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

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

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Healthcare Provider Update: Healthcare Provider for Kohl's Kohl's offers a variety of employee health benefits through Aetna. This partnership provides extensive medical coverage options to its employees, including plans that encompass medical, dental, and vision care, ensuring that staff have access to comprehensive health services. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are projected to surge dramatically due to a combination of factors, including the expiration of enhanced ACA premium subsidies and ongoing medical inflation. Many employees, particularly those at companies like Kohl's, could see out-of-pocket health insurance premiums rise by over 75%. With insurers requesting steep rate hikes-some exceeding 60% in states like New York-employees should brace for significant financial impacts. As they consider their healthcare options, it's critical to stay informed and proactive in managing potential expenses in the coming year. Click here to learn more

'Kohl's 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.

'Kohl's 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 Kohl's 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 Kohl's Professionals

For Kohl's 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 type of retirement savings plan does Kohl's offer to its employees?

Kohl's offers a 401(k) retirement savings plan to help employees save for their future.

Does Kohl's provide a company match for contributions made to the 401(k) plan?

Yes, Kohl's provides a company match on employee contributions to the 401(k) plan, encouraging employees to save for retirement.

What is the eligibility requirement to participate in Kohl's 401(k) plan?

Employees become eligible to participate in Kohl's 401(k) plan after completing a certain period of service, typically outlined in the plan documents.

Can employees at Kohl's choose how to invest their 401(k) contributions?

Yes, employees at Kohl's can choose from a variety of investment options for their 401(k) contributions, allowing them to tailor their investment strategy.

What is the maximum contribution limit for Kohl's 401(k) plan?

The maximum contribution limit for Kohl's 401(k) plan is subject to IRS guidelines, which can change annually. Employees should refer to the latest IRS limits for specifics.

Does Kohl's allow employees to take loans against their 401(k) savings?

Yes, Kohl's 401(k) plan may allow employees to take loans against their savings, subject to certain terms and conditions outlined in the plan.

How can employees at Kohl's access their 401(k) account information?

Employees at Kohl's can access their 401(k) account information online through the plan's designated website or by contacting the plan administrator.

Is there a vesting schedule for Kohl's 401(k) company match?

Yes, Kohl's has a vesting schedule for the company match in the 401(k) plan, which determines when employees fully own the matched funds.

Can part-time employees at Kohl's participate in the 401(k) plan?

Yes, part-time employees at Kohl's may be eligible to participate in the 401(k) plan, depending on their hours worked and the specific eligibility criteria.

What happens to my Kohl's 401(k) if I leave the company?

If you leave Kohl's, you have several options for your 401(k), including leaving the money in the plan, rolling it over to another retirement account, or cashing it out.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Kohl's offers a comprehensive retirement savings program for its employees, which includes both a 401(k) plan and a company match program. The specific plan is named the Kohl's Department Stores Inc. Savings Plan, managed through Alight, and covers over 84,000 employees​ (Kohl's). For the 401(k) plan, full-time employees are eligible to participate immediately upon hire, while part-time employees become eligible after working 1,000 hours within their first 12 months of employment​ (Capitalize). The company offers a 100% match on employee contributions, up to 5% of their salary​ (Capitalize). Although Kohl's currently offers no pension plan, the 401(k) remains a critical component of retirement savings for its employees. It allows workers to save with the security of a company match, encouraging long-term financial health.
Kohl's is undergoing significant restructuring efforts as part of its broader business transformation. The company announced the layoff of approximately 250 employees in 2023 as part of this effort to streamline operations and improve profitability. In addition, Kohl’s is focusing on modernizing its brand to align with the Active and Casual lifestyle categories. Key initiatives include expanding its digital business, driving growth in core categories, and enhancing customer loyalty programs, including updates to its Kohl's Card Rewards program. The company is also committed to ESG goals, aiming for Net Zero emissions by 2050 and increasing diversity among suppliers​ (Kohl's Corporate).
Kohl's offers both Non-Qualified Stock Options (NQSOs) and Restricted Stock Units (RSUs) as part of their equity compensation plans for employees and certain contractors. For stock options, employees can purchase Kohl's shares at a predetermined strike price, with potential tax impacts occurring at the time of exercise. RSUs, on the other hand, are granted as stock units that vest over a set period. Once vested, these RSUs are treated as ordinary income and the shares are automatically transferred to the employee. Both stock options and RSUs are available to Kohl's employees, but only employees are eligible for Incentive Stock Options (ISOs), which have specific tax treatments and holding requirements​ (Kohl's Corporate)​ (Kohl's Corporate)​ (Zajac Group). In 2022, 2023, and 2024, Kohl's continued to offer RSUs to its employees as part of its incentive program. RSUs typically vest over several years, incentivizing employees to remain with the company. NQSOs can be exercised at any time after vesting, with employees being taxed on the spread between the exercise price and the fair market value at the time of exercise
Kohl's offers a comprehensive health benefits package for both full-time and part-time employees working at least 30 hours per week. Key highlights include medical, dental, and vision coverage, which are accessible to all permanent employees. In addition, Kohl's provides a Health Savings Account (HSA) option, contributing up to $700 per year depending on the employee's insurance plan​ (Kohl's)​ (Home Page). Recent developments include a renewed focus on mental health and well-being, highlighted by Kohl's continued support for the National Alliance on Mental Illness (NAMI) in 2024​ (Home Page). This initiative aligns with their broader goal of enhancing employee well-being through partnerships with organizations that offer mental health resources. The company also offers significant wellness perks, including access to telehealth services, which became particularly relevant during and after the pandemic. Acronyms frequently mentioned within Kohl's benefits package include HSA (Health Savings Account) and PPO (Preferred Provider Organization), commonly available as options for healthcare coverage​ (Kohl's Investors). This focus on mental and physical health aligns with Kohl's overall strategy of promoting a healthy work-life balance through wellness programs, flexible work schedules, and wellness discounts. These efforts reflect the company’s commitment to improving employee well-being, which has been underscored by corporate announcements and external partnerships in recent years​
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For more information you can reach the plan administrator for Kohl's at , ; or by calling them at .

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