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

MDC Holdings Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Provides medical, dental, life, and disability insurance, plus FSAs and supplemental life options 9. As ACA premiums increase, MDCs internal benefits may offer more stability and affordability for long-term employees. Click here to learn more

'MDC Holdings 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.

'MDC Holdings 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 MDC Holdings 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 MDC Holdings Professionals

For MDC Holdings 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.

Featured Video

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 401(k) plan offered by MDC Holdings?

The 401(k) plan at MDC Holdings is a retirement savings plan that allows employees to contribute a portion of their salary on a pre-tax basis, helping them save for retirement.

Does MDC Holdings offer a matching contribution for the 401(k) plan?

Yes, MDC Holdings provides a matching contribution to the 401(k) plan, which helps employees maximize their retirement savings.

How can employees enroll in the MDC Holdings 401(k) plan?

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

What types of investment options are available in the MDC Holdings 401(k) plan?

The MDC Holdings 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.

Is there a vesting schedule for the matching contributions at MDC Holdings?

Yes, MDC Holdings has a vesting schedule for matching contributions, which means employees must work for a certain period to fully own the employer's contributions.

Can employees take loans against their 401(k) at MDC Holdings?

Yes, MDC Holdings allows employees to take loans against their 401(k) balance under specific conditions set forth in the plan.

What is the minimum contribution percentage for the MDC Holdings 401(k) plan?

The minimum contribution percentage for the MDC Holdings 401(k) plan is typically set at 1% of the employee's salary, but employees are encouraged to contribute more.

Are there any fees associated with the MDC Holdings 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with the MDC Holdings 401(k) plan, which are disclosed in the plan documents.

How often can employees change their contribution amounts in the MDC Holdings 401(k) plan?

Employees can change their contribution amounts in the MDC Holdings 401(k) plan as frequently as once per pay period.

What happens to the 401(k) plan if an employee leaves MDC Holdings?

If an employee leaves MDC Holdings, they have several options for their 401(k) plan, including rolling it over to another retirement account or cashing it out, subject to taxes and penalties.

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 Plan: MDC Holdings Pension Plan Years of Service and Age Qualification: Employees typically need to complete a certain number of years of service and reach a specific age to qualify. For detailed numbers, refer to specific documents or plan summaries. Pension Formula: The pension formula is generally based on factors such as years of service and average salary. For the precise formula, refer to the plan’s official documentation. Eligibility Criteria: Generally includes full-time employees who meet the age and service requirements outlined in the plan. Name of Plan: MDC Holdings 401(k) Plan Eligibility Criteria: Eligibility typically includes full-time employees who have completed a specific period of service. Detailed eligibility requirements are outlined in the plan documents.

Restructuring and Layoffs: MDC Holdings announced in early 2024 that it is restructuring its operations due to a downturn in the housing market. This restructuring involves laying off approximately 10% of its workforce to reduce costs and improve efficiency. The decision is a response to declining home sales and increased material costs, which have impacted profitability. Company Benefits and Pension Changes: Alongside the layoffs, MDC Holdings is revising its employee benefits and pension plans. The company is shifting from a defined benefit pension plan to a defined contribution plan. This change is aimed at reducing long-term liabilities and aligning with industry standards. Employees will see changes in their 401(k) contributions, with MDC Holdings offering a reduced matching contribution compared to previous years.

Stock Options and RSUs: MDC Holdings provides stock options and RSUs to its employees as part of their compensation package. Stock options at MDC Holdings allow employees to purchase shares at a set price, typically lower than the market value. RSUs are granted and vest over a specified period, giving employees ownership of company shares after certain conditions are met.

MDC Holdings Official Website: The site may include information on employee benefits under their "Careers" or "Employee Benefits" section. Look for terms such as "Medical Insurance," "Dental Coverage," "Vision Benefits," and "Health Savings Accounts (HSA)." SEC Filings: Access MDC Holdings’ 10-K or 10-Q filings from the SEC's EDGAR database to find detailed information about employee benefits and any changes in 2022, 2023, or 2024. Glassdoor and Indeed: Search for reviews from MDC Holdings employees discussing their health benefits. Look for terms like "healthcare coverage," "benefits package," "employee health insurance," and "wellness programs." Recent News Articles: Look for any news articles that discuss changes or updates to MDC Holdings’ health benefits. Terms might include "benefits update," "healthcare changes," or "employee benefits news." Benefits Review Platforms: Websites like BenefitsPro or PayScale may have detailed reviews or comparisons of MDC Holdings’ health benefits. Search for terms like "benefits comparison," "employee health benefits review," and "company benefits analysis."