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

The Este Lauder Companies Inc. Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for The Estee Lauder Companies Inc. The Estee Lauder Companies Inc. typically partners with large health insurance providers to offer employee health benefits. Some of the prevalent healthcare providers that may cater to Estee Lauder employees include UnitedHealthcare, Blue Cross Blue Shield, and Aetna, which provide a range of health plans and services encompassing medical, dental, and mental health coverage. Potential Healthcare Cost Increases in 2026 As we look ahead to 2026, significant healthcare cost increases are projected for many Americans, particularly those enrolled in Affordable Care Act (ACA) marketplace plans. Several factors contribute to this expected surge, including the looming expiration of enhanced premium subsidies and escalating medical costs. States are reporting premium hikes as high as 66%, with many of the largest insurers posting median increases around 20%. Notably, without congressional intervention to extend the premium tax credits, around 92% of enrollees could see their out-of-pocket costs rise by over 75%, putting adequate healthcare coverage out of reach for many. The combination of these elements suggests a challenging landscape for healthcare affordability moving into next year. Click here to learn more

'The Este Lauder Companies Inc. 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.

'The Este Lauder Companies Inc. 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 The Este Lauder Companies Inc. 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 The Este Lauder Companies Inc. Professionals

For The Este Lauder Companies Inc. 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 savings plan does The Este Lauder Companies Inc. offer to its employees?

The Este Lauder Companies Inc. offers a 401(k) retirement savings plan to its employees.

How can employees of The Este Lauder Companies Inc. enroll in the 401(k) plan?

Employees of The Este Lauder Companies Inc. can enroll in the 401(k) plan through the company’s HR portal during the enrollment period or upon eligibility.

Does The Este Lauder Companies Inc. provide a company match for contributions made to the 401(k) plan?

Yes, The Este Lauder Companies Inc. provides a company match for employee contributions to the 401(k) plan, subject to certain conditions.

What is the vesting schedule for the employer match in The Este Lauder Companies Inc.'s 401(k) plan?

The vesting schedule for the employer match in The Este Lauder Companies Inc.'s 401(k) plan typically follows a graded vesting schedule over a period of years.

Can employees of The Este Lauder Companies Inc. take loans against their 401(k) savings?

Yes, employees of The Este Lauder Companies Inc. may have the option to take loans against their 401(k) savings, subject to plan rules.

What investment options are available in The Este Lauder Companies Inc.'s 401(k) plan?

The Este Lauder Companies Inc.'s 401(k) plan offers a variety of investment options, including mutual funds, stocks, and bonds.

Are there any fees associated with The Este Lauder Companies Inc.'s 401(k) plan?

Yes, there may be fees associated with The Este Lauder Companies Inc.'s 401(k) plan, which can include administrative fees and investment management fees.

How often can employees of The Este Lauder Companies Inc. change their contribution amounts to the 401(k) plan?

Employees of The Este Lauder Companies Inc. can typically change their contribution amounts to the 401(k) plan on a quarterly basis or during open enrollment periods.

What is the minimum contribution percentage required for The Este Lauder Companies Inc.'s 401(k) plan?

The minimum contribution percentage required for The Este Lauder Companies Inc.'s 401(k) plan may vary, but it is often set at 1% or 2% of eligible pay.

Can employees of The Este Lauder Companies Inc. roll over funds from other retirement accounts into their 401(k)?

Yes, employees of The Este Lauder Companies Inc. can roll over funds from other qualified retirement accounts into their 401(k) plan.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

Pension Plan: The Estée Lauder Companies' primary pension plan is the Retirement Growth Account (RGA) Plan. This is a defined benefit plan where benefits are generally calculated based on years of service and the employee's compensation. The plan is designed to provide a stable income upon retirement. Employees are typically fully vested after five years of service, meaning they are entitled to full benefits even if they leave the company after this period. The plan is intended to work alongside other retirement income sources, including the company’s 401(k) plan and Social Security. 401(k) Plan: The Estée Lauder Companies 401(k) Savings Plan is a defined contribution plan, where employees can contribute a portion of their paycheck towards retirement savings. The company offers matching contributions to a certain percentage, enhancing the savings potential for employees. The plan is available to most employees and includes a variety of investment options, allowing participants to tailor their retirement savings strategy according to their individual financial goals.

Layoffs & Restructuring: In August 2023, Estée Lauder announced a significant restructuring plan involving layoffs and a strategic shift. The company aimed to reduce its global workforce by approximately 10% to streamline operations and focus on high-growth areas. This decision followed a period of slower-than-expected growth and shifting market dynamics. The restructuring is part of a broader effort to enhance operational efficiency and adapt to changing consumer preferences. This news is crucial to address due to the current economic climate, which impacts investment strategies and financial planning. The ongoing economic uncertainties and evolving tax policies make it essential for stakeholders to stay informed about such corporate actions to make informed decisions about their investments and retirement planning.

The Estée Lauder Companies Inc. provided stock options and RSUs to its executive team and senior management as part of their long-term incentive plan. The stock options granted are typically non-qualified stock options (NSOs) and the RSUs are granted based on performance metrics and tenure.

Health Benefits Information: Medical Coverage: Includes a variety of plans, with options for PPO and HMO plans. Dental and Vision: Offers comprehensive dental and vision care. Mental Health Support: Includes Employee Assistance Programs (EAPs) and mental health resources. Wellness Programs: Wellness initiatives like health screenings and fitness reimbursements. Additional Benefits: Includes health savings accounts (HSAs) and flexible spending accounts (FSAs).