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'Iron Mountain 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.
Healthcare Provider Update: Healthcare Provider for Iron Mountain: Iron Mountain does not directly provide healthcare services. Instead, it is known for its information management and data storage services. However, Iron Mountain's employee health benefits are generally managed through various insurance providers depending on their employment policies. Healthcare Cost Increases in 2026: As 2026 approaches, healthcare costs are anticipated to rise significantly, creating challenges for employers and employees alike. Record increases in health insurance premiums, particularly within the Affordable Care Act marketplace, could exceed 60% in some states. A recent PwC survey forecasts healthcare costs for businesses to climb by 8.5%, prompting many employers to shift more expenses onto employees. This environment of soaring premiums, coupled with the potential expiration of federal premium subsidies, places added financial strain on millions of insured individuals, as out-of-pocket healthcare costs could rise dramatically. Click here to learn more
'Iron Mountain 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.
In this article, we will discuss:
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How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
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Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
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Practical steps Iron Mountain 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 Iron Mountain Professionals
For Iron Mountain 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:
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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/ .
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2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
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Other resources:
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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/ .
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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 .
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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 .
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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 Iron Mountain 401(k) plan?
The Iron Mountain 401(k) plan is a retirement savings plan that allows employees to save and invest a portion of their paycheck before taxes are taken out.
How can I enroll in Iron Mountain's 401(k) plan?
Employees can enroll in Iron Mountain's 401(k) plan by accessing the benefits portal or contacting the HR department for guidance on the enrollment process.
What is the employer match for Iron Mountain's 401(k) plan?
Iron Mountain offers a competitive employer match for contributions made to the 401(k) plan, which helps employees maximize their retirement savings.
At what age can I start participating in Iron Mountain's 401(k) plan?
Employees at Iron Mountain can typically start participating in the 401(k) plan as soon as they meet eligibility requirements, which usually begins after 30 days of employment.
How much can I contribute to Iron Mountain's 401(k) plan annually?
The contribution limits for Iron Mountain's 401(k) plan align with IRS guidelines, allowing employees to contribute up to the maximum limit set for the year.
Does Iron Mountain offer a Roth 401(k) option?
Yes, Iron Mountain provides a Roth 401(k) option, allowing employees to make after-tax contributions that can grow tax-free.
Can I take a loan from my Iron Mountain 401(k) plan?
Yes, Iron Mountain's 401(k) plan allows eligible employees to take loans against their account balance under certain conditions.
What happens to my Iron Mountain 401(k) if I leave the company?
If you leave Iron Mountain, you have several options for your 401(k), including rolling it over to another retirement account, cashing it out, or leaving it with Iron Mountain.
How often can I change my contribution amount to Iron Mountain's 401(k) plan?
Employees can typically change their contribution amount to Iron Mountain's 401(k) plan at any time, subject to plan rules.
Are there any fees associated with Iron Mountain's 401(k) plan?
Yes, Iron Mountain's 401(k) plan may have administrative fees and investment-related fees, 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.
Iron Mountain offers a defined contribution plan known as The Iron Mountain Companies 401(k) Plan. This plan, a profit-sharing arrangement, allows participants to direct the investment of their retirement accounts. Employer contributions under this plan are variable and depend on the company's quarterly or annual profits. In 2022, 2023, and 2024, employees of Iron Mountain could elect to defer part of their compensation, contributing to their 401(k) account. This plan includes automatic enrollment for employees and features elective contributions that are deducted directly from payroll (Iron Mountain) (QDRO.com).
The Iron Mountain 401(k) Plan permits employee-directed accounts, meaning that if an employee does not select investment options, their assets are placed in a default investment account. Employee contributions are matched up to 6% by Iron Mountain, encouraging employees to take advantage of this benefit (Iron Mountain). The plan is a classic example of a cash or deferred arrangement under Code section 401(k).
In 2023 and 2024, Iron Mountain experienced notable changes that impacted both its workforce and employee benefits. Two significant WARN notices were filed, leading to the layoff of 132 employees across Indiana and Virginia (Iron Mountain) (Yahoo Finance). This restructuring aligns with the company's broader strategic focus on integrating new acquisitions, such as Regency Technologies. While Iron Mountain remains committed to long-term growth, these layoffs suggest a tactical pivot amid shifting customer demands and the broader economic environment. The layoffs highlight the need for Iron Mountain to adapt to both the evolving information management sector and the external economic pressures. It is crucial to address this news due to the complex economic, investment, tax, and political environment that drives restructuring efforts today.
Iron Mountain provides stock options and Restricted Stock Units (RSUs) to eligible employees as part of its compensation strategy. In 2022, Iron Mountain expanded its use of RSUs to attract and retain key talent, emphasizing its shift toward equity-based compensation. Stock options are generally offered to senior management and top performers, giving them the right to purchase company stock at a predetermined price, while RSUs are granted to employees across various levels as part of their long-term incentive plan. These RSUs typically vest over a period of three to five years, aligning with Iron Mountain’s long-term performance objectives (Iron Mountain) (Iron Mountain) (Iron Mountain).
In 2023, Iron Mountain continued to emphasize RSUs, especially for employees involved in strategic growth areas such as data centers and digital transformation. The focus was on retaining talent critical to the company's innovation-driven goals. In 2024, Iron Mountain further increased the scope of RSUs to mid-level employees, broadening participation in equity programs across the organization. Stock options and RSUs are accessible to top-performing employees, senior management, and those in strategic growth roles at Iron Mountain
Iron Mountain offers a range of health benefits for its employees, with specific provisions evolving over the years 2022 to 2024. Their benefits package includes medical, dental, and vision insurance options, along with Health Savings Accounts (HSAs), which are widely used across the company (Iron Mountain Daily News).
The healthcare-related acronyms and terms commonly referenced by Iron Mountain employees include PPO (Preferred Provider Organization), HSA (Health Savings Account), and EAP (Employee Assistance Program). Telehealth options are also part of their healthcare benefits, providing access to virtual care services
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