelayoff.com/t/1qk1A8G9 https://myipretirement.empower-retirement.com/participant/#/login https://www.futureplan.com/resources/news-articles/defined-benefit-cash-balance-plan-key-priorities/ https://www.dol.gov/agencies/ebsa/about-ebsa/our-activities/resource-center/fact-sheets/cash-balance-pension-plans

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