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

MGM Resorts International Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for MGM Resorts International MGM Resorts International primarily collaborates with various healthcare providers depending on the location and specific needs of their employees. However, the organization does not disclose a singular healthcare provider in publicly available resources. The company typically partners with major health insurance companies to offer medical benefits to its workforce. Potential Healthcare Cost Increases in 2026 As we approach 2026, MGM Resorts International employees are facing significant challenges concerning healthcare costs. With anticipated premium hikes on Affordable Care Act (ACA) marketplace plans, some states may see increases exceeding 60%. Without an extension of enhanced federal premium subsidies, many employees could experience premium surges of up to 75%. This financial burden is compounded by soaring medical costs associated with advances in therapies, such as GLP-1 medications, alongside aggressive rate hikes from top insurers. As a result, employees might find themselves shouldering a greater share of healthcare expenses, necessitating strategic planning to mitigate these anticipated increases. Click here to learn more

'MGM Resorts International 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.

'MGM Resorts International 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 MGM Resorts International 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 MGM Resorts International Professionals

For MGM Resorts International 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 MGM Resorts International offer to its employees?

MGM Resorts International offers a 401(k) retirement savings plan to help employees save for their future.

Does MGM Resorts International match employee contributions to the 401(k) plan?

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

What is the eligibility requirement for employees to participate in MGM Resorts International's 401(k) plan?

Employees of MGM Resorts International are eligible to participate in the 401(k) plan after completing a specified period of service, typically within the first year of employment.

Can employees of MGM Resorts International choose how much to contribute to their 401(k) plan?

Yes, employees at MGM Resorts International can choose their contribution percentage within the limits set by the IRS.

What investment options are available in the MGM Resorts International 401(k) plan?

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

How can MGM Resorts International employees access their 401(k) account information?

Employees of MGM Resorts International can access their 401(k) account information through the company’s designated retirement plan website or mobile app.

Is there a vesting schedule for the employer match in MGM Resorts International's 401(k) plan?

Yes, MGM Resorts International has a vesting schedule for the employer match, meaning employees must work for a certain period to fully own the matched contributions.

What happens to my 401(k) plan if I leave MGM Resorts International?

If you leave MGM Resorts International, you can choose to leave your 401(k) funds in the plan, roll them over to an IRA, or transfer them to a new employer's retirement plan.

Can MGM Resorts International employees take loans against their 401(k) savings?

Yes, MGM Resorts International allows employees to take loans against their 401(k) savings, subject to specific terms and conditions.

Are there penalties for early withdrawal from the MGM Resorts International 401(k) plan?

Yes, early withdrawals from the MGM Resorts International 401(k) plan may incur taxes and penalties unless specific exceptions apply.

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: MGM Resorts International does not have a traditional defined benefit pension plan; instead, it offers a 401(k) plan for retirement benefits. Years of Service and Age Qualification: Not applicable, as MGM Resorts International does not provide a defined benefit pension plan. Name of 401(k) Plan: MGM Resorts International 401(k) Plan Eligibility: Employees are generally eligible to participate in the 401(k) plan after completing 30 days of service. Contribution: Employees can make pre-tax or Roth contributions, and MGM Resorts International may provide matching contributions.

MGM Resorts International has been actively involved in restructuring efforts due to the economic challenges brought by the ongoing market volatility. The company announced a significant reduction in its workforce in early 2024, affecting various departments across its properties. This move is part of a broader strategy to streamline operations and reduce costs amid declining revenues and increased operational expenses. The layoffs impact not only the operational staff but also senior management, indicating a deep organizational restructuring. In addition to the layoffs, MGM Resorts has made adjustments to its company benefits and retirement plans, including changes to its 401(k) matching contributions and pension plans. The company has revised its retirement benefits to align with new economic realities, potentially affecting employees' long-term financial planning. These changes underscore the importance of staying updated on how shifts in company policies could influence personal financial strategies. Understanding these adjustments is crucial in the current economic and investment climate, as it impacts both individual retirement planning and overall job security. Being informed about such developments helps employees and investors make more strategic decisions in response to the evolving landscape of company benefits and economic conditions.

MGM Resorts International offers stock options and Restricted Stock Units (RSUs) to key executives and employees based on performance and tenure. The company uses the acronyms "SO" for Stock Options and "RSU" for Restricted Stock Units. Information about these benefits can be found in the annual reports and SEC filings.

Healthcare Coverage: MGM Resorts provides a range of health benefits including medical, dental, and vision insurance. They offer multiple plan options to suit various needs, with benefits such as preventive care, mental health services, and wellness programs. Wellness Programs: The company promotes wellness through programs such as fitness reimbursements, health screenings, and access to employee assistance programs (EAPs). Acronyms & Terms: Commonly used terms include PPO (Preferred Provider Organization), HSA (Health Savings Account), and EAP (Employee Assistance Program).

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For more information you can reach the plan administrator for MGM Resorts International at , ; or by calling them at .

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