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

Lululemon athletica Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Lululemon Athletica: Lululemon Athletica currently offers its employees health insurance coverage through a partnership with major national insurers in the marketplace. Primarily, employees can utilize the Affordable Care Act (ACA) marketplace for health insurance needs, which allows them to compare options and select a plan that best fits their circumstances. Potential Healthcare Cost Increases in 2026: As we anticipate the landscape of healthcare costs in 2026, significant increases in health insurance premiums are projected, with some states facing hikes above 60%. This sharp rise is attributed to a perfect storm of factors, including the potential expiration of enhanced federal premium subsidies and escalating medical costs. For Lululemon Athletica employees utilizing ACA coverage, these changes could result in out-of-pocket premiums skyrocketing-some enrollees could see cost increases exceeding 75%. It's essential for employees to prepare for these changes by exploring their options early and coordinating with human resources to navigate potential financial impacts effectively. Click here to learn more

'Lululemon athletica 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.

'Lululemon athletica 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 Lululemon athletica 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 Lululemon athletica Professionals

For Lululemon athletica 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 type of retirement savings plan does Lululemon athletica offer to its employees?

Lululemon athletica offers a 401(k) retirement savings plan to help employees save for their future.

Does Lululemon athletica match employee contributions to the 401(k) plan?

Yes, Lululemon athletica provides a matching contribution to employee 401(k) accounts, subject to certain eligibility criteria.

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

Employees of Lululemon athletica are typically eligible to participate in the 401(k) plan after completing a specific period of service, which is outlined in the employee handbook.

Can employees of Lululemon athletica choose how to invest their 401(k) contributions?

Yes, employees at Lululemon athletica can choose from a variety of investment options to allocate their 401(k) contributions according to their financial goals.

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

Employees can change their contribution amounts to the Lululemon athletica 401(k) plan on a regular basis, typically during open enrollment periods or as allowed by the plan.

What is the vesting schedule for Lululemon athletica's 401(k) matching contributions?

The vesting schedule for Lululemon athletica's 401(k) matching contributions may vary, and employees should refer to the plan document for specific details.

Can employees take loans against their 401(k) savings at Lululemon athletica?

Yes, Lululemon athletica allows employees to take loans against their 401(k) savings, subject to the terms and conditions set forth in the plan.

What happens to my 401(k) account if I leave Lululemon athletica?

If you leave Lululemon athletica, you have several options for your 401(k) account, including cashing out, rolling it over to another retirement account, or leaving it in the plan if permitted.

Is there an automatic enrollment feature in Lululemon athletica's 401(k) plan?

Yes, Lululemon athletica may offer an automatic enrollment feature for new employees, which enrolls them in the 401(k) plan unless they choose to opt out.

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

The maximum contribution limit for Lululemon athletica's 401(k) plan is set by the IRS and may change annually; employees should check the latest guidelines for specifics.