Healthcare Provider Update: Healthcare Provider for Centene Corporation Centene Corporation's primary healthcare provider services are delivered through its various insurance products, particularly under the Ambetter and Celtic brands. Centene specializes in providing managed care and Medicaid services, ensuring access to a comprehensive range of healthcare services across numerous states in the U.S. Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are poised to witness significant increases, largely driven by sharp hikes in Affordable Care Act (ACA) premiums, which are projected to rise by an average of 20%. Several factors contribute to this escalation, including increasing medical costs, the potential expiration of enhanced federal premium subsidies, and aggressive rate adjustments by major insurers like Centene. As a result, many consumers could face out-of-pocket premium increases of over 75%, compounding the financial strain on families and individuals who rely on ACA marketplace plans. The convergence of these forces represents a considerable challenge for those navigating the health insurance landscape in 2026. Click here to learn more
'Thoughtful multigenerational planning can help Centene employees navigate GSTT considerations more effectively, making it an essential part of preparing families for long-term financial transitions.' -- Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.
'Carefully structuring multigenerational wealth transfers can help Centene employees stay aligned with GSTT rules and should be considered when discussing long-term family planning priorities.' -- Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article, we will discuss:
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Key concepts behind the generation-skipping transfer tax (GSTT).
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Common exemptions and exclusions that may lessen transfer tax exposure.
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Planning methods that can help families pass wealth across generations.
Important Takeaways on How to Transfer Wealth Across Generations
The generation-skipping transfer tax (GSTT) is relevant for any Centene employees transferring wealth to grandchildren or other individuals that skip over your children's generation.
Both GSTT and gift or estate taxes may apply when transferring assets to heirs more than one generation below the transferor.
Exemptions may lower transfer tax liability if planning is structured thoughtfully.
Federal gift and estate taxes—applicable to transfers during life or at death—are familiar to many Centene employees. However, when assets move to people more than one generation below the transferor, such as a gift from a grandparent to a grandchild, the federal generation-skipping transfer tax (GSTT) may also apply.
Generation-Skipping Transfer Tax: What Is It?
Transfers to “skip persons,” those more than one generation below the transferor or more than 37½ years younger, are subject to the GSTT. This federal tax applies in addition to any federal gift or estate tax due and equals the highest federal gift and estate tax rate in effect—a flat rate of 40%—which is relevant for Centene employees engaging in multigenerational planning.
The GSTT was introduced in 1976 to address concerns that affluent families could shift assets in ways that bypassed estate taxes at each generational level. 1
Lifetime Exemptions and Gift Tax Exclusions
Transfers made during life or at death to anyone other than a spouse or qualified charity may be subject to federal gift or estate tax. Key exclusions include several that may benefit Centene employees:
Annual gift tax exemption: In 2026, individuals may give up to $19,000 per recipient without incurring federal estate or gift tax. Couples may combine exclusions for a total of $38,000 per beneficiary. 2 For example, a married couple with two children could give $76,000 total ($38,000 to each child) annually without gift tax.
Qualified transfers: Payments made directly to educational institutions for tuition or to medical providers for medical expenses are not considered taxable gifts. There is no dollar limit on these transfers. 1
Lifetime unified exclusion: Individuals may transfer up to $13.99 million (or $27.98 million per married couple) during life or at death without federal gift or estate tax. 2 Lifetime gifts reduce the remaining exclusion available at death.
Transfers exceeding these exclusions are taxed at the top federal estate and gift tax rate of 40%.
Exclusions & Exemptions from GSTT
The GSTT has rules similar to traditional gift tax laws, which can influence planning for Centene families:
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- Grandparents may give up to $19,000 directly to a grandchild in 2026 without triggering gift tax or GSTT.
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- Each individual has a $13.99 million lifetime GSTT exemption ($27.98 million per couple), though this exemption is not independent from estate or gift tax rules.
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Transfers above exemption thresholds are subject to a 40% GSTT.
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GSTT applies only at the federal level, although some states may impose their own estate or inheritance taxes.
When Does the GSTT Start to Apply?
The GSTT applies to three types of taxable events, all of which may arise in multigenerational planning for Centene families:
Direct skips: Transfers made directly to a skip person or to a trust for their exclusive benefit. The transferor or their estate pays the tax.
Taxable distributions: Distributions from a trust to a skip person. The beneficiary pays the tax.
Taxable terminations: Occur when a trust interest ends and only skip persons remain as beneficiaries. The trustee pays the tax.
GSTT Exemption Allocations
Transfers—outright or to a trust—may qualify for GSTT exemption as long as the exemption is properly allocated. Once allocated, all future growth on those trust assets is generally free from GSTT, a strategy Centene families may want to use.
For example, if a person contributed $10 million to an irrevocable trust for grandchildren in 2024 and allocated the GSTT exemption, and the trust later grew to $20 million, future distributions would not incur GSTT. 1
Methods for Lowering GSTT
1. 529 Plan Contributions
Contributions to 529 college savings plans are treated as completed gifts, even though account owners can change the beneficiary. Grandparents may “superfund” a 529 plan with five years of annual exclusions at once—up to $95,000 per beneficiary in 2025 or $190,000 per beneficiary for a married couple filing jointly 3 —which may interest Centene retirees.
2. Dynasty Trusts
Dynasty trusts are irrevocable trusts designed to last across multiple generations. Some states allow long-term or perpetual trusts, while others limit trust duration under the “rule against perpetuities.” These trusts can combine GSTT planning with long-term asset preservation features and, when fully exempt from GSTT, future distributions or terminations can occur without additional GSTT 4 —an appealing option for extended family planning.
Concluding Remarks
Although GSTT planning can be complex, exemptions and structured transfers may help Centene employees reduce or eliminate federal taxes on wealth passed to grandchildren or other skip persons.
The Retirement Group can assist you with wealth transfer planning and retirement income strategies. Call our team at (800) 900-5867 for guidance.
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- Medicare Open Enrollment for Corporate Employees: Cost Changes in 2024!
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- How Are Workers Impacted by Inflation & Rising Interest Rates?
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Sources:
1. Fidelity Investments. “Understanding the Generation-Skipping Transfer Tax.” Fidelity , 3 Oct. 2025, www.fidelity.com/viewpoints/wealth-management/insights/generation-skipping-transfer-tax .
2. Internal Revenue Service. “ IRS releases tax inflation adjustments for tax year 2027 .” IRS.gov , 9 Oct. 2025.
3. Bendig, Erin. “How This 529 ‘Superfund’ Strategy Can Transform Your Estate Plan.” Kiplinger , 12 Sept. 2025, www.kiplinger.com/personal-finance/this-super-529-strategy-can-help-you-jumpstart-college-savings .
4. Investopedia. ' What Is a Dynasty Trust? ' by Will Kenton. 31 March 2025.
What type of retirement plan does Centene offer to its employees?
Centene offers a 401(k) Savings Plan to help employees save for retirement.
Does Centene provide a matching contribution for its 401(k) plan?
Yes, Centene provides a matching contribution to encourage employees to save for retirement.
How can Centene employees enroll in the 401(k) Savings Plan?
Centene employees can enroll in the 401(k) Savings Plan through the employee benefits portal during open enrollment or after they become eligible.
What is the eligibility criteria for Centene’s 401(k) Savings Plan?
Employees at Centene are generally eligible to participate in the 401(k) Savings Plan after completing a specified period of employment.
Can Centene employees make changes to their 401(k) contributions?
Yes, Centene employees can change their contribution amounts at any time through the benefits portal.
What investment options are available in Centene's 401(k) Savings Plan?
Centene offers a variety of investment options including mutual funds, target-date funds, and other investment vehicles.
Is there a vesting schedule for Centene’s 401(k) matching contributions?
Yes, Centene has a vesting schedule for matching contributions, which means employees must work for a certain period to fully own those funds.
How often can Centene employees review their 401(k) account statements?
Centene employees can review their 401(k) account statements quarterly through the online benefits portal.
What happens to my Centene 401(k) if I leave the company?
If you leave Centene, you can choose to roll over your 401(k) balance to another retirement account or withdraw the funds, subject to tax implications.
Does Centene offer financial education resources for its 401(k) plan participants?
Yes, Centene provides financial education resources and tools to help employees make informed decisions about their 401(k) savings.



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