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

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

Healthcare Provider Update: Healthcare Provider for Middleby Middleby Corporation typically collaborates with various healthcare insurers to provide employee health benefits, tailoring its offerings based on the needs of its workforce. As of now, specific details on Middleby's current healthcare provider may not be readily available. It is advisable for employees or stakeholders seeking information on their healthcare options to directly consult Middleby's human resources department for accurate, up-to-date information regarding their healthcare partnerships. Potential Healthcare Cost Increases in 2026 As the healthcare landscape evolves, Middleby Corporation may face significant cost escalations due to projected hikes in health insurance premiums, particularly for Affordable Care Act (ACA) plans, which could surpass 60% in some states. Factors contributing to this surge include the potential expiration of enhanced premium subsidies and increasing medical costs. The Kaiser Family Foundation indicates that without renewal of these subsidies, a staggering 92% of marketplace enrollees might see their premiums rise by more than 75%, intensifying financial pressures for both employees and employers alike in 2026. Click here to learn more

'Middleby 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.

'Middleby 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 Middleby 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 Middleby Professionals

For Middleby 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 Middleby offer to its employees?

Middleby offers a 401(k) retirement savings plan to its employees.

Is Middleby’s 401(k) plan available to all employees?

Yes, Middleby’s 401(k) plan is available to all eligible employees who meet the participation requirements.

Does Middleby provide a company match for contributions made to the 401(k) plan?

Yes, Middleby provides a company match for employee contributions to the 401(k) plan, subject to specific terms and conditions.

How can employees at Middleby enroll in the 401(k) plan?

Employees at Middleby can enroll in the 401(k) plan by completing the enrollment process through the designated benefits portal or by contacting HR.

What is the minimum contribution percentage required for Middleby employees to participate in the 401(k) plan?

The minimum contribution percentage for Middleby employees to participate in the 401(k) plan is typically set at 1% of their salary, but it may vary based on plan specifics.

Can Middleby employees change their contribution rates to the 401(k) plan?

Yes, Middleby employees can change their contribution rates to the 401(k) plan at any time, subject to plan rules.

What investment options are available in Middleby’s 401(k) plan?

Middleby’s 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

Is there a vesting schedule for the company match in Middleby’s 401(k) plan?

Yes, Middleby has a vesting schedule for the company match, which determines when employees fully own their matched contributions.

At what age can Middleby employees begin withdrawing from their 401(k) accounts?

Middleby employees can typically begin withdrawing from their 401(k) accounts at age 59½ without incurring penalties.

Are loans available from the 401(k) plan offered by Middleby?

Yes, Middleby’s 401(k) plan may allow employees to take loans against their account balance, subject to specific terms.

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: From the sources consulted, the specific name of Middleby's employee pension plan is identified in the following document: [Source Document], Page [Page Number]. Pension Formula: Details on the pension formula used by Middleby can be found in the following document. Years of Service and Age Qualification: Eligibility criteria based on years of service and age for Middleby’s pension plan are outlined in: Name of Plan: The 401(k) plan provided by Middleby is listed in the following document: Eligibility Criteria: Eligibility requirements for Middleby’s 401(k) plan are detailed in:

Layoffs and Restructuring: In 2023, Middleby announced a significant restructuring plan to streamline operations and reduce costs. This included layoffs across various departments, particularly in administrative and support roles. The company indicated that these changes were necessary to improve operational efficiency and adapt to shifting market conditions. Importance: Addressing these layoffs is crucial given the current economic environment, which impacts job security and financial stability. Additionally, the restructuring could affect employee benefits and pensions, making it essential for employees to stay informed.

Middleby’s stock options and RSU programs are designed to incentivize performance and align employees’ interests with shareholder value. For Middleby in 2022 and 2023, stock options and RSUs were primarily allocated to senior management and key contributors. In 2024, Middleby continues to offer these benefits, focusing on rewarding high-performing employees and executives.

Middleby Official Website: Middleby’s official site may have details on their health benefits under the "Careers" or "Employee Benefits" sections. Generally, companies list their health plans, including medical, dental, and vision insurance, along with any wellness programs or Employee Assistance Programs (EAPs).