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

Laboratory Corp. of America Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Laboratory Corporation of America Laboratory Corporation of America (LabCorp) is a prominent healthcare provider known for offering comprehensive laboratory testing and diagnostic services, supporting healthcare professionals in diagnosing and managing patient care effectively. LabCorp operates numerous patient service centers, ensuring accessibility to a wide range of tests and results for patients across the United States. Potential Healthcare Cost Increases in 2026 As we look ahead to 2026, healthcare costs are projected to see significant increases, largely driven by a combination of factors including the potential expiration of enhanced federal subsidies for ACA marketplace plans and rising medical expenses. Many states are bracing for premium hikes exceeding 60%, with out-of-pocket costs for consumers potentially soaring by over 75%, according to industry reports. This scenario paints a daunting picture for families dependent on health insurance coverage, as insurers tighten oversight and grapple with surging drug prices, hospitalization costs, and increased demand for behavioral health services. Ultimately, consumers will need to navigate these changes carefully to maintain access to affordable healthcare. Click here to learn more

'Laboratory Corp. of America 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.

'Laboratory Corp. of America 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 Laboratory Corp. of America 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 Laboratory Corp. of America Professionals

For Laboratory Corp. of America 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 is the 401k/Savings Plan offered by Laboratory Corp. of America?

The 401k/Savings Plan at Laboratory Corp. of America is a retirement savings plan that allows employees to save a portion of their salary on a tax-deferred basis.

How can employees of Laboratory Corp. of America enroll in the 401k/Savings Plan?

Employees can enroll in the 401k/Savings Plan by completing the enrollment process through the company’s benefits portal during the open enrollment period or when they first become eligible.

What types of contributions can employees make to the Laboratory Corp. of America 401k/Savings Plan?

Employees can make pre-tax contributions, Roth (after-tax) contributions, and potentially catch-up contributions if they are age 50 or older.

Does Laboratory Corp. of America match employee contributions to the 401k/Savings Plan?

Yes, Laboratory Corp. of America offers a matching contribution to employee contributions, which helps to enhance retirement savings.

What is the vesting schedule for the Laboratory Corp. of America 401k/Savings Plan?

The vesting schedule for Laboratory Corp. of America’s matching contributions typically follows a graded vesting schedule, which means employees earn ownership of the match over a period of time.

Are there any investment options available within the Laboratory Corp. of America 401k/Savings Plan?

Yes, the Laboratory Corp. of America 401k/Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

Can employees of Laboratory Corp. of America take loans from their 401k/Savings Plan?

Yes, employees may be able to take loans from their 401k/Savings Plan, subject to the plan's rules and limits.

What happens to the 401k/Savings Plan if an employee leaves Laboratory Corp. of America?

If an employee leaves Laboratory Corp. of America, they have several options regarding their 401k/Savings Plan, including rolling over the balance to another retirement account, cashing out, or leaving the funds in the plan if allowed.

How can employees of Laboratory Corp. of America access their 401k/Savings Plan account information?

Employees can access their 401k/Savings Plan account information through the company’s benefits portal or by contacting the plan administrator.

Does Laboratory Corp. of America provide financial education regarding the 401k/Savings Plan?

Yes, Laboratory Corp. of America offers resources and financial education programs to help employees understand their 401k/Savings Plan options and make informed decisions.

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

Plan Names and Details: Pension Plan Name: Laboratory Corp. of America does not offer a traditional pension plan. Instead, the company provides a 401(k) plan for its employees. 401(k) Plan Name: Laboratory Corp. of America 401(k) Plan. Eligibility and Qualification: 401(k) Plan Eligibility: Employees become eligible to participate in the Laboratory Corp. of America 401(k) Plan after completing 30 days of employment. Years of Service and Age Qualification: There are no specific age or service requirements to qualify for the 401(k) plan. All employees who meet the basic eligibility criteria can participate. Pension Formula: Pension Plan Formula: As Laboratory Corp. of America does not offer a pension plan, there is no pension formula to provide.

News on Restructuring and Layoffs: LabCorp has been undergoing significant restructuring in 2023, which included a notable reduction in workforce. In the first half of 2023, LabCorp announced a series of layoffs impacting various departments, aimed at optimizing operational efficiency and reducing costs. This move was part of a broader strategy to streamline operations amidst a challenging economic environment. News on Company Benefits and Pension Changes: Alongside layoffs, LabCorp has made adjustments to its employee benefits package, including changes to retirement plans. The company has revised its 401(k) matching contributions, reducing the percentage of employer contributions. Additionally, there have been updates to the pension plan, with changes in the vesting schedule and benefit formulas. These adjustments are crucial for employees to understand, especially given the current investment and tax environment, which could impact retirement planning and financial stability.

Laboratory Corp. of America provides stock options and RSUs as part of its compensation package. Stock options typically vest over a period of time, with specific vesting schedules detailed in individual grant agreements. RSUs are granted based on performance and time-based vesting criteria, with awards given to senior executives and key employees.

Laboratory Corp. of America (LabCorp) offers a range of health benefits that emphasize comprehensive coverage for its employees. In 2022, LabCorp provided various health plans, including Preferred Provider Organization (PPO) and High Deductible Health Plans (HDHPs), designed to cater to different needs and preferences. These plans typically include benefits such as preventive care, telemedicine services, and access to a broad network of healthcare providers. The company also includes health savings accounts (HSAs) and flexible spending accounts (FSAs) to help employees manage out-of-pocket costs. For 2023 and 2024, LabCorp continued to enhance its health benefits by integrating wellness programs, mental health support, and expanded coverage options to align with evolving employee needs and regulatory changes.