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

Martin Marietta Materials Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Martin Marietta Materials The healthcare provider for Martin Marietta Materials is primarily UnitedHealthcare. They offer a range of health insurance plans to employees, which typically include various coverage options catering to both individual and family needs. Potential Healthcare Cost Increases in 2026 As we look toward 2026, Martin Marietta Materials anticipates significant challenges as healthcare costs are projected to rise substantially, driven by several factors. The expiration of enhanced ACA subsidies may lead to a surge in premiums, with some states witnessing increases of over 60%. Additionally, industry-wide medical costs are expected to rise by approximately 8.5%, spurred by ongoing inflation in healthcare services and the increasing costs of prescription drugs. This confluence of factors means that many employees could face a steep increase in their out-of-pocket expenses, compelling the company to consider strategic adjustments to its health benefits offerings. Click here to learn more

'Martin Marietta Materials 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.

'Martin Marietta Materials 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 Martin Marietta Materials 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 Martin Marietta Materials Professionals

For Martin Marietta Materials 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 type of retirement savings plan does Martin Marietta Materials offer to its employees?

Martin Marietta Materials offers a 401(k) retirement savings plan to its employees.

How can I enroll in the 401(k) plan at Martin Marietta Materials?

Employees can enroll in the 401(k) plan at Martin Marietta Materials by completing the enrollment process through the company’s benefits portal.

Does Martin Marietta Materials match employee contributions to the 401(k) plan?

Yes, Martin Marietta Materials provides a matching contribution to employee 401(k) plan contributions, subject to certain limits.

What is the maximum contribution limit for the 401(k) plan at Martin Marietta Materials?

The maximum contribution limit for the 401(k) plan at Martin Marietta Materials is in line with the IRS annual contribution limits, which can change each year.

Can employees at Martin Marietta Materials take loans against their 401(k) savings?

Yes, employees at Martin Marietta Materials may have the option to take loans against their 401(k) savings, subject to the plan’s terms.

What investment options are available in the Martin Marietta Materials 401(k) plan?

The Martin Marietta Materials 401(k) plan offers a variety of investment options, including mutual funds and target-date funds, allowing employees to choose based on their risk tolerance.

Is there a vesting schedule for the employer match in the Martin Marietta Materials 401(k) plan?

Yes, there is a vesting schedule for the employer match in the Martin Marietta Materials 401(k) plan, which determines when employees fully own the matched contributions.

Can I change my contribution percentage to the 401(k) plan at Martin Marietta Materials?

Yes, employees can change their contribution percentage to the 401(k) plan at Martin Marietta Materials at any time, subject to plan rules.

What happens to my 401(k) savings if I leave Martin Marietta Materials?

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

Are there any fees associated with the Martin Marietta Materials 401(k) plan?

Yes, there may be administrative fees associated with the Martin Marietta Materials 401(k) plan, which are disclosed in the plan documents.

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

Pension Plan: Martin Marietta Materials Pension Plan provides benefits based on years of service and age, with a defined benefit formula. 401(k) Plan: Martin Marietta Materials 401(k) Savings Plan offers opportunities for employees to contribute with an employer match after 30 days of service.

Layoffs & Restructuring: In 2023, Martin Marietta Materials announced a strategic restructuring plan aimed at optimizing operational efficiency. This involved a reduction in workforce, particularly in non-core areas, to streamline operations and reduce costs. The company stated that the layoffs were part of a broader strategy to enhance its competitive position amid fluctuating market conditions. Given the current economic climate, such restructuring is significant as it reflects the company’s effort to remain agile in response to economic uncertainties and shifts in the construction industry. Benefit Changes & 401k: There have been notable changes to the company's benefits package and 401k plan. Martin Marietta updated its retirement benefits by increasing the company match for 401k contributions to better support employee financial planning. Additionally, there have been adjustments to health benefits to align with new regulations and to improve coverage. These changes are important to address because they impact employee financial security and retirement planning, especially in a volatile economic environment where investment and tax conditions are continually evolving

Martin Marietta Materials stock options and RSUs are granted to attract and retain key talent within the company. Martin Marietta Materials provides these benefits primarily to executives and high-potential employees to align their interests with the company's long-term goals. The stock options and RSUs offered by Martin Marietta Materials in 2022, 2023, and 2024 are designed to incentivize and reward significant contributions to the company's success.

Health Benefits Summary: Martin Marietta Materials provides a comprehensive benefits package that includes medical, dental, and vision coverage. The benefits extend to both employees and their dependents. Specific Terms: HDHP (High Deductible Health Plan): A health insurance plan with higher deductibles and lower premiums. HSA (Health Savings Account): Tax-advantaged savings account used in conjunction with an HDHP. EAP (Employee Assistance Program): Provides mental health resources and counseling.