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

LGI Homes Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for LGI Homes LGI Homes primarily partners with The Retirement Group, a division of Wealth Enhancement, to facilitate employee benefits and provide assistance related to healthcare coverage. Potential Healthcare Cost Increases in 2026 As LGI Homes prepares for 2026, employees should brace for significant increases in healthcare costs. With reports indicating that ACA marketplace premiums could rise dramatically-some states experiencing hikes over 60%-many employees may face higher out-of-pocket expenses. Additionally, employers, responding to mounting healthcare cost pressures, are likely to shift more expenses onto workers through increased deductibles and coinsurance rates. By familiarizing themselves with changing benefit structures and optimizing their health savings accounts, LGI Homes employees can mitigate the financial impact of these projected cost increases. Click here to learn more

'LGI Homes 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.

'LGI Homes 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 LGI Homes 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 LGI Homes Professionals

For LGI Homes 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:

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 401(k) plan offered by LGI Homes?

The 401(k) plan at LGI Homes is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.

How does LGI Homes match employee contributions to the 401(k) plan?

LGI Homes offers a company match on employee contributions, which helps to enhance your retirement savings.

When can I enroll in the 401(k) plan at LGI Homes?

Employees at LGI Homes can enroll in the 401(k) plan during their initial onboarding process or during the annual open enrollment period.

What is the vesting schedule for LGI Homes' 401(k) match?

The vesting schedule for LGI Homes' 401(k) match typically requires employees to work for a certain number of years before they fully own the matched funds.

Can I change my contribution amount to the LGI Homes 401(k) plan?

Yes, employees can change their contribution amount to the LGI Homes 401(k) plan at any time, subject to plan rules.

What investment options are available in the LGI Homes 401(k) plan?

The LGI Homes 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to choose based on their risk tolerance.

Is there a loan option available through the LGI Homes 401(k) plan?

Yes, LGI Homes allows employees to take loans against their 401(k) balance under certain conditions.

How can I access my LGI Homes 401(k) account information?

Employees can access their LGI Homes 401(k) account information online through the plan’s designated website or mobile app.

What happens to my LGI Homes 401(k) if I leave the company?

If you leave LGI Homes, you have several options for your 401(k), including rolling it over to another retirement account, cashing it out, or leaving it with LGI Homes.

Does LGI Homes offer financial planning resources for 401(k) participants?

Yes, LGI Homes provides access to financial planning resources and tools to help employees make informed decisions about their 401(k) investments.

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

Review Company Pension Plan Information: Search for LGI Homes' pension plan details, including: Name of the pension plan Eligibility requirements (years of service, age) Pension formula Specific page numbers in the document where the information is found Review Company 401(k) Plan Information: Search for LGI Homes' 401(k) plan details, including: Name of the 401(k) plan Eligibility requirements Specific page numbers in the document where the information is found Gather Terminology and Acronyms: Collect any specific terminology and acronyms related to LGI Homes' employee pension and 401(k) plans. Ensure No Hyperlinks:

Restructuring and Layoffs: LGI Homes has been adjusting its operational structure in response to fluctuating market conditions. In late 2023, the company undertook a series of organizational changes aimed at streamlining its operations and improving efficiency. This included some layoffs within certain departments. This restructuring is a direct response to the ongoing economic uncertainties, including shifts in the housing market and broader economic conditions that impact homebuilders. As such, it is crucial for stakeholders to stay informed about these changes to better understand their potential impact on investment and employment stability. Company Benefits and 401k Changes: In early 2024, LGI Homes revised its employee benefits package to address the changing needs of its workforce. This included adjustments to its 401k plan, such as modified employer matching contributions and updated investment options. The changes are designed to enhance employee financial security amidst economic fluctuations. It is essential to follow these updates, as they reflect broader trends in corporate benefits adjustments influenced by the current economic and political environment, affecting employees' long-term financial planning and security.

LGI Homes provided stock options and RSUs to key employees, including executives and senior management. These options and units are typically granted as part of the company's long-term incentive plans to align interests with shareholders. The stock options and RSUs available in LGI Homes for 2022 were detailed in the annual proxy statement filed with the SEC.

LGI Homes has offered a range of healthcare benefits over recent years, with a focus on comprehensive coverage to support employee well-being. In 2022 and 2023, LGI Homes' health benefits included traditional medical insurance plans, dental and vision coverage, and access to health savings accounts (HSAs). The company uses terms like "HDHP" (High Deductible Health Plan) and "HSA" (Health Savings Account) to describe their benefit options. In 2024, LGI Homes continued to provide competitive healthcare benefits, emphasizing wellness programs and preventive care. Recent changes included adjustments to the cost-sharing structure and enhancements to telehealth services, reflecting broader trends in the industry toward digital healthcare solutions. The company also expanded its mental health resources, acknowledging the growing importance of mental well-being in the workplace. In the current economic and political climate, discussions around healthcare benefits at LGI Homes are particularly relevant. With ongoing economic pressures and legislative changes affecting healthcare policies, LGI Homes' approach to employee benefits remains crucial for both retaining talent and ensuring financial stability. Healthcare benefits are not just a matter of employee satisfaction but also a strategic consideration for investment and tax planning. By adapting their benefits to meet current needs and legislative changes, LGI Homes positions itself as a competitive employer and demonstrates a commitment to its workforce's health and financial security.