'Mosaic 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.
Healthcare Provider Update: Healthcare Provider for Mosaic Mosaic is known for its commitment to quality health services, focusing on advanced specialty care. This commitment is underpinned by a range of healthcare providers who collaborate within the organization, prioritizing value-based care to enhance patient outcomes and reduce overall healthcare costs. Healthcare Cost Increases in 2026 As healthcare costs are projected to rise sharply in 2026, consumers, particularly those in the Affordable Care Act (ACA) marketplace, may face substantial financial burdens. With reports indicating possible premium hikes of over 60% in some states due to increasing medical expenses and the potential expiration of enhanced federal subsidies, many average consumers could see their out-of-pocket costs surge by up to 75%. This situation highlights the pressing need for strategic planning in healthcare spending and coverage selection well ahead of the looming increases. Click here to learn more
'Mosaic 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.
In this article, we will discuss:
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How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
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Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
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Practical steps Mosaic 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 Mosaic Professionals
For Mosaic 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:
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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/ .
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2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
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Other resources:
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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/ .
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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 .
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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 .
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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 Mosaic?
The 401(k) plan at Mosaic is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.
How does Mosaic match employee contributions to the 401(k) plan?
Mosaic offers a company match of 50% on employee contributions up to 6% of their salary, helping employees maximize their retirement savings.
When can employees at Mosaic enroll in the 401(k) plan?
Employees at Mosaic can enroll in the 401(k) plan during the initial onboarding process and during the annual open enrollment period.
Is there a vesting schedule for Mosaic's 401(k) plan?
Yes, Mosaic has a vesting schedule for company contributions, which typically requires employees to work for a certain number of years before they fully own the employer match.
What investment options are available in Mosaic's 401(k) plan?
Mosaic offers a variety of investment options, including target-date funds, index funds, and actively managed funds, allowing employees to choose based on their risk tolerance.
Can employees take loans against their 401(k) at Mosaic?
Yes, Mosaic allows employees to take loans against their 401(k) balance, subject to specific terms and conditions outlined in the plan.
What happens to my 401(k) if I leave Mosaic?
If you leave Mosaic, you can choose to roll over your 401(k) balance to another retirement account, cash it out, or leave it in the Mosaic plan if eligible.
Does Mosaic offer financial education resources for its 401(k) plan?
Yes, Mosaic provides financial education resources, including workshops and one-on-one consultations, to help employees make informed decisions about their 401(k) savings.
How often can employees change their contribution rate to the Mosaic 401(k) plan?
Employees at Mosaic can change their contribution rate at any time, subject to the plan’s guidelines.
Are there any fees associated with Mosaic's 401(k) plan?
Yes, there may be administrative fees and investment-related fees associated with Mosaic's 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.
The Mosaic Company provides its employees with a robust 401(k) retirement plan, offering several benefits designed to enhance financial wellness. The Mosaic 401(k) plan allows employees to make pre-tax payroll deductions, which contribute to their retirement savings, with tax-deferred growth. Mosaic also supports employees through company matching contributions and annual company contributions, helping to grow their retirement accounts. The plan offers a wide range of investment options, and employees can manage their accounts through Fidelity, which provides access to tools, calculators, and account management options.
Eligibility for the Mosaic 401(k) plan includes full-time employees, with options for part-time and hourly workers depending on their hours of service. The plan allows for automatic payroll deductions and enrollment at any time, providing flexibility to employees. Mosaic uses Fidelity's platform for all aspects of the 401(k) plan, including account management and beneficiary updates (Mosaic Benefits).
For Mosaic's pension plan, details are typically outlined in the company's summary plan description documents. The pension plan, often referred to as a Defined Benefit Plan, considers factors such as years of service and age qualification. Employees typically qualify after completing a certain number of years of service, which is standard in defined benefit plans across industries. Further details about the pension plan name, specific formulas, and eligibility would be available in company documents, such as the Summary Plan Description, which can be requested from Mosaic's HR department
In 2024, Mosaic Insurance underwent a significant restructuring of its underwriting and operational teams. The restructuring was aimed at supporting the company’s strategic expansion and driving growth for its agency business. The reorganization led to the redistribution of roles across key operational areas and advancements in technological integration. Key personnel updates included the promotion of leaders in strategic finance, corporate affairs, digital and AI strategy, and underwriting. This restructuring demonstrates Mosaic’s focus on evolving its global agency model and fostering partnerships that bring innovative solutions to the market (Royal Gazette) (Royal Gazette).
Mosaic (MOS) offers both employee stock options and Restricted Stock Units (RSUs) as part of its compensation package, with specific eligibility and conditions tied to each. The stock options are divided into Non-Qualified Stock Options (NQSOs) and Incentive Stock Options (ISOs). NQSOs are available to employees, contractors, directors, and advisors, while ISOs are limited to employees and are capped at $100,000 per year in exercisable value. RSUs can also be awarded to employees, contractors, directors, and advisors, with no set annual limits.
In 2022, 2023, and 2024, Mosaic has continued to offer stock options and RSUs to key personnel, especially employees contributing to long-term company growth. Mosaic stock options grant the right to purchase company stock at a set price, and vesting schedules are typically spread over several years.
Medical Premiums: For both 2023 and 2024, employees saw slight increases in medical premiums. The monthly premium rise was approximately $6 to $29 in 2023 and $5 to $25 in 2024, depending on the plan. These adjustments reflected national trends while maintaining lower increases than expected.
Dental and Vision: For four consecutive years, Mosaic maintained stable costs for dental and vision plans, ensuring that employee contributions did not rise.
Wellness Incentives: Mosaic offers a $500 wellness incentive for employees and spouses/domestic partners who participate in personal health screenings under the company’s health plan. This incentive continues into 2024 as part of their focus on preventive care.
Flexible Time Off: In addition to health benefits, Mosaic implemented a "Flexible Time Off" program allowing employees to take time for vacation, illness, mental health, and volunteering.
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