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

Lithia Motors Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Lithia Motors: Lithia Motors employees typically receive healthcare benefits through a variety of insurance providers, including major national insurers such as UnitedHealthcare, Aetna, and Blue Cross Blue Shield. These insurance partners offer comprehensive health plans that cater to the needs of Lithia Motors' workforce. Potential Healthcare Cost Increases in 2026: In 2026, Lithia Motors employees may face significant increases in healthcare costs, driven by a combination of factors impacting the Affordable Care Act (ACA) marketplace. Premiums for ACA plans are projected to rise sharply, with some states experiencing hikes upwards of 60%, primarily due to the expiration of enhanced federal subsidies and escalating medical costs. As a result, employers like Lithia Motors may adjust their benefit structures, potentially shifting a greater share of healthcare expenses onto employees. Navigating this landscape will require diligence in understanding upcoming benefit changes and making informed decisions about health plan selections to mitigate rising out-of-pocket costs. Click here to learn more

'Lithia Motors 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.

'Lithia Motors 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 Lithia Motors 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 Lithia Motors Professionals

For Lithia Motors 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 retirement savings options does Lithia Motors offer to its employees?

Lithia Motors offers a 401(k) plan as a primary retirement savings option for its employees.

How can employees of Lithia Motors enroll in the 401(k) plan?

Employees can enroll in the Lithia Motors 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.

Does Lithia Motors match employee contributions to the 401(k) plan?

Yes, Lithia Motors offers a matching contribution to the 401(k) plan, which helps employees maximize their retirement savings.

What is the vesting schedule for Lithia Motors' 401(k) matching contributions?

The vesting schedule for Lithia Motors' 401(k) matching contributions typically follows a standard timeline, which can be confirmed in the employee handbook or by HR.

Can employees of Lithia Motors take loans against their 401(k) savings?

Yes, Lithia Motors allows employees to take loans against their 401(k) savings, subject to certain terms and conditions.

What investment options are available in the Lithia Motors 401(k) plan?

The Lithia Motors 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to diversify their portfolios.

Is there a minimum contribution requirement for the Lithia Motors 401(k) plan?

Yes, Lithia Motors may have a minimum contribution requirement for employees wishing to participate in the 401(k) plan, which can be found in the plan documents.

How often can employees change their contribution amounts to the Lithia Motors 401(k) plan?

Employees of Lithia Motors can typically change their contribution amounts at any time, but it’s advisable to check the specific guidelines in the plan documents.

What is the age requirement for employees to start contributing to the Lithia Motors 401(k) plan?

Employees must be at least 21 years old to start contributing to the Lithia Motors 401(k) plan, in accordance with IRS regulations.

Does Lithia Motors offer financial education resources for employees regarding their 401(k) plan?

Yes, Lithia Motors provides financial education resources and workshops to help employees understand and manage their 401(k) plans effectively.

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

Name of Pension Plan: Determine the specific name of Lithia Motors' pension plan. Years of Service and Age Qualification: Identify the required years of service and age for eligibility. Pension Formula: Review how the pension amount is calculated. Source Document: Find and cite the specific documents where this information is available, including page numbers. Name of 401(k) Plan: Determine the specific name of Lithia Motors' 401(k) plan. Who Qualifies: Identify the eligibility criteria for participating in the 401(k) plan. Source Document: Find and cite the specific documents where this information is available, including page numbers.

Restructuring and Layoffs: Lithia Motors announced strategic layoffs in 2024, aiming for $150 million in annual savings through targeted employee reductions. These layoffs focus primarily on U.S. operations rather than global ones, particularly targeting underperforming management at the store level. These layoffs are part of a broader plan to cut $250 million in expenses, including reducing inventory and third-party service costs (CBT News) (SEC.gov).

Pension and 401(k) Benefits: Lithia Motors offers a range of retirement benefits, including a 401(k) plan with company match, employee stock purchase plans, and performance bonuses. The 401(k) plan allows employees to manage their investments, take out loans against their vested balances, and choose different disbursement methods upon retirement. The company also offers pension benefits for eligible employees, including projections and beneficiary management (Built In) (Benefits Account Manager).

Stock Options and RSUs: Lithia Motors (LAD) offers stock options and RSUs to its employees as part of its compensation packages. Eligibility: These benefits are generally available to executives, senior management, and key employees based on performance and role. Company Acronyms: Lithia Motors uses LAD for its stock options and RSU grants.

Medical Insurance: Lithia Motors provides several health insurance plans, including High Deductible Health Plans (HDHPs) and Preferred Provider Organization (PPO) plans. Dental and Vision Insurance: Coverage is offered through a range of plans, with options for both basic and more extensive dental and vision care. HSAs and FSAs: These accounts help employees manage healthcare expenses by allowing pre-tax contributions.