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

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

Healthcare Provider Update: Healthcare Provider for Moody's: Moody's Corporation itself is primarily a financial services company known for its analytical and credit rating services. It does not operate as a healthcare provider. However, within the healthcare sector, it analyzes health insurers and hospital systems, assessing their financial viability and operational performance. Healthcare Cost Increases in 2026: In 2026, healthcare costs are projected to soar, driven by several interlinked factors. A significant sunset of enhanced Affordable Care Act (ACA) subsidies could lead to out-of-pocket premiums skyrocketing by over 75% for many consumers. Compounding this, record-breaking requests for premium increases -with some states reporting hikes of over 60% -reveal an industry grappling with heightened medical expenses and operational pressures. Insurers, even with reported profits exceeding $31 billion, face the reality that escalating rates and diminishing financial support threaten the affordability of healthcare coverage for millions moving forward. Click here to learn more

'Moody's 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.

'Moody's 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 Moody's 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 Moody's Professionals

For Moody's 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 plan does Moody's offer to its employees?

Moody's offers a 401(k) savings plan to help employees save for retirement.

How can employees enroll in Moody's 401(k) plan?

Employees can enroll in Moody's 401(k) plan through the company's benefits portal during the enrollment period.

Does Moody's match employee contributions to the 401(k) plan?

Yes, Moody's provides a matching contribution to employee 401(k) accounts, subject to certain limits.

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

The maximum contribution limit for Moody's 401(k) plan is in line with IRS guidelines, which can change annually.

Can employees at Moody's take loans against their 401(k) savings?

Yes, Moody's allows employees to take loans against their 401(k) savings, subject to specific terms and conditions.

What investment options are available in Moody's 401(k) plan?

Moody's 401(k) plan offers a variety of investment options, including mutual funds and target-date funds.

How often can employees change their contribution amounts in Moody's 401(k) plan?

Employees can change their contribution amounts to Moody's 401(k) plan at any time, subject to plan rules.

What happens to my 401(k) savings if I leave Moody's?

If you leave Moody's, you can roll over your 401(k) savings into another qualified retirement account or leave it in the plan, depending on the balance.

Is there a vesting schedule for Moody's 401(k) matching contributions?

Yes, Moody's has a vesting schedule for matching contributions, which determines when employees fully own those funds.

Can employees at Moody's access their 401(k) savings before retirement?

Employees at Moody's may access their 401(k) savings before retirement under certain circumstances, such as financial hardship.

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: Moody's does not appear to have a traditional defined benefit pension plan but instead offers a 401(k) plan. Years of Service and Age Qualification: Specific details on years of service and age qualifications may not be applicable as there is no traditional pension plan. Pension Formula: Not applicable. Who Qualifies: Employees are typically eligible for benefits under the 401(k) plan rather than a pension plan. Name of Plan: Moody’s 401(k) Retirement Plan. Who Qualifies: Employees who meet the eligibility requirements can participate. Typically, full-time employees are eligible to participate in the 401(k) plan. Contribution Details: Employees can contribute a percentage of their salary, and Moody’s may offer a matching contribution.

Restructuring and Layoffs: Moody's Corporation announced a significant restructuring initiative in early 2023 aimed at streamlining operations and reducing costs. This restructuring included the elimination of several positions across various departments. The decision was driven by a need to enhance operational efficiency and adapt to changing market conditions. The layoffs affected both senior and junior roles, emphasizing the company's strategic shift towards more agile and streamlined operations.

Company Filings: Look at Moody’s annual reports (10-K) and quarterly reports (10-Q) filed with the SEC. These documents often contain detailed information on stock options and RSUs. Investor Relations: Visit Moody’s Investor Relations website. They usually provide access to annual reports, earnings releases, and proxy statements that include details about compensation packages. Financial News Websites: Sites like Bloomberg, Yahoo Finance, or Reuters may have articles or reports about Moody’s compensation practices and stock options. SEC EDGAR Database: Search for Moody’s filings in the EDGAR database for detailed financial and compensation information.

2023 Adjustments: Moody’s made adjustments to their healthcare plans in 2023 to offer more flexible options, including increased contributions to HSAs and expanded telemedicine services. 2024 Initiatives: For 2024, Moody’s has introduced new wellness programs and enhanced mental health support as part of their benefits package. This includes expanded access to counseling and mental health resources. General Trends: Moody’s is aligning with broader trends in the industry towards more flexible and employee-centric healthcare solutions, emphasizing mental health and preventive care.